Wisconsin’s ‘chronic Lyme’ patients embrace alternative treatments, rack up big bills

By Zhen Wang, Wisconsin Watch

 

Crystal Pauley, a former physician assistant, didn’t believe in so-called chronic Lyme disease — until she became sick.

Many health care providers reject chronic Lyme disease as a diagnosis. One 2010 survey found that just six out of 285 primary care doctors surveyed in Connecticut — an epicenter for the tick-borne infection — believed that symptoms of Lyme disease persist after treatment or in the absence of a positive Lyme test.

When Pauley worked for the La Crosse-based Gundersen Health System, she remembered hearing about a friend from high school battling chronic Lyme in Australia. But she had her doubts. “I’m working in the medical field,” she said. “We’ve never learned about that.”

Years later, Pauley has changed her mind. Pauley tested positive for Lyme in 2020. She suffers from unrelenting fatigue, joint pain and brain fog. She walks up stairs sideways because of the unbearable knee pain. Pauley said she has become “pseudo-Lyme literate” because of her own personal journey.

Pauley belongs to a cohort of patients with Lyme-like symptoms but negative test results or patients with positive test results who suffer from lingering symptoms long after treatment. They call it chronic Lyme disease, while the Centers for Disease Control and Prevention labels it as Post-Treatment Lyme Disease Syndrome (PTLDS). The CDC says there is no known treatment for the condition.

“Their symptoms are always real. They’re experiencing them,” said Dr. Joyce Sanchez, an infectious-disease associate professor at the Medical College of Wisconsin who treats Lyme patients with persistent symptoms.

“If someone is having physical symptoms and isn’t feeling listened to, then they’ll have mental health repercussions and then that will impact their physical well-being,” she said. “And then it’s a spiral that if you don’t address both components of health, you’re not going to make much progress on either side. And they will continue to feel sick.”

Wisconsin Watch talked with five Wisconsin patients, all women, who have been searching for validation and experimenting with personalized treatments as part of a long and sometimes grueling battle with the illness. The infection comes from tiny ticks primarily found in the northeastern United States, including in Wisconsin — which is a hot spot for Lyme, ranking No. 5 among states for Lyme cases in 2019.

One of the five tested positive for Lyme using a two-step testing recommended by the U.S. Centers for Disease Control and Prevention. Three others tested positive using a test not recommended by the CDC. The fifth woman was diagnosed as possibly suffering from the disease by a “Lyme-literate” practitioner.

Wide-ranging symptoms

All of the five patients share commonalities. They’ve never noticed the signature “bull’s eye” rash around the tick bite, the hallmark of Lyme disease, which is seen in 70% to 80% of patients. But relentless waves of rheumatologic, cardiac and neurological symptoms have flattened their lives. Some of them were previously fit and healthy.

Pauley, 37, who as a student cranked through medical textbooks, began having trouble remembering

Read More... Read More

Dental anxiety: What to know

Apprehension and nervousness about browsing the dentist is a common set of thoughts that some individuals associate with oral care. When stress focuses all-around the dentist’s office environment, people today simply call this “dental nervousness.”

Dental stress and anxiety is a widespread event in the normal inhabitants. It is not a diagnosable problem, nor does it bring about any main disturbances to daily life.

Rather, it can result in a person to encounter physical or psychological signs and symptoms that a person may perhaps associate with checking out a dentist, which might cause them to keep away from the dentist entirely.

This article explores dental anxiety, coping methods, potential will cause, and extra.

Dental nervousness is a actual physical or psychological response to an predicted, potential risk that another person associates with a go to to the dentist’s workplace. It is a frequent reaction. In just one 2017 study, scientists found that of around 300 participants, 19% had significant concentrations of dental anxiety. They also acknowledged that past scientific studies had shown a common inhabitants fee of 50–80%.

Triggers of dental panic can consist of common merchandise at a dentist’s business office, these as drills or needles, or just the thought of the office environment in basic.

Dental anxiety can trigger a particular person to skip appointments or prevent likely to the dentist entirely, which could negatively affect their oral health and fitness and, hence, their general health.

Dental nervousness vs. phobia vs. concern

Dental stress is not the similar as either dental worry or phobia. Even so, several scientific studies use worry and stress and anxiety interchangeably, which can make it challenging to identify precisely which problems researchers are referring to.

Dental concern happens thanks to a certain, recognised bring about. For case in point, a human being with dental worry can identify accurately what they are frightened of, these types of as the drill or needles in their mouth.

By comparison, dental anxiety is a additional generalized fear of the not known that someone associates with the dentist’s office environment. This could be thanks to not being aware of if some thing is completely wrong, stressing about specified treatments, or recalling agony from prior visits.

The two dread and stress and anxiety can lead to emotional, bodily, cognitive, and behavioral responses in a person.

Dental phobia is an excessive, persistent, and unrealistic anxiety or terror linked to heading to the dentist. The Diagnostic and Statistical Guide of Mental Wellness Disorders (DSM-V) acknowledges dental phobia as a precise type of phobia.

By contrast, researchers have famous that dental anxiousness ought to likely be grouped as portion of panic ailments in the DSM-5 rather than a specific dentist-relevant nervousness.

All three can direct to a particular person avoiding the dentist’s business office or skipping appointments

The American Dental Association (ADA) suggests a individual acquire the next actions to support alleviate their dental panic:

  • Distraction: Distractions can help a person serene down for the duration of a dental exam.
Read More... Read More

9 Best Treadmills for Walking in 2022

Choosing a treadmill can be challenging with so many products on the market. That’s why we’ve narrowed down some options based on the following criteria:

  • Features and training options. We chose treadmills based on price, features, and class options, as well as basic components like weight capacity, max speed, and incline.
  • Quality. All the treadmills below are designed to be durable and reliable with standard safety features.
  • Price. We included treadmills to suit a variety of budgets.
  • Vetting. All the products included have been vetted to ensure that they meet Healthline’s safety and business standards.

Best overall treadmill for walking

Sole F63

  • Price: $$
  • Specs/size: 82 x 35 x 66 inches (208 x 89 x 167 cm)
  • Screen size/display quality: 6-inch LCD screen
  • Weight capacity: 325 pounds (147 kg)
  • Max speed: 12 mph (19 kph)
  • Max incline: 15 levels

The Sole F63 is a great option if you’re looking for a mostly no-frills walking treadmill. It costs less than some higher end options but still comes with all the standard features of a treadmill and the ability to stream classes. It’s also foldable in case you’re tight on space.

While it doesn’t include a touch screen to stream classes, it does have some built-in programmed workouts, as well as a media rack to hold an external tablet if you want to stream classes that way.

Your purchase comes with a free 30-day trial of Studio, Sole’s streaming platform. After 30 days, it costs $39 per month or $399 per year.

Shipping isn’t free, but there’s a lifetime warranty on the motor and frame.

Best incline range

NordicTrack EXP 10i

  • Price: $$$
  • Specs/size: 80 x 35 x 59.25 inches (203 x 89 x 95.4 cm)
  • Screen size/display quality: 10-inch HD smart touch screen
  • Weight capacity: 300 pounds (136 kg)
  • Max speed: 12 mph (19 kph)

This treadmill is a great option for those who are limited on space but seeking plenty of interactive options to mix up their treadmill walking routine.

In addition to a high definition touch screen, it has the ability to stream a wide range of classes with experienced elite trainers from iFit, which you can try for free for 30 days before you’ll be required to renew at $39 per month.

It offers several incline levels, similar to other treadmills on the market, but has a unique ability to go down to a -3% decline for downhill walking or running. This can be beneficial for building strength, as it activates the quads, glutes, shins, and shorter calf muscles.

Downhill walking allows eccentric contraction in the leg muscles (also known as lengthening of the muscles), which research has shown to be beneficial for preventing muscle deterioration and decreased muscle function (1, 2).

It comes with free shipping and a warranty of 10 years for the frame, 2 years for parts, and 1 year for labor.

Best budget-friendly treadmill for walking

ProForm City L6

  • Price: $$
  • Specs/size: 29 x 70.25 x 44.5 inches (74 x 178
Read More... Read More

Supreme Courtroom will not listen to problem to New York vaccine mandate for health care personnel

The Supreme Court docket declined Thursday to consider up a legal obstacle brought by health care employees in New York who oppose the state’s vaccination mandate on religious grounds.

Justices Clarence Thomas, Samuel Alito and Neil Gorsuch said the court docket should have taken the circumstance. 

When the need was initially imposed in August to assistance prevent the spread of the most up-to-date coronavirus variant, it authorized exceptions based mostly on health-related reasons or religious objections. But the spiritual exemption was later on taken out.  

Gov. Kathy Hochul, who is Roman Catholic, mentioned that she was not mindful of any “sanctioned spiritual objection from any structured religion” and that spiritual leaders, like the pope, have been encouraging men and women to get vaccinated.

Sixteen overall health treatment staff sued, declaring they experienced religious objections mainly because fetal mobile traces have been associated in the testing, development or output of Covid vaccines. They claimed the mandate violated their religious freedom for the reason that it authorized other individuals who had been unvaccinated to proceed performing. 

Attorneys for the state explained the Covid mandate was similar to lengthy-standing regulations demanding overall health care staff to be vaccinated from measles and rubella. Those demands, too, enable exemptions only for medical good reasons. Laboratory-developed stem cells, which derive from cells gathered from a fetus practically 50 several years in the past, have been also utilized to check the rubella vaccine, the point out stated. 

“The existence of a single, constrained healthcare exemption to a vaccine need does not have to have the Condition to present a blanket religious exemption from vaccination,” they stated in their composed submissions. 

Producing for the a few dissenters, Thomas mentioned confusion continues to be about a mandate that offers no religious exemption, like New York’s. He said the courtroom should really have taken the case now to head off identical confusion in the long term. 

In December, the Supreme Courtroom declined to briefly block the vaccination need in the scenario. Thomas, Alito and Gorsuch explained then that the court docket should have granted the request to put the mandate on keep.   

Considering the fact that past tumble, the court has declined to block other vaccination mandates that do not present for religious exemptions, implementing to New York lecturers, Navy sailors, wellness care staff in Maine and Massachusetts, and faculty college students in Indiana.

Read More... Read More

Supreme Court’s abortion decision puts doctors in legal limbo : Shots

Dr. Kara Beasley protests the overturning of Roe vs. Wade by the U.S. Supreme Court, in Denver, Colorado on June 24, 2022.

JASON CONNOLLY/AFP via Getty Images


hide caption

toggle caption

JASON CONNOLLY/AFP via Getty Images


Dr. Kara Beasley protests the overturning of Roe vs. Wade by the U.S. Supreme Court, in Denver, Colorado on June 24, 2022.

JASON CONNOLLY/AFP via Getty Images

Historically, doctors have played a big role in abortion’s legality. Back in the 1860s, physicians with the newly-formed American Medical Association worked to outlaw abortion in the U.S.

A century later, they were doing the opposite.

In the 1950s and 1960s, when states were liberalizing abortion laws, “the charge for that actually came from doctors who said, ‘This is insane, we can’t practice medicine, we can’t exercise our medical judgment if you’re telling us that this is off the table,’ ” explains Melissa Murray, law professor at New York University.

The Supreme Court ruled in doctors’ favor in Roe v. Wade in 1973. The majority opinion spoke of “the right of a woman in consultation with her physician to choose an abortion,” Murray says.

Yet doctors and patients are all but absent from the latest Supreme Court majority opinion on abortion in Dobbs v. Jackson Women’s Health Organization. In fact, in the opinion, Justice Samuel Alito uses the derogatory term “abortionist” instead of physician or doctor or obstetrician-gynecologist.

Legal experts say that signals a major shift in how the court views abortion, and creates a perilous new legal reality for physicians. In states where abortion is restricted, health care providers may be in the position of counseling patients who want an abortion, including those facing pregnancy complications, in a legal context that treats them as potential criminals.

“Alito’s framing is that abortion is and was a crime – that’s the language he uses,” says Mary Ziegler, a law professor at the University of California, Davis. There’s no dispute, she says, that “the result of a decision overruling Roe in the short term is going to be the criminalization of doctors.”

Roe v. Wade was doctor-centered

Doctors were at the heart of the court’s first landmark ruling on abortion, Roe v. Wade.

“The original Roe decision – it was very, very doctor-centered – extremely so,” says Ziegler, who has written extensively on the legal history of abortion. “At its inception, this was a right that was very much about health care and about the doctor-patient relationship.”

Roe and the abortion decisions that came after it like Planned Parenthood v. Casey, “had the framework that abortion is some sort of individual right, but it’s also health care,” explains Carmel Shachar, executive director of the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.

The court essentially told states: “You can put restrictions on abortion services and on provider qualifications as you do for other types of health care, and as long as they are not so onerous that we

Read More... Read More

Why some Virginia dentists will be compensated far more setting up Friday

RICHMOND, Va. — Virginia’s new spending budget that goes into impact on Friday will include things like a raise in funding to Medicaid for dental care for the to start with time in 17 several years.

The finances will involve a 30% maximize to dental Medicaid reimbursement costs, which means dentist will be paid out a lot more for dealing with Medicaid sufferers.

The Virginia Dental Affiliation (VDA) is calling the funding raise an critical investment to aid the oral overall health of Virginians.

VDA estimates the expense of delivering dental treatment has jumped extra than 60% considering the fact that 2005, even though Medicaid reimbursement premiums have remained unchanged through the exact time.

Extra than 924,000 Virginians have access to detailed dental solutions less than Medicaid, which involves examinations, X-rays and dentures.

Given that July 1, 2021, VDA experiences that roughly 158,000 of the grown ups eligible have been given some kind of procedure. The variety of adults acquiring restorative treatment method has outnumbered the amount of older people acquiring just extractions.

Dr. Randy Adams owns and operates a pediatric dentist workplace on East Wide Road in Richmond.

“Number a person, it’s a significant deal that they are offering us the boost in shell out. It’s likely to open it up for a great deal for a ton extra men and women. Ideally, the maximize in dental payment will entice a great deal much more dentist to indicator up and give individuals a lot extra selections,” Adams defined.

The longtime Richmond physician understands firsthand why dental care is so important. What transpires in your mouth can effect your over-all health and fitness.

He applauded the more funding.

“I feel it’s likely to be remarkable and the rationale I assume it is likely to be exceptional — it’s likely to pay for persons to discover a dentist and get some dental get the job done done,” Adams stated. “I consider 30% is a fantastic beginning level. Preserve in mind we have not experienced a elevate in 17 a long time, and I imagine now is about time and we have to have to build for the long run.”

The budget also features funding for the condition to address required standard anesthesia and hospitalization, or facility fees, for Medicaid-eligible children underneath age 10 obtaining dental companies who need such solutions.

People who qualify for Medicaid can discover dentists at the Virginia Department of Health care Guidance Services web page.

“As dental places of work throughout Virginia grapple with sharply rising charges, staffing issues and continued impacts from the pandemic, the escalating gap among the price of delivering treatment and reimbursements has prevented numerous dentists from taking part in the Medicaid software,” claimed Ryan Dunn, CEO of the Virginia Dental Affiliation. “We’re grateful to the legislators who prioritized oral health care in this spending plan and will go on to operate with lawmakers and regulatory bodies to tackle boundaries to furnishing necessary dental treatment.”

appId : '774910576305405',

xfbml … Read More...

Read More