Healthy Options 5/7/25: Ticks: Lyme, & other Tick-borne Illness

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical Assistance: Joel Mann

Healthy Options: For Well-being & Being Well

This month:
-The different ticks appearing in Maine, and the tick diseases being found now.
-The vital importance of keeping tick OFF of us!
-Poppy-seed size of ticks right now, as nymphs in May, and sesame seed size as adults, and raisin-sized when engorged
-Tick-borne pathogens & their afflictions: Anaplasmosis, Babeosis, Lyme (Borellia), Alpha Gal, Erhlichia, Rocky Mt. Spotted Fever, Relapsing Fever (& Powassan Virus, which can cause severe to fatal illness in just 15 minutes after a bite)
-The importance of clinical diagnosis, vs. relying solely on the imperfections in analyzing test results, and the significance of a LYME disease rash- which does not present in every tick bite
-How to check for ticks in a timely fashion, so an embedded tick has less time to transfer disease from its bite; we do not know how the length of time required for a tick to transmit infection
-How to remove a tick safely & what is a risky tick bite (tick broken off, tick on for several hours/days, tick being “annoyed” and spitting bacteria etc. back into the wound from its salivary gland)
-Sending ticks for identification as to the type of tick & possible disease carried
-What is a PCR test, and what it can show (or not), the issues of interpreting antibody tests, and when to test for Lyme & co-infections
-What treatments are commonly used, and the challenges of diagnosing tick-borne illness
-How to protect yourself (and your pets) from ticks when being outdoors (high percentage of tick bites recorded, from your own backyard, yardwork, gardening, clearing brush).
-Permithrin-treated clothing and effective repellents used on the skin for tick protection
-How to make your backyard less habitable for ticks, and migrating birds can carry ticks & spread them onto our property; best to not use bird feeders from April through October

Guest(s):
Dr. Beatrice Szantyr, Internist and Pediatrician who lectures on Lyme disease and related tick-borne disorders in Maine and nationally, to both professional and community groups. She is an active member of the Maine CDC Vector Borne Disease Work Group, and a member of the International Lyme and Associated Diseases Society.  Dr. Szantyr also had served on the 2022 Federal Tick-Borne Disease Working Group, Access to Care and Education Subcommittee.

FMI:
EPA info on effective repellents
www.epa.gov/insect-repellents?
EPA info on repellent-treated clothing
www.epa.gov/insect-repellents/repellent-treated-clothing?

University of Maine Tick Lab?- Protect Yourself from ticks & tick-borne diseases
(Identify a tick for free; $20 to ID diseases the tick may contain)
extension.umaine.edu/ticks/
Tick testing Amherst MA. (tests for more diseases):
www.tickreport.com

Maine Tracking Network- Tickborne Diseases
Improving public health with better information:
data.mainepublichealth.gov/tracking/home

Columbia University Lyme and Tick-Borne Diseases Research Center
www.columbia-lyme.org/

Powered by patients. Home of Lyme Times and My Lyme Data:
www.lymedisease.org/

TickEncounter  The University of Rhode Island?Tick-borne Disease prevention Education
web.uri.edu/tickencounter/

This article is brief enough for a patient to bring to a doctor’s visit for them to consider:
The Management of Ixodes scapularis Bites in the Upper Midwest
wmjonline.org/wp-content/uploads/2011/110/2/78.pdf

PARTICULARLY FOR HEALTHCARE PROVIDERS (& FMI for clients):
LymeCME- Free, Evidence-based, AAFP-Accredited Courses Physicians Can Trust
www.lymecme.info/

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Previous HEALTHY OPTIONS PROGRAMS on ticks & Lyme can also be found at:

archives.weru.org/healthy-options/2024/05/healthy-options-5-1-24-lyme-disease-other-tick-borne-illness-update-for-2024/
archives.weru.org/healthy-options/2023/05/healthy-options-5-3-23-lyme-disease-tick-borne-illness-and-how-to-be-tick-conscious-to-protect-ourselves/
archives.weru.org/healthy-options/2022/10/healthy-options-10-5-22-the-ticks-are-still-here-what-you-need-to-know/
archives.weru.org/healthy-options/2022/05/healthy-options-5-4-22-yearly-update-on-ticks-lyme-and-tick-borne-illnesses/
archives.weru.org/healthy-options/2021/05/healthy-options-5-5-21-ticks-those-blood-sucking-parasites/
archives.weru.org/healthy-options/2020/06/healthy-options-6-3-20-ticks-and-tick-borne-illnesses/

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 4/2/25: Building Resiliency to Trauma

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical Assistance: Joel Mann

Healthy Options: For Well-being & Being Well

This month:

Using the Trauma Resiliency Model to stay resilient and centered during this exceeding stressful time

The differences between fight, flight, & freeze as reactions to stress
“Toxic stress”,“tolerable stress”, & “positive stress”, and what may be helpful- or harmful- to us

How can we regulate our nervous system in reaction to stress & trauma?
What are some techniques to deal with stress, be resilient, and stay/become centered? What are some specific strategies to use when you are scared or agitated?

How being aware of sensation (body awareness), helps in handling and reducing trauma, and how you can help yourself return to a feeling of well-being when you are out of balance & feeling beset by stress

Personal, societal, and political stress and the challenge (and imperative) to stay centered & be resilient

What is the iChill app and how can it help in times of unease & stress?
What are Tracking, Resourcing, Grounding & Gesturing, and how are they used in the iChill app to help with managing stress?

Guest(s):
Elaine Miller-Karas, MSW, LCSW, trauma therapist, co-founder & former executive director of the Trauma Resource Institute, a non-profit dedicated to promoting resilience and trauma-informed care, worldwide.
Elaine Miller-Karas is the author of “Building Resiliency to Trauma, the Trauma and Community Resiliency Models®”, and the host of the podcast, “Resiliency Within”. She has led projects to help communities in the recovering process from mass shootings, and leads the Ukraine Humanitarian Resiliency Program which provides support to teachers & children amidst the country’s conflict. She is currently working in Los Angeles with survivors of the recent wildfires.

FMI:
Trauma Resiliency Institute
www.traumaresourceinstitute.com
iChill is a free app from the App store, or try it online, at
ichillapp.com
Psychology Today- Article by Elaine Miller-Karas
Dialogue, Dignity, and Democracy Personal Perspective: We can nurture our humanity in the face of inhumanity Psychology Today 2/25/25
www.psychologytoday.com/us/blog/building-resiliency-to-trauma/202502/dialogue-dignity-and-democracy
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Previous HEALTHY OPTIONS programs on the work of the Trauma Resource Institute:
Restoring & enhancing resiliency & balance after shock and trauma
archives.weru.org/healthy-options/2023/11/healthy-options-11-1-23-restoring-and-enhancing-resiliency-and-balance-after-shock-and-trauma/
Building Resiliency to Trauma
archives.weru.org/healthy-options/2021/03/healthy-options-3-3-21-building-resiliency-to-trauma/
archives.weru.org/healthy-options/2017/10/healthy-options-10417/
archives.weru.org/healthy-options/2014/09/healthy-options-932014/
archives.weru.org/healthy-options/2010/12/healthy-options-12110/
archives.weru.org/healthy-options/2009/9/healthy-options-90209/

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 3/5/25: “It’s a Scientific Fact”: The Imperative of Medical Info & Research

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical Assistance: Joel Mann

Healthy Options: For Well-being & Being Well

This month:

The serious implications of the loss of funding for medical/health research & the curtailment of health data available for the public.
The importance of “doing good science” as a research scientist, & the scientific method as it pertains to medical research.
Current & historical perspectives on vaccination vs. herd immunity.
Is herd immunity relevant/effective for any/all infestious diseases?
The role of bioethics & vaccines, & risk-benefit analysis.
The importance of the “Yuck Factor.”
Are there songs that can help us understand & appreciate science?

Guest(s): 
Dr. Miryam Wahrman, biomedical researcher, bioethicist, biochemist, and director of a research laboratory in microbiology at William Patterson University, where she is a professor of biology.
Dr. Wahrman discusses the importance of scientific process in medical research & our health, the impacts of curtailing studies on infectious disease and other serious illness, and the current challenges we face as important health information becomes restricted- and misinformation & disinformation is rampant.
She is the author of the book, The Hand Book: Surviving in a Germ-Filled World, which explores hand-washing & hygiene, cross infections, and simple ways to stay healthy & reduce/prevent the spread of disease.

Previous interviews with Dr. Wahrman:
archives.weru.org/healthy-options/2020/11/healthy-options-11-4-20-current-scientific-thinking-about-covid-19-health-strategies/
archives.weru.org/healthy-options/2020/03/healthy-options-3-4-20-interview-with-dr-miryam-wahrman-author-of-the-hand-book-surviving-in-the-germ-filled-world/
archives.weru.org/healthy-options/2019/02/healthy-options-2-6-19/

FMI:
DNA testing information on YouTube: Inadequate advice can mislead and harm the public
onlinelibrary.wiley.com/doi/full/10.1002/jgc4.1375

Escherichia coli on the internet: The power of YouTube to educate and influence consumer behavior regarding pathogenic bacteria
www.sciencedirect.com/science/article/abs/pii/S246804511930001X

Glove Changing When Handling Money: Observational and Microbiological Analysis
www.ncbi.nlm.nih.gov/pubmed/26463082

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 2/5/25: The Feldenkrais Method

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical Assistance: Joel Mann

Healthy Options: For Well-being & Being Well

This month:

1. The origin & principles of the Feldenkrais Method.
2. Exploration of how its practice has been shown to improve movement, posture, balance & coordination.
3. How it may help to reduce pain, and improve range of motion & flexibility- and how Deborah Darr utilized Feldenkrais in her own recovery after a serious injury.
4. Listeners can experience a shortened Feldenkrais session led by Deborah Darr during the last third of the interview.

Guest(s): 
Deborah Darr, Feldenkrais instructor, physical therapist, & dancer.

FMI:
Feldenkraisproject.com
movementandcreativity.com/tiffanysankary

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 12/4/24: The Principles & Practice of Non-Violent Communication (NVC)

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical Assistance: Joel Mann & Amy Browne

Healthy Options: For Well-being & Being Well

This month:

What is Nonviolent Communication (NVC) and how can it help us be better listeners and engage our feelings of empathy for others?Some practical ways to be able to manage difficult conversations with people who have different viewpoints.
How to communicate with others with whom we disagree, even as our own nervous system is under stress or challenge when encountering different view points.
How to acknowledge and handle the pressures of social and political challenge in our lives with NVC practice.

Guest(s): 
Peggy Smith, co-founder of the Maine Non-Violent Communication Network, & certified trainer with the International Center for Non-Violent Communication. A student of Mindfulness since 1991, she was ordained as a teacher by Zen Master & peace activist Thich Nhat Hanh, and incorporates Mindfulness practice in the teaching of Non-Violent Communication.

FMI:
www.opencommunication.org/about.html
www.cnvc.org
www.empathyforeveryone.org
www.clarityservices.us/events

Previous interview with Peggy Smith:
archives.weru.org/healthy-options/2022/11/healthy-options-11-2-22-non-violent-communication/

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 10/2/24: Stroke Awareness, Prevention, and Treatment

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical Assistance: Joel Mann & Amy Browne

Healthy Options: For Well-being & Being Well

This month:

– What is a stroke & what are the signs of a stroke?
– What to do immediately if you have signs of a stroke.
– How to reduce your risk of having a stroke.
– Treatment for stroke, and recovery.

Guest(s): 
Eileen Hawkins, Certified Stroke Registered Nurse & Certified Neuroscience Registered Nurse, & Stroke Program Coordinator at Penobscot Bay Medical Center in Rockport, Maine.

FMI:
www.stroke.org
www.stroke.org/en/professionals/stroke-resource-library/prevention/five-key-facts-about-stroke

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 9/4/24: The Importance of Local Hospitals

Host/Producer: Rhonda Feiman
Production Assistant:
Petra Hall
Technical Assistance: Joel Mann & Amy Browne

Healthy Options: For Well-being & Being Well

This month:

– Why is a local hospital so important for the community in which it is located? How can hospital consolidation affect local hospitals?
– How is the success of a local hospital evaluated? How did Waldo County General Hospital rate, before it became a part of MaineHealth?
– Waldo County General Hospital was a successful, profitable, independent hospital, with innovative and award-winning programs. How has that changed since becoming part of MaineHealth?
– How can a local hospital be innovative in developing & providing services? How might they share these innovations & successful practices with other healthcare entities, nationally or even internationally?
– What is the importance/value of having a hospice unit at your local hospital? What is the importance of having a local Ob-Gyn unit at your community hospital?
– What impacts can be caused by closing Ob-Gyn and hospice units? What are the effects of reducing healthcare services which the community has relied upon for many years?
– Who loses their jobs locally when hospital services are eliminated or redirected to out-of-town facilities? Beyond the hospital staff who are let go, how is the whole community affected?
– Who now decides what services are provided? Is there any local autonomy or are the decisions made by people without connection to the local hospital & community, who view the hospital as a corporate asset rather than a vital community asset?
– What can the Belfast City Council do, to protect hospital services that the community needs & relies upon?
– What is the impact of privately-owned & operated urgent care facilities in a community with a local hospital?

Guest(s): 
Mike Towey, former Director of the Speech Language Pathology Department at Waldo County General Hospital; employed at WCGH for 40 years.

FMI:
Beckers Hospital Review
www.beckershospitalreview.com
and
www.beckershospitalreview.com/finance/the-hospital-with-the-biggest-community-health-investment-in-each-state-per-lown-ranking.html

Pam’s Story (illustrates expertise that can be developed & sustained at a small hospital, & how innovation at WCGH was essential to her successful recovery):
www.mainehealth.org/mainehealth-cancer-care/cancer-conditions-services/head-neck-cancer-care/pams-survivor-story

MaineHealth proposal for Waldo County Healthcare Inc. 12/15/08:
www1.maine.gov/dhhs/sites/maine.gov.dhhs/files/documents/dlc/Waldo-County-PA.pdf

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.

Healthy Options 8/7/24: Conversation with Jess Mauer, Executive Director of The Maine Council on Aging

Host/Producer: Rhonda Feiman
Co-Producer:
Petra Hall
Technical assistance: Joel Mann & Amy Browne

Healthy Options: For Well-being & Being Well

This month:

– What does it mean to have purpose in our lives and why is that important for healthy aging?
– What steps can all of us take- at any age- to stay healthy?
– How does the language we may use to describe getting older, reinforce (or dispel) stereotypes of aging in our society?
– How can we dispel the rampant use of negative stereotypes of growing older?  What can we do in our own lives to create a positive image of getting older?
– What can we do in our communities to support each other’s needs as we age? What kind of work is needed to empower those supportive resources in our communities?
– How does our health care system discriminate against older people?
– What are the financial & economic realities of growing older? Do negative stereotypes of aging affect older people in these concerns?
– How do systemic attitudes about sex, gender identity, race, & disability affect us as we grow older?

Guest(s): 
Jess Maurer, Executive Director of the Maine Council on Aging.

FMI:
Maine Council on Aging
mainecouncilonaging.org
agefriendly.community
www.agefriendly.community
Age Positive Maine:
mainecouncilonaging.org/agepositiveme/

Previous Healthy Options Programs on related topics:
Healthy Options 6/5/24: The Gift of Aging: Growing Older with Purpose, Planning, and Positivity
archives.weru.org/healthy-options/2024/06/healthyoptions-6-5-24-the-gift-of-aging-growing-older-with-purpose-planning-and-positivity/
Healthy Options 3/6/24: Advocating for the care needs & rights of elders in nursing homes & assisted living facilities
archives.weru.org/healthy-options/2024/03/healthyoptions-3-6-24-advocating-for-the-care-needs-and-rights-of-elders-in-nursing-homes-assisted-living-facilities/
Healthy Options 12/6/23: Brain Health and Aging Well
archives.weru.org/healthy-options/2023/12/healthyoptions-12-6-23-brain-healthand-aging-well/
Healthy Options 8/2/17: The Gift of Caring: Saving Our Parents from the Perils of Modern Healthcare
archives.weru.org/healthy-options/2017/08/healthyoptions-8217/

About the host:
Rhonda Feiman is a nationally-certified, licensed acupuncturist practicing in Belfast, Maine since 1993. She primarily practices Toyohari Japanese acupuncture, using gentle and powerful non-insertion needle techniques, and also utilizes Chinese acupuncture and herbology. In addition, Rhonda is a practitioner of Qi Gong and an instructor of Tai Chi Chuan in the Yang Family tradition.