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Nutcracker
medicine forum Guru
Joined: 02 Mar 2006
Posts: 318
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 Posted: Thu Jun 29, 2006 8:30 pm Post subject:
How to inform a judge about Lyme disease?
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How to inform a judge about Lyme disease?
Any recommendations about which documents, studies, etc. to show?
Any ideas about how to handle such, how to show it?
Advise is appreciated. |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Thu Jun 29, 2006 11:17 pm Post subject:
Re: How to inform a judge about Lyme disease?
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Nutcracker wrote:
| Quote: | How to inform a judge about Lyme disease?
Any recommendations about which documents, studies, etc. to show?
Any ideas about how to handle such, how to show it?
Advise is appreciated.
|
I would think that would depend on the issue involved...why the issue
of Lyme is being presented at all.
Personally, I would try to avoid it if at all possible.
Whether a person does or doesn't have Lyme disease is really a
diagnostic issue. If the issue is disability, then I would personally
think the thing to do is focus on the disabling nature of the
symptoms...and NOT make an issue of the diagnosis unless absolutely
necessary.
I don't think you want a situation where you are putting Lyme disease
on trial. That gives an unfair advantage to the opposition...the
essential problem in the Lyme controversy is that patient experiences
get "over-ruled" by so-called medical "experts".
My advice (for what it's worth)...focus on the symptoms and avoid
defending the diagnosis. |
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eugeneshapiroisapig
medicine forum Guru
Joined: 24 Mar 2005
Posts: 2108
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| Posted: Fri Jun 30, 2006 12:27 am Post subject:
Re: How to inform a judge about Lyme disease?
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there's nothing wrong with putting lyme disease on trial, things are
heading that direction anyhow thanks to the corruption of science which
has taken place under the watch of David Dennis, Allen Steere, Gary
Wormser et. al. and other political button pushing bean counting
doddering obsolete fossilized flat earthers.
One tactic I would suggest would be to question whether any "experts"
you come up against are in fact experts. The area of hypocrisy to focus
on would be contradictory statements about late stage disease. Don't
waste time arguing about early, acute LD. The problem is late LD and it
is in this area that you could really nail someone.
remember, late LD often presents as encephalopathy with
neuropsychiatric and cognitive features, and none of the IDSA types,
rheumatologists, IDs, etc. have any experience, at all, in this field.
and if someone doesn't have any experience or training...then you have
a legitimate opening for attacking their expertise in court.
the 3rd Man wrote:
| Quote: | Nutcracker wrote:
How to inform a judge about Lyme disease?
Any recommendations about which documents, studies, etc. to show?
Any ideas about how to handle such, how to show it?
Advise is appreciated.
I would think that would depend on the issue involved...why the issue
of Lyme is being presented at all.
Personally, I would try to avoid it if at all possible.
Whether a person does or doesn't have Lyme disease is really a
diagnostic issue. If the issue is disability, then I would personally
think the thing to do is focus on the disabling nature of the
symptoms...and NOT make an issue of the diagnosis unless absolutely
necessary.
I don't think you want a situation where you are putting Lyme disease
on trial. That gives an unfair advantage to the opposition...the
essential problem in the Lyme controversy is that patient experiences
get "over-ruled" by so-called medical "experts".
My advice (for what it's worth)...focus on the symptoms and avoid
defending the diagnosis. |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 12:41 am Post subject:
Re: How to inform a judge about Lyme disease?
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pamp danties wrote:
| Quote: | there's nothing wrong with putting lyme disease on trial,
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Unless you are the one paying for it, you stupid Nazi pervert.
STFU. |
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eugeneshapiroisapig
medicine forum Guru
Joined: 24 Mar 2005
Posts: 2108
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| Posted: Fri Jun 30, 2006 12:55 am Post subject:
Re: How to inform a judge about Lyme disease?
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well, that's a value judgement. there's too much focus in lyme disease
on who pays for what...on greed and materialism...and not enough focus
on issues of justice, ethics, and morality...moreover...there are other
ways in which an individual "pays"...such as through the hell of having
an organic brain disease which society doesn't recognize as such...the
torture of the denial of human experience.
I'm sure most of the jews killed in WW2 would have preferred to have
their gold teeth pulled out while they were alive, had they been given
this alternative.
the 3rd Man wrote:
| Quote: | pamp danties wrote:
there's nothing wrong with putting lyme disease on trial,
Unless you are the one paying for it, you stupid Nazi pervert.
STFU. |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 1:01 am Post subject:
Re: How to inform a judge about Lyme disease?
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pamp danties wrote:
| Quote: | well, that's a value judgement. there's too much focus in lyme disease
on who pays for what...on greed and materialism...and not enough focus
on issues of justice, ethics, and morality...moreover...there are other
ways in which an individual "pays"...such as through the hell of having
an organic brain disease which society doesn't recognize as such...the
torture of the denial of human experience.
|
JUST SHUT UP.
You don't have a CLUE as to what you're talking about.
In case you hadn't heard the objective in litigation is to WIN.
An individual case has NO precedential value usually...so there is
NOTHING to be gained for the "greater good".
SHUT UP.
| Quote: |
I'm sure most of the jews killed in WW2 would have preferred to have
their gold teeth pulled out while they were alive, had they been given
this alternative.
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Get help, you SICK bastard. |
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eugeneshapiroisapig
medicine forum Guru
Joined: 24 Mar 2005
Posts: 2108
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| Posted: Fri Jun 30, 2006 1:25 am Post subject:
Re: How to inform a judge about Lyme disease?
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no, the object in litigation is not neccessarily a win. sometimes a tie
is just as good. or, a loss which results in a pyrrhic victory for the
other side. one or more pyrrhic victories will eventually lead to your
opposition changing their policies in order to avoid the cost. and in
this case, you've also won. look at the OspA fiasco.
it all depends on your perspective.
the 3rd Man wrote:
| Quote: | pamp danties wrote:
well, that's a value judgement. there's too much focus in lyme disease
on who pays for what...on greed and materialism...and not enough focus
on issues of justice, ethics, and morality...moreover...there are other
ways in which an individual "pays"...such as through the hell of having
an organic brain disease which society doesn't recognize as such...the
torture of the denial of human experience.
JUST SHUT UP.
You don't have a CLUE as to what you're talking about.
In case you hadn't heard the objective in litigation is to WIN.
An individual case has NO precedential value usually...so there is
NOTHING to be gained for the "greater good".
SHUT UP.
I'm sure most of the jews killed in WW2 would have preferred to have
their gold teeth pulled out while they were alive, had they been given
this alternative.
Get help, you SICK bastard. |
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lipanz
medicine forum addict
Joined: 19 Jun 2005
Posts: 62
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| Posted: Fri Jun 30, 2006 4:27 am Post subject:
Re: How to inform a judge about Lyme disease?
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That is a very sensible & good answer. esp if it involves disability.
In another situation like misdiagnosed with something else & it later
is found out to really be Lyme & the person is chronically ill - do you
think it would be very difficult to sue & even to find a lawyer to
defend esp on contingency unless one was a millionaire. I even heard
some of the lawyers play golf together with some of the doctors in the
same area.
They would always come out with Oh how do we know ones symptoms are
really from Lyme & all the other deceitful BS. And then certain states
have a statue of limitations of only 2 or 3 yrs. And then if one
produces proof like blood tests, rash photos or brain lesions etc.
they could say oh well - you must have gotten it later.
Most of the doctors these days if they are quilty of some sort of
misjudgement or negligence they cover up with even doctoring up their
records with contradictions. I've even seen records of previous office
visits doctored up with contradictions & lies.
And they all stick together & cover each other up. I do this for you -
you do this for me. If a person requests hospital stay records - in
any situation esp if one passes away they say you have to wait for 30
days after because of lawsuits. Well if they feel not quilty of any
wrong doing why wait for 30 days -------so they if they know they are
quilty of malpractice or negligence is that to give them time to doctor
up the records??
| Quote: | Nutcracker wrote:
How to inform a judge about Lyme disease?
Any recommendations about which documents, studies, etc. to show?
Any ideas about how to handle such, how to show it?
Advise is appreciated.
I would think that would depend on the issue involved...why the issue
of Lyme is being presented at all.
Personally, I would try to avoid it if at all possible.
Whether a person does or doesn't have Lyme disease is really a
diagnostic issue. If the issue is disability, then I would personally
think the thing to do is focus on the disabling nature of the
symptoms...and NOT make an issue of the diagnosis unless absolutely
necessary.
I don't think you want a situation where you are putting Lyme disease
on trial. That gives an unfair advantage to the opposition...the
essential problem in the Lyme controversy is that patient experiences
get "over-ruled" by so-called medical "experts".
My advice (for what it's worth)...focus on the symptoms and avoid
defending the diagnosis. |
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Nutcracker
medicine forum Guru
Joined: 02 Mar 2006
Posts: 318
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| Posted: Fri Jun 30, 2006 12:51 pm Post subject:
Re: How to inform a judge about Lyme disease?
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Thanks for your reply.
Yes, the issue is disability. I applied for a disability provision that
is meant for those who get disabled at a young age. Unfortunately, The
institute that deals with this dismissed my request.
Their motivation is that in their opinion I have not been disabled for
at least 52 weeks. They conclude that there can't be indicated an
objectivable period of at least 52 weeks with medical limitations.
That's the problem here. In order to get the disability provision one
needs a medically-objectivable condition. On top of that it has to be
indicated that the condition is the direct cause of disability.
I don't have an "official" diagnosis of Lyme disease, it was excluded
because of a negative ELISA. I do have a diagnosis of CFS, but that is
not taken very seriously, and it's not medically-objectivable.
The institute argues that, even if there was an infection with Borrelia,
it can be assessed that there has not been interference with rounding
off an education and doing different types of work.
Yes, I did finish pre-university education, although it was hard and
took much longer than normal, and I stayed home a lot. Unfortunately I
was smart and I didn't give up quickly, so I finished this education.
But I wasn't able to go to the university, although I even tried and
collapsed. The years after I was mostly unemployed, but indeed, there
have been a few periods that I did some unskilled labour(labor).
So now I am appealing against the decision of the institute. I think the
symptoms (or even the diagnosis of CFS) are not
medically-objectivable. Therefore, avoiding Lyme disease is hard in this
case.
I do see a naturopath now since May 2006, who thinks I do indeed have
Lyme disease since I was 10 years old, when I was bitten by a tick; and
that Lyme disease is the direct cause of my disability.
The institute might argue that the opinion of a naturopath doesn't
count, and that regular physicians ruled out Lyme disease. But the
naturopath is an "official" physician who has studied medicine too.
Lyme disease is often not medically-objectivable. It is a clinical
diagnosis that needs different gradations of probability. There is no
"gold standard" that can establish the diagnosis.
A few documents, mostly published literature, will be used to support
these statements. At least, by medical literature the assumption can be
refuted that a negative ELISA rules out Lyme disease.
I rest my case.
the 3rd Man wrote:
| Quote: | I would think that would depend on the issue involved...why the issue
of Lyme is being presented at all.
Personally, I would try to avoid it if at all possible.
Whether a person does or doesn't have Lyme disease is really a
diagnostic issue. If the issue is disability, then I would personally
think the thing to do is focus on the disabling nature of the
symptoms...and NOT make an issue of the diagnosis unless absolutely
necessary.
I don't think you want a situation where you are putting Lyme disease
on trial. That gives an unfair advantage to the opposition...the
essential problem in the Lyme controversy is that patient experiences
get "over-ruled" by so-called medical "experts".
My advice (for what it's worth)...focus on the symptoms and avoid
defending the diagnosis. |
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brent
medicine forum Guru
Joined: 29 Apr 2005
Posts: 1543
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| Posted: Fri Jun 30, 2006 3:05 pm Post subject:
Re: How to inform a judge about Lyme disease?
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Nutcracker wrote:
| Quote: | Thanks for your reply.
Yes, the issue is disability. I applied for a disability provision that
is meant for those who get disabled at a young age. Unfortunately, The
institute that deals with this dismissed my request.
Their motivation is that in their opinion I have not been disabled for
at least 52 weeks. They conclude that there can't be indicated an
objectivable period of at least 52 weeks with medical limitations.
That's the problem here. In order to get the disability provision one
needs a medically-objectivable condition. On top of that it has to be
indicated that the condition is the direct cause of disability.
I don't have an "official" diagnosis of Lyme disease, it was excluded
because of a negative ELISA. I do have a diagnosis of CFS, but that is
not taken very seriously, and it's not medically-objectivable.
The institute argues that, even if there was an infection with Borrelia,
it can be assessed that there has not been interference with rounding
off an education and doing different types of work.
Yes, I did finish pre-university education, although it was hard and
took much longer than normal, and I stayed home a lot. Unfortunately I
was smart and I didn't give up quickly, so I finished this education.
But I wasn't able to go to the university, although I even tried and
collapsed. The years after I was mostly unemployed, but indeed, there
have been a few periods that I did some unskilled labour(labor).
So now I am appealing against the decision of the institute. I think the
symptoms (or even the diagnosis of CFS) are not
medically-objectivable. Therefore, avoiding Lyme disease is hard in this
case.
I do see a naturopath now since May 2006, who thinks I do indeed have
Lyme disease since I was 10 years old, when I was bitten by a tick; and
that Lyme disease is the direct cause of my disability.
The institute might argue that the opinion of a naturopath doesn't
count, and that regular physicians ruled out Lyme disease. But the
naturopath is an "official" physician who has studied medicine too.
Lyme disease is often not medically-objectivable. It is a clinical
diagnosis that needs different gradations of probability. There is no
"gold standard" that can establish the diagnosis.
A few documents, mostly published literature, will be used to support
these statements. At least, by medical literature the assumption can be
refuted that a negative ELISA rules out Lyme disease.
I rest my case.
the 3rd Man wrote:
I would think that would depend on the issue involved...why the issue
of Lyme is being presented at all.
Personally, I would try to avoid it if at all possible.
Whether a person does or doesn't have Lyme disease is really a
diagnostic issue. If the issue is disability, then I would personally
think the thing to do is focus on the disabling nature of the
symptoms...and NOT make an issue of the diagnosis unless absolutely
necessary.
I don't think you want a situation where you are putting Lyme disease
on trial. That gives an unfair advantage to the opposition...the
essential problem in the Lyme controversy is that patient experiences
get "over-ruled" by so-called medical "experts".
My advice (for what it's worth)...focus on the symptoms and avoid
defending the diagnosis.
|
My experience wont be good news for you (if ya live in america). I
tested positive. failed the test in which I couldn't even stand up
straight with my eyes closed. Was told sense I could still move my hand
I could write and thus do my job! CFS destroys any chance to do jobs
requiring mental abilities so I was screwed job wise yet it is
meaningless as far as getting disability. In other words good luck but
it will take many many attempts to get disability and there's a good
chance you'll get nothing at all ever. we (america) is broke. good luck
though.
Hows the naturopath working? I have a appointment but it was a three
month wait! One more to go. |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 3:29 pm Post subject:
Re: How to inform a judge about Lyme disease?
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Nutcracker wrote:
| Quote: | Thanks for your reply.
Yes, the issue is disability. I applied for a disability provision that
is meant for those who get disabled at a young age. Unfortunately, The
institute that deals with this dismissed my request.
Their motivation is that in their opinion I have not been disabled for
at least 52 weeks. They conclude that there can't be indicated an
objectivable period of at least 52 weeks with medical limitations.
That's the problem here. In order to get the disability provision one
needs a medically-objectivable condition. On top of that it has to be
indicated that the condition is the direct cause of disability.
|
Okay. That helps. (Do you know if there is a definition of "direct"
somewhere? What does that mean, exactly)? Sounds as if you have been
"defined out" of the system.
| Quote: |
I don't have an "official" diagnosis of Lyme disease, it was excluded
because of a negative ELISA. I do have a diagnosis of CFS, but that is
not taken very seriously, and it's not medically-objectivable.
|
Right. "Subjective". Are there any indications of symptoms that are
non-"subjective"? Medical records?
| Quote: |
The institute argues that, even if there was an infection with Borrelia,
it can be assessed that there has not been interference with rounding
off an education and doing different types of work.
|
Sure, they can say that because they haven't ever enjoyed the
experience of the lovely companionship of Miss Bb. (She's loyal,
though...kind of clingy, really...I keep telling her it's over...it's
over...she just won't let go).
| Quote: |
Yes, I did finish pre-university education, although it was hard and
took much longer than normal, and I stayed home a lot. Unfortunately I
was smart and I didn't give up quickly, so I finished this education.
But I wasn't able to go to the university, although I even tried and
collapsed. The years after I was mostly unemployed, but indeed, there
have been a few periods that I did some unskilled labour(labor).
So now I am appealing against the decision of the institute. I think the
symptoms (or even the diagnosis of CFS) are not
medically-objectivable. Therefore, avoiding Lyme disease is hard in this
case.
|
Do you have an attorney? What is the appeal process like there? Is
there oral testimony in front of the judge? I understand that European
systems are not as adversarial as ours here in the States, but I really
have little idea of what would be involved here.
Are there any objective, quantifiable symptoms recorded in your medical
records?
| Quote: |
I do see a naturopath now since May 2006, who thinks I do indeed have
Lyme disease since I was 10 years old, when I was bitten by a tick; and
that Lyme disease is the direct cause of my disability.
|
Can this person testify?
| Quote: |
The institute might argue that the opinion of a naturopath doesn't
count, and that regular physicians ruled out Lyme disease. But the
naturopath is an "official" physician who has studied medicine too.
Lyme disease is often not medically-objectivable. It is a clinical
diagnosis that needs different gradations of probability. There is no
"gold standard" that can establish the diagnosis.
|
Right. And that's why, if possible...I say emphasize the symptoms and
not the diagnosis.
If you have, say, difficulty walking, speaking...then I would NOT go
into a hearing where disability is the ultimate issue and claim Lyme as
the cause.
In that case, see, (as an illustration) you would want to leave the
diagnosis open to the possibility of other diseases such as ALS or
Parkinson's. Sorry if that sounds manipulative...but as educated as we
may become as patients, it's important to remember that we are not
doctors and our opinions as to whether we have Lyme or not don't count
in court.
That makes it too easy for someone else to say you will be fine with
3-4 weeks of doxycycline.
| Quote: |
A few documents, mostly published literature, will be used to support
these statements. At least, by medical literature the assumption can be
refuted that a negative ELISA rules out Lyme disease.
I rest my case.
|
Well, that is, of course, correct...a negative ELISA does not "rule
out" Lyme.
But if I am reading what you are saying right, your objective here is
to allege the disabilty is due to Lyme...AND...convince them that Lyme
has debillitating longterm consequences?
Maybe. But a very difficult task.
New IDSA guidelines should be coming out here soon...but that probably
won't have much impact on you.
There is a very nice statement by Steere of how debillitating Lyme can
be in his NEJM July 2001 article. One of my favorite quotes. (Let me
see if I can dig it out....)
Sorry, Martijn...don't really know what to say, except it is apparently
just our "lot in life" to have to go through this...
....and the thing I have the most trouble with is the failure of others
to understand...or sometimes even make an effort to understand.
I do understand the bitterness toward Steere and others...I just don't
think it accomplishes anything. |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 3:58 pm Post subject:
Re: How to inform a judge about Lyme disease?
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lipanz wrote:
| Quote: | That is a very sensible & good answer. esp if it involves disability.
|
Thank you for saying so.
| Quote: | In another situation like misdiagnosed with something else & it later
is found out to really be Lyme & the person is chronically ill - do you
think it would be very difficult to sue & even to find a lawyer to
defend esp on contingency unless one was a millionaire. I even heard
some of the lawyers play golf together with some of the doctors in the
same area.
|
Well, most likely the lawyers would be playing golf with the lawyers
who represent the doctors. LOL. I wouldn't worry too much about that
sort of thing. It actually helps in most cases if the lawyers know each
other. (Most people find it somewhat distasteful to socialize with
lawyers).
I think that many Lymies fight very hard to get a correct diagnosis of
Lyme, and so their natural inclination is to want to defend that
diagnosis in court. Although psychologically understandable, very
possibly the wrong thing to do...and if you think most doctors don't
understand about Lyme...what do you think the awareness of most lawyers
is?
If you have objective symptoms in your records...then emphasize the
nature of those, I would think.
If the diagnosis is Lyme...well, I would point out how difficult Lyme
is to diagnose...and while the patient is being treated as POSSIBLY
having Lyme...because it can't be ruled out...you see? Turn the tables
on them.
What they will do is say first that you don't have Lyme. And, if they
lose that one...they are still left with the card that says it can be
easily cured in 3-4 weeks.
Given that...I say, "I don't know what the hell is wrong with me,
judge...I'm not a doctor".
And really, I don't. There always is some inherent measure of doubt
with Lyme.
| Quote: | They would always come out with Oh how do we know ones symptoms are
really from Lyme & all the other deceitful BS. And then certain states
have a statue of limitations of only 2 or 3 yrs. And then if one
produces proof like blood tests, rash photos or brain lesions etc.
they could say oh well - you must have gotten it later.
Most of the doctors these days if they are quilty of some sort of
misjudgement or negligence they cover up with even doctoring up their
records with contradictions. I've even seen records of previous office
visits doctored up with contradictions & lies.
And they all stick together & cover each other up. I do this for you -
you do this for me. If a person requests hospital stay records - in
any situation esp if one passes away they say you have to wait for 30
days after because of lawsuits. Well if they feel not quilty of any
wrong doing why wait for 30 days -------so they if they know they are
quilty of malpractice or negligence is that to give them time to doctor
up the records??
|
Well, malpractice is medical "negligence". With Lyme, the key thing
seems to be how quickly you are diagnosed and treated.
But, given the difficulty in diagnosis, it is really difficult, I would
think to pursue someone on that basis. (I have heard of this being
done, though...in a highly endemic area...and if I am not mistaken).
Generally speaking, so far as treatment issues go, the theory of
negligence is based on a doctor's having fallen beneath a "standard of
care" that most doctors would observe. This is where the published
medical literature comes into play.
As wrong as some of us feel this literature is, you simply cannot
pursue someone for following it.
And I will say that from a personal philosophy...(even though I find
most doctors to be repulsive arrogant morons with nauseating messianic
complexes)...
....I do believe they must be allowed some flexibility and
freedom...even freedom to make honest mistakes that may have
life-altering consequences for someone...
....otherwise, they won't feel free to take the risk that may save
someone's life. |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 7:12 pm Post subject:
Re: How to inform a judge about Lyme disease?
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the 3rd Man wrote:
| Quote: |
There is a very nice statement by Steere of how debillitating Lyme can
be in his NEJM July 2001 article. One of my favorite quotes. (Let me
see if I can dig it out....)
|
Here it is:
"After appropriately treated Lyme disease, a small percentage of
patients continue to have subjective symptoms - primarily
musculoskeletal pain, neurocognitive difficulties, or fatigue - that
may last for years. This disabling syndrome, which is sometimes called
"chronic Lyme disease" or "post-Lyme disease syndrome," is
similar to chronic fatigue syndrome or fibromyalgia. This
postinfectious syndrome occurs more frequently in patients whose
symptoms are suggestive of early dissemination of the spirochete to the
nervous system, particularly if treatment is delayed". |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 7:16 pm Post subject:
Re: How to inform a judge about Lyme disease?
|
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the 3rd Man wrote:
| Quote: | the 3rd Man wrote:
There is a very nice statement by Steere of how debillitating Lyme can
be in his NEJM July 2001 article. One of my favorite quotes. (Let me
see if I can dig it out....)
Here it is:
"After appropriately treated Lyme disease, a small percentage of
patients continue to have subjective symptoms - primarily
musculoskeletal pain, neurocognitive difficulties, or fatigue - that
may last for years. This disabling syndrome, which is sometimes called
"chronic Lyme disease" or "post-Lyme disease syndrome," is
similar to chronic fatigue syndrome or fibromyalgia. This
postinfectious syndrome occurs more frequently in patients whose
symptoms are suggestive of early dissemination of the spirochete to the
nervous system, particularly if treatment is delayed".
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http://www.simed.org/novidades/nejm/nejm11.htm |
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derdrittemann2003@yahoo.c
medicine forum Guru
Joined: 11 Sep 2005
Posts: 1799
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| Posted: Fri Jun 30, 2006 7:17 pm Post subject:
Re: How to inform a judge about Lyme disease?
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the 3rd Man wrote:
| Quote: | There is a very nice statement by Steere of how debillitating Lyme can
be in his NEJM July 2001 article. One of my favorite quotes. (Let me
see if I can dig it out....)
Here it is: |
"After appropriately treated Lyme disease, a small percentage of
patients continue to have subjective symptoms - primarily
musculoskeletal pain, neurocognitive difficulties, or fatigue - that
may last for years. This disabling syndrome, which is sometimes called
"chronic Lyme disease" or "post-Lyme disease syndrome," is
similar to chronic fatigue syndrome or fibromyalgia. This
postinfectious syndrome occurs more frequently in patients whose
symptoms are suggestive of early dissemination of the spirochete to
the
nervous system, particularly if treatment is delayed".
http://www.simed.org/novidades/nejm/nejm11.htm |
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