Lyme Science Blog

Alcohol and Lyme Disease: When One Drink Hurts After 37 years treating Lyme disease, I’ve learned that alcohol and Lyme disease don’t mix—and for many patients, even one drink can stall recovery. In my practice, I’ve seen this pattern often. A patient is making progress, then suddenly crashes after what seemed like a harmless toast […]

Delayed Lyme Treatment: Why Waiting Can Be the Wrong Call In my clinical experience, some of the most difficult cases I’ve seen began with one decision: “Let’s wait and see.” Delayed Lyme treatment is often framed as cautious or conservative. But for many patients, it’s the start of a long, complicated illness. Let’s look at

Babesiosis Treatment: My Go To Clinical Tips Babesiosis treatment is often overlooked—especially in patients who also have Lyme disease. Babesiosis is a malaria-like illness caused by microscopic parasites that infect red blood cells. It’s frequently found alongside Lyme, but just as often, it’s missed. Unlike Lyme, which is caused by the bacterium Borrelia burgdorferi, babesiosis

Chronic Lyme Disease Controversy The chronic Lyme disease controversy centers on one question: can Lyme infection persist after standard treatment, or are lingering symptoms something else? The answer has divided clinicians, researchers, and public health authorities for decades. For many patients, the consequences are personal. They are told their tests are negative, their symptoms should

Lyme disease misdiagnosed as Long COVID After 37 years treating Lyme disease, I’ve seen an increasing number of patients diagnosed with Long COVID when infection was the underlying cause. A woman was told her fatigue, brain fog, dizziness, and poor sleep were just viral aftereffects. Some reassured her it would fade. Others told her it

What to Do After a Tick Bite: Wait or Treat? If you’ve been bitten by a tick, one of the first questions that comes up is: What should I do now? Deciding whether to wait or start treatment early is one of the most important decisions after a tick bite. Knowing what to do after

Tick Bite Ethical Concerns: Rethinking the single dose of doxycycline This article reflects broader ethical issues in medical diagnosis when certainty is lacking—especially in early tick-borne illness. Tick Bite Ethical Concerns Start with False Reassurance A woman walked into my clinic six weeks after a tick bite. She’d been given a single dose of doxycycline

Autonomic Dysfunction in Lyme Disease: Why Symptoms Fluctuate Autonomic dysfunction in Lyme disease often explains why symptoms come and go, worsen with stress, and persist despite normal testing. Key Insight: If your symptoms fluctuate, don’t match test results, or affect multiple systems at once, autonomic dysfunction may be driving the pattern. In clinical practice, autonomic

Traveling with Lyme Disease: Realistic Strategies for Summer As a Lyme disease expert, I often hear the same concern: “Is traveling with Lyme disease even possible?” The answer depends on the person—but with the right mindset and preparation, many patients can travel while honoring their body’s limits. Whether you’re dealing with fatigue, POTS, food restrictions,

Single Dose Doxycycline For Tick Bite – Ethical Concerns This post has no ethics hub link yet. Let me add it plus cornerstone links and a proper Related Articles section. What if you did everything right after a tick bite—and still ended up sick? That’s what happened to a 37-year-old woman who followed medical advice