Arsip Untuk 2012

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Super bugs and immune responses

Friday, 27 July 2012 |

A thirty seven year old female presented for an evaluation at the end of 2010. She had previously been in good health until 18 months before...

Toxoplasmosis and Lyme

Sunday, 8 July 2012 |

The Archives of General Psychiatry has published two studies from Denmark demonstrating the relationship between toxoplasmosis and suicide. ...

Fatigue in a complicated patient

Saturday, 7 July 2012 |

After a long struggle, the patient is doing fairly well. The cognitive improvements have been superb. But the fatigue and lack of endurance ...

Adrenal fatigue

Wednesday, 27 June 2012 |

Stress - anxiety - palpable across the room, emanates from her pores. Everything is going wrong at the same time. Unfortunately, this is no...

Headache

Monday, 11 June 2012 |

A generally very happy thirty-four year old female came in for a followup. She feels tired but attributes this to allergy medicines. In fact...

Trouble with ticks

Monday, 4 June 2012 |

Bumper crop of ticks this year. Our dog came down with a lame paw and was diagnosed with Lyme disease. Family members have unfortunately ha...

POTS

Friday, 27 April 2012 |

Ultimately, any blog about Lyme disease must cover the entity know as POTS. This stands for postural orthostatic tachycardia syndrome. My pa...

Date

Yesterday was bring your child to work day. So my 17 year old sat in on a visit. The patient recapitulated her story. She contracted Lyme 15...

Cure

Thursday, 26 April 2012 |

I see a lot of new patients. I am frequently asked the same question by perplexed souls who have heard contradictory information from dispar...

Bait and Switch

Sunday, 8 April 2012 |

Lyme advocacy groups along with "their" doctors have been called anitiscience in a recent Lancet editorial. According to the piece...

Lupus and Larium

Thursday, 22 March 2012 |

She is feeling fabulous, the best she has felt in more than a decade. Four weeks of Larium Babesia symptoms quickly return. Larium is restar...

Case in point

Thursday, 15 March 2012 |

This 30 year old patient was well until 2 months after she had noticed a tick bite on the top of her head. Then, over time, she developed a ...

Western blot biases

Wednesday, 14 March 2012 |

I think I have this one right. Western Blot kits are either store bought or produced internally. These difference seem to lead to preferenti...

Pacemaker

I will briefly present two patients with Lyme carditis and heart block. The first patient was urgently admitted to the hospital ICU with a h...

ADD and Herbs

Monday, 27 February 2012 |

A 56 year old heretofore high functioning business executive presented with multiple cognitive difficulties, primarily impaired executive fu...

Remission. Brown Recluse Spider

Tuesday, 14 February 2012 |

This 62 year old female went to a local ER complaining of a bite and a painful red rash with a high fever. She looked toxic and was admitted...

Low back pain

Wednesday, 8 February 2012 |

A 40 year old female awoke one morning finding she could not get out of bed - sudden incapacitating back pain - and other symptoms: severe ...

25 band Doxycycline

Thursday, 2 February 2012 |

A patient has joint pain, unimpressive, and otherwise doesn't looke "Lymie." Stony Brook's Lyme WB reports 41 and 25...

HIDA scan and Mycoplasma

Wednesday, 1 February 2012 |

Sick for a long time this patient had already been to many doctors. Previous treatments included 9 months of Rocephin. She first saw me ...

Definition of insanity

Sunday, 22 January 2012 |

One patient with chronic Lyme called NIH hoping for acceptance into a new study. More research. Great. At least someone with gravitas thinks...

No box

Friday, 20 January 2012 |

In 2002 I didn't know much about Lyme. My patient suffered with a paralyzed diaphragm. He was in misery with every breath: only one lung...

Babesia: confirmed case

Thursday, 19 January 2012 |

An unexpected page last Sunday. Call.... about...., 1-800 number, blood parasites. Strange message. I called the number back and ask for the...

Continuous or pulsed

Friday, 13 January 2012 |

Two patients yesterday with neuropsychiatric symptoms responsive to amoxicillin. One patient claimed that Moxatag, a long acting drug, wa...

Third opinion

Thursday, 12 January 2012 |

Here is a patient who states he has been sick his entire life - seeing a parade of doctors for as long as he can remember. Childhood was tou...