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I’m glad the article is in Runners World because I think it has a large distribution. I only learned long after I was infected that I had it and I didn’t learn how small the nymphs were until this year. Perhaps more illustrations of that would help.

I can’t run anyway, but as my Lyme disease has worsened, I’ve developed an inability to do much outside, especially walk in grass or under trees.

One correction though, a coating of Permethrin does not last through 70 washings on clothing unless it is pre-treated clothing from Insect Shield or a similar company. One coating or spraying of Permethrin on clothing lasts up to 6 washings. I wouldn't want people to think they were protected when they weren't.

and remember folks, permethrin is toxic to cats

Let me preface this with a caveat, when you have Lyme disease for an extended period of time (many years), your perception of the world changes. Beautiful meadows no longer look romantic. They look like tick heaven. Picturesque hiking trails are no longer inviting. They feel ominous. Walking under tree cover can feel scary. Piles of leaves are no longer for jumping into or on. Finding a tick in your home, on your family or on you can trigger a “panic attack” - basically Lyme PTSD. These are some of my tick prevention strategies in addition to those mentioned in the article: TICK PREVENTION: 1) Treat your yard 2) Keep deer and nice out of your yard. 3) Keep your grass short, shrubs trimmed with no leaf debris. 4) Spray permethrin for clothing including shoes and hats. 5) Light colored clothing 6) Pets - my dog is white with a crew cut meaning I can see immediately anything that may be on him. He is also primarily indoors with supervised jaunts outside for exercise. 7) Pets take Bravecta or an alternative tick prevention. 8)No walking in long grass, grass near water (remember ticks need water, low humidity is their enemy) or under low hanging branches. 9) There are places which you will just not be able to go. (Example: While on vacation, we bicycled on a paved road to a nature preserve. When we arrived, the docent was very informative. She indicated that they had 8 different species of ticks and that she had never walked on the unpaved logging road to the water without returning with at least one tick. Cue anxiety. As we were walking across the short grass, my husband reached down to brush something from his sock. I caught up and inquired as to what was on his sock. Pause...response: a tick. This is when you check yourself, mount your bicycle and fly back down the paved road at a speed impossible under normal conditions. When your spouse catches up with you, you inform him “I will never go there ever again.” Your friends and family who have not had Lyme disease will likely think you are over-reacting because they were not robbed of years of their life by Lyme or the associated co-infections. They did not spend additional years rehabilitating both body and mind to try to get back to being a percentage of your “pre-Lyme” self. Educate them, but accept your new normal. Remember, all experiences, enrich our viewpoint and increase our vision. Lyme robs you of certain things and gifts you with compassion and empathy...that is the nature of difficult life experiences. This post is dedicated to Dr. Cameron, without his help, my ability to write and laugh might have been lost forever.

Keep up the great work Dr. Cameron. I appreciate the information you share.

Sharing...

LYME DISEASE IN THE SOUTH: 4 CHILDREN INFECTED AT ONE CAMP By Dr. Daniel Cameron 4.3.2020 danielcameronmd.com/lyme-in-the-south-children-infected-camp/?fbclid=IwAR0VMnuPv68p59fyaVxI0izQy4... Some doctors have questioned the existence of Lyme disease in the south, but in their “Morbidity and Mortality Weekly Report,” published January 2020, the Centers for Disease Control and Prevention (CDC) describe 4 cases of Lyme disease in young children who attended a wilderness day camp in North Carolina. [1] The number of tick-borne diseases, including Lyme, has been steadily rising in the South as tick populations expand into new territories. • One study reports, “The trends in these data paint a clear picture of southward expansion of Lyme disease.” • As a result, communities once considered non-endemic for Lyme disease will be at risk, including those in the south, the study warns. [2] The CDC recently reported several children infected with Lyme disease at a single camp, located in the south. • The children, who were between the ages of 6 and 8, attended the wilderness day camp at least 1 day a week in the Fall and Spring. • Three of the four children were homeschooled but attended the camp. • Three children had ticks removed. “Further investigation identified an earlier camp participant who had received a diagnosis of Lyme disease in 2017,” the authors explain. READ MORE: Culture Evidence of Lyme disease in antibiotic-treated patients living in the Southeast Using a “flagging and dragging” method across 0.27 acres of the camp, investigators collected 37 Ixodes Scapularis ticks, commonly called deer ticks. Study Results • Out of 35 ticks tested, 6 were positive for B. burgdorferi sensu stricto, the causative agent of Lyme disease. • “Results indicated that nymphal ticks collected at the campsite had a B. burgdorferi infection prevalence of 17%,” the authors write. • Additionally, 1 of the 6 ticks tested positive for Borrelia miyamotoi. None of the ticks tested positive for the pathogens responsible for Anaplasmosis or Babesia microti. In 3 of the 4 children, blood tests confirmed a Lyme disease diagnosis. • Two of the children had an erythema migrans (bull’s eye) rash. • One was considered probable because the test was positive by ELISA and IgM Western blot but not IgG Western blot. Symptoms and Treatment • The clinical presentations included brief, recurrent attacks of: • joint swelling, • arthralgia, • fever, • headaches, l • oss of appetite, • and fatigue. • One had radiculoneuropathy and Bell’s palsy. All were treated with doxycycline. • The authors did not indicate how long they treated the young children or the outcome of treatment. Authors Conclude • “Clinicians should be aware of the risk for transmission of Lyme disease in North Carolina and consider recommended diagnostic testing and treatment.” • Other studies have also identified ticks infected with the causative agent of Lyme disease in the south. • One study reports, “The trends in these data paint a clear picture of southward expansion of Lyme disease.” • As a result, communities once considered non-endemic for Lyme disease will be at risk, including the southeastern United States, the study warns. [2] Editor’s note: • I hope this cluster of cases in children attending a single camp in North Carolina will remind doctors of the tick-borne problems in the Southeastern USA. Related Articles: Northern immigrant ticks causing concern in the south Kentucky is swarming with deer ticks: over 50% of counties infested Southern nymphal deer ticks in hiding References: 1. Barbarin AM, Seagle SW, Creede S. Notes from the Field: Four Cases of Lyme Disease at an Outdoor Wilderness Camp — North Carolina, 2017 and 2019. MMWR Morb Mortal Wkly Rep. 2020 Jan 31; 69(4): 114–115. 2. Lantos PM, Nigrovic LE, Auwaerter PG, et al. Geographic Expansion of Lyme Disease in the Southeastern United States, 2000–2014. Open Forum Infectious Diseases. 2015;2(4):ofv143. doi:10.1093/ofid/ofv143. Available at www.ncbi.nlm.nih.gov/pmc/articles/PMC4629694/ Dr. Daniel Cameron & Associates 657 Main Street, Suite 2 Mt. Kisco, NY 10549 Tel: 914-666-4665 Fax: 914-666-6271 © Copyright Daniel J. Cameron MD and Associates 2020

i sure more were infected, at all camps. testing isnt accurate still- just give it a few years to lift its ugly head from your childs once perfectly healthy body.

I am 45 and was diagnosed with Lyme, RMSF, Erhlichiosis and anaplasmosis and I had all of that. I still get blurry vision and eye pain and am sick 2 years later.

Absolutely believe this it happened to me twice. The first time I had blurry vision & severe migraines that caused visual disturbances. The second time my vision was just blurry. Once I treated with antibiotics the problems would resolve. I have had 2 separate rashes & the first time I was diagnosed with Lyme was the late 80’s and was treated by a physician who was familiar with Lyme because he not only contracted it but had a home in NH and was smart enough to have me tested back then.

45 years old, been fighting for over 30 years - had/all of these symptoms regularly. Currently add in the ringing in the ears and dark spots in vision to this list - it’s been driving me 🤪.

Was told by ophthalmologist twice , that I had diabetes. Had blood work done twice and no diabetes ,, But over a decade with lyme and vision problems,

Yup, my vision has just cleared enough to thread a darning needle.

My eyes are terribly uncomfortable all the time now. Pain, itchy, watery, crusty (sorry yucky) and stingy.

I had all of these except the color vision issue

My eyesight changes daily.

Yup this happens to me also

Vision problems were one of my first symptoms. The ophthalmologist saw in my chart that I had been diagnosed with RA just a few months prior. He LATER told me he thought this was suspicious as I was only 40 ( at the time). He sent me to Wills Eye and told that doctor ( but not me) that he suspected MS. That doctor looked for it and didn’t think so. My ophthalmologist only told me this after I returned for a visit a few years later- using a cane. I told him about all the crazy symptoms. That’s when he told me this story.

This is Cooper-- the vision issues scare us the most.

I've had all those symptoms except for the impaired color vision. That's what can happen when Lyme or any of the co-infections get into the brain and nervous system.

Yes! Lyme disrupted my vision. Floaters...blurry...

Me too 🙋🏻‍♀️

🙋‍♀️

Yes

Me

9 years.

Link in the article does not work. "Changing of the guard" reference proper link FYI www.jbc.org/content/295/2/301.full

We’ve had outbreaks in nursing homes in AR too. I hope all of nursing home staff are wearing masks to protect residents. Prayers for your mom and all nursing home residents 🙏

I recently helped my son renovate an area in his lower level, a nice little apartment, for my ninety year old mother here in Minnesota. She had been going back and forth from her home in a small town in Nebraska. Her (older) friends in a care facility got the virus. They had to send everyone to different facilities.

Our families weigh heavily on our hearts and minds. Speak Psalm 91 over them. Best wishes to you and staff. 😷🙏😊

If you were me, would you think the risk of getting covid-19 by going to medical clinic for lyme treatments outweighs the need to treat lyme? My CD57 is 25, so I have almost no immunity to fight. I know you can’t give me direct medical advice here, but can you say what you would do if you were in this predicament?

The dementia Lyme thing is hard to watch a parent go thru I was there and pulled out reversed loosing my mind in my 50s .

Kinda OT, but in MA, they were removing regular elderly folks from their nursing home so they could turn the facility into a COVID facility! Can you imagine?

Yes, we have one here n The Woodlands Texas that is now on lock down as it has multiple cases of the virus. Very sad.

Just now am seeking resources/info about caring for someone with dementia. Do you have any suggestions?

🙏🙏🙏🙏🙏

I have/had Lyme. (Re treated it over last summer/fall and still deal w breathing issues). I just finished with 10 days of covid19 fever. I did have a few somewhat scary days coughing and painful breathing but my oxygen sat was good and doc reassured me. Thank Gd i am better now.

I have to assume I’m at high risk for severe illness or death. My immune system is sluggish and I have the blood test results to prove it. I get seasonal viruses often and take longer to clear them than anyone else in my house. I’m paranoid about COVID-19 and have been wearing a mask outside since about March 4th.

Any underlying health condition that compromises the immune system poses a risk for the virus. Lyme disease and co-infections certainly fit that description. Lyme patients are at risk for all kinds of illness/infections because of a compromised immune system.

Vaping too

Wondering how many with undiagnosed Lyme Disease are at high risk because of compromised immune function.Wondeting thete are dots to connect if it is true about: 1. Ticks more attracted to people with A type blood 2. Hospitalized Coronavirus patients are statistically higher Type A blood types 3. Plaquenil is prescribed to lessen inflammation in patients with chronic LD and Lupus by down regulating pro-inflammatory cytokines. 4. Pro-inflammatory cytokines being implicated in severe cases of respiratory failure in COVID-19 patients. Particularly, with some young otherwise healthy people succombing to this disease, could they be undiagnosed with LD. And even though COVID-19 incidence maps or immature it is interesting that there is already coincidence with Lyme Endemic regions. More testing may provide a better picture, however I suspect incidence maps of the most serious cases would be revealing to support connections between LD immune dysfunction and COVID-19 if one exists.

My concerns are the inability to access healthcare indefinitely for non covid reasons. Many many offices are closed or telemedicine only. People are turned away from urgent cares. Treatments are cancelled without a plan in place to deal with the ramifications. Specialist offices are claiming to be open yet diverting everyone to the ER for conditions that they manage. The highest risk patients are being forced into the highest risk areas (ER’s) due to sudden extreme disruption or cessation of healthcare with no plan. Healthcare was deemed an essential service yet all/most outpatient services are not accessible. Meanwhile Walmart’s and Petco remain open as usual. As does takeout ????

1 yr. old Baby diagnosed with Coronavirus died this morning in Illinois. Unsure if death was from CV at this time.

A teenager died in Southern California of corona virus. Age 17 and now a teenager age 16 just died in Paris France.

www.dailymail.co.uk/news/article-8160961/LA-teen-denied-care-no-insurance-death.html

nypost.com/2020/03/27/french-teen-is-youngest-known-to-die-from-coronavirus-in-europe/

All I can say is..now some of the population knows a sliver of what us Lyme patients go through. Inadequate testing and treatment. And the flu like symptoms, chest pain, shortness of breath, nausea and like your body is so heavy you can barely get to the bathroom? WE LIVE THAT EVERY DAY FOR YEARS. Plus it doesn't just go away. We can put it into remission but it will still be lurking. Meanwhile you the covid 19 patient had a hellacious 2 to 3 weeks. But at least yours won't come back. Sincerely, a little miffed today

Will there be a second wave of infections once this first one is over? Will a vaccine be safe for Lyme patients to take? How many years does it take for a new disease to become endemic?

I had terrible & severe body aches, chills, fatigue, sore throat, nausea, loss of appetite, out of breath-ness, hot feeling inside my head and on my face but in fact my temperature was between 96F-98F. So, no cough or fever. But since I had come back from Boston right after their first outbreak and spent the weekend with someone who was in the Biogen meeting, I was tested for Covid19 here in Canada. I went into self-isolation. My test took 11 days to come back and it was negative. Yay! It must have been the flu. I kept thinking that since I have Lyme and I usually don’t get any symptoms from cold or flu, maybe this was a good sign that my immune system was fighting a virus for a change. I have no reason not to believe my Covid19 swab result.

I believe I was a false negative. I was sick with shortness of breath , dry cough and wheezing for 14 days. I was not tested until day 12 due to the lack of testing availability. I was given steroids and nebulizer treatments round the clock for days until finally admitted to a NYC hospital for respiratory issues and tested. At this time I had been on zithromax for 3 days and 400 mg of plaquenil per day since I take this drug on a regular basis. I believe delayed testing and possibly the fact that I had been on both hydroxycloroquine and zithromax led me to test negative. My labs at through hospital, according to the docs appeared typical for covid 19. Low lymphocytes(500) very high neutrophils.

After experiencing the unreliability and down right lies of the majority of the medical system, I question the whole mainstream narrative in regards to this virus. So many inconsistencies and contradictions. I feel there is a huge agenda going on worldwide here.

It’s just testing for the virus itself, right, and not antibodies? I’m frequently false negative on antibody tests as my immune system is suppressed. (I even tested negative on a parasite antibody test, even though I KNOW I had them.)

Well, I have a hard time believing something just bc NPR said they talked to four people. And, we aren’t using the same tests and our tests are still evolving. There is too much we don’t know. 🙁

It is truely ashame what CDC has done...or should I say, not done for us Lyme patients. Have lost faith in them also. Extremely, concerned on all levels. Stay positive follow Lyme Warriors and keep that "Vagus Nerve" working. 💚😊💚

Are there any Lyme Patients on here that have tested possitive? Can someone plz reach out to me? Private message if you want

I had a “cold” in January that started with a dry cough(two weeks), then I couldn’t smell. This was long before that symptom became known. Dr. said I had lower lung congestion. I’m good now in Oregon—was in Maine but a lot of other people had that “cold”. Makes me wonder.

Doc. What are your concerns? I’ve been waiting to get tested basically because I’m so used to hearing the “All in your head” thing. But, Seems like too many symptoms to ignore at this point.

My fear is contracting the virus.

welcome to it- i bet symptoms pop up for patients on down the road

I actually don’t believe a word that the CDC says. I can’t help it, they are too untrustworthy.

A new today that will give results in 15 minutes was approved by CDC today. Im glad for our country, and I hope it’s valid and reliable. Too bad after 20 years Lyme test is still 50-50. I guess we can do a lot as a country when we want to. Hopefully, all this attention to viruses and testing will help with Lyme and co- infection testing too.

OMG 😳 I understand these things are ultimately man made, but we rushed to use them because of the number predictions. Now what?

I’m concerned that even with a vaccine, many who are immuno compromised will not have effective responses to have the vaccine function. Because of Lyme and high risk MGUS (hopefully not transitioned—has to postpone week at myeloma institute because of covid), I’ve already been told no immunizations at this point. The tetanus and 2 other bug vaccine I received two years ago has no real immune memory in me. I’m concerned.

I don’t believe a thing anymore.

The tests from China are faulty but aren’t ours made in the US and under FDA approval? www.nationalreview.com/news/china-supplied-faulty-coronavirus-test-kits-to-spain-czech-republic/

There is no test that works correctly once you have lyme. We’ve already been told that we have lupus and mono and everything else and he has none of those things

Yup. The same. I personally don't trust anything they do!

This article is loaded!

People please look at the history of vaccine injuries & who exactly makes money from those patents. Try our friendly CDC & Bill Gates foundation sued by the govt of India for massive vaccine injuries. Please please look at Del Bigtree the Highwire interview with Robert Kenndy Jr. On vaccine safety isses

It’s already been documented these test are 50/50. There’s no accurate testing for covid-19

What’s the difference between Hydrochloroquine and hydroxychloroquine?

Lack of knowledge doesn’t surprise me given the depth and breadth of Lyme denial by Canadian health officials. I’ve read too many stories of people with blatant Lyme symptoms and tick bite history denied testing by doctors because “there’s no Lyme in Canada.”

LACK OF KNOWLEDGE ABOUT LYME DISEASE IN CANADA 3.22.2020 By Dr. Daniel Cameron tinyurl.com/vmhx36f The number of Lyme disease cases in Canada continues to rise. • Climate change, along with other factors, are enabling ticks to expand into the eastern and central provinces of Canada, including southern New Brunswick. • But how knowledgeable are residents in those areas about Lyme disease and how willing are they to adopt protective measures to prevent tick bites? • A new survey provides some answers. Researchers surveyed 137 participants from 11 professional and recreational organizations across New Brunswick between December 2018 and February 2019. • Thirty-six percent of the participants spent time outdoors for their occupation and 64% for recreational activities. • Only one of the participants had been previously diagnosed with Lyme disease in Canada, while 14 were unsure about whether they had ever been infected. • “Of these participants, two reported that their symptoms began six or more years prior to the completion of the survey. • One participant indicated that they were still suffering at the time of the study,” the authors write.¹ Survey participants were asked how frequently they perform protective behaviors. • For example, “How often do you wear long pants to avoid ticks infected with Lyme disease?” Hiking (66%) was the most common activity reported by participants in the recreational group while golfing (12%) was the least. • Other activities included: • sport fishing, home gardening, sport hunting, dog ownership, and recreational paddling. Survey finds residents in Canada are reluctant to use tick bite prevention measures. The most commonly reported activities by participants who worked outdoors included individuals: • who owned a small wood lot, • farmers, • tree planters, • forestry professionals, • and a dog trainer. • Owning a wood lot (63%) was the most common activity, while dog training (2.1%) was the least common activity. Comfort inspires safety behaviors • The only two safety behaviors that occurred more than “sometimes” involved wearing long pants and protective footwear. • However, these behaviors were related more to comfort than to tick bite prevention. The authors noted that “the protective behaviors are only frequently adopted if they protect the individual from immediate discomfort, such as; • long pants protecting one’s legs from scratches and protective footwear preventing foot and ankle injuries.” Individuals were less likely to adopt the following behaviors: • tucking pants in socks, • spraying insecticide on the environment, avoidance of sitting on grass, • and avoidance of walking in long grass. Survey results • “Overall, the entire sample reported a low level of knowledge about Lyme disease,” writes Pierre and colleagues in their article entitled • “Knowledge and Knowledge Needs about Lyme Disease among Occupational and Recreational Users of the Outdoors.”¹ • “Our findings call attention to a desire for further information about all aspects of tick exposure and Lyme disease among individuals that spend time outdoors in New Brunswick,” the authors write. • Furthermore, “behaviors linked to avoiding tick bites are being carried out relatively infrequently.” Questions raised by survey participants • There were a number of questions and concerns raised by the participants that demonstrate their desire to know more about Lyme disease in Canada and the prevalence of infected ticks in their region. • Comments included: • “Knowing which areas are active with Lyme-infected ticks would be very helpful. • I feel like all the precautions are not worth the trouble if my area is not a hot-spot. • I don’t know if some areas are more high risk than others or if the risk is the same across the province, or region.” • “Clear protocol explanations for how to remove ticks and if they should be brought with you to the doctor – how to proceed.” • What are the “side effects, side effects from delayed/neglected treatment?” • “Is there a time limit where the effects of Lyme are permanently irreversible?” • “Is it life-threatening?“ • “How soon should an individual seek medical attention if feeling symptoms of [Lyme disease] LD? • “Why is it so much easier to get a diagnosis for animals than it is for humans?” • “Pets get lots of ticks. • I’ve heard different information about whether cats/dogs can get Lyme disease, • how it affects them (how you can tell they have it), • whether they can transfer it to you, etc.” • “How are physicians trained to deal with this serious disease?” • “Have any advancements been made in diagnosis and treatment?” • “Do you still have to have testing and treatment done in the USA for best results?” Editor’s note: The questions raised by those living in Canada are the same questions I am asked regularly in my practice. Related Articles: Hundreds of infected ticks found in one yard in Canada Impact of environmental changes on tick-borne diseases in Canada Causes for underdetection of Lyme disease in Canada References: 1. St Pierre SE, Gould ON, Lloyd V. Knowledge and Knowledge Needs about Lyme Disease among Occupational and Recreational Users of the Outdoors. Int J Environ Res Public Health. 2020 Jan 5;17(1). Dr. Daniel Cameron & Associates 657 Main Street, Suite 2 Mt. Kisco, NY 10549 Tel: 914-666-4665 Fax: 914-666-6271 © Copyright Daniel J. Cameron MD and Associates 2020

Michael Pappas

LYME PODCAST: HOW TO REMOVE AN ENGORGED TICK IN AN EYELID 3.17.2020 By Dr. Daniel Cameron danielcameronmd.com/remove-engorged-tick-in-eyelid/?fbclid=IwAR0ZuplGaTOrTC3n5_garxQ5MbZt_W22ocN2... Welcome to an Inside Lyme case study. • I find that the best way to get to know Lyme disease is through reviewing actual cases. • I will be discussing how to remove an engorged tick in an eyelid. Jaroudi and colleagues first discussed this case in the journal Case Reports in Ophthalmology in 2020. • “The patient’s mother reported noticing a small foreign body protruding from her daughter’s eyelid which was increasing gradually in size over the course of 5 days,” writes Jaroudi and colleagues in the journal Case Reports in Ophthalmology. “A slit-lamp exam revealed a large tick deeply anchored to the right upper eyelid,” writes the authors. • The girl had visited an animal farm as part of a school trip a few days earlier. • Case report reviews the best way to remove a tick embedded in an eyelid. The doctors removed the deer tick stuck in the eyelid. • “Our surgical approach hereby included total excision of the tick with its attached eyelid,” wrote the authors. • The procedure included removing a small portion of the child’s eyelid along with the engorged tick. The pathologist identified the tick as an Ixodes species, more commonly known as a deer tick. In an open-access article, the authors posted a clear picture of a hugely engorged tick in the girl’s eyelid. • The tick and the girl’s right periorbital swelling and redness with eyelid ptosis are pictured. • Ptosis is when the upper eyelid droops over the eye. • The case report and pictures are available for free at www.ncbi.nlm.nih.gov/pmc/articles/PMC6940453. The risk of Lyme disease from an engorged tick can be as high as 20% in endemic areas of the USA. • The authors stressed the need “to consider antibacterial prophylaxis following tick removal as ticks are blood-sucking ectoparasites and vectors of bacteria, viruses, and rickettsia.” There was no evidence of Lyme disease or co-infections at the time the tick was removed. • The doctors treated the girl prophylactically with oral amoxicillin for 10 days. THE LOGIC BEHIND CAREFUL REMOVAL OF AN ENGORGED TICK • The authors explain their decision to excise the tick and part of the eyelid. • Doctors have been concerned that compressing the body of the tick might also increase the chance the tick might regurgitate toxins and tick-borne pathogens into the wound. The authors were also concerned that “the hypostome or tick head may stay attached to the host with granuloma formation.” • The authors described the classic way of removal of a deer tick. • This includes • “Avoiding unnecessary manipulation of the tick, • grasping very firmly the tick’s mouthparts as close to the skin as possible, • and cleaning the lesion after tick removal.” The authors describe two additional ways of removal of the tick that doctors have warned might lead to regurgitation of the tick-borne infection into the girl: • “applying focal heat to induce release and smothering the tick with petrolatum to induce release.” What can we learn from these cases? 1. Careful removal of a tick is essential. 2. Surgical excision of a deer tick can be effective at preventing regurgitation of tick-borne infections and a granuloma formation. What questions do these cases raise? • What is the best treatment for a tick bite to prevent an infection? • She was treated with ten days of amoxicillin. I am not comfortable with the single 200 mg of doxycycline for a tick bite advised by the Infectious Disease Society of America (IDSA). • I typically treat for 3 to 4 weeks with follow-up to be sure I have a good outcome. • • Is the girl at risk of developing a co-infection that cannot be treated with amoxicillin? • For example, amoxicillin is not effective for common tick-borne infections such as Ehrlichia, Anaplasmosis, or Babesia. • • Will the girl develop chronic illness from the tick bite? • Up to a third of individuals with Lyme disease can become chronically ill. TREATING TICK-BORNE DISEASE IN MY PRACTICE • In my practice, each individual requires a careful assessment. • That is why I order a broad range of blood tests for other illnesses in addition to tick-borne infections. • I also arrange consultations with specialists as needed. Many patients are complex, as highlighted in this Inside Lyme Podcast series. PODCAST IS 5.30 MINUTES. • We need to determine the best course of treatment for a tick bite to prevent chronic illness. Inside Lyme Podcast Series • This Inside Lyme case series will be discussed on my Facebook and made available on podcast and YouTube. • As always, it is your likes, comments, and shares that help spread the word about this series and our work. • If you can, please leave a review on iTunes or wherever else you get your podcasts. Sign up for our newsletter to keep up with our cases. References: 1. Jaroudi MO, Mansour AM, Ma’luf R, Meduri A, Tawil A, Younis MH. Large Tick (Ixodes) Infestation of the Upper Eyelid Presenting as Eyelid Mass and Preseptal Cellulitis. Case Rep Ophthalmol. 2019 Nov 28;10(3):403-407. Dr. Daniel Cameron & Associates 657 Main Street, Suite 2 Mt. Kisco, NY 10549 Tel: 914-666-4665 Fax: 914-666-6271 © Copyright Daniel J. Cameron MD and Associates 2020

I've been taking hydroxychloroquine (Plaquenil) for quite a few months for babesia. I just saw an interview with a pulmonologist who said that hydroxycholoroquine appears to be effective in treating COVID-19, specifically the body's cytokine response to the virus. I feel pretty good about that. My LLMD is nervous about me being on Plaquenil for more than a couple of months, although it's been more than 6 months now. I have asked other doctors about it and they had patients on it (for something other than babesia) for years with no problems. I have been on Plaquenil before and the symptoms come back when I go off it. The symptoms are horrible and excruciatingly painful. Malarone helped for a while, but then it quit working. Plaquenil is the only one that helps me. There is another prescription, but the co-pay is hundreds of dollars per month.

Thank you for writing about this. Buhner has issued an herbal Corona protocol that helps modulate the cytokine storm. Looks very logical but I dont know anyone who has tried it. Do the HIV antivirals or RA drugs that they used in China for Corona help modulate the cytokine storm?

Very concerned in Wisconsin. I will not travel @ this time to New York for my appointment with my LLMD. 😏☮️🐾

I'm not sure, but I feel like crap. Elevated temp, bronchial cough, achy, runny nose, congestion. Called PCP to get THAT referral and he was going to give me a Z Pak. Too funny. I'm taking tetracycline for Lyme from my LLMD. Didn't get my referral. I want to get tested but our hospital requires a referral from our PCP.

Interesting, thank you for looking it up.

My Mom had Late Stage Lyme, now has RA, I have MS and am quite concerned as well.

We are home!! Sam isnt going anywhere! School is closed here and I am on standby from home!!

the above article exceeds 8,000 characters; so i copied/pasted entire post of dan's comments & article to my timeline here broken up for us neuro cognitive patients: www.facebook.com/betty.gordon.3323/posts/794991000989053

It’s hard to stay positive sometimes.

Thanks!