Do I Need IV Antibiotics? He Asked What Many Eventually Ask He sat across from me and voiced something countless patients eventually reach: Doctor… do I need IV antibiotics? The patient struggled with cognitive slowing, neuropathic pain, persistent headaches, sleep disruption, and mild dizziness. He was improving slowly with oral antibiotics — but anxious he […]
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Can a tick bite make me sick years later? This is one of the most common — and most difficult —questions patients ask. It often follows a long period of good health before the gradual or sudden onset of fatigue, joint pain, cognitive changes, neurologic symptoms, or unexplained inflammation. In many cases, patients never noticed
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Why do I look normal but feel so sick? Patients with Lyme disease often ask this question when they look normal but feel so sick every day. Even when they appear well to others, they may be struggling with exhaustion, brain fog, dizziness, pain, and a sense that their body is failing them. Lyme disease
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Synovectomy for Lyme Arthritis She had been ill for nearly two years when synovectomy for Lyme arthritis was recommended. Her knee remained swollen, painful, and limiting despite treatment for Lyme arthritis. She had completed antibiotic therapy. When the swelling persisted, she was told the infection had been treated and what remained was inflammation. Surgery was
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Spinal Tap Leak After Lyme Testing: When Symptoms Worse When Lyme Symptoms Worsen After a Spinal Tap Lumbar puncture is sometimes performed in patients with suspected neurologic Lyme disease to aid diagnosis. However, the relationship between spinal tap leak and Lyme disease is often overlooked, particularly when symptoms worsen after testing. In some cases, the
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Visual Snow Syndrome: When the World Looks Like Static Visual snow syndrome is a neurologic condition in which people see constant visual static—often described as television-like noise—despite normal eye exams. Patients frequently struggle to explain what they see. Some describe graininess across their entire visual field. Others notice flickering dots, shimmering air, or a haze
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How to Exercise in Lyme Disease When You’re Homebound The Moment Everything Changed: Beginning Exercise in Lyme Disease My patient didn’t ask how to get back to running. She whispered, “I tried to do a little more… and now I can’t get off the couch.” Her experience is something I see often when patients try
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Lyme vs Long COVID: The Overlap Doctors Need to See When Lyme vs Long COVID Feels Impossible to Tell Apart “Is this Lyme… or long COVID?” Patients ask me this with a mix of fear and exhaustion. They describe the same constellation of symptoms — the brain fog that makes conversations feel slippery, the dizziness
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Lyme Alcohol Intolerance: Why Can’t I Tolerate Alcohol Anymore? Many patients describe feeling foggy, overstimulated, shaky, or unsteady after drinking—not relaxed. This mismatch is one of the earliest signs that alcohol tolerance has changed in Lyme disease, and it reveals a nervous system struggling to operate within narrower limits. In my practice, I’ve learned to
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Post-Exertional Malaise in Lyme Explained A Clinical Guide to Post-Exertional Malaise in Lyme Disease Patients often tell me they can complete a workout or a busy day without any immediate problem, only to crash hours later. This phenomenon—called post-exertional malaise Lyme patients frequently experience—is one of the most misunderstood patterns in post-infectious illness. Instead of
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