Realities: Lyme treatment

Lyme disease awareness

This year is proving to be a tough one. Treatment is working, but energy levels (& computer tolerance levels... eyes, concentration, headaches) are low.

The 

A few awareness points for 2018...

How many times does anyone really want to hear...
 - get treatment fast
 - wear insect repellent 
 - "TICK CHECK!!"

❓❔❓❔❓❔❓❔❓❔❓❔

Definitely enough times for it to reeeeallllly sink in - because, let's get personal today -  PICC lines are not fun. Neither is Lyme. So let's just reiterate:

-You don't want systemic Lyme disease. Full stop. Just no. You don't even have to consider the PICC line: obviously you don't want a debilitating, poorly understood, difficult to diagnose, impossible to cure (for sure) illness. OBVIOUSLY  that goes without saying.

BUT STILL...

-You don't want a PICC line (personally I've not had any other kind, but really, you don't want *any* kind of line)

So, again:
INSECT REPELLENT! 

IMMEDIATE TREATMENT! 
REMEMBER! 

It's not just a case of suffering through a simple (or guess who got lucky.... complex) PICC insertion (see post from last June) & then zapping some meds into your line every day... there's:

PICC problems

1&2. The inevitable irritable skin from constant dressing changes, skin cleaning/ disinfecting/ sticky sticky itchy dressings... and a tube coming out your arm... vein.

3. The body trying to heal around a hole it doesn't want to have there - because that's it's job, right?! I didn't zoom in too much here (on purpose, you're welcome); but you can see the slight crusting around the edge of the line - it has to be scrubbed away at each dressing change too. And THAT'S fun. 😒

4. Just a reminder from my 'PICC placement pic' - it is not a case of 'hello vein, meet line (tubing?)...... hello heart, meet line' 😊. Sure, most PICC placements are nothing to freak out about... (Hundreds of people have told me. Honest.)... they still involve some 'numbing' shots, some maneuvering through veins, into bigger veins and making sure the line rests exactly close enough to your heart for the meds to get in the right place, and exactly far away enough for it not to 'tickle' your heart. (I'm lucky I didn't experience this, but I'm going to bet 'tickle' is one hell of a euphemism!) 

Then it has to stay there, thankfully with a little wiggle room, as - again - the body should reject foreign objects, so it can push it out entirely, or - in my case, thankfully - just a little wiggle over time (carefully marked by dots, wiggle is also a euphemism; my line: 39cm with 2cm leeway - this IS an exact science).

And really - does that look like a happy arm? It was not!

Then comes expecting the unexpected - because it always seems to happen, randomly!

Life adjustments

1. Creativity required at times. One day I had to take a full bag home for the next day (not frozen, or unmixed):
"Keep. It. Upright."
Umm.... ok. 
Let me remind you:
Left arm has the PICC in it... please remember that's my good arm! No holding that bag up with either arm. Hello car-mirror-IV-hook.

And perfectly chosen socks for that day. 

Actually - it's AMAZING how many things can be fashioned into some kind of IV poles... lamps, curtain rails, coathangers, scarves, brooms...

2. While the body may try to push out PICC lines, scab over them, react angrily to being scrubbed and covered all the time, sometimes it just says, NOPE. NO MORE.

This day, my poor, poor body did not want to give up any blood (did I mention the regular blood draining to check the medications aren't destroying other organs? Another reason you really don't want systemic Lyme /a PICC line/ these awesome meds). Occasionally my line & body work together and give my doctor or nurse 'decent' blood, suitable for testing, out the line,  o needles required. Wonderful days!* There were other days where the blood looked perfectly fine to me - apparently not. Those are needle days.

Then there was this day. On this day, my veins were giving out nothing. The needles were in (SEEEEEE the holes?); but there was no blood. My nurse and I literally stared at the little butterfly needle, clearly in my swollen vein and not a drop of blood came out. Twice. Until, of course, she (kindly) gave up for the day. Then there was blood, and bruises, and ice from the coffee shop...

An unhappy body is another reason not to want a line - your body definitely doesn't want one either!

So... seriously: 

#LymeDiseaseAwareness

Ticks and dinosaurs

Lyme disease awareness

This year is proving to be a tough one. Treatment is working, but energy levels (& computer tolerance levels... eyes, concentration, headaches) are low.

A few awareness points for 2018.

Ticks have a few - million - years on us! That's a lot of time to adapt to environments, spread throughout the world - e.g. migratory bird patterns are thought to be responsible for carrying ticks across continents... although maybe they were there first too. 

Again - tick prevention is best! Use repellent when outdoors and make sure it says it specifically repels *TICKS* on the label.

Ticks carry, and transmit, borrelia burgdorferi, the bacteria that causes Lyme disease. The bacteria have a 'spiral shaped tail' which they use to bury themselves deep in the body where they set up colonies and excrete biofilms to 'hide' from the immune system (plaque is a biofilm - think old toothpaste adverts with the bacteria hiding under the plaque... imagine it deep inside the body, microscopic...).

The importance of immediate treatment for a tick bite cannot be overstated. The bacteria quickly try to get to 'safer' parts of the body, where it is difficult to reach them with medications. Treating an immediate infection - acute Lyme disease - should* kill the bacteria while they are in this acute phase, and when some bodies may launch an immune response (some people never produce antibodies; the reasons are unknown). If you can kill any bacteria before they travel throughout your body, the prognosis is generally good. 

(*There are documented cases of people who received treatment quickly, but still developed systemic Lyme disease; however the quicker the treatment, the lower the risk.

After the bacteria enter the disseminated stage and the illness becomes systemic Lyme borreliosis, it becomes much more difficult to reach, and impossible - with current medical testing - to know if the infection is, or can be, eradicated from the body. More Lyme experts, who have been working in Lyme endemic areas (mainly in the Eastern U.S.) for decades, are now using terms 'relapse' and 'remission' for patients who are battling systemic Lyme disease.

Please, use this information - don't wait, seek appropriate treatment immediately if you are bitten, or if you suspect you have been bitten.  One bite truly can change your life.

#LymeDiseaseAwareness

Tick Awareness

Lyme disease awareness

This year is proving to be a tough one. Treatment is working, but energy levels (& computer tolerance levels... eyes, concentration, headaches) are low.

A few awareness points for 2018...

The CDC actually released these images on social media. 

How many ticks can you find on the poppy seed muffin?

Clue: there are 5 (yes FIVE) ticks on this muffin. 


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Have you found them all?

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Scroll down for the 'reveal'.

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Look closely - can you see the legs? 

Would you find them on yourself...? Or on your child, or your pet? Ticks are tiny - they can be as tiny as this full stop ➡ .

Know how to remove ticks if you live in an area with ticks. (That's across the UK now - search 'The Big Tick Project' for updated tick maps produced by Bristol University. Remember mapped ticks are only from voluntary reporting by vets.)

Most hiking and outdoors stores sell tick removal tools - the easiest way to remove these tiny ticks. Importantly - never squash or smother a tick, always make sure you remove it by its mouthparts, and make sure no part is left in. See your GP if you are bitten and make a note of the new NICE guidelines (for England & Wales) in terms of how any tick bite should be treated.

Prevention is better than cure - wear repellent. 

Also, remember,  we don't actually have a cure, so speedy treatment is essential! 

#LymeDiseaseAwareness

MAY is Lyme Disease awareness month

Lyme disease awareness

This year is proving to be a tough one. Treatment is working, but energy levels (& computer tolerance levels... eyes, concentration, headaches) are low.

A few awareness points for 2018...

All around us dangers wait,
Worse than any thriller:
Somewhere hidden in a field
There lurks a cereal killer.
~Simon Andrew

While this is an amusing little play on words about field mice - spotted in a local eatery, south of Edinburgh, of course my mind went to the hidden 'serial killer' - also hiding in fields... and in mice: TICKS! Mice make good hosts for ticks. They offer food, heat, and usually find themselves a cozy home for the winter - ticks are brought into our homes and gardens by pets and other small mammals or birds. 

Always remember to TICK CHECK yourself, kids, and pets when you have been outside - hiking, or simply playing in your own garden.

And while wordplay is fun under artistic licence, it IS important to know the name of the disease:

LYME disease

or

LYME BORRELIOSIS

Names are important: to be taken seriously, it is important that the medical community, and the general community do know the correct term.

Share what you know, you could save someone's life.

#LymeDiseaseAwareness

Tick Prevention Week 2013

This week is BADA-UK (Borreliosis and Associated Diseases Association)'s Tick Prevention Week 2013.  BADA does a lot of great work spreading awareness of ticks and the diseases they carry - including Lyme disease.

Ticks carry many other diseases too and I'm going to talk more about them later in the week.  I was also recently at a talk about the current reliability and specificity of testing for Lyme disease (it's not good!) so I'd like to get some information from that really interesting talk on here too.

For my first post today, which is actually Tuesday - I meant to post on Monday (but I fell asleep this afternoon), here is BADA's video about ticks.  In the video, Dr James Logan, an entomologist, explains how ticks can infect you; how you can prevent getting a tick bite when outdoors; and how to remove a tick safely and reduce the risk of disease transmission if you are bitten.

Lyme disease is on the increase around the world.  Ticks can live on deer, birds, squirrels, chipmunks and these wild animals carry them around the country.  They are now found not just in the countryside, but also in urban parks and in your own garden.  They get on domestic pets, who can also become infected; and they can quite adeptly attach to a human for a blood meal as well.  Knowing about ticks, how to avoid them, and what to do if you do find a tick is becoming more important as Lyme increases.  This illness can be treated much more efficiently if it is caught early.  In its disseminated stages when it is capable of affecting every organ and tissue in the body, it becomes much more difficult to treat.

Increasing awareness will help keep you safe and will hopefully prevent you every becoming severely ill with Lyme.  Please watch the video and share and help spread awareness of Tick-borne diseases.

Just to emphasise the point, here are some pretty horrible photos of infestations of ticks on various wild animals - as long as ticks have something to feed on, they can survive:

http://www.tickbitepreventionweek.org/