Patient details have been modified to protect privacy. A Patient Story Cold extremities in Lyme disease are a common but often misunderstood symptom. A man with Lyme disease described episodes where his hands would become cold and turn pale or bluish, even while sitting indoors. Some days his fingers looked mottled and felt numb; other […]
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Every day, I work with people living with Lyme disease. I see the pain, the confusion, the fatigue, the brain fog—the profound disruption this illness causes in a person’s life. As a physician who has treated thousands of patients with Lyme disease, I see firsthand how delays in research funding translate directly into delayed diagnosis,
Lyme Disease Research Is Moving Too Slowly Read More »
When Lyme Patients Can’t Decide for Themselves Not every challenge in Lyme disease is physical. One of the most complex—and most overlooked—problems arises when Lyme patients can’t decide for themselves, not because they lack insight or motivation, but because the illness has impaired memory, clarity, and cognitive function. These situations raise difficult clinical and ethical
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Lyme disease myths continue to shape how patients are diagnosed, treated, and dismissed in clinical practice. These Lyme disease myths often reduce a complex illness to rigid timelines and narrow definitions that do not reflect real-world patient experience. As a result, many people with Lyme disease are left without answers—or without care. These Lyme disease
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The Chronic Lyme Disease Education Gap: A Crisis in Training and Care The chronic Lyme disease education gap remains one of the most urgent yet underrecognized problems in modern medicine. Many clinicians are well trained to identify early Lyme disease, but far fewer are prepared to manage persistent or relapsing symptoms that may follow—fatigue, cognitive
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This is the first article in a series addressing persistent myths about Lyme disease—beginning with the claim that Lyme disease is cured in 30 days. Many people still believe that Lyme disease is always cured in 30 days. It is a common—and harmful—assumption. For some patients, early treatment does work. But for many others, particularly
The Lyme Disease Myth: Cured in 30 Days? Read More »
Many patients with Lyme disease experience disruptive sleep symptoms, including vivid dreams and night sweats in Lyme disease, intense dream recall, or waking drenched in sweat. These experiences are often attributed to stress or anxiety, particularly when routine testing is unrevealing. However, vivid dreams and night sweats in Lyme disease more accurately reflect disrupted sleep
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A Patient Experience A man with Lyme disease described persistent eye pain and pressure despite repeated normal eye exams. He worried that something serious was being missed, yet ophthalmologic evaluations and imaging were reassuring. The pain fluctuated and worsened with fatigue and stress. Over time, the eye pain gradually improved. This pattern is one I
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If you wake up stiff every morning but feel better as the day goes on, you’re not imagining it. Morning stiffness that improves with movement is a common and meaningful symptom pattern—and it offers an important clinical clue. Many patients describe the same daily experience. They wake up stiff, sore, and slow-moving. Getting out of
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Sciatic pain vs SI joint dysfunction is one of the most frequent—and most challenging—comparisons in patients with low back, buttock, and leg pain. Many patients are told they have sciatica simply because pain travels into the leg. But pain location alone does not define the diagnosis. In clinical practice, SI joint dysfunction is often confused
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