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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Worse After a Spinal Tap? It Could Be a CSF Leak, Not Lyme Progression When Lyme Symptoms Worsen After a Spinal Tap Did your symptoms get worse after a spinal tap? Some patients notice new or worsening headaches, brain fog, dizziness, or fatigue after lumbar puncture—and assume their Lyme disease is getting worse. But in
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Visual Snow Syndrome: Why Symptoms Are Missed Despite Normal Tests 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
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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 Disease Alcohol Intolerance: Why You Can’t Tolerate Alcohol Anymore Many patients describe feeling foggy, overstimulated, shaky, or unsteady after drinking—not relaxed. Lyme disease alcohol intolerance is a common but often overlooked symptom, reflecting changes in autonomic, immune, and metabolic function. In my practice, I’ve learned to see alcohol intolerance not as a character flaw
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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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Black Teeth After Antibiotics in Lyme Disease: Causes and Reversible Solutions A Case That Surprised Both Patient and Clinician One of my patients recently developed black teeth after taking antibiotics for Lyme disease. The discoloration appeared suddenly and was deeply alarming to her — dark streaks and patches that looked like severe decay or even
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