Under Our Skin Page #5
the children with Lyme disease
is seeing them get well and cured.
I don't consider it a job.
I consider it to be, more or less,
like a calling than anything.
My practice consists
of over 9,000 children
from South America,
from almost every province in Canada,
and from every continent abroad.
The practice is growing
at the rate of five to ten
new encounters per day.
They have very complex,
serious illnesses.
However, it's nice to see them get well.
Some of the Lyme-literate physicians
are practicing medicine
that is widely outside
of the standards of medical care.
The small group of physicians feel
that one can diagnose Lyme disease
not necessarily relying
on any laboratory data,
and then, furthermore,
long-term antibiotics
are the right treatment.
That has never been shown
in any double-blind,
controlled, randomized trial.
I've worked here for eight years,
and I've seen many patients come and go,
and I've seen the success he's had
in his treatment regiment.
Yes, we do treat aggressively,
but I think that's what works.
In a way, it's like
the perfect storm of diseases,
because of the timing
of a couple different events
in the history of medicine.
1980, the United States said it was okay
for government institutions
and universities to patent
and profit from live organisms.
So the Lyme disease organism
was discovered in 1981,
and all of a sudden,
there was the equivalent
of an Oklahoma land grab,
people looking under their microscopes,
patenting pieces of the organism,
so the people that are credited
for being the Lyme disease experts
no longer shared information
about a new, really dangerous pathogen.
They hoarded the information
because they wanted
You have professors,
especially in the biosciences,
are trying to take their discoveries,
often made on the federal nickel,
and take them private.
They patent them.
They start firms.
What's commercialize-able
is driving the research agenda
in too many cases,
not what's medically necessary
and what's medically useful.
was the rise of managed care.
Insurance companies and HMOs realized
that if they can get researchers
in universities
to define diseases and write guidelines
then they could help manage
the escalating medical costs,
and really, what this means is,
the people who previously
protected public health,
so, like, the CDC,
the Centers for Disease Control,
and the NIH and universities,
who didn't have any commercial interests,
all of a sudden, they were
partners with big pharma,
and their motivations completely changed.
We no longer had oversight
and checks and balances
in our scientific system
in the U.S.
It was rife with conflicts,
and just now, 20 years later,
we're beginning to see what happens
when you have unchecked
conflicts in medical care.
Okay, today is July 5th,
and Mandy's having
a little bit of an episode.
It's a feeling of being
trapped within your own body.
So it's like being wrapped up
real tight like a mummy
so you can't move anything
and then having tape across your mouth
so you can't say anything.
But reality is, you got to kill 'em.
You got to kill the little bugs,
because they're taking over.
No, no, I was okay.
I was adapting my life
to what was going on.
Now I want it back, so it's a war.
It got so bad after the tour,
'cause I really did some damage,
to myself or anyone.
I'm in Seattle, Washington,
to seek Dr. Klinghardt,
one of the foremost specialists
on Lyme disease.
This is great.
I feel horrible.
It's perfect.
He's the one that I respect the most.
He's the one that I trust.
I've purposely not let myself
fall into the whole trap
of doctor after doctor
and treatment after treatment,
because I'm waiting for the right one.
Come on back, Dana.
Look at this guy.
- Hi.
- I'm so happy.
It's nice to see you too.
So talk to me first.
Give me all the information, -
- I need to be a better doctor to you.
So how do I explain seven years of...
Okay, so you've been ill for seven years.
Yeah.
What have you done in terms of treatment?
When I found out, I started antibiotics.
I did six months, and I was so ill,
and I just didn't see it as an answer.
Lyme disease is one of the many microbes
that has entered our system,
and I feel, as a physician,
that things are getting
to a degree that's serious.
We're watching other mammals die out,
and kind of think,
"Well, I'm glad that's not me."
However, as our environment
becomes increasingly polluted,
so do our bodies,
and then we'll grow the bugs in us
that are not compatible
with human life anymore.
So you have a tremendous amount
of inflammation in the gut?
The Lyme disease, you know,
leads to a suppression
of the immune system,
and then you grow these things in you
that we're always exposed to.
So I'm just gonna first do just a few
neurological tests on you.
So you have a little bit
borderline Babinski reflex.
That's an upper motor neuron sign.
It means, you know,
sort of that significant levels
of toxicity in the spinal cord or brain.
It is a way for me to stage
how close you are
to possibly developing, like,
a more serious thing,
like MS, you know.
Older people often get Parkinson's
after they've had
undiagnosed Lyme, you know,
or Alzheimer's.
Younger people tend to, especially women,
tend to get MS.
That really struck me today
how much I've been
in denial of this illness.
I mean, I've been feeling
really twitchy and just shaky,
a lot of neurological stuff that...
It's like I can't deny it anymore.
It's becoming very visible,
so I think I'm just in time.
You know, as a warning sign,
this is not a mild situation.
You know, sort of like... you have to do...
Within the next few months,
you have to resolve the issues
that you can resolve, yeah?
You have to promise that to me.
I'm ready.
Yeah.
It feels like just emergency.
It's just a panic in my body
that I've learned
to just walk around with.
Yeah, this is Dana.
I am moving into 314.
I finally feel like I can let go of it
and give it to somebody else to take.
There's someone to take my hand
and get me through it.
I really felt like that today.
I can't believe I moved to Seattle.
This is so crazy.
The spirochete that causes Lyme disease
is Borrelia burgdorferi
and related Borrelia.
The model that I have used
to try to understand
all of the possible things
that Lyme disease can do
is the syphilis model.
Stokes, Modern Clinical
Syphilology, 1945,
W.B. Saunders, publisher.
It gets into every organ system
of the body,
manifestations in the skin,
manifestations in dead babies,
manifestations in the bone,
manifestations in the brain,
and particularly, dementia,
'cause dementia in syphilis
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