Tick bite antibiotics are one of the most contested decisions in Lyme disease prevention. Depending on which doctor you see, you might get a full course, a single pill, or nothing at all. When it comes to preventing Lyme disease, doctors disagree on the amount of antibiotics to prescribe — and the advice you get […]
Tick Bite Antibiotics: Why Doctors Disagree Read More »
If you’ve been told you’re safe from Lyme disease if you remove a tick within 36 hours, you’ve heard the 24 – 36 hour tick bite myth. This belief is often publicized in brochures, websites, and even at medical conferences. The problem? The science shows it’s not always true and relying on it can delay
The 24-36 Hour Tick Bite Myth Read More »
The Overlooked Link Between Fiber and Lyme Disease When we talk about Lyme disease, the conversation usually centers on infection, inflammation, and immune response—not dietary fiber. But gut health is a powerful ally in immune recovery, and fiber plays a critical role. For patients navigating persistent symptoms, optimizing fiber intake could help restore balance, support
Fiber and Lyme Disease: Can Gut Health Boost Recovery? Read More »
The Patients Who Changed My Path In 1987, I met three patients who would change the course of my medical career. Each had been diagnosed with Lyme disease. Each had already completed treatment. And yet — each remained ill. At the time, I hadn’t been trained to manage Lyme disease. There were no protocols for
Why I Stayed in Lyme Disease Care Read More »
When It’s Hard to Breathe: Could it be Lyme? Shortness of breath can feel frightening — especially when it strikes without warning or a clear cause. While heart and lung conditions are common culprits, there’s another, often-overlooked possibility: Lyme disease. This tick-borne infection doesn’t just cause joint pain and fatigue—it can also affect the nervous
Shortness of Breath in Lyme Disease: What to Know Read More »
Post-treatment Lyme disease syndrome (PTLDS) may involve a persistent Lyme infection — not just a lingering immune response. Yet many patients are never told this is possible. When symptoms persist after antibiotic treatment for Lyme disease, most patients are reassured that their illness is “resolved.” For some people (between 10-20%), symptoms like fatigue, brain fog,
Post-treatment Lyme may signal persistent infection Read More »
Babesia treatment duration is one of the most misunderstood aspects of managing this co-infection. In my clinical experience, treatment often needs to go beyond the standard 7–10 days. I recently treated a patient who failed a 10-day course of atovaquone and azithromycin. He still had fatigue, sweats, and brain fog. We extended therapy based on
Babesia Treatment Duration: When 10 Days Isn’t Enough Read More »
As we continue to grapple with the long-term effects of COVID-19 and deepen our understanding of post-infectious syndromes like Long COVID, it’s become increasingly clear: not all infections resolve cleanly. Some linger, disrupt multiple systems, and defy simplistic explanations. Lyme disease is one of those conditions. For years, Lyme has presented primary care clinicians with
Diagnosing Lyme Disease: A Practical Guide for Primary Care Read More »
Dismissed Lyme Symptoms: When Listening Matters More Than Testing In my practice, I’ve seen patients suffer for years—not just from Lyme disease, but from being told their symptoms weren’t real. They weren’t looking for sympathy. They were looking for answers. Instead, they were dismissed. Patient dismissal stems from persistent Lyme disease misconceptions that continue to
Lyme Disease and Medical Gaslighting: A Barrier to Care Read More »
Lyme Disease but You Look Good: Justin Timberlake and the Myth Lyme disease but you look good—it’s a phrase many patients hear, and few forget. When Justin Timberlake revealed his Lyme disease diagnosis, fans were stunned. He had been touring. Performing. Smiling for the cameras. He looked fine. But that’s exactly the problem. In the
Justin Timberlake – “But You Look Good” Lyme disease myth Read More »
