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False and Misleading Information about Lyme Disease.

Posted: Wed 22 Feb 2017 19:11
by hv808ct
False and Misleading Information about Lyme Disease.
Shapiro ED, Baker PJ, Wormser GP.
Am J Med. 2017 Feb 16. pii: S0002-9343(17)30138-9.

Recently, there has been considerable interest in the topic of fake news. For infectious diseases physicians, false and misleading information about the diagnosis and treatment of Lyme disease is not new. It is increasing in frequency and prominence, creating much confusion among primary care physicians and their patients.

Re: False and Misleading Information about Lyme Disease.

Posted: Wed 22 Feb 2017 22:24
by duncan
False and misleading as in posting what appears to be an opinion piece under a section reserved for published studies?

Can't know for sure without a link to review the entire...whatever it is.

Re: False and Misleading Information about Lyme Disease.

Posted: Wed 22 Feb 2017 23:20
by lou
Considering the track record of these liars, the full text is not needed.

Re: False and Misleading Information about Lyme Disease.

Posted: Thu 23 Feb 2017 16:02
by X-member
Lyme Disease

http://emedicine.medscape.com/article/330178-overview

A quote:
Stage 3 or chronic Lyme disease happens months to years after infection, which sometimes involves a period of latency. Musculoskeletal (mainly joints) and neurologic systems are most commonly affected.

Borrelia burgdorferi (Lyme Disease)

Eugene D. Shapiro, MD*

http://pedsinreview.aappublications.org ... 2/500.full

A quote:
There is substantial evidence that there is no such entity as chronic Lyme disease. Indeed, there is not even a case definition for chronic Lyme disease. There are many websites that contain misinformation about Lyme disease....

More information can be found in the thread below:

The original definition of chronic (Lyme) borreliosis

http://www.lymeneteurope.org/forum/view ... =11&t=6080

Re: False and Misleading Information about Lyme Disease.

Posted: Sat 25 Feb 2017 16:57
by Lorima
lou wrote:Considering the track record of these liars, the full text is not needed.
Yes. Enough said.

Re: False and Misleading Information about Lyme Disease.

Posted: Tue 28 Feb 2017 14:52
by Henry
For those who are inclined not to make judgements without reading the entire article, access to the complete article may be found by clicking on the "Elsevier logo" in the upper right-hand corner of the PubMed abstract. That will enable you to obtain a copy of the PDF version, for your reading pleasure.

https://www.ncbi.nlm.nih.gov/pubmed/28216447

Although the article is a "commentary" , not a research report, it provides adequate references to support the statements made. Based on the statistical data on the incidence of chronic pain and fatigue in the population at large provided by the IOM and the CDC respectively, it should be painfully obvious that one is not likely to make a valid diagnosis of Lyme disease based on general symptoms alone, in the absence of the results of an objective and approved laboratory test. Now, isn't that the heart of all the controversy?

Re: False and Misleading Information about Lyme Disease.

Posted: Tue 28 Feb 2017 15:38
by duncan
No, it is not.

But thanks for the opinion piece. It's a real hoot! :D

Brings to mind "alternative facts".

I wonder if the authors were aware of the possible equivalence the "false and misleading" thing might provoke in readers, i.e., it might not be what they assumed.

Re: False and Misleading Information about Lyme Disease.

Posted: Tue 28 Feb 2017 15:59
by Henry
Since there are no "facts" to support a valid diagnosis of Lyme disease based on general symptoms alone, the concept of "alternative facts" is really a non sequitor in this case. It is astounding how many people condemned the article without having read it since they state that they had no access to it. That is very revealing of the "mindset" involved. No wonder they aren't getting anywhere in finding a solution to what their real problem may be.

Re: False and Misleading Information about Lyme Disease.

Posted: Tue 28 Feb 2017 16:16
by duncan
You assumed wrongly again, Henry. What makes you think my "alternative facts" reference tied back to the content of the article? Low hanging fruit...

I fear you, perhaps similar to the authors, aren't all that familiar with marketing. Perception rules more frequently than you might think. Of course, substance helps.

Re: False and Misleading Information about Lyme Disease.

Posted: Tue 28 Feb 2017 17:24
by Henry
Read the last paragraph of the article and then explain to me why it makes sense to treat someone for Lyme disease -- in many cases for long periods of time at great expense using unproven approaches that may even not be safe--when there is no objective evidence to support a diagnosis of Lyme disease in the first place? Under such circumstances, it should not be surprising that no progress is being made in relieving the symptoms mistakenly attributed to Lyme disease. And that is really the heart of the matter.