Palinopsia: Why Afterimages Won’t Go Away Quick Answer: Palinopsia is a neurologic condition where images persist or repeat after the original object is gone. It reflects altered visual processing in the brain and may be linked to migraine, seizures, medications, or other neurologic conditions. When Vision Doesn’t Let Go Some patients notice that an image […]
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When Medicine Says There’s Nothing More to Do When symptoms persist beyond what medicine can easily explain Author’s note: I wrote this because I often meet patients who have been told there is nothing more to do, even though their symptoms persist. This post explains why that phrase usually reflects the limits of a medical
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When Symptoms Are Blamed on Aging, Look Deeper When Symptoms Are Blamed on Aging Symptoms blamed on aging are often accepted without question. A patient noticed a gradual decline in stamina as routine activities became exhausting, sleep no longer felt restorative, and shortness of breath appeared with simple tasks. He assumed it was just getting
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Can Lyme cause bladder pain or urgency? She came to see me after months of feeling dismissed. She was experiencing Lyme bladder pain — pressure, burning, and urgency that felt exactly like a UTI, yet every test came back normal. She is not the only one. Many women quietly live with bladder pain due to Lyme
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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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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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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? 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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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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When Lyme Disease Mimics a Sinus Infection Lyme disease mimics sinus infection symptoms so closely that some patients are treated for sinusitis before the underlying cause is recognized. When Lyme disease mimics sinus infection patterns, patients may present with months or even years of facial pressure, headaches behind the eyes, ear fullness, congestion, and a
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