Saturday, August 18, 2012

A Profound Loss of Faith

Chronic lyme disease affects us in a myriad of ways, not the least of which is our life philosophy. Some of us become more cynical; some more peaceful as we get better in touch with what is important; some find strength we didn't know we had and feel like we are better people for it; some get more spiritual, and some less.

These changes are likely to be ones that will be with us, to some degree, for the rest of our lives. Lyme is leaving indelible stamps on each one of us.

What we almost all end up confronting at some point are our ideas about healing. There are all sorts of spectrums we could lay out around healing: from "the body will heal itself" to "the body is a machine like a car and needs a mechanic"; from "only natural options" to "bring on the pharmaceuticals"; from "I'll do it myself" to "I want a professional to tell me what to do"; from despair inducing pessimism to sparking optimism.

The spectrums play out for each of us in very tangible decisions. Natural healing fans struggle with whether or not to take antibiotics. Unquestioned faith in pharmaceuticals bumps up against the reality of years of antibiotics not gettin' it done. Faith, hope and deep-seated beliefs are tested relentlessly with this disease.

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The series of survey questions that I was personally most interested in are the ones we start looking at today. I asked people to characterize their philosophy on medicine before they became ill and after, their levels of optimism for making a full recovery, and what they believe about herxing.

Most of you know I'm not a doctor, nor a sociologist. My background is very deep, however, in consciousness work and group dynamics, and those both end up looking an awful lot at people's beliefs. So this human mind stuff is completely up my alley, and I'm very interested in hearing people's responses to these next few blogs in particular.

On to the questions!

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Among the many layers of crisis that lyme has the potential to create at a cultural level, none may be more far reaching than the profound loss of faith it is causing in conventional medicine. Here's what our survey yielded on these questions.



That's 47.4 percentages point of difference in the "before" and "now" rating for the style of medicine that is the foundation of the US healthcare system. I've been thinking of this being a little analogous to those polls on the president's approval ratings. How would you interpret it if the prez dropped 50 points in approval ratings?

This looks to me like a profound loss of faith in our mainstream medical system. And we can't vote it out of office.


Where Do They Go?

I wondered where the people who once had a lot of confidence in the conventional medical system went, and so I ran these numbers separately:

Only 14.5% of those who originally reported a lot of faith in conventional medicine have stuck with it, and 24% now feel lost and confused. (That is probably the worst possible outcome. It's hard to get well with confusion as your emotional foundation.)

The big gains (in both charts, representing everyone surveyed and only those who reported faith in the conventional medical approach prior to getting sick) are in people's movement toward embracing integrative medicine.

Integrative medicine is the both/and position. It values allopathic medicine for the things it is good at, but also embraces what are referred to as "alternatives" (which means pretty much everything else.)

My sense is that if the medical profession really started taking chronic lyme seriously, it would force us to re-evaluate some foundational assumptions we make about how healing works. And I think THAT is one reason why it is being embraced so slowly.

Medical schools just aren't teaching the thinking and skills of integrative medicine, venturing outside of the allopathic box is firmly outside the comfort zone of many medical practitioners and it is such a foundational thing that I think a lot of people simply can't do it.

If you are wondering what I mean, let's take an example--with apologies to my readers outside the US-- that is easy for us to access in an election year: staunch republicans and democrats. Ever notice how hard it is to have a calm and reasonable conversation across those lines? That's because there are deep-seated, long-standing, foundational beliefs that cause everything to look a certain way: everything gets filtered through the lenses the person has in place, and there is very little real consideration of the content of what others are saying.

It's like if you bring up the economy, an automatic tape starts running, crowding out any real potential to actually examine the issues. We are on our "it's X's fault" or "I'm not a socialist" or "corporations are evil" soap boxes and we don't even hear what the other person is saying. Same for health care, or the environment. Don't even think about bringing up abortion... we all know where that goes.

Brains shut off, emotions ramp up and never the twain shall meet. That's how beliefs you are invested in work. It is part habit, part laziness and part entrenched thought patterns... with very little encouragement for not sliding right into the familiar grooves.

Medical philosophy is very much like that, especially for the people who have years of training, and sometimes even deeper ego needs, that are driving how they approach the topic. Imagine having been a doctor for 30 years and suddenly having your basic approach questioned. Your livelihood is tied up with it, and often your ego, too.

There has been very little motivation for getting out of those ruts. And now chronic illnesses (of all sorts) are bumping up against the limits and blind spots of allopathic medicine, and while some people (both medical professionals and laypeople) are getting out of those long-held beliefs about healing to get a wider perspective, most are still responding with the intelligence of a political ad in an election year.

I've come to see the IDSA (Infectious Disease Society of America) as the big dogs protecting the gates of allopathic medicine with regard to lyme. Admitting the existence of chronic lyme and the need for treatment beyond short runs of antibiotics opens some very large doors that end up questioning the current state of profession they are all deeply invested in.

It's hugely threatening. And they are responding as if threatened. (Go figure.) If it wasn't the IDSA, it would be someone else. They are just playing a role.

As we push for the system to start embracing our illness as real, complex and increasingly common, keep in mind the level of change we are asking for. Paradigms don't shift easily, the releasing of indoctrination can be very painful for a lot of people, and this one could be huge.

"Lyme Literacy" is really just the tip of the iceberg, and if you get curious about where that tip leads, it is a whole different way of doing healing. We are not talking minor shifts here.

I have a lot of compassion and respect for those traditionally trained doctors who are making this shift. I have even more compassion for those who haven't yet figured out they are going to have to, and are going to get pushed into it. It's not going to be fun for them. And still, we need to keep pushing because our lives (and the lives of a lot of others) literally depend on the system changing.

And hey, where I see it landing us after that transition is over is a pretty great place: more choices, more respect for a wider range of trainings, medical practitioners who just understand more about health and healing, and less competition between healing philosophies. And that adds up to more healing and less stress for the patients.

That, to me, is the inevitable future of medicine. Listen to me: inevitable. I'm such an optimist. But that really is where I think things are headed.

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I've gotten out of this habit, but for this blog, it seems more important to give you my own answers. I started out in the natural healing camp and have ended up seeing integrative medicine (even *gasp* pharmaceuticals like pain killers) as being necessary for a large chunk of people to get well.

6 comments:

  1. Hey everyone! Here's a comment someone just posted on one of the facebook lists I'm on that I thought was interesting and asked if I could share it here:

    Wow.......todays blog.......... really well written. That's much the way I think... that if nothing else...I hope one good that comes out of this mess is a bridge between all forms of healing... the WHOLE person. It is not just medically and physically necessary.... but culturally.... spiritually. If not that... I fear where things will go..... so I put my hope and faith that our deep inner human spirits will push it in the right direction.....

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  2. Great blog a always. As a nurse who embraced humor therapy for cancer treatment early in my forty year career, I was attuned to all that CAM (complementary and alternative medicine) had to offer. I don't know for certain when I got Lyme, but at one point I was running fevers, had enlarged lymph nodes, and enlarged spleen. A CT showed possible lymphoma, so I fell into the high tech testing trap, and after six months of testing was told to be grateful that I did not have cancer. The MD completly disregarded my concern that I was sicker and sicker. It took a while for me to find a good CAM MD, and the right diagnosis. LDN restored my QOL to a great degree before I tested positive for Lyme. Now I incorporate ABX with herbs, homeopathics, and supplements in an attempt to heal. Ginny Dudek

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    1. Thanks, Ginny, for your story. How is it going for you? You sound like a great example of where I'd like to see medicine heading!

      It's such a strange thing... "be glad you don't have X" which is a very serious illness... so you are right there in the "really damn sick" territory... but then they just stop taking it seriously because you've eliminated this illness they have a better handle on. I don't get it.

      What's QOL? I followed all the rest of it... (LDN really needs to be on my list of supportive stuff next time; SO many people seem to get a good result from it.)

      Hugs, Ma'ikwe

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  3. QOL=quality of life. Welcome to the myriad acronyms of the chronic illness life!

    As always, your survey results and blog has made me think about my own life with Lyme (and also made me wonder how I replied to this topic when I took your survey). thanks for doing all this work!

    I know that pre-Lyme I had no clue about how poorly SWM treated pain! I was sick so rarely that I had little experience with doctors and at first was relieved to learn I had Lyme disease - an infection, okay this is treatable.

    My first inkling of treatment failure came when I learned I am allergic to most of the abx's used to treat Lyme (and other TBDs as I also have Babesiosis). I thought I would be cured if only I could take the drugs. I also discovered I can't take most of the symptom control drugs, which in hindsight might be an advantage as it kept me off Lyrica and other nasty drugs.

    13 years, and many alternative treatments later, I still am searching for new options outside the Rx group. I don't understand why Lyme is so uniquely controversial. I understand the "I'm the expert and I say so" attitude of IDSA members who defend their treatment guidelines with ridiculous claims.

    But. Why is there significant knowledge published about the "stealth" of Bb spirochetes and the persistence of Bb in animals even those who test as "Bb free" that isn't being used to help human patients?

    It really is sad that those who continue to be sick after the standard or even long term treatment protocols either give up or edge into alternative treatments that give the person a "flake" image.

    So we are dismissed as having "internet-induced hysteria" and that forces us further away from mainstream medicine. And further from being considered as representative of the real potential for Lyme in a crazy cycle that uses us to confirm that what we have doesn't exist. (Chispa)

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    1. Well, Chispa, you have some very good points here! My hope is that lyme is going to really help us remove the "flake" image from alternative medicine. It just seems like we need it in order to really kick this thing.

      I agree that there is a very weird disconnect between the vets and the MDs in this country. How is it that no one blinks about the canine or monkey studies, but so many seem to think that Bb just plays by different rules in our bodies... It'd be nice if the scientists were a bit more scientific. Or sensible. Or some such.

      One of the things I have planned for the next round of these surveys is tracking a batch of patients over 5 years. It is one thing to report what you remember about how you saw things at the beginning (which for some people might be a couple decades ago) and quite another to be asked the same questions every year and see what actually shifts. I'm also curious how many people feel backed into the alternative stuff, versus embracing it readily... so much more to explore.

      Thanks again for all your thoughtful reading and comments, Chispa!

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  4. I love this blog!
    As a small child I remember looking up into the faces of numerous doctors and thinking, "Wow! They are so smart! They are going to help me and I can get back to playing with my friends." Little did I know that at the ripe "old age" of 42 they would look at me, shake their heads sadly, and tell me there was no hope.
    I was born with a kidney disease. Then the diagnosis was Lupus. For 8 years I was treated with steroids. I wasn't getting better, I was getting much worse.
    The day I found out I had Lyme Disease, I felt like I was in a foreign land. I googled it. 4 weeks of IV Rocephine as per prescribed by the MD should clear it right up. I was so happy to know that I wasn't crazy, that I quit digging for more information-this was 13 years ago, so there wasn't a lot of information out there.
    4 weeks into treatment, nothing was different. We tried for another 2 weeks. Nothing. My doctor recommended seeing an infectious disease doctor. I could not find 1 doctor willing to take on a late stage Lyme patient. Even my Doctor's buddy that he went to school with refused to see me, but he did give me the name of a Lyme literate doctor in MI.
    Treatment was started after the initial appointment. Back on the picc. I only had to have that picc replaced once in 3 years. 3 years of IV anti-biotics. Combos that made me feel like the walking dead. Pumps, and pills along with the IV.
    In 2005 my brain MRI was fine. In 2008, 3 years into treatment my brain MRI showed 2 lesions and a brain stem tumor.
    My kidneys had taken such a hard hit, it was effecting my heart. My body could not take anymore. I was told to put my things in order.
    I went to 3 neurosurgeons. Trying to get one to help. They all said the same thing. "I believe the location of the tumor would make it impossible to operate on (It was to close to the respiratory and sight and hearing functions). The tumor was probably pre-existing, the Lyme activated the growth. It may have been there since birth, but was never an issue."
    So my choices were removed from me. I went to a regular MD, who tried to make me as comfortable as possible.
    For 5 years, I sat "waiting". My things were in order. I joined Lyme sites to show support for others. It felt good to help in some way. Gave me a purpose.
    I started hearing more about Naturopathic Doctors. My curiosity got the best of me and I started hunting for more information on the fascinating doctors. A good friend of mine led me to a wonderful Naturopath.
    In 3 appointments she has spent 7 1/2 hours with me. Learning everything about me. Physically and psychologically. Wow! I've never had a doctor delve so deeply into my medical history, ans the stresses in my every day life.
    She is strengthening my body to prepare it for war. Dealing with adrenal gland fatigue, GI issues, muscle and joint issues, headaches, and kidney issues.
    She has never treated Lyme, so I am a "Work in progress".
    I do not expect a miracle, but to be in a better place physically and mentally certainly makes the effort on both of our parts worth it.
    I have more faith in her than I ever had in my all of my other doctors combined.
    I am not an appointment. I am a person in need of help and support. She gets that. And she is doing an amazing amount of research to find the right protocol for me.
    I don't think it matters what kind of doctor you have. I think what matters is that you can build a relationship with that doctor and have the trust in them that is necessary with a disease like this.
    Maybe if I had found a doctor that looked at the bigger picture that is me, things wouldn't have gone in this direction. But for me, it is the right answer.
    Financially, there will be fund raisers, I am on SSD and can hardly afford the bills that I have. 5 years ago my pride would have gotten in the way of agreeing to it. But when it becomes time to choose life-your pride gets kicked to the curb, and it enables you to embrace the love that is offered to you.

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Hey all! I have set this blog so that anyone can post, and posts are unmoderated. In order to keep it that way, I request that people be kind in your disagreements, open to other viewpoints and come from a spirit of genuinely wanting to help each other on our shared journey. Thanks! Ma'ikwe