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1、TextATheGreatLymeDebateThere1sadebateragingoverLymedisease,althoughyou1dneverknowitunlessyou1vebeenpayingcloseattention—becauseonthesurfaceitsoundslikethedullestargumentimaginable•Lastyear,theInfectiousDiseasesSocietyofAmericaissuednewguidelinessayingphysiciansshouldtreatLymewithantibioticsf
2、ornolongerthan30days•Somedocsthinkthat1swrong•It1saseeminglystraightforwarddifferenceofopinion.Sowhyhasthedebatedissolvedintoanimosity,withonesidesuggestingthatitsopponentshavenocredibilityandtheotherslingingdeeplypersonalinsultsontheWeb?Andwhyhasitnowspilledoutofmedicaljournalsandontotheoff
3、iceofastateattorneygeneral?Clearly,somethingotherthanticksisbuggingalotofdoctors.Lymedisease—themostcommoninsect-borneailmentinAmerica,withroughly20,000casesdiagnosedeachyearandmoreundetected—istransmittedmostlybyawell-knownpest,thedeertick.Buttherealculpritissomethingevennastier,abacteriumc
4、alledBorreliabthatlivesinthetick1sgut•WhenBorreliainfiltratesthehumanbody,itcancauseasuiteofdistinctivesymptoms,mostnotablyaflulikefeelingandaredrashlikeabull*s-eye.Sometimes,though,itcausesnosymptomsatall,andthat'smoredangerous,becausetheearlysignsaretheonlywarningsdoctorshave.IfLymeisleftu
5、ndiagnosedanduntreated,itsconsequencescanbeserious,includingarthritis,meningitis,heartproblemsandinflammationofthebrain•"Therealsecret,HsaysDr.MichaelZimring,directoroftheCenterforWildernessandTravelMedicineatMercyMedicalCenterinBaltimore,"istobeabletorecognizethediseaseearlyenough.Hitwaseno
6、ugh,11hesays.HestartedhiswifeeffectiveantibioticsusedtotreatLyme.theyprovedhimright•"Itreatedherforwasit.Noproblem."HandthatZimringwouldknow.Severalyearsagohiswifefeltfluishandcamedownwithanoval-shapedrash.Zimringwasn1tsurewhatshehad,but"knowingourbackyardisloadedwithticksrightawayononeofthe
7、classiczWhenhermedicaltestscameback,threeweeks,*'hesays,never,everhadLymediseaseatall.11Unfortunately,notallLymepatientsrecoversoeasily.Andthat1swhat1sattheheartofthedebate—somedocsthinkpatientswhoaretreatedinadequatelycandevelopachronicformofthedi
