Episode Transcript
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0:00
Hello, Stuff you should know listeners, if you
0:02
want to come see s live, You've only
0:04
got a couple of more cities this year that still
0:06
have tickets, and that is Orlando in New
0:09
Orleans. Yeah, we'll be in Orlando on October
0:11
nine at the Plaza Live, and we'll be in New
0:13
Orleans at the Civic Theater the following
0:16
night October and friends,
0:18
like Chuck said, you better go get your tickets.
0:20
Go to s Y s K live dot
0:23
com for info and ticket
0:25
links and everything you need to come
0:27
see us. Welcome
0:30
to Stuff You Should Know, a production of I Heart
0:32
Radios How Stuff Works. Hey,
0:39
and welcome to the podcast. I'm Josh Clark,
0:41
There's Charles W. Chuck Bryant, and there's Jerry
0:44
over there. This is Stuff you Should
0:46
Know. Uh,
0:49
the podcast and Chuck, I
0:51
have a question for you. You
0:54
know it kicks me off lime
0:57
disease. I'm
1:00
so mad at you blaming
1:02
me for that one. She's like, you should say this, and I
1:04
said, you know what, I should
1:07
totally say that. Uh.
1:09
Yeah. This is sort of a follow up to our July
1:11
two thousand ten episode
1:13
Why Ticks Suck, which
1:16
in which which is sort of a legendary episode
1:18
because we uh falsely
1:20
promised to send people T
1:22
shirts if they made it all the way through the episode.
1:25
We were just kidding, but we still get those requests
1:27
of where's my shirt? Yes, that's hilarious.
1:30
I forgot about that and also wants
1:32
sued today. Yeah,
1:34
probably so. Um. I also want
1:36
to point out and shout out our
1:38
former website how Stuffworks dot com
1:41
because a couple of the articles that we used for
1:44
much of this episode is from the old
1:46
hs W website. Nice. They're
1:49
holding it down over there, they're holding it down and this
1:51
is some good stuff. Yeah.
1:53
So we're talking today about lime
1:55
disease in particular, not limes.
1:58
No, we should say it's capital l
2:01
y m E disease. And the reason
2:03
it's called that is because it's named after a town
2:05
which is one of three towns where
2:07
the initial outbreak of lyme disease
2:10
that led to this bacterial
2:12
infection persistent bacterial infection
2:15
um was first uh described
2:17
medically. But what are the facts of the show? I think,
2:20
Oh, yeah, sure, who knew it was named
2:23
after a town Lime, Connecticut? I
2:25
knew? Did you know that before this? Sure?
2:27
Did we cover that? And why tick suck? I don't
2:29
think so, all right, well you're smarter than
2:31
me. That No, it's not that. I think. What
2:33
what got me was I heard
2:35
about people saying like, no, lyme disease,
2:38
like people take it for granted, but it's actually some really
2:40
mysterious illness. And I'm like, what are you talking about?
2:43
So I think I looked into this year's back and that's
2:45
what I found out. All right, that was
2:47
all. So we're equally smart, right exactly.
2:49
I'm not smarter than you, and what it is smarts. It's just
2:51
like someone
2:53
happens to know one thing, someone else knows another. Sure,
2:56
I say, they cancel out, we're all smart. There
2:59
you go. I'm glad you pulled that out because I would
3:01
have been like, what is smart? Uh?
3:04
I couldn't have come up with the definition so
3:07
lyme disease. Um, We'll
3:09
go ahead and hit you with a couple of stats here. Uh.
3:12
Lyme disease in the United States is more than doubled
3:14
since nine. That's astounding,
3:17
it is, uh And it is spread
3:19
too. It used to be very much localized
3:22
in kind of the Northeast, sort
3:24
of mid Atlantic areas, some
3:26
in the South, but now you
3:28
can get lyme disease, and I
3:30
believe the entire lower forty eight is
3:32
that correct? There there are cases
3:35
in all forty eight states. Supposedly half
3:37
of the counties in the United States now are
3:39
considered at high risk for lyme
3:42
disease. And like all of this happened
3:44
just in the last like twenty or so years,
3:48
Yeah, which is I mean, there's
3:50
there's a lot of debate over the CDC
3:52
calls lyme disease endemic, which
3:55
is a disease that has become
3:57
a like an ongoing art
4:00
of an area or region, and
4:02
some other people are saying, guys, what what
4:04
we're talking about here is an epidemic. This is an
4:06
epidemic, and you should start calling it that because
4:08
it will kind of raise the alarm to the
4:11
next level or two where
4:13
it should be, because this is a very alarming
4:16
spread of disease that we're seeing
4:18
right now. Lime disease is the number
4:20
one vector borne disease
4:24
in the United States. It's way
4:26
more prevalent than things like West Nile
4:28
or chicken guna or anything like that, but
4:30
it's still kind of treated as like up there
4:32
in the northeastern US thing, and that's just
4:34
not the case. It's it's spread every
4:37
in every direction except east because
4:39
it hit the Atlantic, but everywhere
4:41
else where. It can spread into the interior
4:43
of the United States and up into Canada. It's
4:46
starting to Yeah, and there's also
4:48
a history continuing to this day
4:50
even where lyme disease
4:52
can be UM, overlooked,
4:55
misdiagnosed, UM,
4:57
not taken as seriously by your doctor
4:59
as it should be UM, including
5:02
what we'll get too later on something called post
5:04
treatment lime disease syndrome. Uh.
5:07
And it's all very frustrating if you have
5:09
been a an individual
5:11
that has had lime disease. There's
5:14
a big community out there. People they're like, why woult
5:16
anyone listen to us? Why won't our doctors
5:18
take us seriously? And what do we
5:20
have to do here? Like do we have to start
5:22
dropping dead? Yeah, there's a tremendous
5:25
amount of frustration in in that community
5:27
because that there's this sentiment
5:29
among the medical establishment that you
5:32
know, take some antibiotics. Exactly,
5:34
it's easy to cure lime disease. Here's some antibiotics.
5:36
You still have persistent symptoms because
5:39
are probably in your head. We're not going to say there in
5:41
your head, but they're in your head and the
5:43
people who are experiencing these symptoms are like,
5:45
no, my life has has been derailed
5:47
by these symptoms and you guys aren't doing anything
5:50
about it. It's frustrating.
5:52
I know there's a lot of people out there that are pretty pretty
5:55
stoked right now to be hearing this. Yeah,
5:57
you know, we're advocating for you guys,
6:00
not patting myself on the back, although I am literally
6:02
patty like I see you chuck here. That
6:06
elbow is sticking out pretty far. So.
6:08
Lime disease is a disease. It's
6:10
an infection caused by the bacterium
6:13
uh bore leah burg
6:16
door ferry wow
6:18
borg de ferry, burg de ferry. We're
6:20
gonna get you an apron and call you the word
6:23
butcher burg door fairy work,
6:25
work, work, and we'll get
6:27
to why it's called that in a bit. But if
6:29
you haven't caught on by now, it is transmitted through
6:31
tick bites, right, So, a
6:34
tick, and in particular a nymph
6:36
stage of a tick, which is a like
6:39
young adul or juvenile tick um,
6:42
will transmit this bacteria, the
6:44
Borelia burg door ferry
6:46
um, into a human. And the reason we
6:48
usually get it from nymph's chuck is
6:51
because an adult tick doesn't
6:53
find humans particularly appetizing,
6:56
but a nymph tick will because they're
6:58
stupid. They don't know anything yet. So
7:00
as they're feeding on us. After somewhere
7:03
maybe around twenty four to thirty six hours
7:05
of feeding, this infected tick
7:07
that has this bacteria in the bacteria
7:09
will make its way from the mid gut to
7:12
the tick saliva, and the tick transmitted
7:14
transmits it into the human blood stream where
7:17
it's just absolutely reeks havoc on
7:19
the human body. Yeah, and you
7:21
said something really key there hours
7:25
later, really really important.
7:27
They have to be attached to you for that long, sometimes
7:29
even longer to transmit this bacterium.
7:32
So if you find a tick on you
7:34
and you get it off, you don't need to sweat lime
7:36
disease. No, if you get it off
7:39
in due time, right exactly, I feel like you
7:41
see it's still crawling on you. It's unattached. You don't
7:43
worry about it at all. Um, But
7:45
when it is attached, and when when it when it has
7:47
transmitted the bacteria. What
7:50
it's transmitted. This b burg door ferry
7:53
is like really amazing
7:55
at its job, which is infecting you, giving
7:58
you a bacterial infection. Um,
8:00
it has figured out how to zoom through
8:03
the bloodstream but then also take itself
8:05
out of the bloodstream by latching onto
8:07
the cell the walls of your blood vessels.
8:10
Yeah, this was crazy about the cellular
8:12
stuff that once it's attached to
8:14
a cell. They said, it's like a slinky.
8:16
It doesn't let go. It just like
8:19
basically reaches out and grabs the
8:21
next cell without letting go of the previous
8:23
cell and just sort of walks end
8:25
over end, never unattaching itself
8:28
right exactly. So Um, as it's
8:30
moving along, it's never it's
8:32
not going to get kind of you know, washed
8:35
away in the extracellular matrix. It's
8:37
stuck to the cell. If it wants to be stuck to the cell,
8:39
it can do the same thing to the blood vessel walls
8:41
to pull itself out of the blood stream and then
8:43
go attack you know, specific parts
8:45
of the body. So it's really
8:48
good at hanging on. That's one thing
8:50
that makes it kind of pernicious and
8:52
like another thing exactly, it's
8:54
basically yeah, it's like the bacteria version of a
8:56
tick. I didn't think about that, um.
8:59
And then another thing does Chuck, I
9:01
think this is really really recent research.
9:03
It can actually change its protein
9:06
expression at a much faster
9:08
rate than the normal mutation rate for bacteria,
9:12
something like fifteen times faster. Yeah.
9:14
Well, what that does is that just makes it really
9:16
hard for our human immune
9:18
system to catch up to it, right, because
9:20
our immune system will produce antibodies based
9:22
on the initial infection. But by the time
9:25
the antibodies come around the um
9:28
this, the bacteria may have changed
9:30
the itself so that the
9:32
antibodies won't recognize so they'll just go right
9:35
past it because it doesn't it doesn't fit the
9:37
description that the antibodies have. That's
9:39
right, And you'll know that something's bad
9:41
is happening. First of all if you
9:44
find that tick. But if you get
9:46
headaches, fever, fatigue
9:49
is a huge, huge symptom.
9:51
But the real tell tale is what's
9:53
called e m It's an expanding skin rash
9:55
called er athema migrants
9:59
and it like, uh, it's that circular
10:01
pattern. And then we did talk about
10:03
this on the Ticks episode. But it's a circular
10:06
pattern with a what looks like a bull's eye in the center
10:08
of it. Yes, and you can take off your
10:10
butcher's apron now because you just that was
10:13
beautiful. Put on your chef's chef's
10:15
hat. You're sweating over there. So,
10:19
UM, that that particular
10:21
rash, that bull's eye rash, that is like just
10:23
an absolute telltale sign that you have a
10:26
lime boreolis bo bore
10:29
uh boreliosis
10:32
infection. UM. That
10:34
only comes around and like maybe se cases.
10:38
I think if every if every person got
10:40
that rash, we would not have
10:42
this this problem with lime disease because it would
10:45
be caught very quickly because you get that within usually
10:47
about a week or less of
10:49
getting infected. But it doesn't come
10:51
up in all cases. And um
10:54
with some of those other symptoms like you said, like
10:57
weakness, headaches, UM,
10:59
flu symptoms
11:01
like those could be a lot of different
11:03
other things, joint pain, um.
11:06
And so the lime
11:08
disease infection goes undiagnosed
11:11
or misdiagnosed in a lot of cases,
11:13
are did for many, many years. It's just now
11:15
that they're starting to kind of recognize it or
11:18
suspect lime when otherwise they
11:20
might not have. I mean literally hundreds
11:22
of things can be can
11:24
have the same symptoms as lime disease. So
11:28
lime has been around for a long time. UM,
11:30
we'll talk about the history here in a minute, as far as the
11:32
nineteen seventies go and official recognition,
11:35
but it's been around, I
11:37
believe. The Yale School of Public Health find
11:41
the bacterium and ancient North
11:43
America like sixty thousand years
11:45
old before the arrival
11:48
arrival of humans. Uh, they
11:50
have an autopsy of a fifty three hundred
11:53
year old mummy that had lime disease.
11:56
Yeah, you know Ootsy the ice Man,
11:58
remember him, Remember Brutcy. Yeah.
12:01
I was disappointed that they referred to him as a
12:03
fifty year old ummy. It's like, no, it's
12:05
Ootsy that I and everybody knows him, give his
12:07
name, but he had lime disease. He did.
12:09
And there was a German physician named Alfred buck
12:11
Wald who described
12:14
this that e M skin rash
12:16
that we now call lime disease about a hundred
12:19
and thirty years ago. Right, So,
12:21
so lime disease has been around a while,
12:24
but we are just now seeing a
12:27
huge again, an epidemic
12:29
of it um and in a massive
12:32
spread of it not just in North America,
12:34
but there's also two other kinds of ticks
12:36
that transmit to other kinds of
12:39
lime causing bacteria in
12:41
Europe and Asia and in all
12:43
three places North America, Europe and parts of Asia.
12:46
Um, the incidents of lyme disease
12:48
is picking up at an alarming pace.
12:51
I think we should slow down our pace, take
12:54
a break. We'll come back and we'll talk
12:56
about Lime, Connecticut right after
12:58
this. Alright,
13:27
So, Lime, Connecticut, something is very
13:29
old hat to you branded
13:32
about it for years Lime, Old
13:35
Lime. And what was the third town? I
13:37
don't remember. No, let's just call it a new
13:39
Lime. It was not.
13:42
They're gonna be so mad. They're high school football
13:44
team is gonna go berserk on Old
13:46
Lime this year in the es.
13:48
So there were a group of children and adults
13:50
in these towns in Connecticut that
13:53
we're having all these weird symptoms, uh,
13:55
swollen knees, skin rashes, headaches, all
13:58
this severe fatigue. And
14:01
it's bad enough these days. But in the early nineteen
14:04
seventies, doctors were definitely
14:06
did not have this on the radar. And
14:09
we're very dismissive of what was going on in these
14:11
towns. And if it were not for the work
14:13
of Judith Minch and Polly Murray
14:16
to just regular moms.
14:19
Although Polly Murray did work for the World Health
14:21
Organization for a while they were
14:23
advocates, they were patient advocates because their
14:25
families were getting sick and no one
14:27
would listen. And they were
14:29
like, someone's got to do something. Something's
14:32
going on here, and these doctors
14:34
are not being any help. And
14:36
it was a big deal. Polly Murray ended up writing a book
14:38
she made it sort of her life's work,
14:41
called The Widening Circle. And because
14:44
of sort of the persistent
14:47
sexism and science, they were
14:49
largely discounted, even though they had
14:51
a list of thirty seven individuals they
14:53
researched on their own contacted
14:55
scientists. Uh, I just
14:57
we just really need to shout them out. Poly Murray
15:00
died just about a month ago at
15:02
the age that right. Yeah,
15:05
she was a persistent cuss as they call him
15:07
up in the Yankee States. So
15:09
um, On the
15:11
one hand, yes, from the everything
15:14
I've read and all the impressions I have, they
15:16
were very much dismissed and it was very much
15:19
sexist, and also I think
15:21
because they weren't doctors. But on the
15:23
on the other hand, the doctors who were being presented
15:25
with these cases were like, I have no idea
15:27
what this is, so let's just pretend it's not real.
15:30
But Luckily those two women in the
15:32
groups that they established, they
15:35
went on and they contacted Yale
15:37
Medical School, they contacted the state,
15:39
and they really kind of put this on the map. But they said,
15:42
there is a mysterious epidemic
15:44
that's going on where you have a lot of kids
15:46
who suddenly have juvenile arthritis out
15:48
of nowhere. What are you guys gonna do about
15:50
it? And because of their agitation,
15:53
this mystery made its way to
15:55
the desk or I guess, the microscope
15:58
of a guy named Willie um Burgdorfer,
16:02
and he was at the time the world's
16:04
foremost authority on what's called
16:06
Rocky Mountain spotted fever, which
16:09
is another tickborn bacterial infection.
16:11
Remember that when I was a kid, that was a big
16:13
news item. It was he
16:16
was working out in Colorado, and Colorado
16:19
was ground zero for Rocky Mountain spotted
16:21
fever for a while. UM, which is, yeah,
16:23
you do not want to have that. It's a really bad bacterial
16:25
infection. But by this time they
16:28
had done thanks to the legwork UM
16:30
done by the moms and
16:32
the patient advocate groups in Lime, Connecticut,
16:35
UM, it had been pretty well established
16:37
that the common thread between all these people
16:40
besides the where they lived. And
16:42
by the way, it was um Chuck Lime
16:45
old Liman, East had him, sorry,
16:47
East had him Um.
16:49
Aside from the fact that they all lived in the same region,
16:51
was that all of them were almost all
16:53
of them were called being bitten by a tick, and
16:56
a lot of them had a mysterious rash right
16:58
before the symptoms presented. So it
17:00
came to this guy, Willie um
17:02
Bergdorfer's microscope
17:05
because they had said, there's something in the
17:07
ticks here that is creating this disease that
17:09
we haven't encountered before. That's
17:12
right, and he had already discovered
17:15
this bacterium h
17:18
called it. How do you how do you pronounce that spirit
17:20
chet, spire key sparke.
17:23
But the spiro keet is a type of bacteria
17:25
and that's what give
17:27
me the apron. They
17:30
all right, spiral
17:32
chet and you just made me think of the older brother
17:34
Chet and weird science. Now
17:36
go make yourself one. But wad Man,
17:40
that guy had some good quotes. Yeah, r
17:42
I P What what Bill
17:45
Paxton when, oh he
17:47
died a couple of years ago. Very sad? Are
17:50
you sure you thinking of Bill Pullman?
17:53
No, Bill Paxston died. It was so sad because
17:56
I had just listened to his Mark Marin
17:58
interview and he was like, after that
18:00
episode, I wanted nothing more than to be
18:02
Bill Paxton's friend and neighbor. And he
18:04
just sounded like the best guy and best family
18:06
man. And he passed away way too early. Yeah,
18:09
really, I did not know about
18:11
that. I saw a Frailty not too
18:13
many weeks ago. It's still pretty good. Was
18:15
it the first viewing er? No? No,
18:17
no, I've seen it before, but yeah, great
18:20
movie. Yeah. But he wrote and I
18:22
believe directed and starred in it. Yeah, it was
18:24
so good and I love a good Powers Booth
18:26
cast and call for sure it
18:28
was. It was unusual and surprising,
18:30
but it wasn't perfect. Very good underrated film.
18:34
Where are we? Oh? Yeah, we were talking
18:36
about Rocky mont and spotted fever. Willie
18:38
Berg door for identifying the spiral
18:40
keet um that was causing right,
18:44
spiral check dumb
18:47
dumb? No, remember we
18:49
established were all smart. He
18:52
Yeah, so he discovered this, uh, this Paara
18:54
keet and
18:57
he was honored, uh, this
19:00
discovery and naming that thing after
19:03
himself. That's why has that interesting name. I
19:05
get the impression he didn't name it after himself.
19:07
They named it after him. Go
19:10
on, okay, but
19:12
there's a big difference between him saying this thing
19:14
is called the burg door fury bacteria
19:17
and somebody saying we're going to name this after
19:20
you. I totally agree. Okay,
19:22
So burg door fury
19:24
or burg doorfur. He figures
19:27
out what is the basis of lyme disease,
19:29
which is great. That's an enormous breakthrough.
19:31
It establishes that yes, it is its own
19:34
thing, it's its own disease. And
19:36
because it was a bacteria, it's
19:38
a spira key, which again it's a kind of a snakelike
19:41
shaped bacteria specific
19:43
kind that walks like a slinky um.
19:46
Because it was a bacterial infection, the medical
19:48
establishment said, oh, we got this. Here, take
19:51
some antibiotics and
19:53
over you know, the course of several years,
19:55
starting in I think the nineties,
19:58
is when they really started to say, okay, ay, we
20:00
can cure lyme disease,
20:02
especially if we catch it early on um
20:05
by a two to four week round of antibiotics.
20:08
Here you go, and they said case closed,
20:11
were the medical establishment. Let's
20:13
go have a party for ourselves. Yeah, and
20:16
here's the thing, like many times,
20:18
that can take care of the problem.
20:20
So it's not like they were just lazy and
20:23
not doing their work. But I
20:25
think they closed the book a little too soon, and a lot of
20:27
people do because that that oral
20:29
that round of oral antibiotics. Um,
20:32
if you catch it early, it can really work. But and
20:35
I think they say, what like nine times out of ten, if
20:37
you catch it early, then that
20:40
will that will work right
20:42
there. So they're so persistent
20:44
with that assertion that if you find
20:47
a tick on yourself and you
20:49
live in an area where lyme
20:51
disease is known to thrive, um,
20:53
if you can't say how long that tick's been on you,
20:56
they're probably just going to give you a round
20:58
of antibiotics and lactically. Yeah,
21:01
and and and again, like you said, in a lot of
21:03
cases, and I believe, from what I've read,
21:06
the vast majority of cases in early
21:09
stage lime disease, that round of antibiotics
21:11
should work. Yeah.
21:13
And they say that if you and this is from the American
21:16
Lime dias Is Foundation, uh
21:18
quote, if you live in in endemic
21:20
area, have symptoms consistent
21:23
with early lyme disease, and suspect recent
21:25
exposure to a tick, present your suspicion
21:28
to your doctor. So that he or she may make
21:30
a more informed diagnosis. So show
21:32
up to your doctor and say, yeah, madam
21:35
sir, I would love to present my suspicions
21:37
to you. Please sit down. Well, they're saying sort
21:39
of, still, you still sort of need to be your own advocate
21:42
because it is so hard to diagnose still, because
21:45
if you're going on symptoms alone, like
21:47
we said, there are hundreds of things that share
21:49
those symptoms and lime disease
21:51
may not be the first thing they think of. That's
21:54
a huge problem with lime disease. Another
21:56
huge problem is that the test
21:58
we use to test for line disease
22:00
doesn't actually test for the b burg
22:03
door free um bacteria. It
22:05
tests for the antibodies that should
22:08
be present in your blood stream if you have a bacterial
22:10
infection, not even specific to that one,
22:12
but a bacterial infection. The problem
22:15
is it takes days, if
22:17
not maybe a week or two before your
22:19
body mounts an effective immune
22:21
response against this infection. So
22:24
if you find a tick and they give
22:26
you a test, say within the first couple of days,
22:28
it's gonna come back negative, even though you very
22:31
much have a burg door free um
22:33
infection, it's gonna come back negative
22:35
because it's the antibodies haven't been
22:38
created yet. The other part of
22:40
the problem is even if you take
22:42
a blood test that tests directly
22:44
for the burg Door free bacterium,
22:48
it moves out of the blood stream really
22:50
easily and within several days. So there's a
22:52
very brief window of time where you
22:54
can directly test for the burg Door
22:56
free um bacteria and find
22:59
it in a simple a blood test. Yeah,
23:01
you can also get false positives. Uh.
23:03
And they're advocating now for two tiered
23:05
testing for confirmation
23:08
of the diagnosis. So if you get that
23:10
first positive test, uh, sometimes
23:12
now you'll get a different test, a Western blot
23:14
test that's gonna really
23:17
get more specific to that antibody, not
23:19
just the general antibodies. Right. So
23:21
part of the other problem is the
23:24
a lot what the reason a lot of patient
23:26
activists and patient advocate groups
23:29
say no, doctors, you're wrong, like this is
23:31
not good enough, is that there's a sneaking
23:34
suspicion among people who have what's
23:36
called chronic lime or post
23:38
treatment lime disease syndrome,
23:42
is that the round of antibiotics,
23:44
the two to four week round of antibiotics that
23:46
seemingly cured the lime disease
23:49
symptoms that you had actually
23:51
failed to fully knock out the
23:54
bacteria that created this
23:57
infection. This created this lime disease
23:59
in the first place, that it just burrowed further
24:01
into your body. And because the medical
24:03
establishment said we got it, it's
24:05
fine, You're these antibiotics cured
24:07
it and didn't go deeper. Um
24:10
that that bacterial infection is
24:12
allowed to fester and then present in
24:14
worse ways later. Yeah, and
24:16
it's a really big deal because you
24:19
know what will happen is they'll say, you're
24:21
cured. We gave these antibiotics.
24:23
They worked. But weeks and months
24:25
and even years later, when people have persistent
24:28
fatigue and muscle aches and headaches
24:31
and you know, like your knee joints
24:33
hurt, they said, like a brain fog can
24:35
happen. And these are all things that
24:37
are I don't want to say generic,
24:39
but if you walk into your doctor and say I feel
24:42
like I'm fuzzy and have a brain
24:44
fog and get headaches and I'm tired,
24:47
Uh, it's sort
24:49
of a wide it's hard to pinpoint
24:51
what's going on and there and they
24:53
think you're cured of the lime disease.
24:56
So that's where some of the more dismissive
24:59
um at least from the lyme disease community.
25:01
They're saying like, I have this chronic issue, and
25:03
they're saying, but no, there's no such thing. It's a chronic
25:06
issue, right. Well, they're also saying like, look,
25:08
we gave you a test for lyme disease
25:10
and you came back negative. You know, we
25:13
know you had it before we tested
25:15
you. We came back positive, we treated
25:17
with antibiotics. Now we've tested
25:19
you again and it's coming back
25:21
negative. You don't have lyme disease anymore.
25:24
So there's a huge debate whether they're
25:26
the antibiotic course is not enough
25:29
and that the lime disease is persisting elsewhere
25:31
in the body, and that maybe it's changed
25:34
its form so that it won't show up on the tests
25:36
like it should, or um
25:38
there's remnants of it. I saw one one
25:41
article that suggested that the
25:44
cell wall from the spial keet the
25:46
brig door free spiro key can remain
25:49
even after the things dead and persistent
25:51
like joint tissue and cause an
25:53
immune response there, which would explain this
25:55
long term arthritis is like a post
25:58
treatment lyme disease syndromes emptem
26:00
um or is
26:03
it that it converts into
26:05
an entirely different disease, like an
26:07
autoimmune disorder. Yeah.
26:09
Some people think that it could trigger an autoimmune
26:12
response and the infection
26:14
is gone, and this is what's happening later
26:16
on? Is uh, Is you have this
26:18
autoimmune response, it can lead to other things
26:21
like rheumatic heart disease. I
26:24
think we do we cover Gian Bear
26:26
syndrome or just talk about it in different
26:29
episodes. We've talked about it, and
26:31
I think, if I remember correctly, is g a bar a
26:33
GiB? I'm
26:36
pretty sure. Yeah, we could both be
26:38
wearing the apron for this one, though. We'll
26:40
split it up. I get the half, all right, I
26:43
get the top half on Porky pig in it all right. I'm
26:45
gonna just cover my bits down there.
26:48
Uh. But regardless of
26:50
of what's happening, what people know is
26:52
is that they don't feel right, and
26:54
it's extremely frustrating to
26:57
to feel these symptoms months and years
26:59
later and not be taken seriously
27:02
in the doctor's office. Yeah. So a lot of
27:04
people are saying that we should we these This
27:06
course of antibiotics shouldn't be two to four weeks,
27:08
it should be many months because you really
27:10
need to get all of the spiral
27:13
keyed out of there or else it's going to persist
27:15
and you're going to have big problems. And then
27:17
the medical establishment is saying like this,
27:19
what you're talking about doesn't even exist. So there's
27:22
a lot of frustration, Like you're saying, a big disconnect,
27:24
and this is something that is probably
27:27
going to keep playing out, although it seems
27:30
like it maybe on its way out because
27:32
of the epidemic proportions lime is
27:34
taking now in the United States. Yeah,
27:36
I mean, the statistics are mounting up such
27:38
that it can't be ignored any longer. Not that
27:41
it was ignored, but you know, that's probably a harsh statement,
27:43
but it's being taken way more seriously now. Yeah,
27:46
that's something like there's an expectation
27:48
that there's going to be something like three hundred
27:50
to four hundred thousand new
27:53
cases of lime disease in the United
27:55
States alone, and that tend
27:58
to of
28:00
those patients will
28:02
end up with chronic lime disease. Yeah.
28:05
I mean, I spend a fair amount of time hiking around
28:07
the woods with my dogs and have
28:09
pulled plenty of ticks off of them, and plenty of ticks
28:12
off of myself and
28:14
I have fatigue a lot because I have a four year
28:16
old and every now and then I'm like, I
28:19
have lime disease. Well, probably not, and
28:21
here's why. Well, I've never had the bull's eye.
28:23
First of all, okay, that's a big one. But also
28:25
the ticks you pull off of your dog, those are dog
28:28
ticks. They do not transmit lime. It's
28:30
specifically the long
28:33
lay or black legged tick, which is a
28:35
type of dear tick. Well, but here's
28:37
the thing. There are plenty of deer ticks
28:39
in the woods. Are you saying that they
28:41
if they would not latch onto a dog, and they'd
28:43
be like, oh, no, I don't know. I
28:46
don't know, because there's deer ticks all over the woods.
28:48
Sure, there definitely are. Um, I don't
28:50
know if if dear ticks will latch
28:52
onto a dog. That's entirely possible
28:55
they won't since there's such a differentiation between
28:57
dog ticks and deer ticks. But I do know
28:59
that dog ticks don't transmit lime. Well,
29:02
I think we should talk about My
29:05
favorite thing from the Ticks episode, and this is
29:07
when I will lay on people from
29:09
time to time, is remember how ticks attached
29:11
themselves They just hang
29:13
out on blades of grass and things and
29:16
just snap their little claws
29:18
constantly, just waiting for something to pass
29:20
by.
29:22
Right, they since the CEO two
29:24
and of the mammal that's walking past,
29:27
so interesting and Chuck. One
29:29
thing I read is that somehow the lime
29:32
lime infected ticks because
29:34
they're infected themselves. Lime resides
29:37
as in like small mammals
29:39
and rodents as a reservoir. They're
29:41
infected, but they don't have symptoms. Ticks
29:44
get infected with this stuff and they're just passing
29:46
it along. It's not like they're the ultimate
29:48
source of of lime disease. Ticks
29:50
are misunderstood. They're really great, right,
29:53
But from what I saw, the ticks that
29:55
are infected with the line bacteria
29:58
are actually better finding
30:00
hosts than non infected ticks.
30:02
Like it's somehow enables
30:04
them to be better parasites.
30:07
It's interesting. Yeah, that sounds familiar.
30:09
Did we cover that or do I just
30:12
know that because I don't, I don't remember, but
30:14
I do. I remember you talking about in
30:16
the Ticks episode about how they wave their
30:18
arms in the airway somebody passed by,
30:20
and I remember one of our listeners made
30:23
some art of that we gotta find
30:25
it, that's right, and from snapping
30:28
their little fingers on a blade of
30:30
grass to my dogs, but to my scrotum,
30:33
it's quite a it's quite
30:35
a ride. It's a wild ride. And then
30:37
to Emily eventually plucking that thing out
30:39
for me, that's nice, gotta that's
30:41
what marriage is all about. Folks. Yeah, you just
30:44
have your forearm thrust across your eyes.
30:46
You're like, get it out, get it out. Uh.
30:49
So let's take another break. Okay, we'll
30:51
talk a little bit about prevention, and then a
30:53
little bit about some very recent interesting,
30:56
uh wacky things
30:59
going on in Congress about lime
31:01
disease as a bioweapon. Okay,
31:32
okay, Chuck, you talked about prevention. How
31:34
do you keep from having to have a tick pulled
31:36
from your crotch? Don't ever go into mother
31:38
nature. Just stay in your mid
31:41
century modern home with tiled
31:43
floors, and don't go into
31:45
the woods. It sounds delicious. No,
31:48
I love the woods. You love the woods? Right? Yeah?
31:51
Yeah, I love watching the woods on television
31:54
from your mid century house. No I do. I
31:57
love the woods myself. Yeah,
31:59
I'm just getting get in the woods. But um,
32:03
they recommend things like deep I don't use
32:06
that stuff on my own body.
32:08
But some people will say put that all over
32:11
your body and put it on your clothes and put it on your socks
32:13
and shoes and just walk around spraying a
32:15
cloud of it around you constantly while you're in the
32:17
woods. What I do is I just check for ticks.
32:20
Yeah, a good thing to do, seriously, it looks
32:22
super dorky, but what do you care is
32:24
to tuck your pant legs into your
32:26
socks. Uh? When?
32:29
When? And then when you come out, like wear
32:31
light colors too, because you can see the ticks
32:33
a lot more easily. And then when you when
32:35
you come out of the woods, Um,
32:38
take your clothes off and take a shower as soon
32:40
as you can, and just inspect yourself, Inspect your
32:42
growing, your armpits, your
32:45
scalp. Part of the problem
32:47
with lime disease though, is remember you get
32:49
it from TIMPs? Do
32:51
you get it from ticks in the nymph stage
32:54
which are really really small. So you've got to check
32:57
really really well to see, um,
32:59
if you have that tick on you. Yeah, and
33:01
just while you're at it, take off the
33:03
adult tis as well. Yeah, don't
33:06
just leave those and check your
33:08
dogs. You know you check your dogs under their haunches,
33:11
like on the armpit of their legs
33:13
whatever that's called their leg bits. Uh,
33:16
check behind their ears, check under their collars,
33:18
because ticks are trying to you know, they're not
33:20
gonna hang out just like on the top of their back.
33:23
They may start there, but they're going to try
33:25
and find a place that's dark and warm
33:28
and out of out of view. Yeah.
33:30
I don't mean to say you can't get lime disease
33:33
from an adult chuck. It's just that
33:35
the nymphs are far more likely to feed
33:37
on a human than an adult is. But a line
33:40
infected adult tick will
33:43
transmit sure line to you too. Very
33:46
important distinction. So now we
33:48
move on to the US Congress very
33:51
recently, about a month ago, and did
33:53
July I think, Yeah, there was a
33:55
US House Rep named Chris Smith,
33:58
Republican out of New Jersey, who
34:00
introduce legislation that said,
34:02
hey, Department of Defense, you should review these
34:05
claims that I'm seeing that our
34:07
own Pentagon researched
34:10
using ticks to spread lime disease as
34:12
a bioweapon in the mid twentieth
34:15
century. I'm reading a lot about this in
34:17
books and articles that we did research on Plumb
34:19
Island and we
34:21
we and other insects too, not just ticks,
34:24
of turning them into bioweapons. And this thing passed.
34:27
And a lot of this comes from a book written
34:30
by Chris Newby called Bitten
34:32
Colon The Secret History
34:34
of Lime Disease and and Biological
34:36
Weapons. And this book, like
34:39
I think Chris Smith, the
34:41
representative from New Jersey said, like this
34:43
book really inspired me to to take up this
34:45
legislation. Um. But in
34:48
the book, Newby basically says, the
34:50
government at Fort Dietrich, Maryland,
34:53
and I'm Plum Island, New York, before it was
34:55
turned into an animal disease research center,
34:57
we're doing it was an insect disease research
35:00
they were they were
35:02
looking into, um well
35:04
they've they definitely were doing biowarfare
35:06
research there. Um
35:10
but and then Fort Dietrich into for however
35:13
long if they're not still doing it now,
35:15
but them they were apparently
35:18
looking into ticks as delivery
35:20
systems for biological
35:22
weapons. I couldn't
35:25
find that that is actually verified, but I
35:27
find that highly believable. But what Nubia
35:29
is saying is they were doing that research
35:32
and then the way we got lime diseases.
35:35
Whatever research they were coming up
35:37
with escaped, say a
35:39
ticket attached to a bird that flew off
35:41
a plumb island and landed in the area
35:44
around Lime, Connecticut. And these
35:46
ticks got off and they started to
35:48
breed and they they became
35:50
endemic in this area. And that's
35:52
where lime disease came from. There was actually a
35:55
biological weapon that was produced
35:57
and then inadvertently, probably
36:00
not purposefully released into
36:02
the larger population in the northeast.
36:05
Yeah. So here's my question. I
36:07
haven't read the book. Uh,
36:09
but are they saying that that that
36:12
we created lime disease or
36:14
that we just weaponized it, because
36:16
those are two very different things. Yeah. I
36:18
don't know what she's saying either, And I
36:21
think, um, she stopped
36:23
short of saying that, but
36:25
that it's implied that if you put two and
36:27
two together, the government was looking into
36:30
biological warfare and they were talking about,
36:32
um, you know, using ticks at some point,
36:35
and you know, it's
36:38
really close to this ground zero of where
36:40
the tick epidemic began you
36:43
put two and two together. That's the impression I have is
36:45
that she didn't actually come out and say it, but that
36:47
she lets the readers surmise for themselves.
36:50
Which is the problem. Well, I
36:52
mean that's very easy
36:54
to disprove if she's actually
36:56
claiming that they created lime disease,
36:58
because we just got through saying
37:01
it was in who was the Mummy?
37:04
It was aut ars
37:07
Ago over in the Alps. Uh.
37:10
Well, true, but it also in the
37:12
United States. I mean it came around in the Uh
37:14
we first discovered it in nineteen seventies, and
37:17
like several different places. It wasn't just lime
37:19
Connecticut. They found it in California. And
37:22
you can't just that just it doesn't add
37:24
up that it would be popping up in all these random places
37:27
if it escaped from Long Island Sound in
37:29
nineteen fifty three, right, which I think
37:31
somebody who subscribed to this conspiracy theory,
37:33
and that's very much what it is, is a conspiracy
37:35
theory that um, well, then
37:37
the release wasn't purpose or accidental,
37:39
it was purposeful, and that they spread
37:41
it around the northeast California
37:44
and then Spooner, Wisconsin, which supposedly
37:47
is the actual place where the first case
37:49
of lyme disease was described in the United
37:52
States in nineteen sixty nine, about
37:54
six years before this cluster of
37:57
juvenile arthritis cases popped
37:59
up in old lime lime in East
38:02
HadOM. Well, it's a very bad idea
38:04
if that's what went on, because
38:07
you have to depend on a lot of things,
38:09
which is a these ticks
38:11
definitely finding their way to uh
38:14
the enemy, be they
38:16
attached to the enemy successfully and transmit
38:19
the disease. And then what does it transmit?
38:22
A very slow acting disease
38:25
that will give people headaches and fatigue
38:27
over the course of a long time. Right,
38:30
that also produces a one of a kind
38:32
telltale rash that tells
38:34
you, supposedly in plenty of time
38:37
that you have this um this disease
38:39
that needs to be treated with a simple course
38:41
of oral antibiotics. Yeah, and it
38:43
has to be probably in the country. They're not. They don't
38:46
thrive well in the city. So it's just
38:48
it doesn't make a good biological weapon. No.
38:50
And then again, people who subscribed as a
38:52
conspiracy theories say, well, they
38:54
can't all be winners. But maybe it was just something
38:57
they were experimented with and it wasn't very good.
38:59
Trust me. I mean, we've done enough research on
39:01
stuff our American government used to do and continue
39:04
to do that it's not the most outlandish
39:06
thing in the world. No, it's not. And that's also why
39:08
Chris Smith, the representative from New
39:10
Jersey, shouldn't just be dismissed out of hand,
39:13
because it's entirely plausible.
39:15
It's yeah, it's not just a complete
39:17
wacko idea. The other reason
39:20
Christmas shouldn't just be dismissed out of hand
39:22
is because he is a true lime warrior.
39:25
He introduced other legislation called the
39:27
Tick Act, and of course he had to make
39:29
tick an acronism. That um
39:32
an acronym, not in an acronism for
39:36
the ticks, Colon, Identify
39:39
Control and Knockout Act.
39:42
He was really grasping like a tick on a
39:44
blade of grass with that one. But the point
39:46
is knockouts not one word unless
39:48
he used his knockout that's
39:51
what he's saying. I guess because um.
39:55
But it would create an
39:57
additional hundred and eighty million dollar
40:00
is in federal funding for lyme disease
40:02
research, which was sorely needed right now.
40:04
That's awesome. I didn't know he was such an advocate. That's good.
40:06
He really is. He hates lyme disease like
40:09
like a lot. I
40:13
was about to say something, but I wish I could
40:15
take a pill that would bulk up my analogy
40:17
region in my brain. Oh, your analogies
40:20
are great. What were you gonna say, I want to know
40:22
we can beep it up. I was gonna get political.
40:25
I was gonna say, he hates ticks like he
40:27
hates Okay,
40:30
can we leave that and bleep it. I don't know, we'll find
40:32
out right. So, um,
40:34
the whole idea that it's a bioweapon almost
40:37
certainly not the case, right, but it makes
40:39
for good press. I mean, like if you look up
40:42
like lyme disease and bioweapon. There is
40:44
a lot of recent articles right now. It
40:46
just because a member of Congress introduced
40:48
this legislation. What a
40:51
lot of people are all are saying is,
40:54
look, it makes sense like this conspiracy
40:56
theory that people would go to that. But
40:59
on the same at the same time,
41:02
there's another really great explanation for
41:04
it, and it's climate change
41:07
that this whole thing came about in the seventies,
41:09
because we're starting to see
41:12
what was called, um, the first
41:14
epidemic from climate
41:16
change. And there's this really great article
41:19
on a On, which is a great website
41:21
by Marybeth Phifer spells
41:23
it like Michelle Phifer with the p called
41:26
ticks rising, and um,
41:28
she's an investigative reporter, science
41:30
journalist who really went to a lot of
41:33
troubles to explain how climate
41:35
change has created a new world
41:38
for ticks and we are now living
41:40
in it. Yeah, I mean, in
41:43
two thousand fourteen, the e p A actually
41:45
started to use for new indicators
41:48
about what's going on with climate change
41:50
and the impact, and one of them was the
41:52
spread of lime disease. So like the
41:54
e p A officially uses that as
41:56
a factor uh in an indicator
41:58
in determining the impact of climate change now
42:01
right, and so the whole the whole basis of this idea
42:03
is that because of warmer weather, ticks
42:06
are being killed off in far fewer
42:08
numbers from over the winter, so
42:11
they're surviving longer there.
42:13
Um, as it it gets warmer and
42:15
warmer, higher and higher up their
42:17
range is spreading rather rapidly. And
42:20
wherever these ticks go, lime disease
42:23
is game to go with them. So the
42:25
spread of lyme disease is increasing
42:27
as the spread of ticks is increasing
42:29
too, and ticks have gotten totally
42:32
out of hand in some areas. In that same
42:34
aon article, um Marybeth
42:36
Pheiffer was talking about how moose are
42:39
dying in their thousands
42:41
in like Wisconsin and the Dakotas
42:44
because they're being bled to
42:46
death by a hundred thousand
42:49
ticks at once. It's amazing that
42:51
never happened before. And now all of a
42:53
sudden, it's kind of becoming routine
42:55
because the ticks aren't dying off in the winter
42:58
like they're supposed to. And again it's
43:00
because of climate change. And then in the
43:02
Northeast, Chuck, one of
43:04
the reasons why there's been this explosion of ticks
43:06
is because there's been an explosion of deer
43:09
to support the tick population. Sure,
43:11
back in the day, there were things
43:13
like mountain lions, and there were
43:15
predators that would help control the deer
43:17
population. Wolves, wolves.
43:20
They're even suggesting reintroducing wolves
43:22
to help control the deer population. Oh yeah,
43:24
you can bet that's going to happen. Really,
43:27
no, I mean do you think so? Yeah?
43:29
Totally, Like a three thousand people
43:32
a year coming down with lime in the United States,
43:34
they're gonna start reintroducing wolves to
43:37
combat if it has even a half of a
43:39
chance to be interested to see if that happens,
43:42
because humans are gonna want to hunt those wolves.
43:45
Yeah, you know, it just brings it out
43:47
on us for some reason. Huh. Well, I
43:50
mean they hunted the mountain lions, right,
43:54
but I think that's the
43:56
idea of of oh wait a minute,
43:58
really weird and um circuit.
44:01
As bad things happen when we overhunt
44:04
mountain lions and wolves, maybe
44:06
when we reintroduce them, we won't have to,
44:09
you know, or we won't follow that impulse, will
44:11
just let nature take its course. Right.
44:14
Who knows you got anything else? Man?
44:17
I got nothing else. So
44:19
there's a solution around of antibiotics
44:21
and some wolves that will cure what
44:23
ails us. Yeah, advocate
44:25
for yourself still, people in
44:28
the wolves persistent. That's
44:31
good advice for everything. Chuck agreed,
44:34
Um, almost everything. There's certainly
44:36
cases where persistence is not a good idea,
44:39
but you know what I'm saying, right, Okay.
44:42
Uh. If you want to know
44:45
more about lyme disease, go check
44:47
out all of the articles
44:49
there are to read. And again, go check out the a on
44:52
article by Marybeth fight for it's really interesting.
44:54
Um. And since I said it's interesting, that
44:56
means it's time for a listener mail. I'm
45:00
gonna call this neat story about how great
45:02
stuff he should know listeners are from
45:04
Portland, Maine. Hey, guys,
45:06
my wife, daughter and I all stuff you show listeners
45:09
for years. Decided last minute to buy tickets
45:11
to the show while on vacation at
45:13
Old Orchard Beach, Maine, just
45:15
a short drive south of Portland. We
45:18
had nosebleed seats naturally because we waited until
45:20
just an hour before showtime. Uh.
45:22
And that was more than cool by us, and we
45:24
were totally stoked just to be there, whatever
45:26
the seats. When we got to our balcony
45:28
seats, a friendly fellow named Matt approached us,
45:31
said he had three tickets for orchestra seats
45:33
and asked if we'd like them. The tickets were intended
45:36
for friends of his who were
45:38
stuck in labor day weekend traffic couldn't make it to
45:40
the show. Turns out he had been scouting
45:42
the crowd for forty minutes looking
45:44
for a group of three even in listening the help of the ushers
45:47
to find three people together, and we were the
45:49
first group that he saw. Brief walk
45:51
downstairs and there we were three rows
45:53
from the stage for the supremely
45:55
excellent show about podcast
45:58
topic redacted. Thanks
46:01
to Matt and his friends being stuck in traffic.
46:04
We went from not having tickets an hour before showtime
46:06
to having third row ten minutes before
46:08
you guys took stage. We considered
46:10
it a little piece of true magic. So
46:12
while I'm confident this lengthy set up and telling
46:14
you the story is way too long for the air,
46:17
no, not true, Richard Clark, the
46:19
whole family would be for ever grateful if you could give
46:21
Matt and the Connecticut groundskeeper
46:23
a huge thank you from Rich Susan
46:26
and Emily and Upstate New York for sharing those seats
46:28
with us. That is fantastic. I love
46:30
our shows, man, it's great. People are so kind.
46:33
And that is from Richard Clark, not
46:35
Dick Clark, but rich Clark. Oh
46:37
that's even better. Dick Clark's
46:40
taken. That's right. Thank you for
46:42
rich Clark for recognizing that too. Yeah,
46:45
thanks for coming to the show, rich and bringing the family.
46:47
And thank you Matt for being such a cool dude. That
46:49
was very nice of you. I'm utterly
46:51
unsurprised because our fans
46:54
are pretty great people. Yes, okay,
46:57
Well, if you want to get in touch with us, you can go on to
46:59
stuff you should know die com and you can send
47:01
us a tweet or insta
47:04
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47:06
that kind of thing because all of our social
47:08
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47:11
it the old fashioned way and send an email,
47:13
wrap it up, spank it on the bottom, and
47:15
send it off to Stuff Podcasts at iHeart
47:17
radio dot com.
47:21
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47:24
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47:26
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