Opinion editor’s note: Star Tribune Opinion publishes a mix of national and local commentaries online and in print each day. To contribute, click here.
Lyme disease: It only takes one bite
You’ve heard about it, of course, but do you take it seriously?
By Pat McKinzie Lechault
•••
I’m a strong, well-trained former pro athlete. How could an opponent as tiny as a tick defeat me?
Because Lyme disease is real. I’ve battled it for decades.
The pernicious, insidious disease — hard to identify and treat — destroys one muscle at a time.
Due to shame and fear of losing my job, I hid my illness, never divulging my controversial diagnosis. But now, with what I know firsthand about its devastating effects, I would be remiss to ignore its existence. (May is National Lyme Disease Awareness Month, when Lyme educators speak out on how to prevent it and other tickborne diseases. I echo the call.)
The tickborne bacterial infection is most frequently found in the northeastern, Midwestern and mid-Atlantic states. Minnesotans are especially vulnerable to this “hidden epidemic.” But it is now prevalent worldwide. It has become a global health problem due to climate change and environmental practices.
Ticks reside across Europe, Asia and Africa. In Switzerland, ticks, once nonexistent in higher altitudes, became so common in the mountains that tick apps were developed for hikers. Deer are often considered the main vectors for black-legged ticks, but chipmunks, mice, squirrels and birds are also primary reservoirs for the bacteria that causes Lyme disease.
Lyme, known as the “great imitator,” can be misdiagnosed as other illnesses. To further complicate matters, Lyme’s many co-infections, such as bartonella, babesia and ehrlichia, are equally difficult to diagnose and treat.
Decades ago, I was diagnosed with chronic Lyme caused by the tickborne parasite Borrelia burgdorferi, which is most common in the United States. Other kinds of ticks carry other types of bacteria with other co-infections.
I tried every treatment — supplements, antibiotics, antivirals, antifungals and anti-parasite medicines — in attempts to eradicate the bacteria in its’ many forms.
After years, I finally located doctors who believed my bizarre symptoms despite of the lack of accurate testing. Lyme remains primarily a clinical diagnosis. Doctors, at risk of losing their medical license, willingly tried treatments that helped.
For years, my immunologist worked to reinforce my immune system. A Lyme-literate doctor in Wisconsin prescribed different long-term antibiotics.
Like science fiction, once in the blood stream, this nasty bacteria can hide out, replicate, and change shapes and forms. It disseminates into other tissues and damages organs, leading to ongoing physical symptoms and debilitating neurological impairments — which in some cases result in death.
If Lyme is identified right away, it can be successfully treated. But not everyone is as lucky as my brother-in-law in Minnesota, whose tick bite left the telltale bulls-eye rash. Immediate antibiotic treatment wiped out his Lyme.
Many celebrities — writers, athletes, musicians like Justin Bieber and Avril Lavigne, and actors like Alec Baldwin and Yolanda Hadid — have shared their Lyme battle to promote awareness.
“[Lyme] is very dangerous because you have a very short window to catch it and then treat it and then even when you treat it, you could still very well be left with effects, which is what happened to me,” Shania Twain told CBC news. “It’s a debilitating disease and extremely dangerous. You can’t play around with it, so you’ve got to check yourself for ticks.”
Unfortunately, ticks can be as invisible as tiny as grains of sand. I had no signs until it was too late.
At times, my body turns to cement, my head fills with cotton. Electric shock sensations and stabbing pains shoot down my torso. My muscles twitch, my limbs spasm. Excruciating headaches knock me to my knees. My mind muddles.
Like a deer in headlights, I freeze. Neurological Lyme (neuroborreliosis) amplifies pain, light and noise, throwing me into sensory overload. An invisible body snatcher eats cells, turning my brain to spaghetti, my muscles to mush.
The medical community’s skepticism only exacerbates patient shame. The best prevention: Don’t get bit. But if you do, keep searching for answers.
The immune response to the Lyme bacteria may cause chronic inflammation. Recent studies show long-haul COVID-19 has similar effects on the central nervous system.
Am I cured? Doubtful. But I’ve learned to make peace with my undependable body.
At times of profound exhaustion, I slip into a twilight zone of semiconsciousness, suspended between life and death in a never-world.
I don’t dwell on it. I won’t let Lyme define me. I am not my illness. As an athlete, I fight on. I still enjoy the great outdoors, but with greater vigilance.
So much skepticism. So much misunderstanding. I am not crazy. This stuff is real.
I will fight on. Others, without financial stability and strong support networks, struggle in despair.
You can help. Stay aware. Someone in your entourage suffers in silence. Someone you love needs a hug.
Pat McKinzie Lechault is a former professional basketball player, international coach and teacher living in Minnetonka and Switzerland. She is the author of the book “Home Sweet Hardwood: A Title IX Trailblazer Breaks Barriers Through Basketball.”
about the writer
Pat McKinzie Lechault
Good will toward men is incompatible with autocracy.