Friday, September 23, 2005

Mayersohn Pushes Changes In Treatment Of Lyme Disease

Queens Chronicle
Assemblywoman Nettie Mayersohn of Flushing has been instrumental in changing state regulations regarding the treatment of Lyme disease. Five years ago, several people who suffered from the debilitating disease brought their concerns to her for further investigation. Apparently, some physicians were being penalized by insurance companies for prescribing extended antibiotic treatment for patients.
At that time, long-term antibiotic treatment for Lyme disease was not so common, although now it is a routine procedure. As a result of complaints by insurance companies over rising costs, several doctors treating Lyme disease faced charges and serious discipline, one even had his license revoked, according to Mayersohn.
She and other legislators contacted Governor George Pataki to discuss the problem. Over the next few years, in conjunction with the Office of Professional Medical Conduct, they worked out ways to protect these doctors while also not hindering the ability of the state to prosecute and discipline bad practitioners.
In June, OPMC Director Dennis Graziano issued a memorandum noting that it is contrary to the policy and practice of his agency “to identify, investigate, or charge a physician, physician’s assistant or specialist assistant based solely on that practitioner’s recommendation.” However, those physicians who may actually hurt a patient will still be subject to strict disciplinary action.
The memo specifically refers to the treatment of Lyme disease and other tick-borne diseases. Lyme disease can cause serious joint problems and other health issues if not treated quickly or effectively.
Although more common in rural areas, the city Department of Health reported 357 cases in the city last year, but it is believed that 85 percent of them were contracted outside the city. Infected deer ticks are usually found in high grass.
The disease is spread when the tick bites a human. Often the gorged bodies of the ticks remain on the skin until removed.
To prevent infection, wear light-colored clothes, tuck pants into socks and wear closed-toe shoes when walking in brush-covered areas. The ticks are most prevalent from the spring through the fall.
The city DOH recommends that while outside in rural areas, people should use DEET insect repellent. After returning from outdoors, check skin for attached ticks.
Ticks should be removed carefully with tweezers. Do not handle them. Wash the area of the bite after removal.
The disease is named after Old Lyme, Connecticut, where it was first discovered. Symptoms include a bull’s-eye ring around the bite, headaches and joint aches.
Dr. Joseph Burascano, a Lyme disease specialist, applauded the new state policy. “The pressure is now off Lyme-treating physicians in New York and is certainly a reward for all the hard work and efforts of the Lyme community.”
Mayersohn promises to make sure the policy is carried out as written. Her efforts were praised by the Lyme Disease Association and Voices of Lyme/NY.