PARTNER CONTENT
Marilyn Bouchard
Lyme disease is a tick-borne bacterial
infection that often starts as a rash
(not always shaped like a bull’s eye
and sometimes missed) at the site
of the tick bite but, if left untreated,
can spread throughout the body.
Symptoms of disseminated Lyme
disease may include fatigue and
general weakness, multiple rashes,
neurological manifestations, heart
problems and intermittent joint
pain or swelling that can lead to
chronic arthritis.1
As ticks move northward with climate
change, Canada is seeing more cases
of Lyme disease, with projections
estimating 120,000 to 500,000 annual
cases costing $500 million to $2 billion
every year by 2050.2According to
the Government of Canada’s latest
annual report, there were 5,809
reported cases (half confirmed, half
probable) in 2024, which represented
a 20% increase over the previous
year. Among those cases, 96% were in
Ontario, Nova Scotia and Quebec,
and 67% were acquired between
June and August.3
Marilyn Bouchard’s son was likely
bitten in the spring of 2022, a time of
year when ticks are about the size of a
poppy seed and very hard to see. The
first symptoms the family was aware of
occurred later that summer.
How did Lyme disease manifest for your son?
We had just returned from a trip to
the Caribbean and my 10-year-old
son noticed after a bath that he had
multiple circles on his lower body.
A nurse suggested it was probably
something he contracted on vacation.
She recommended a cream to make the
rash go away — and it did go away. We
now know this was the second stage of
the disease.
Three months later, everything changed.
He developed inconsistent, non-specific
symptoms including spreading leg pain
and lower energy levels. Within less than
a week, he woke unable to move his hip.
We went to the hospital and everything
spiralled. They aspirated fluid from his
hip, it was infected, and by midnight he
was in surgery to remove the infection.
At that point, the diagnosis was septic
arthritis. He spent a week in hospital
recovering from surgery while they ran
tests to identify the bacteria — but
nothing was showing up. On day five, a
doctor recommended a blood draw to
test for Lyme disease.
We went home with broad-spectrum
antibiotics before the results came in.
It wasn’t until our follow-up appointment
two weeks later that we learned it was,
in fact, Lyme disease and my son started
a 28-day course of more targeted
antibiotics. We thought it was over and
done with. However, over the next 12
months, symptoms recurred several
times. We lived in fear a relapse would
send him back into surgery or that he’d
have chronic pain for life. Fortunately,
since that first rollercoaster year, he’s
been completely fine — but it’s a
process, I’m still learning to trust being
in nature.
As a caregiver, how did this experience affect you at work?
I’m a self-employed physical therapist,
the impact was immediate. I had to
cancel all my appointments the week my
son was in hospital. After that, I had to
take time off for follow-up appointments.
But, more than the time off, the mental
load was staggering. The situation
occupied 80% of my thoughts for an
entire year and it was exhausting trying
to sift through conflicting information
while in a constant state of high alert —
never knowing what to anticipate next.
How can employers best support employees with Lyme disease or caring for a loved one who has it?
Give employees the time they need for
medical appointments and to process
what’s happening. Understand they’ll be
preoccupied as they try to understand
the diagnosis and navigate a complex
medical path while managing the
emotional toll on their family. Also be
aware they might need extra support.
What do people need to know about preventing Lyme disease?
There’s risk even if you’re vigilant. The
year after my son’s surgery, his older
brother mowed the lawn in permethrintreated
pants, then jumped in the pool
for 10 minutes, and when he came out,
we found a tick firmly attached to the
inside of his knee — the same type that
transmits Lyme disease. You can never be
too careful.
Lyme disease, if left untreated or
diagnosed late, may cause debilitating
long-term symptoms, including muscle
pain, joint pain, tingling or numbness,
persistent fatigue, depression, memory
difficulties and trouble concentrating.4
For information on how to prevent tick
bites, please visit https://www.canada.ca/
en/public-health/services/diseases/
ticks-tick-borne-diseases/prevent-tickbites.
html
1https://www.canada.ca/en/public-health/services/diseases/lyme-disease/health-professionals-lyme-disease.html
2https://pmc.ncbi.nlm.nih.gov/articles/PMC10863724/
3https://health-infobase.canada.ca/zoonoses/ticks/annual-report.html/
4https://academic.oup.com/cid/article/71/2/440/5644106/
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