“I Can Do Anything if I’ve Overcome That”: A Collaborative Case Study of an Adolescent with Symptoms of Lyme Disease in Canada
Abstract
:1. Background
1.1. Lyme Disease: Controversy and Opposing Perspectives
1.2. Children’s Experiences with Lyme Disease
1.3. Research Aims and Objectives
1.4. Conceptual Framework
2. Materials and Methods
2.1. Sampling and Recruitment
2.2. The Participant
2.3. Methods and Procedures
2.4. Data Analysis
3. Findings
3.1. Illness, Healthcare Experiences, and Process
I’ve always said that being diagnosed with cancer was like night and day to his Lyme disease because no one argued with me that we don’t have cancer in [the province] or we don’t have this type of cancer here or cancer can’t come back once you’ve been treated… It was such a strange relief in some ways to be diagnosed with a disease that you knew that you were going to be able to get treatment for and there was no stigma and people aren’t going to argue with you and professionals.(Mother)
3.1.1. Initial Infection, Early Localized Symptoms, and Preliminary Knowledge of Tick-Borne Illness
I had this big red bullseye rash… I didn’t think anything about it. I just thought it was a rash and so mom took a few pictures and then. We kind of forgot about it… (later) I got a like, a very, very stiff neck. Like, I couldn’t turn my head. I got achy joints.(Patient)
3.1.2. Disseminated Symptoms (Early Disseminated and Late Disseminated)
In September 2016, I started getting like really bad chest pain, so, I called it striking. It felt like electrical bolts were going through my chest and then it started like a week or two later, it started moving through my body. I started getting that and soon it went through almost everywhere like sometimes I’d even have it in my teeth, it felt like… and it was like it wasn’t a dull pain, it was a very sharp, painful pain and would, I would get a strike every 5 s almost. So, it was a really like there wasn’t really any break in between it.(Patient)
I had sore muscles plus flushed cheeks, sore chest, the striking, a low-grade fever, sore joints, and I didn’t want to bend my knees cause like it hurts so much to bend my knees… I wasn’t able to walk on my feet because… that was the burning. So, it felt like if I was lying in bed, it would feel okay, but as soon as anything touched it, my feet just felt like they’re burning.(Patient)
I knew Mom said she took a photo of a rash, but we did not know where it was, so I was like, is this a rash that you were looking for?(Patient)
3.1.3. Conventional Healthcare Experiences
[He] was kept in the dark a lot about the stuff behind the scenes about who maybe was believing and not believing for lack of a better word. To put it simply, he didn’t need to know about any of that. I’m sure that he picked up on some things, but it was people who believed us that knew that our son was sick.(Mother)
Honestly, I didn’t know if I was going to get better, but I didn’t, but I trusted I was gonna get better. Like, I didn’t know really what they were doing. I knew, like a lot of the doctors, didn’t believe me. Umm. Which kind of I was like, ‘how can you not believe me?’(Patient)
3.1.4. Health Improvement through Collaborative Healthcare and Naturopathic Medicine
So, he worked with the physician [in the province he practiced], and they put a PICC-line in [him]. And so, yeah, to this day, I don’t know any other patient, let alone a pediatric patient in the mainstream medical health system that had a PICC-line put in for Lyme disease treatment. So [he] went on, had a PICC-line for five or six weeks. I think of IV antibiotics and he dramatically got better, he was able to get out of the wheelchair… Umm, but they eventually agreed to treat him and after three months of being bedridden within 48 h, [he] started getting up and playing basketball again. Like it was like a dramatic difference again.(Mother)
I feel like he was the game changer, like because he started me on the meds, and I was like, no way, these are actually helping me! I was like, ‘we actually found something that’s going to help me’.(Patient)
4. Discussion
4.1. Implications for Practice
4.2. Strengths and Limitations
4.3. Recommendations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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Theme | Sources of Data |
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1. Illness, Healthcare Experiences, and Process
| Online screening video by a public healthcare provider Initial interview (1.5 h) Member checking interview (1 h) Photos |
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Ciotti, S.; Moore, S.A.; Tardif-Williams, C. “I Can Do Anything if I’ve Overcome That”: A Collaborative Case Study of an Adolescent with Symptoms of Lyme Disease in Canada. Adolescents 2023, 3, 524-537. https://doi.org/10.3390/adolescents3030037
Ciotti S, Moore SA, Tardif-Williams C. “I Can Do Anything if I’ve Overcome That”: A Collaborative Case Study of an Adolescent with Symptoms of Lyme Disease in Canada. Adolescents. 2023; 3(3):524-537. https://doi.org/10.3390/adolescents3030037
Chicago/Turabian StyleCiotti, Sarah, Shannon A. Moore, and Christine Tardif-Williams. 2023. "“I Can Do Anything if I’ve Overcome That”: A Collaborative Case Study of an Adolescent with Symptoms of Lyme Disease in Canada" Adolescents 3, no. 3: 524-537. https://doi.org/10.3390/adolescents3030037