Arsip Untuk 2011

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ILADS' Labs

Thursday, 29 December 2011 |

There is confusion about FDA approval of Lyme testing. It has been stated (by IDSA experts) that ILADS associated physicians have essentiall...

Heart Block

Friday, 23 December 2011 |

I first saw this patient 10 months ago. She had been ill with a disabling multi-system illness for 12 years. She suffered with many symptoms...

Brown powder

Thursday, 22 December 2011 |

There is always the patient you dread seeing. When I see this particular patient in the waiting room an uneasiness wells up from my gut. Don...

Primay care: Lyme endemic

Thursday, 15 December 2011 |

Follow up visit. I have known this 50 year old male for a long time. He is a chronic depressive type. Divorced poorly. Working two jobs....

Lyme Western Blots: another look

Monday, 12 December 2011 |

In October 1994 at a weekend conference, a group of experts developed criteria for the the definition of Lyme surveillance testing. The outc...

Chasing the sweats

Thursday, 1 December 2011 |

Let me clarify this confusing post: It is based on a true clinical scenario. I was drawn into a hole chasing Babesia; the symptoms were clas...

Lyme labs and babs

Saturday, 26 November 2011 |

A 22 year old female had a tick bite with at rash at age 5 (recalled by mother). Her pediatrician treated her for 3 weeks. No symptoms recal...

History

History instructs us, oft the best predictor of the future. Infectious plagues, epidemics and endemic, have molded the course of human histo...

Iceman

Thursday, 10 November 2011 |

Readers know - the suffering of Lyme is so great that contemplation of suicide is common. And then to make matters worse - so often, the deg...

Lyme: the tissue pathogen

Sunday, 6 November 2011 |

It has long perplexed me why Borrelia bacteria appear to be so abundant in the blood of other mammals but so sparse in human blood. An Ixode...

More bands

Tuesday, 4 October 2011 |

A 42 year old male came into my office, reluctantly. He thought he was fine. He only came in to mollify an insistent spouse, a spouse famili...

Babesia, re-visited

Tuesday, 20 September 2011 | l

Those in the chronic Lyme community have a narrative for explaining the chronicity of Lyme disease or at least the persistence of Borrelia d...

Fear

Thursday, 1 September 2011 |

Every once in a while a patient surprises me and makes it all worthwhile. This is such a story. A 17 year-old female presented in my office...

c diff

Tuesday, 30 August 2011 |

C diff - (clostridia difficile) infection is the bane of the existence for patients(and their doctors) who take long term antibiotics for Ly...

Biofilms

Thursday, 4 August 2011 |

Biofilms are ubiquitous. Their role in chronic infections in mainstream. Biofims have been found in chronic sinusitis, chronic ear infection...

Lyme tests old and new

Monday, 25 July 2011 |

My recommendations for Lyme testing have not changed. Some new tests have been introduced, unfortunately there are no published studies dem...

Everything you thought you knew about cyst busters is wrong

Sunday, 24 July 2011 |

Eva Sapi's recent research calls into question everything we thought we knew about Lyme "cysts." In fact it destroys the old t...