From: “Carl Tuttle” <firstname.lastname@example.org>
Cc: “m dales” <email@example.com>, “abi cantor” <firstname.lastname@example.org>, “john mcconnell” <email@example.com>, “marcia balisciano” <firstname.lastname@example.org>, email@example.com, firstname.lastname@example.org, email@example.com, “Robert Becker” <Robert.Becker@wolterskluwer.com>, firstname.lastname@example.org, email@example.com, firstname.lastname@example.org, “richard horton” <email@example.com>, firstname.lastname@example.org
Sent: Wednesday, January 15, 2014 10:40:19 AM
Subject: Recognizing Lyme Carditis CDC Expert Commentary, Medscape
Recognizing Lyme Carditis
Joseph D. Forrester, MD, MSc
January 13, 2014
To the Editors of Medscape,
In reference to Dr Forrester’s “CDC Expert Commentary” I would like to point out a few discrepancies.
1. Dr Forrester’s comment:
“More than 30,000 cases are reported annually in the United States.”
As of August 2013 the CDC announced that Lyme disease cases are ten times higher:
(Dr Forrester must not have received the memo)
CDC estimates Lyme disease hits 300,000 each year
2. Dr Forrester’s comment:
“second- or third-degree heart block occurs in approximately 1% of patients about whom clinical details are available”
If case numbers are off by a factor of ten it would certainly make sense that this estimate is questionable.
3. Dr Forrester’s comment:
“cases were identified in conjunction with a tissue bank and state and local health departments”
It is important to recognize here that the cause of death was only identified due to the fact that the three Lyme patients were potential organ donors otherwise these cases would not have been identified or reported.
4. Dr Forrester’s comment:
“Only 40% patients with Lyme carditis report having erythema migrans rash, as compared with 70%-80% of patients overall”
A recent published study independent of the CDC or its influence uncovered what the Lyme disease community has known all along as results were tabulated from a randomly selected population in a Lyme endemic region with no bias in this group to influence results:
Comparison of Lyme Disease Prevalence and Disease Reporting in an Endemic Area
2% of the surveyed population reported a diagnosis of Lyme disease. 50% of respondents diagnosed with Lyme disease did not recall a tick bite, only 33% developed the bulls-eye rash and 50% remained ill after antibiotic treatment.
In contrast to those numbers the CDC claims that 80% of Lyme patients develop the bulls-eye rash and only a small subset of patients has persistent symptoms.
In addition, 16% of respondents experienced cardiac, rheumatologic, or neurological symptoms consistent with late-stage Lyme disease.
Comparing late-stage Lyme symptoms to the general population was a brilliant idea because we believe the vast majority of Lyme patients are already in the healthcare system being treated for everything else but Lyme.
The “CDC Expert Commentary” series on Medscape is little more than a propaganda effort by the CDC to maintain the illusion that our nation’s health protection agency has “got everything under control” but the more they publish the more obvious it becomes; Lyme disease has been grossly mismanaged.