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Medical Gaslighting and Lyme Disease: The Patient Experience

机译:医用煤气灯和莱姆病:患者体验

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摘要

Even though there are approximately half a million new cases of Lyme disease in the US annually, according to the CDC, it is often undiagnosed or misdiagnosed, which can result in a chronic, multisystemic condition. Lyme disease is a recognized public health threat and is a designated “notifiable disease”. As such, Lyme disease is mandated to be reported by the CDC. Despite this, both acute and chronic Lyme disease (CLD) have been relegated to the category of “contested illnesses”, which can lead to medical gaslighting. By analyzing results from an online survey of respondents with Lyme disease (n = 986), we elucidate the lived experiences of people who have been pushed to the margins of the medical system by having their symptoms attributed to mental illness, anxiety, stress, and aging. Further, respondents have had their blood tests and erythema migrans (EM) rashes discounted and were told that CLD simply does not exist. As a result, a series of fruitless consultations often result in the delay of a correct diagnosis, which has deleterious consequences. This is the first study that addresses an extensive range of gaslighting techniques experienced by this patient population.
机译:根据疾病预防控制中心的数据,尽管美国每年大约有五十万例莱姆病新病例,但它往往未被诊断或误诊,这可能导致慢性、多系统疾病。莱姆病是公认的公共卫生威胁,是指定的“法定报告疾病”。因此,莱姆病必须由 CDC 报告。尽管如此,急性和慢性莱姆病 (CLD) 都被归入“有争议的疾病”类别,这可能导致医疗煤气灯。通过分析对莱姆病受访者 (n = 986) 的在线调查结果,我们阐明了那些因症状归因于精神疾病、焦虑、压力和衰老而被推到医疗系统边缘的人的生活经历。此外,受访者的血液检查和游走性红斑 (EM) 皮疹被忽视,并被告知 CLD 根本不存在。因此,一系列无果的咨询往往会导致正确诊断的延迟,从而产生有害后果。这是第一项涉及该患者群体所经历的广泛煤气灯技术的研究。

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