FACT: NO STATE LAWS SUPERCEDE (ADA) of 1973, 1990, 2008, Section
(504), (INDIVIDUALS WITH DISABILITIES EDUCATION ACT) (IDEA) FEDERAL
LAW, Title IX of The Education Amendments Act and The Age
Discrimination Act -
Felony Stalking Charge against me for seeking rights of a counselor
for "supervised visitation" - while UNLAWFULLY and ABUSIVELY DENIED
NOT MORE THAN APROX. (30) HOURS IN PERSON CONTACT ON/SINCE SEPT. 19,
2006 BY RANDY due to his direct and/or indirect LIE of 'Munchausen's
by proxy' (collaborated/corroborated Proof in Medical Records by
"ethical" Montana physicians and referred out of state Specialists) -
with unlawful discrimination, abusive harassment and retaliation of
our licensed "ethical"Montana Health Care providers, referred
"Specialists" and even at the time of this Charge, unlawful
discrimination of a Montana licensed psychologist, PhD and her patient
- which constitutes MEDICAID FRAUD and Patient Abuse by the courts,
with further Discrimination, Abusive Harassment (humiliation,
intimidation, threats and manipulation) and Retaliation, with FALSE
IMPRISONMENT in STATE CUSTODY - denied rights, privileges and
immunities under (ADA) Federal law.
With Medicaid Fraud by and thru ongoing unlawful discrimination,
abusive harassment (humiliation, intimidation, threats and
manipulation) and malicious retaliation (emotional, physical and
financial harm) - against my, Christy's and Jessica's (as individuals)
(and by association and relationship) federally-protected health care
providers and patients rights, activities, programs, services,
advantages, rights of equal opportunity, benefits and immunities under
(ADA) of 1973, 1990, Title II, III, Section (504) and INDIVIDUAL WITH
DISABILITIES EDUCATION ACT (IDEA) FEDERAL LAW - WHICH SUPERCEDES ALL
STATE LAWS.
As consistently MEDICAL DOCUMENTED, Christy, and myself (as
individuals) and (by association and relationship) remain in ABUSE and
NEGLECT of our individual and civil rights of "warranted" referral(s)
to Columbia, an Adult and Pediatric Lyme/Assoc. Diseases Univ. Medical
Center for "warranted" comprehensive Lyme/Assoc. Diseases
NEUROPSYCHOLOGICAL EVALUATION under our individual and civil rights
under (ADA) of 1973, 1990, 2008, Title II, III, V, Section (504) under
INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA) FEDERAL LAW - WHICH
SUPERCEDES ALL STATE LAWS.
And thus, PLEA BARGAINING for CHARGE of CRIMINAL ENDANGERMENT
constitutes "FALSE-IMPRISONMENT" and/with "CRIMINAL ENDANGERMENT"
against human and civil rights, against both (Mary) and (Christy) (as
individuals) and (by association and relationship) - under (ADA) of
1973, 1990, 2008, Section 504, INDIVIDUALS WITH DISABILITIES EDUCATION
ACT (IDEA) Federal Law - WHICH SUPERCEDES ALL STATE LAWS.
With Threats, "I want her to plead guilty to a Felony and I will look
for a bed for her in solitary confinement in The Montana State Mental
Hospital" - (by Bernie Cassidy) This constitutes further FALSE
IMPRISONMENT and CRIMINAL ENDANGERMENT AGAINST MARY and CHRISTY a
minor, AND OUR LICENSED HEALTH CARE PROVIDERS UNDER (ADA), Section
(504) and INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA) under
FEDERAL LAW.
With Lyme and Assoc. Diseases "blatant" unlawful (ADA) Discrimination
with IDEAS and POLITICAL BELIEFS, with scheme HIPAA violations, with
(ADA) Human and Civil Rights Abuses, With Unlawful Taking of ASSETS,
PERSONAL and REAL PROPERTY Abuses AGAINST ME - unconstitutionally,
FORCED INDIGENT, HOMELESS, (on FOOD STAMPS) and BANKRUPT denied
Spousal Financial Responsibilities and Rights of Spousal Support
before, during and after divorce - with MEDICAID FRAUD, DECEIT, WASTE
and ABUSE AGAINST FEDERAL AGENCIES (HHS) by conflict of interest
interests Bernie Cassidy and Judge Lympus -
Denying me disability rights, rights to access use my home, assets,
health care, public transportation, public education, and other under
(ADA) - in state custody (with police power by the state) constitutes
FALSE-IMPRISONMENT with MEDICAID FRAUD, ABUSE and NEGLECT under my and
Christy's rights, privileges and immunities under (ADA) of 1973, 1990,
2008, Section 504, (INDIVIDUALS WITH DISABILITIES EDUCATION ACT)
Federal law - which SUPERCEDES ALL STATE LAWS. .
By and thru conflicts of interest of Bernie Cassidy and Judge Lympus -
I have suffered long-term health, human and financial consequences
from a scheme of (HIPAA) violations (not corrected) - with HUMAN,
CIVIL RIGHTS and PATIENT ABUSES, with Unlawful Taking of ASSETS,
PERSONAL and REAL PROPERTY ABUSES, unconstitutionally, forced INDIGENT
and HOMELESS WHILE PHYSICALLY "VERY, VERY SICK" (without a bed,
pillow, fork, or kitchen to eat), on Food Stamps, applied for, and
denied Rights of Medicaid Benefits, denied rights of health care,
public transportation, disability rights - with EXTORTION (for Mary's
Money, Property and court-appointed services), WITH FALSE
IMPRISONMENT, forced BANKRUPT -
With FRAUD, DECEIT, OFFICIAL MISCONDUCT, WASTE and ABUSE AGAINST
FEDERAL AGENCIES (HHS) - WITH MEDICAID FRAUD denied my individual and
civil rights of "CHOICE" of HEALTH CARE PROVIDERS under (ADA) FEDERAL
LAW - for local and state employees, entities and officials Lyme and
Associated Diseases Ideas and Political Beliefs and Services,
self-gain.
Denied my individual and civil disability rights, my health care
rights, my sex, gender, age (over 40) and marital status rights, my
housing rights, impounded my vehicle, Title in Randy's Name, my public
transportation rights, my federal public education rights, my beliefs
and political rights (by association and relationship) - under my
rights, privileges and immunities under (ADA) of 1973, 1990, 2008,
Title I, II, III, V (504) and (IDEA) Federal law.
With prior abusive solitary isolation in a state locked mental
hospital - with scheme of HIPAA (not corrected) violations - denied my
rights of "choice" of health care, denied contact with an attorney
under my rights, privileges and immunities under (ADA) Federal law,
with invasions of bodily integrity, denied dignity, compassion,
respect and privacy, with misuse of restraints, with assault and
battery, with forced dangerous (IM) psychotrophic drugging a known
cause of further organic brain damage -
"She reports she has chronic Lyme disease, Bartonella, and Babesia.
None of her physical symptoms have ever been substantiated by any
physicians. The courts have found her INDIGENT. She is unemployed. She
has been living in her car. She depends on friends and family for
support. She is gravely disabled."
Denied my own civil and human rights, privileges and immunities under
(ADA) Federal law - by and thru BERNIE CASSIDY, Judge Ted Lympus, and
others, with non-disclosed CONFLICTS OF INTEREST - prosecuted for
GUILT with PUNISHMENT - for bogus 'Munchausen' by proxy (with use of
coerced confession), (self incrimination) and (violations against
protections of double jeopardy) - (False, Fictitious, Fraudulent)
'Delusional Somatic type' "None of her physical symptoms have ever
been substantiated by any physicians" DENIED EXCULPATORY and
FAVORABLE EVIDENCE under right, privileges and immunities under (ADA)
FEDERAL LAW -
As in, 1963 Supreme Court landmark case, BRADY v MARYLAND requiring
that a defendant be given favorable evidence when it is material
either to guilt or to punishment.
I have further complications of teritiary Lyme neuroborreliosis,
Bartonlla and Babesia (similar to malaria) - brain, liver, heart,
kidney, muscle and joint long-term damage due to -
Medically-documented by witnessed health care providers - "human and
civil rights abuses, access to property and financial abuses, denied
disability rights, health care rights, marital status rights, housing
rights, public transportation rights, familial status, familial
association, and other, causing Mary understandable extreme stress and
anxiety."
After tick bites in Montana, left untreated, with progressive chronic
illness, a victim of abuse, neglect, fraud and deceit denied rights of
Spousal Financial Responsibilities by Randy since 3 mos pregnant with
Christy "very, very sick" bedridden with hospitalizations and
threatened miscarriage - since 2002, with long-term emotional,
physical and financial abuses against his wife, and ex.
Lyme and co-infections are known acquired transplacentally and during
breastfeeding with neurological, cardiac, liver, kidney,
neuromusculoskeletal and developmental problems- Christy and myself,
denied our individual and civil rights "warranted" referrals to
Columbia, an Adult and Pediatric Lyme Assoc. Diseases Medical Center
with ALL our medical records, with medical history provided by Mary
their infected mother, a knowledgeable RN, Xhgsty's individual and
civil rights and Mary's individual and civil rights under (ADA) of
1973, 1990, 2008, Title I, II, III, III, V, Section (504) and (IDEA)
Federal Law.
The (CDC) reports," Lyme disease, left untreated, can harm your unborn child."
May 2006, Christy and Jessica acquired tick bites in Eureka with
repeated MISDIAGNOSES of Lyme-definitive Erythema Migrans rashes,
followed by life-threatening, often fatal, MISDIAGNOSES of progressive
neurological, cardiac, hemorrhagic and rheumatic complications of
Rocky Mountain Spotted Fever, Erhlichiosis, Bartonella, Babesia and
Mycoplasma ferm. -
Medically documented, both girls most likely acquired 'transplacental'
Lyme neuroborreliosis and co-infections, Bartonella, Babesia (similar
to malaria) from their birthmother during pregnancy, the most likely
cause of Christy's disabilities and developmental delays -
Christy and myself, denied our individual and civil rights of
corroborated and collaborated "warranted" referral(s) medically
documented by approx. (12) medical professionals thru the present time
- to Columbia, an Adult and Pediatric Lyme/Assoc. Diseases Univ.
Medical Center for evaluation of late-stage Lyme-neuroborreliosis,
IgG-chronic Erhlichiosis, Bartonella, Babesia and Mycoplasma ferm
co-infections encephalitis-encephalopathy, carditis, hepatitis,
nephritis - including, for comprehensive NEUROPSYCHOLOGICAL EVALUATION
by a team of qualified Lyme/Assoc. Diseases-literate Specialists for
Christy's rights of evaluation of 'transplacental'
Lyme-neuroborreliosis, and co-infections - WITH ALL CHRISTY's and
MARY's MEDICAL RECORDS - under our rights, privileges, activities,
services, programs, advantages, rights of equal opportunity,
immunities and benefits under (ADA) of 1973, 1990, 2008, Title II,
III, III, V Section 504, INDIVIDUALS WITH DISABILITIES EDUCATION ACT,
(IDEA), an (IEP) under FEDERAL LAW - WITH NO IMMUNITY BY RANDY or
STATE OF MONTANA PUBLIC OFFICIALS UNDER (ADA) FEDERAL LAW.
THIS IS IN THE BEST INTEREST OF CHRISTY, MARY and ALL PARTIES
INVOLVED, OUR MENTAL AND PHYSICAL HEALTH IS OF PARAMOUNT IMPORTANCE.
NO STATE LAWS SUPERCEDE (ADA) of 1973, 1990, 2008, Section (504),
INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA) FEDERAL LAW.
February 25, 2007 - with myself, with life-threatening medical
conditions - bacterial meningitis, optic neuritis, congestive heart
failure, liver disease, kidney infections, arthritis, and other -
"VERY VERY SICK" - denied rights of "warranted" health care,
prescribed (IV) medications, cardiac, hypertension, pain and other
medications while held in custody, rights of housing, physical
therapy, public transportation, and other - with unlawful
discrimination retaliation with cruel and unusual punishment and
excessive force for complaining of discrimination, for participating
in discrimination investigations, and for filing discrimination
complaints -
Unconstitutionally forced Homeless and Indigent, denied my rights of
"choice" of health care under (ADA) Federal law - FEB. 25, 2007 -
THROWN INTO JAIL with CAR (TITLE IN RANDY's NAME) IMPOUNDED - denied
disability rights, health care rights, public transportation rights
under (ADA)
Prosecuted for misdemeanor Criminal Stalking - denied Demand for Jury
Trial for UNCONSTITUTIONAL HUMAN and CIVIL RIGHTS, TAKING OF
ASSETS, PERSONAL and REAL PROPERTY ABUSES - WHILE SUFFERING SERIOUS
LIFE-THREATENING ILLNESS from Lyme, Erhlichiosis, Bartonella and
Babesia (Bacterial Meningitis, Optic Neuritis, Vasculitis, Congestive
heart failure, Hepatitis, Kidney Infections, Arthritis) - PRESCRIBED
(CDC) RECOMMENDED (IV) CEFRIAXONE and OTHER, DENIED RIGHTS OF
"WARRANTED" HOME HEALTH CARE SERVICES while under "ethical" Montana
physicians and "referred" Specialists - denied my rights, privileges
and immunities under (ADA) Federal law -
MEDICAID FRAUD, ABUSE and NEGLECT by the courts, - THROWN OUT OF MY
OWN HOME into the streets INDIGENT denied lothing, a bed, pillow or
fork to eat - WITH CRIMINAL FALSE IMPRISONMENT, WITH HARM TO MY
HEALTH, SAFETY AND WELFARE, denied due process -
WITH FALSE IMPRISONMENT, under (ADA) FEDERAL LAW - DENIED MOTIONS
FILED FOR RETROACTIVE SPOUSAL and FAMILY SUPPORT - DENIED RIGHTS OF
RESONABLE ACCOMMODATIONS UNDER (ADA) and RIGHTS OF LEGAL COUNSEL by
the courts -
Feb. 24, 2007, JAILED for ACCESS to my HOME for ESSENTIAL JACKET,
BOOTS and SNOW TIRES for MY HEALTH, SAFETY and WELFARE, INCLUDING
TRAVEL to "REFERRED" OUT OF STATE SPECIALISTS on FURTHER BORROWED DEBT
w/ INTEREST.
Dec. 27, 2007, UNCONSTITUTIONALLY, WHILE AN ESTABLISHED RESIDENT IN
CALIFORNIA DUE TO HUMAN AND CIVIL RIGHTS ABUSES, UNLAWFUL TAKING OF
ASSETS, PERSONAL and REAL PROPERTY ABUSES, ESSENTIAL HOUSING, RIGHTS
OF SPOUSAL FINANCIAL SUPPORT on Food Stamps with disability, applied
for, and DENIED MEDICAID BENEFITS with INVOLUNTARY COMMITTMENT
MEDICAID FRAUD and PATIENT ABUSE -
With FURTHER FALSE-IMPRISONMENT by MT while a resident of California,
upon presenting my MEDICAL RECORDS to MT DPHHS Public Officials,
HAULED to SOLITARY ISOLATION in a MONTANA LOCKED MEDICAID PSYCHIATRIC
FACILITY - with further HIPAA VIOLATIONS, MEDICAID FRAUD and PATIENT
ABUSE - DENIED MY RIGHTS OF "CHOICE" of HEALTH CARE, PRESCRIBED IV
and/or IM and oral antibiotic and antiparasitic medications, cardiac,
hypertension, arthritis and pain medications under TREATING "ethical"
Montana physicians and their "referred" out of state "warranted"
SPECIALISTS under rights, privileges and immunities under (ADA)
Federal law.
Detained in abusive solitary isolation, denied Notice of Rights,
rights of contact with my treating "ethical" Montana physicians and
referred Specialists, family and friends, without ALLERGY HISTORYw/
invasions of bodily integrity, w/ ABUSIVE, RETALIATORY, PUNITIVE,
DANGEROUS and DAMAGING (IM) PSYCHOTROPHIC DRUGGING FOR CONVENIENCE OF
STAFF, USE OF COERCED CONFESSION, SELF-INCRIMINATION, and violations
against Double Jeopardy -
With ABUSE, NEGLECT and FALSE IMPRISONMENT of a California Resident,
further MEDICAID FRAUD, PATIENT ABUSE, FRAUD and DECEIT - (FALSE,
FICTITIOUS FRAUDULANT) 'DELUSIONAL SOMATIC TYPE' - "NONE OF YOUR
PHYSICAL SYMPTOMS HAVE EVER BEEN SUBSTANTIATED BY ANY PHYSICIANS. The
courts have found her INDIGENT. SHE IS UNEMPLOYED. SHE IS LIVING IN
HER CAR. SHE RELIES ON FAMILY and FRIENDS FOR SUPPORT. SHE IS GRAVELY
DISABLED. She requires further solitary isolation Involuntary
Commitment in The Montana State Mental Hospital for up to (90) days or
longer."
"I am the Man of This House and I Make All the Decisions. If you and
the girls go to an Infectious Disease Doctor I will go file for a
divorce. You totally nuts and crazy and just brainwashing and
snowballing doctors to think the girls or you have any tick born
diseases."
In July 2006, after referred" (medically documented) to an Infectious
Disease doctor in Missoula. Thus, this constitutes criminal
(false-imprisonment) by Randy. Further, with medical disabilities,
false-imprisonment, with medical neglect, with abusive harassment,
humiliation, intimidation and threats - against Christy's, Jessica's
and my rights, privileges and immunities under (ADA) federal law.
After significant abandonment by Randy since 3 mos pregnant w/ Christy
"while very, very sick" bedridden w/ hospitalizations w/ threatened
miscarriage - Randy, "I don't want to be married anymore" - refused
marriage/family counseling - I fled due to domestic violence (assault
and battery) while 3 mos pregnant w/ Jessica age 3, due to
endangerment to fetus -
With further Abuse, Neglect, Fraud and Deceit by Randy - he failed to
provide "Spousal" Financial Support during and after pregnancy for
myself, Jessica and Chrsity. He went out and bought real property,
house, trailer, vehicles, horse trailer, and other, put in HIS Name
ONLY without filing a legal separation, with PERJURY, Fraud and Deceit
- that it was not Community owned property -
I was DENIED RIGHTS of 1/2 EQUITY in our HOME and Other Real Property
- AFTER 23 YEARS of MARRIAGE.
With ENTRY of DIVORCE DECREE - LEFT TOTALLY INDIGENT, HOMELESS, and
BANKRUPT - with Official Misconduct, Fraud, Deceit, Waste and Abuse
Against Federal Agencies (HHS), and, at taxpayers' expense by Judge
Lympus.
Randy, Further Domestic Violence - "Here is my proposition to you,
(since were not going to be staying together anyway) If the girls have
any tick born diseases then I will give you full custody, likewise
lets put your credibility on the line as I have done mine, if the
girls don't have any tick borne diseases then I will get full
custody." - (With assault and battery, w/ Abuse, Humiliation,
Intimidation, and Threats)
Criminally denied rights of SPOUSAL FINANCIAL RESPONSIBILITY with
unlawful taking of Assets, Personal and Real Property Abuses -
Denied Rights of ASSETS for essential health care, public
transportation, personal care, personal safety, clothing, housing,
utilities, telecommunications, and other, with sudden unlawful taking
of: life, liberty and property, with police power by the state -
denied rights, privileges and immunities under (ADA). With long-term
Emotional, Medical and Financial Neglect and Abuse by Randy witnessed
and documented by "ethical" Montana doctor(s) and "referred" out of
state Specialist(s) by and thru Randy's false-fabricated retaliatory
LIE of 'Munchausen's by proxy' (Proof in Medical Records of Dr.
Christine Green and apprx. (12) other medical professionals) -
Since June 2006 with confirmed diagnoses - denied domestic violence
protection by and thru HIPAA violations and Randy's false-fabricated
LIE of 'Munchausen's by proxy' - thrown out into the streets - DENIED
Further Rights of Spousal Financial Responsibilities - with Human and
Civil Rights Abuses and Further Unlawful Taking of Property Abuses -
DENIED RIGHTS of Access to my assets, personal, and real property -
for essential health care, personal care, housing, personal safety,
public transportation and legal defense - as Randy had/has for himself
- further, denied my individual and civil rights, privileges,
protections, immunities and benefits under (ADA.)
With rights of claim criminal infliction of emotional, physical and
financial harm - with irreparable harm to my health, life and safety
- causing further and more complicated disease, stress, anxiety, and
disability -
Medically documented long-term ABUSE, NEGLECT and LEGAL ABUSE/STRESS,
DENIED MY HEALTH CARE RIGHTS, MY DISABILITY RIGHTS, MY DIGNITY,
RESPECT and PRIVACY RIGHTS, MY MARITAL STATUS RIGHTS, MY HOUSING
RIGHTS, MY ASSETS, PERSONAL AND REAL PROPERTY RIGHTS, MY PROFESSIONAL
STATUS RIGHTS, MY EDUCATION RIGHTS, MY BELIEFS and POLITICAL RIGHTS,
MY FAMILIAL STATUS RIGHTS, MY FAMILIAL ASSOCIATION RIGHTS and MY DUE
PROCESS RIGHTS - WITH ABUSE, NEGLECT and DISCRIMINATION - THAT NEARLY
KILLED ME..
DENIED DUE PROCESS by BERNIE CASSIDY (bus. partners/personal friend of
Randy) by unlawful HIPAA violations, Quashed my OOP (rights of
protection under (ADA)) and Judge Ted Lympus - forced HOMELESS on
(FOOD STAMPS) - WITH NO MONEY FOR HEALTH CARE, HOUSING and necessary
TRANSPORTATION to OUT OF STATE SPECIALISTS "referred" by "ethical"
Montana physicians.
Since June 2006 (ONGOING!!!) (HIPAA) violations - Denied my individual
and civil rights, privileges and immunities under (ADA) Federal law -
suddenly, forced indigent, recipient of FOOD STAMPS and HOMELESS,
DENIED SPOUSAL RESPONSIBILITIES FOR ESSENTIAL HEALTH CARE UNDER MY
Domestic Violence ORDER OF PROTECTION - with sudden unlawful (civil?)
arrest w/ unlawful taking of: my life, liberty and personal and real
property (w/ police power by the state), without Due Process and just
compensation by the state.
Applied for, and DENIED RIGHTS OF MEDICAID BENEFITS - JAILED and
THROWN INTO A STATE LOCKED MENTAL HOSPITAL Denied Notice of, and
Denied My Rights, even DENIED NOTICE of BOGUS (FALSE, FICTITIOUS,
FRAUDULENT) DX: 'Delusional Somatic type' - with forced (IM)
psychotrophic drugging - denied rights of "WARRANTED" HEALTH CARE by
and under my rights of "CHOICE" of "referred" Specialists under (ADA)
Federal law - in state custody, denied rights of spousal financial
responsibility "prescribed" antibiotics and antiparisitics for
vasculitis, meningitis, cephalgia, congestive heart failure, pulmonary
and primary hypertension, disseminated intravascular coagulation,
liver disease and large hematoma, nausea, kidney infections, pain,
arthalgia, exhausion and insomnia medications.
On February 25, 2006 - with life-threatening disabilities, bacterial
meningitis, congestive heart failure, liver disease, arthritis, and
other - "VERY VERY SICK" - THROWN INTO JAIL and my CAR IMPOUNDED
(denied rights of transportation under (ADA) (IMPOUNDED) Messential
MPUUNDED fr m mMMPUMPfor going to my own HOME for ESSENTIAL JACKET,
BOOTS and SNOW TIRES - FOR ESSENTIAL WINTER ELEMENTS and TRAVEL
SAFETY.
Dec. 27, 2007 - "DENIED DOCUMENTED PROOF PRESENTED CORROBORATED
MEDICAL RECORDS and MY SPECIALISTS REBUTTAL LETTERS by court-appointed
MT DPHHS employee(s) - "She reports she has chronic Lyme disease,
Bartonella and Babesia, degenerative cardiac disease and other. She
used to be a Cardiology RN. None of her physical symptoms have ever
been substantiated by any physicians. She is a HARM TO HERSELF, and
OTHERS. The COURTS have found her INDIGENT. She is unemployed. She
depends of family and friends for support. She reports she has been
LIVING IN HER CAR. She is dysfunctional and disorganized. She is
GRAVELY DISABLED. She requires Involuntary Commitment with solitary
isolation in The Montana State Mental Hospital for up to (90) days or
longer - released per DEMAND BY MY FAMILY to visit my DAD with
hypertension and stroke in intensive care in CA. This ABUSE/MENTAL AND
PHYSICAL TORTURE has caused my entire family extreme STRESS.
With cruel and unusual punishment and excessive force - in violations
under the lst, 4th, 5th, 6th, 8th, 9th, 11th, and 4th Amendments -
DENIED RIGHTS of LEGAL COUNSEL -
Since July 2006, in state custody, with disabilities, with HIPAA
violations, Christy, Jessica and myself - denied rights of Spousal
Financial Responsibilities and rights to occupy our HOME while victims
of domestic violence under our OOP - by Lincoln County Bernie Cassidy
and Flathead Judge Ted Lympus.
Denied rights of prescribed "warranted" health care, rights of
housing, rights of public transportation, and other, for
complications of chronic bacterial meningitis, relapsing fevers, light
sensitivity, optic neuritis, carditis, congestive heart failure,
enlarged liver, gastrointestinal pain, liver disease, arthritis, and
other - while "VERY VERY SICK" - DENIED DUE PROCESS - forced HOMELESS
and recipients of (Food Stamps) with two minor children, one with
disabilities.
July 2006, applied for, and DENIED RIGHTS of (TANF) and MEDICAID
BENEFITS - while very, very physically sick suffering Rocky Mountain
Spotted Fever, Erhlichiosis, Lyme Bartonella, Babesia and Mycoplasma
ferm while survivors of domestic violence, while in custody of two
minors, one with disabilities - denied OUR MEDICAID RIGHTS, privileges
and immunities under (ADA) Federal law.
In February 25, 2006, THROWN INTO JAIL and my CAR IMPOUNDED (denied my
transportation rights under (ADA) by PROSECUTING ATTORNEY BERNIE
CASSIDY and Judge Ted Lympus.
CONFIDENTIAL INFORMATION FOR (ADA) DISABILITY RIGHTS PROFESSIONAL and
PERSONAL REPRESENTATIVES ONLY
LYME DISEASE LIVER Dysfunction – More Common than Many Doctors Think.
June 28, 2012
Lyme disease and liver dysfunction may be connected in some patients
as the Lyme disease bacteria like to congregate in tissues such as the
heart, the joints, and the liver leading to jaundice and hepatitis.
Elevated liver enzymes may be found during tests when diagnosing Lyme
disease but many patients suffer no symptoms of liver dysfunction and
enzymes return to normal after successful Lyme disease treatment. An
unfortunate few will develop serious liver problems related to Lyme
disease infection, however, requiring immediate intervention to avoid
long-term liver damage. In a case study published this month a 78 year
old man with polymyalgia rheumatica suffered from Lyme disease and
hepatitis complicated by treatment for PMR with corticosteroids. This
case alone highlights the difficulties faced by patients with systemic
immune system disorders when facing acute infection such as Lyme
disease.
Liver Problems with Undiagnosed Lyme Disease
Early Lyme disease symptoms such as fatigue, joint pain, fever, and
headaches are often mistaken for summer flu or simply tiredness from a
camping weekend or hike. Many do not develop the Lyme disease rash and
so can easily miss the fact that they have been bitten one or more
times by an infected tick. As the symptoms may dissipate quickly and
then arise intermittently and to varying degrees it is easy to see how
a Lyme disease diagnosis can be a protracted affair allowing lots of
tissue damage to occur in the liver and other organs over the weeks
and months of untreated infection.
Lyme Disease: A Cause of Liver Dysfunction?
Many physicians will dismiss the idea of Lyme disease as a cause of
liver disease but a quick look through the medical literature throws
up a number of cases in which severe Lyme disease infection and liver
disease have occurred together in children and adults. This does not
necessarily imply causation as liver disease and hepatitis
(inflammation of the liver) can occur for a variety of reasons,
including infection by another organism (such as Lyme disease
coinfections), by gallstones, and even by medications used to treat
Lyme disease infection.
Liver Enzymes Elevated in Around a Third of Lyme Disease Patients
Although liver disease from Lyme disease is considered rare there are
reported cases published in the journal Gastroentérologie Clinique et
Biologique (2001), which involved jaundice and abnormal liver function
tests in Lyme disease patients. Children and the elderly may be more
susceptible to liver damage from Lyme disease as the tick borne
infection can present as acute hepatitis with fever and jaundice in
those with compromised or underdeveloped immune systems. The author W.
Allan Walker also noted in his book ‘Pediatric Gastrointestinal
Disease’ that some 40% of adults diagnosed with Lyme disease had one
or more liver abnormalities when tested. Such abnormalities then
resolved either completely or considerably after antibiotic treatment
eradicated the Lyme disease infection.
Why Lyme Disease Affects the Liver
Looking at the issue of Lyme disease and liver dysfunction
holistically it is easy to see how one could assume the this infection
could compromise the liver. Not only do the spirochaetes infect
various tissues and cause cellular damage they also cause systemic
inflammation and possibly even confusion in the body’s immune system.
As the liver processes toxins circulating through the body the
presence of Lyme disease bacteria and the waste materials created in
their wake would add an extra burden to the regular processes.
Antibiotics, and other medications, employed to treat Lyme disease and
its symptoms would also be processed by the liver, thus adding extra
work to the organ. As with any systemic disease it can help to
optimize liver function, by reducing toxicity, during the healing
process in order to avoid bacterial toxins accumulating and
circulating to cause further damage and symptoms of herxing.
Asymptomatic Liver Disease in Lyme Infection
The first case reported by Dadamessi, et al (2001), involved a
seventy-one year old man who experienced febrile jaundice, while a
slightly younger man had cytolytic and cholestatic abnormalities and
fever. The authors of this paper concluded that symptoms of Lyme
disease involving the liver were rare although there may be functional
abnormalities that remain asymptomatic but show up on blood tests for
Lyme disease.
lyme disease jaundice in children
Elevated liver enzymes may indicate hepatitis causing jaundice in Lyme disease?
Liver Abnormalities in Forty Percent of Lyme Patients
More evidence to support the involvement of the liver in Lyme disease
comes from a study carried out in 1996 by Horowitz, et al. These
researchers looked at patients with erythema migrans but no other
identifiable cause for liver abnormalities (hepatitis A, B, and C,
along with other common causes of hepatitis were ruled out in this
study). Out of 115 patients with Lyme disease, forty six (40%) had at
least one liver test abnormality, with 31 (27%) having more than one
abnormal liver test result. A control group had a 19% and a 4%
incidence of at least one and more than one liver abnormality,
respectively.
Which Liver Enzymes are Affected by Lyme Disease?
The abnormal liver test results found in the Lyme disease patients
included gamma-Glutamyl transpeptidase elevations in 28% of the cases,
and alanine transaminase (ALT) elevations in 27% of cases. There were
symptoms such as anorexia, nausea, and vomiting in 30% of the Lyme
disease patients but the incidence of these did not appear connected
to the liver abnormalities found in the study. Elevated liver enzymes
in Lyme disease were more likely in the early stages of disseminated
infection (66%), with just over a third (34%) of patients with
localized, early stage Lyme disease having abnormal liver enzyme
levels. Some patients had persistent abnormalities in liver enzymes
even after treatment for Lyme disease, although most patients’ enzymes
returned to normal following three weeks of antibiotics for the
infection.
Lyme Disease in the Joints, Heart, and Liver
Adding further to the evidence supporting liver complications from
Lyme disease infection, German researchers looking at severe combined
immunodeficient (SCID) mice purposefully infected with Lyme
borreliosis describe how symptoms reflect concentration of the
bacteria in the joints, heart, and liver. Schaible, et al (1990),
describe how the mice suffered swelling and reddening of the joints in
the leg, diagnosed as Lyme arthritis, and, later in the infection,
similar arthritic symptoms in other joints such as the feet and hands.
Liver Fibrosis (Scarring) in Lyme Disease
Progressive inflammation occurred throughout the body, including the
heart, liver, and other joints as synovial linings became inflamed and
signs of cartilage and bone breakdown began to arise. Lyme carditis
was noted, as was hepatitis with mononuclear cell infiltrations in the
portal field and central vein. Liver fibrosis arose later after
granulomatous reactions. As well as signs of liver disease from Lyme
disease the mice had lesions in the kidneys, lungs, brain, and
striated muscles. Normal mice, without compromised immune systems, had
minimal signs of lesions and few spirochaetes able to be identified
from their tissues.
ELISA Fails to Find Lyme Disease in Most Cases
Yet another study describes the incidence of subclinical hepatitis in
Lyme disease, putting the rate at 27% in their study of seventy three
patients. These patients had erythema migrans and lived in a Lyme
endemic area in the lower Connecticut River valley. ELISA tests for
Lyme disease proved positive in only 9% of cases, once again
demonstrating the problems with reliance on this method to determine
Lyme disease in the absence of the rash (which can confirm diagnosis
alone). Kazakoff, et al (1993), concluded that liver abnormalities and
subclinical hepatitis are common in early Lyme disease, with
gamma-glutamyltransferase the most commonly elevated liver enzyme.
Ceftriaxone for Hepatitis in Lyme Disease
A case of hepatitis from Lyme disease was described by Bendix, et al
(2007), perhaps constituting the only directly related case of
hepatitis, rather than simply Lyme disease and elevated liver enzymes.
In this case the sixty nine year old man presented with multiple
erythema migrans and hepatitis which resolved after a course of
antibiotics. The man had elevated liver enzymes and multiple
infiltrated urticarial plaques and livid maculae. He underwent PCR
testing of a skin biopsy, which proved positive for Lyme disease
bacteria, and was diagnosed with a Borrelia afzelii infection and
subclinical hepatitis. Ceftriaxone was given intravenously and the
skin lesions disappeared almost entirely while the liver enzymes
returned to normal levels within two weeks.
Recognizing Lyme Disease Liver Dysfunction
The authors of the previously mentioned study suggest that
dermatologists be on the lookout for multiple erythema migrans and
signs of hepatitis and Lyme disease in patients who may have
experienced tick bites in recent weeks or months. Contrary to popular
belief, Lyme disease appears connected to liver dysfunction in many
cases with around two thirds of patients found in a number of studies
to have elevated liver enzymes. Compromised liver function may alter
metabolism of various drugs and medications for Lyme disease and
associated symptoms as well as creating atypical symptoms of Lyme
disease infection and potential confusion around differential
diagnoses of Lyme disease. Patients may be asymptomatic or could
present with jaundice or general malaise due to liver irregularities
in Lyme disease and doctors should be alert to such signs so as to
optimize treatment."
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