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December 27, 2025

Long COVID or Lyme Disease? When Symptoms Don't Add Up

Long COVID or Lyme Disease? When Symptoms Don’t Add Up

Long COVID or Lyme Disease? When Symptoms Don’t Add Up He wasn’t losing his mind—he was losing time. Each week blurred into the next as fatigue and fog deepened. When he finally came to my office, he’d already accepted a diagnosis that wasn’t quite right. A patient came to me months after recovering from COVID-19.

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When Doctors Say Nothing Wrong: Lyme Disease in Children

How Do I Parent or Work With Lyme Disease? Practical Strategies

How Do I Parent or Work With Lyme Disease? Practical Strategies After 37 years treating Lyme disease, I’ve seen patients struggle with a question they rarely ask directly at first. Instead, they describe the fear underneath it: they worry that they are failing their children, wonder how long an employer will tolerate unpredictability, and grieve

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Afraid of a Herxheimer? Why Delaying Lyme Treatment Can Backfire

Fear of a Herxheimer: Why Delaying Treatment Backfires

Fear of a Herxheimer: Why Delaying Treatment Backfires Fear of a Herxheimer reaction is one of the most common reasons patients delay Lyme treatment. The worry can feel bigger than the disease itself. I remember one patient sitting across from me, struggling to find the words before finally admitting: “I’m scared to treat my Lyme

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Why Does Lyme Disease Mimic MS or Fibromyalgia?

Why Does Lyme Disease Mimic MS or Fibromyalgia?

Why Does Lyme Disease Mimic MS or Fibromyalgia? After 37 years treating Lyme disease, I’ve seen patients misdiagnosed with MS or fibromyalgia when infection was the underlying cause. A woman was told she might have multiple sclerosis after developing numbness, fatigue, and cognitive problems. Her MRI showed nonspecific white matter changes. Two years later, Lyme

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Is This Neuropathy or Small Fiber Involvement in Lyme Disease?

Could Lyme disease be causing neuropathy?

Could Lyme disease be causing neuropathy? Could Lyme disease be causing neuropathy? This question arises when burning, tingling, buzzing, or pressure appears in one area, fades, and then resurfaces elsewhere days or weeks later. In tick-borne illness, symptoms that raise concern for nerve damage are often dynamic, reflecting immune and nervous system processes rather than

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