The transcript from the Today Show Program Profile: One woman battles Lyme disease and insurance companies 01
December 2004 NBC News: Today , National Broadcasting Company, Inc. All
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KATIE COURIC, co-host: Today, more of our series, AGAINST THE ODDS,
Americans who overcome powerful challenges. Today national correspondent
Melissa
Stark has yet another inspirational story. Hi, Melissa. Good morning.
MELISSA STARK reporting: Hi, Katie. This one reveals how little is
actually known about Lyme disease. Each year doctors estimate that there
are some
26,000 new cases of Lyme disease diagnosed. However, only 60 percent of
sufferers even realize they have it. Brooke Landau battled the disease for
seven
years before she found a cure. Brooke Landau was on her way to achieving
the
American dream. A recent college graduate, she was working for a fortune
500
company in New York City. Then one day, she woke up unable to move.
Ms. BROOKE LANDAU: I started yelling for my parents and they saw something
was severely wrong.
STARK: Her parents rushed Brooke to the emergency room. Doctors were
baffled.
Ms. DIANE LANDAU (Brooke's Mom): As a parent, it was horrible. They did a
spinal tap, her first of seven spinal taps, and they determined that it was
likely that she had Lyme disease.
STARK: Lyme disease is well-publicized, but poorly understood. The infected
person is bitten by a small deer tick, roughly the size of a poppy seed.
Dr.
Joseph Burascano is one of the country's leading Lyme physicians.
Dr. JOSEPH BURASCANO: Lyme is the fastest-growing infectious disease in
this
country. First of all, you have to think of Lyme as two different
illnesses.
The first type you think of is the more common, early Lyme disease, which
may or may not present with a rash. Lyme disease in the chronic form can
mimic
many other illnesses. That's the problem. That's why diagnosing chronic
Lyme
is difficult.
STARK: Most insurance companies only recognize a positive blood test as
proof of Lyme disease. So despite her positive spinal tap, it was seven
years
before she was officially diagnosed. Dr. Burascano estimates blood tests
are
accurate only 50 to 70 percent of the time. And your blood test was
negative?
Ms. B. LANDAU: For seven and a half years, I have never had a positive
blood
test.
STARK: As a result, Brooke's insurance company refused to pay for her
treatment. With doctors prescribing medications and running tests, her
legal bill
began to mount. How much did you battle with the insurance company?
Ms. B. LANDAU: Oh, every day, all the time. The first year of my illness, I
spent $40,000 out of my own pocket.
STARK: That you never got back?
Ms. B. LANDAU: Never got back. And that was just the first year. I mean,
this has been hundreds of thousands of dollars. You kind of throw your
hands in
the air and just sort of give up. And you just keep paying and paying and
paying.
STARK: How frustrating was that?
Ms. B. LANDAU: That was the worst part. Because you're stuck with zero
insurance, a disease that people--the medical community and insurance
companies
won't even recognize as necessarily legitimate.
STARK: Brooke decided to be pro-active. In an attempt to relieve her
chronic
joint pain, doctors suggested she move to a warm climate. Brooke chose
Miami, and began to research alternative methods of treatment.
Ms. B. LANDAU: I had no quality of life. None. I was lying in bed day
after
day after day with home-care nurses coming to tend to my needs. And I was
27
years old.
Ms. D. LANDAU: It just had this devastating effect, I mean, for years and
years. She hardly smiled. And we would go to family events and Brooke would
be
in another room just holding her head in her hands.
STARK: Brook finally found a doctor who thought he could help her. The
treatment was risky, so risky that the doctor who provided it is currently
fighting to keep his medical license, and asked us not to mention his name.
Ms. B. LANDAU: This treatment was not FDA approved, not covered by
insurance. They put a tube into my heart, and it pumped the antibiotics
directly into
my heart, and had me then get into a hyperbaric oxygen chamber for 30 days.
STARK: How scary was the thought of that?
Ms. B. LANDAU: They said to us that it could kill me, and it clearly could.
You get one infection into your heart, and you're done.
STARK: Despite the risks, Brooke elected to go forward.
Ms. D. LANDAU: I went down there, and I was just so devastated. She was so
networked into the medical community and, the sick community, that it was
just
horrible to see. I mean, she was living the life of an 80-year-old.
STARK: At first it didn't seem to be working.
Ms. D. LANDAU: It was supposed to be a 30-day course of treatment. For 29
days it did nothing.
Ms. B. LANDAU: On that 30th day, I got out of the hyperbaric chamber, and
my vision stabilized, my hearing came back, the joint pain, gone. The
muscle
burning, gone. I went to bed that night for the first time without burning
in
my body.
STARK: With her Lyme disease gone, Brooke decided to pursue a career in
modeling and broadcasting. She moved to Los Angeles, but one of her
symptoms,
painful, chronic headaches continued. At the worst point, how much
medication
were you on?
Ms. B. LANDAU: I was taking 27 pills every day. They didn't know how to get
me off all of this medication.
STARK: Dr. Steven Graf-Radford, the head of Cedar Sinai's pain center, is
now Brooke's doctor.
Dr. STEVEN GRAF-RADFORD (Brooke's Physician): You're on a list of
medications this long, OK? These medications are causing your problem. They
just want
to run away immediately. And that's the hard part.
STARK: With his help, Brooke began to lessen her doses. How many pills a
day
to do you take now?
Ms. B. LANDAU: As of yesterday, just one. So in one month I should be off
of
everything forever.
STARK: Did you feel cured at that point?
Ms. B. LANDAU: I am cured in the sense that the Lyme disease is gone. It's
out of my system.
STARK: Brook has begun getting her life back, and is now working for ESPN.
Ms. D. LANDAU: This is really is the first time that--that the old Brooke
is back. I mean, she laughs and she jokes and she's having fun. And she
just
kept fighting to get that life back.
STARK: In addition to returning to work, Brooke has also become an advocate
for health care reform in regards to the treatment of Lyme patients. But as
you can see, it can just be devastating.
COURIC: She went through so much. And I guess a lot of people are
experiencing this, right?
STARK: It is the fastest-growing infectious disease, believe it or not, in
the US.
COURIC: Wow. All right, Melissa Stark. Thanks so much, Melissa. And we'll
be back in a moment. This is TODAY on NBC.