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When Medicine Says There’s Nothing More to Do

When Medicine Says There’s Nothing More to Do

When symptoms persist beyond what medicine can easily explain Author’s note: I wrote this because I often meet patients who have been told there is nothing more to do, even though their symptoms persist. This post explains why that phrase usually reflects the limits of a medical framework—not the limits of a patient’s illness or […]

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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 older. Aging explains some changes, but it should

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Long COVID or Lyme Disease? When Symptoms Don't Add Up

Long COVID or Lyme Disease? When Symptoms Don’t Add Up

He wasn’t losing his mind—he was losing time. Each week blurred into the next as fatigue and fog deepened. When he finally came to my office, he’d already accepted a diagnosis that wasn’t quite right. A patient came to me months after recovering from COVID-19. He still felt drained—exhausted, foggy, and plagued by a burning

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How Do I Parent or Work With Lyme Disease? When Survival Becomes the Job

How Do I Parent or Work With Lyme Disease? When Survival Becomes the Job

The Question Patients Ask in a Whisper: How Do I Parent or Work With Lyme Disease? For many people wondering how to parent or work with Lyme disease, simply getting through the day already feels like a full-time job. Patients rarely ask this question directly at first. Instead, they describe the fear underneath it. They

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Afraid of a Herxheimer? Why Delaying Lyme Treatment Can Backfire

Afraid of a Herxheimer? Why Delaying Lyme Treatment Can Backfire

The Fear Is Real — But So Is the Cost of Waiting 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

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Why Does Lyme Disease Mimic MS or Fibromyalgia?

Why Does Lyme Disease Mimic MS or Fibromyalgia?

Why Does Lyme Disease Mimic MS or Fibromyalgia? Patients often ask this after years of neurologic symptoms, pain, and fatigue that never fully fit one diagnosis. This pattern often leads many patients to receive labels suggesting progressive neurologic or pain disorders, even when infection-related and immune-driven mechanisms may be contributing to their symptoms. Sarah was

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Is This Neuropathy or Small Fiber Involvement in Lyme Disease?

Could Lyme disease be causing neuropathy?

Could Lyme disease be causing neuropathy? This question arises when burning, tingling, buzzing, or pressure appears in one area, fades, and then resurfaces elsewhere days or weeks later.  In Lyme disease, symptoms that raise concern for neuropathy or small fiber involvement are often dynamic, reflecting immune and nervous system processes rather than fixed structural nerve

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When Lyme Disease Mimics a Sinus Infection

When Lyme Disease Mimics a Sinus Infection

Lyme disease mimics sinus infection symptoms so closely that some patients are treated for sinusitis before the underlying cause is recognized. When Lyme disease mimics sinus infection patterns, patients may present with months or even years of facial pressure, headaches behind the eyes, ear fullness, congestion, and a heavy or foggy sensation in the head.

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