When It’s Not Long COVID—It’s Lyme In the wake of the pandemic, we’ve become more aware of how a virus can lead to long-term, multisystem illness. That’s been a good thing. Patients with brain fog, fatigue, and shortness of breath are no longer automatically dismissed. They’re told it might be Long COVID—and for many, that’s […]
Is it Long COVID or Lyme disease? Read More »
Some infections go away on their own. Lyme disease is not one of them. Each year, I see patients who delayed treatment for Lyme disease—some because they didn’t recognize the symptoms, others because they were told their immune system would “take care of it.” But Lyme disease isn’t like a common cold or mild stomach
Can Your Body Get Rid of Lyme Disease on Its Own? Read More »
“What do you think about SOT?”She looked at me earnestly. She had already been through two rounds of antibiotics, herbal protocols, and a year of chronic symptoms.“I know it’s expensive, but people are saying it helps. Should I try it?” It wasn’t the first time I’d been asked. Patients often come to me with questions
Are you considering SOT for Lyme disease? Read More »
“I finished my antibiotics. I did everything right. So why am I still sick?” That’s what one of my Lyme patients told me—months after treatment. Her fatigue hadn’t lifted. Her memory still slipped. Her symptoms weren’t improving.And she’s not alone. A landmark 20-year study of World Trade Center first responders—recently published in Nature Mental Health—offers
What PTSD Research Reveals About Chronic Lyme Disease Read More »
When patients come to the office with Lyme disease, many have already been treated — yet they’re still sick. Others are newly diagnosed, overwhelmed by strange symptoms and uncertain about what lies ahead. The question most often asked is: “What’s the best treatment?” There’s No One-Size-Fits-All Answer Lyme disease can affect the brain, nerves, joints,
What Is the Best Treatment for Lyme Disease? Read More »
Intravenous (IV) Rocephin, or ceftriaxone, is often viewed as the gold standard for late-stage Lyme disease. And yes, it has an important role. But in my practice, I don’t routinely start with IV treatment—even for patients with chronic manifestations like fatigue, brain fog, nerve pain, or autonomic dysfunction. Let’s break it down—in the form of
Why I Don’t Start with IV Rocephin for Chronic Lyme Read More »
As part of their treatment for Lyme disease, many patients are prescribed multiple rounds or combinations of antibiotics. At some point, they ask: “Will these antibiotics hurt my gut? Should I be taking probiotics too?” It’s a common question—and a smart one. The short answer: yes. But let’s break it down—in the form of a
Should I Be Taking Probiotics While I’m on Antibiotics for Lyme? Read More »
Patients with Lyme disease rarely walk into a clinic with the classic bull’s-eye rash or a clear memory of a tick bite. Instead, they often present with vague, nonspecific symptoms that are easy to overlook — especially when laboratory tests are negative or equivocal. By the time Lyme is considered, many patients have already seen
Forget the Rash: These Are the First Symptoms of Lyme Disease Read More »
When a 21-day-old infant developed a fever and rapid heartbeat just hours after receiving antibiotics for Lyme disease, doctors were faced with a critical question: Was it sepsis—or something else? Could it possibly be a Herxheimer reaction? This case highlights a rare but important phenomenon: a Herxheimer reaction can even occur in a newborn infant.
Lyme disease triggers herxheimer reaction in infant Read More »
A “wait and see” approach in managing Lyme disease can have long-lasting consequences, sometimes resulting in months or even years of unnecessary suffering. In this case, a woman was diagnosed with Post-Treatment Lyme Disease Syndrome (PTLDS). Initially, diagnosed with Lyme disease, she followed every instruction: rest, wait, let the antibiotics work. But months later, her
She Was Told To Wait. Then Told It Was PTLDS. But Her Lyme Infection Never Left. Read More »
