Chronic Lyme vs PTLDS: What’s the Difference and Why It Matters The debate over chronic Lyme vs PTLDS isn’t just about terminology—it’s about whether patients feel validated or dismissed. :contentReference[oaicite:0]{index=0} Many patients use chronic Lyme disease to describe ongoing fatigue, pain, and brain fog. Some clinicians prefer post-treatment Lyme disease syndrome (PTLDS), a term that […]
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Persistent Lyme Disease Symptoms: Why You May Still Feel Sick FINISHED TREATMENT? STILL NOT BETTER? WHY DO LYME SYMPTOMS PERSIST? Persistent Lyme disease symptoms can continue after treatment, leaving patients with fatigue, cognitive slowing, pain, and other symptoms that affect daily life. Some patients recover quickly after Lyme disease treatment. Others continue to experience fatigue,
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Immune Dysregulation in Lyme Disease: Why Symptoms Persist Immune dysregulation in Lyme disease may help explain why symptoms such as fatigue, pain, and cognitive changes can persist—even when tests are normal and initial treatment has been completed. Many patients improve—but do not return fully to baseline. This page explains why. Clinical Insight: Persistent symptoms in
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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 “NOTHING MORE CAN BE DONE?” WHEN SYMPTOMS STILL PERSIST What does it really mean when you’re told there is nothing more to do—yet your symptoms continue? Author’s note: I wrote this because I often meet patients who have been told there is nothing more to do, even
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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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Lyme Disease vs Long COVID: How to Tell the Difference Lyme disease and long COVID can look nearly identical. Fatigue, brain fog, and nerve symptoms overlap. But the timeline of symptoms often reveals the difference. Lyme disease and long COVID can cause many of the same symptoms—but they are not the same condition. The key
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Parenting or Working With Lyme Disease: What Changes—and What Doesn’t Your capacity may change Your role still matters Productivity is not linear There is a way forward Parenting or working with Lyme disease is one of the most difficult—and least discussed—challenges patients face. Patients often don’t ask the question directly at first. Instead, they describe
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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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