Elena Delle Donne: Chronic Lyme Disease Medical Exemption Denied by WNBA

WNBA superstar, Delle Donne, takes 64 pills per day to manage chronic Lyme disease.  The league’s panel of doctors denied her medical exemption request due to COVID-19.

When asked if she thought her superstar player status swayed the doctors’ decision to keep her active, Delle Donne said that she hopes that this is a case of having “Lyme illiterate doctors” on the panel.  Lyme disease is still greatly misunderstood by many in the medical community.  Some doctors still claim that there is no such thing as chronic Lyme disease, attributing its symptoms to other diagnoses, including mental illness.  In an open letter, Delle Donne says, “Taking 64 pills a day is the only way to keep my condition under any sort of control. It’s the only way to keep myself healthy enough to play the game that I love — healthy enough to do my job and earn the paycheck that supports my family.” This medical opt-out denial could mean that Donne either must play and risk her health during COVID-19 or sit out games without pay.

How could this affect others with chronic Lyme disease?

Doctors have only recently made the comorbidity correlation between chronic Lyme and COVID-19.  Delle Donne’s medical exemption denial is proof that not all doctors are onboard with the comorbidity stance.  It also could reflect a greater issue that could ripple down to other professions.  Consider teachers and school staff, who might soon be expected to return to school.  If chronic Lyme disease is not recognized as a co-morbid COVID-19 condition, we could see educators, administrators, school nurses, and bus drivers be denied medical exemptions.  Would anyone like to face a decision of giving up their livelihood to potentially save their life?

chronic Lyme disease

Prevention is key for COVID-19 and Lyme disease.

The CDC has guidelines to help prevent contracting COVID-19 and Lyme disease.  Of course, we have all become very familiar with coronavirus prevention methods.  The three W’s: WEAR your mask, WASH your hands, WATCH your distance.  As for the prevention of Lyme, there are essential practices, which can help keep you safe.  When you are enjoying the outdoors, wear long sleeves and pants to protect your skin.  Consider protecting yourself and your family with tick repellent spray and clothing.  When you return from outdoors, check yourself, your children, and your pets for ticks.

wear mask covid-19

At-home Central Mass tick protection.

Dave Macchia, tick control enthusiast
Dave Macchia, Central Mass tick control enthusiast

Protecting your home and family from the threat of Lyme disease and other tick-borne illnesses means treating your yard with barrier tick protection.  Reputable tick control companies will treat all the areas around your home with an EPA-registered solution that will eliminate up to 95% of ticks in your yard.  These solutions will knock down ticks on contact and continue working with a time-released formula for a couple of weeks at a time.  Regular sprays throughout spring, summer, and fall will keep your family safe.  Tick tubes in the fall and winter will do even more to control the tick population around your home by thwarting the tick life cycle.  Since we do not have a Lyme disease vaccine, prevention is our best hope.

Lyme Disease and COVID-19 Comorbidity

The COVID-19 crisis has been especially difficult for high-risk people.  Should Lyme disease sufferers worry about COVID-19 comorbidity?

Doctors are saying that there could be COVID-19 comorbidity risks for individuals with Lyme disease.  Specifically, chronic Lyme sufferers.  Post-Treatment Lyme Disease Syndrome patients suffer from fatigue, pain, and other symptoms that could render their immune systems weaker.  This is especially true for Lyme patients that are treated with immunosuppressive drugs.  Early Lyme disease diagnosed patients might not be at a higher risk, as they are treated with antibiotics that do not produce side effects that make patients more susceptible to COVID-19.

Lyme disease and COVID-19 comorbidity

What is the rate of COVID-19 comorbidity infection?

Recently the CDC stated that with the 2,470,000 reported cases of COVID-19 in the United States, we can expect the actual number of infections to be ten times higher.  This means that 24,7000,000 cases of the disease could be present in the U.S. alone.  Each year, there are roughly 30,000 cases of Lyme disease reported to the CDC.  They also estimate that those cases are likely ten times higher than the number reported.  This is because many with Lyme disease are mis-diagnosed, un-diagnosed, or remain asymptomatic for a long time.  During the pandemic, we have learned that many COVID-19 carriers are asymptomatic.

COVID-19 comorbidity

A study in China found that approximately 25% of their COVID-19 patients had comorbidity.  In the United States, a study was performed on March 28, which showed 37% of COVID-19 sufferers had comorbidity.  71% of hospitalizations and 78% of ICU patients had comorbidity.

What does this mean for chronic Lyme disease patients?

While chronic Lyme disease sufferers should consider themselves at higher risk for infection, and for hospitalization if infected, we should all be wary.  Even though studies showed 78% of ICU patients had underlying health conditions, 22% of ICU patients did not have underlying conditions.  We must all practice recommended social distancing.  If you feel you are at too great a risk for infection, and can stay at home, it is best to do that.  When we do go out into our communities, face coverings should be worn.  Protect yourself.  Protect others.

COVID-19 and Lyme disease comorbidity

Central Mass Lyme disease prevention with tick control is essential.

Central Mass tick controlEven before the coronavirus health crisis arrived, informed Central Mass residents understood the threat of Lyme disease.  With exploding tick populations, we see higher infection rates each year.  During the health crisis, we must be vigilant in our efforts to prevent our infection and the infection of others while in public places.  At home, we must be vigilant about effective Central Mass tick control.  Enlisting the aid of a reputable tick control company is essential in the fight against Lyme disease.  Protect your home and family with regular tick control barrier sprays all spring, summer, and fall.  In the late fall, employ the use of tick tubes to continue your tick control efforts through the winter.  While we are hopeful that the coronavirus crisis will lessen over time, and result in a vaccine, there is no vaccine against Lyme disease to-date.  Tick control is our only way to prevent it.

Dave Macchia, tick control enthusiast
Dave Macchia, Central Mass tick control enthusiast