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Derelict's avatar

Lyme disease can be extremely tricky to diagnose because symptoms vary wildly. Douthat is just plain wrong to write that the research focuses only on a single set of known symptoms. That is not even remotely factually correct. Indeed, the major research push over the last 20 years has been exploring all the different ways that Lyme manifests so that diagnoses can be made more quickly and accurately.

To give you some idea of how bizarre Lyme can be: I have had Lyme twice. The first time, I noticed a semi-circular very faint rash on my right wrist. (NOTE: Fewer than half of Lyme victims develop the classic circular rash.) I figured it was a Lyme tick bite, so off to the doctor I went. Two weeks of tetracycline and I was done. But 6 months later, I developed excruciating pain in my left elbow. That lasted a day. The next day, it was in my left shoulder. That also lasted a day. This joint pain moved around, hitting every joint one after the other. My doctor was mystified and just prescribed me painkillers. Finally, I was watching TV one evening when my right knee began to hurt. The pain built up over the course of an hour, eventually becoming so intense I was crying and getting ready to head to the emergency room. And then, it went away. Like someone had turned off a switch, the pain just stopped. The next morning on NPR, I heard a report about Lyme disease and the newly discovered phenomenon of traveling arthritis the disease produces. I ran off to get a Lyme test and it was off the charts. Three months of intense antibiotic treatment cured it.

The second time I got Lyme, I had no tick bite that I was aware of. I woke up one morning and had double vision--my eyes were displaced from one another with one looking slightly upward compared to the other. This went away after about 10 minutes. The next morning, it did not go away. Off to the emergency room! Ten minutes of interview and a blood test later, I had Lyme again. Thanks to the research done in the intervening years--research into the oddly variant nature of Lyme symptoms--the ER doctor was able to make a best-guess initial diagnosis of Lyme disease and then confirmed it with a blood test. A couple of weeks on antibiotics and I was cured.

So Douthat and Dreher can both go suck eggs. But they're badly misinforming their readers, giving out false information that will likely lead their followers to try using poultices and burning sage to treat their disease. Or maybe Ivermectin. I hear that cures all kinds of ailments associated with horses' asses.

SundayStyle's avatar

It’s just amazing to parallel Douthat’s *completely different* disease trajectory with Covid, considering Covid-19 first emerged less than two years ago. I think the scientific achievements in understanding the virus, how it’s transmitted, and the development of a vaccine in record time have all been extraordinary.

But what we have here is a Rightwing Narrative, specifically the Uppity Scientists Are Bad narrative combined with the You’re Not The Boss Of Me narrative, and like all their narratives they aren’t going to let things like facts, logic, evidence, or even common sense get in the way.

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