Author Archive

Lumbar Puncture Helpful for Diagnosing Lyme Neuroborreliosis?

https://danielcameronmd.com/lumbar-puncture-helpful-for-diagnosing-lyme-neuroborreliosis/

Lumbar puncture helpful for diagnosing Lyme neuroborreliosis?

patient getting lumbar puncture to diagnose lyme neuroborreliosis

Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing a case which examines the diagnostic value of a lumbar puncture in Lyme neuroborreliosis.

The case was first described by Portales-Castillo and colleagues in the journal Cureus in a paper entitled “To Lumbar Puncture or Not to Lumbar Puncture.” The authors presented a case of “early disseminated Lyme neuroborreliosis with manifestations of facial palsy and painful radiculoneuritis as determined by clinical and serological criteria.”¹

A 61-year-old woman was admitted to the hospital with an inability to close her left eye and an odd sensation on part of her face. She presented with erythematous raised circled rash and swelling on the base of the index finger of her right hand.

She thought she might have been bitten by a spider two days prior and was therefore treated with cephalexin for a presumed cellulitis.

Three weeks later, she started to develop posterior dull neck pain, along with bilateral arm pain and arm weakness. Her symptoms progressed to the point where she could no longer comb her hair.

CLICK BELOW TO WATCH VIDEO DISCUSSION OF THE CASE

“The pain later became associated with progressive arm weakness, which continued to progress over the following three weeks up to the point where she could not comb her hair,” the authors wrote.

The woman then developed Bell’s palsy. A Lyme disease IgM Western blot test was positive, consistent with acute Lyme disease.

“Our case aimed to highlight the controversy on the diagnostic utility of cerebrospinal fluid (CSF) analysis in certain presentations of [Lyme neuroborreliosis].”

A spinal tap was recommended but not performed. “She politely declined as she wondered if the treatment decision would be altered by the results of an invasive procedure,” wrote the authors.

Instead, she was treated empirically for Lyme disease.

“After discussion with the neurology and infectious disease consultants, the diagnosis of early disseminated Lyme neuroborreliosis manifesting as painful radiculoneuritis, motor weakness, and facial nerve palsy (so-called Bannwarth syndrome) was considered a strong possibility based on her clinical presentation and serologic criteria,” wrote the authors.

The woman’s Bell’s palsy and pain resolved after 4 weeks of treatment with doxycycline, prednisone (60 mg for 5 days) and eye drops. In addition, there was marked improvement in her weakness.

At her two-week follow-up appointment, the woman reported having a “complete resolution of her facial weakness and pain along with marked improvement in her weakness, which did not recur after successful course completion,” the authors wrote.

Spinal tap controversy

“[Lyme neuroborreliosis] remains a challenging diagnosis and often warrants spinal fluid analysis, particularly in the context of acute meningitis,” wrote the authors. “However, the ultimate decision to obtain a lumbar puncture (LP) in such patients with facial palsy and peripheral neurological symptoms remains controversial.”

Guidelines are divided over whether to take an individualized approach for spinal fluid analysis or relying on spinal fluid analysis for the diagnosis.

Cerebral spinal fluid (CSF) tests are not reliable, given that the increase in the number of white cells in the CSF (called pleocytosis) can be raised from other illnesses.

A finding of an elevated B. burgdorferi antibody in the spinal fluid has been helpful. However, the ration of CSF: serum antibodies should be 1.3 or higher. In other words, the CSF antibodies must be 30% higher than the serum antibodies. In some cases, the CSF B. burgdorferi polymerase chain reaction (PCR) may be positive.

The sensitivity of the spinal tests can be low. Only 1 in 27 patients with neurologic Lyme disease had a pleocytosis and that was only 7 cells. One other patient with neurologic Lyme had CSF antibodies but the ratio was only 1. Other studies have shown higher sensitivities. Other CSF tests have been examined including the CXCL13 chemokine biomarker in CSF.

“To Lumbar Puncture or Not to Lumbar Puncture”

A spinal tap may be important to rule out alternative diagnoses. “The need for an LP in suspected cases of LNB remains a clinical decision that needs to be tailored to the specific clinical situation, favored when diagnostic uncertainty is present, and potentially spared when the clinical suspicion for LNB is high,” wrote the authors.

The following questions are addressed in this Podcast episode:

1. What is neurologic Lyme disease?
2. What were the neurologic findings for this patient?
3. What is Bannwarth syndrome?
4. What is a spinal tap?
5. Why is a spinal tap useful and what is the accuracy?
6. What are the findings in a spinal tap of someone with neurologic Lyme disease?
7. What are problems with reliability of the test?
8. Do you discuss “To Lumbar Puncture or Not to Lumbar Puncture” with your patients?

Inside Lyme Podcast Series

This Inside Lyme case series will be discussed on my Facebook page 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.

References:
  1. Portales-Castillo C A, Said M (September 14, 2021) To Lumbar Puncture or Not to Lumbar Puncture: A Case of Lyme Neuroborreliosis. Cureus 13(9): e17970. doi:10.7759/cureus.17970

Lyme Caregiving Webinar: Providing Care Without Losing Yourself

https://mailchi.mp/ilads.org/webinar-lyme-caregiving-providing-care-without-losing-yourself

PATIENT EDUCATION WEBINAR

Tuesday, February 15, 8 PM ET

Lyme Caregiving – Providing Care without Losing Yourself

Presented by: Nicole D. Bell

Description:
Chronic illness often results in not one but two patients: the person ill and the person caring for them. Nicole Bell was successful in nearly every challenge sent her way until her husband became sick with early-onset Alzheimer’s caused by Lyme disease and Bartonella.

Nicole will share her story along with the lessons learned and the tools that helped her survive. Caregivers in the Lyme community and patients seeking to understand the caregiver’s perspective will want to attend this powerful event.

Registration Information:
This webinar will be recorded and made available to all registered attendees. The audience will be in listen-only mode but questions can be submitted via the Q&A feature in Zoom. Registration fee: $25

Register Now
Nicole D. Bell

Nicole Bell is an author, entrepreneur, and advocate for tick-borne and neurodegenerative diseases. She advanced her professional career as an engineer and program manager and spent the past 15 years in medical devices and medical technology. She became an executive in a fast-growing medical device company, where she built a world-class team in surgical robotics. But when her husband became chronically ill, she took on her most challenging roles yet: caregiver and medical proxy. Her memoir, What Lurks in the Woods, details the harrowing experience and seeks to help others navigating chronic conditions.

Originally from Boston, Massachusetts, Nicole earned a Bachelor’s and Master’s of Science in Materials Science and Engineering from MIT and a Master’s of Science in Biomedical Engineering from Duke University. She currently lives near Raleigh, North Carolina, with her two children and a spunky little rat terrier. For more info, see http://www.nicoledaniellebell.com.

Australian Mortician: Vaxxed Cremated in Droves

https://www.infowars.com/posts/this-is-just-devastation-funeral-industry-insider-says-shes-inundated-with-heart-attack-stroke-blood-clot-victims/  Video Here

Excerpts:

A funeral worker in Sydney, Australia, says the deceased are being cremated in droves after dying from “vaccine”- related side effects – and warns children are next.

The mortician interviewed at a recent rally said she’s come across numerous young men who’ve died from “heart attacks, strokes and blood clots.”

“Some of the places are actually installing extra-large freezers that hold a minimum of 20 – and some of them are ordering eight big containers that each hold 20 bodies,” she added.

For more:

Grand Jury Proceeding for COVID Crimes Against Humanity – Expert Witness Testimony Begins Feb. 12, & 80% of Serious COVID Cases & 4 Of Every 5 Deaths are Fully Vaxxed

https://dailyexpose.uk/2022/02/08/grand-jury-expert-witnesses-testify-saturday/  Video and Transcript Here

Grand Jury Proceeding for Covid-19 Crimes Against Humanity – Expert Witnesses’ Testimonies Begin Saturday, 12 February

 

On Saturday 5 February 2022 lawyers gave their opening statements at the Grand Jury Proceeding by the Peoples´ Court of Public Opinion, an international natural law court.  Attorney at Law Dr. Reiner Fuellmich from Germany gave his opening statement which included an overview of the expert witnesses that will testify before the court. 

See link above for 18 min. video of Dr. Fuellmich’s opening statement and the transcript.

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https://dailyexpose.uk/2022/02/08/80-of-serious-cases-of-covid-are-the-fully-vaccinated-in-pfizer-ceos-world-lab/

80% of Serious Cases of “COVID” Are The Fully Vaccinated in Pfizer CEO’s “World Lab”

 

Israel has been the “recognized global leader in COVID-19 vaccination coverage” according to the Israel Journal of Health Policy Research say that they have published a series of papers on this topic, which they say is “in an effort to enable other countries to learn from Israel’s success in this area.”

They are probably right, they have allowed the rest of the world to “learn” from them, but what exactly have they taught us?  (See link for article)

Excerpts:

In the Israel study incidentally, all transmissions between patients and staff occurred between vaccinated individuals, who were also masked, which was also experienced in an outbreak from Finland [source].

So already back in July 2021 we did learn something from the world lab, that is the vaccination did not prevent what was being termed “COVID-19 outbreaks” as 96.2% of the exposed population was vaccinated which did not stop “the infection” from advancing rapidly (many cases became symptomatic within 2 days of exposure), and viral load was high (source).

“Right now, most of our severe cases are vaccinated,” Jerris told Channel 13 News. “They had at least three injections. Between seventy and eighty percent of the serious cases are vaccinated. So, the vaccine has no significance regarding severe illness, which is why just twenty to twenty-five percent of our patients are unvaccinated.”

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https://dailyexpose.uk/2022/02/08/australias-pandemic-of-the-fully-vaccinated-2/

Australia’s Pandemic of the Fully Vaccinated | 4 in every 5 Covid-19 Deaths are among the Fully Vaccinated according to official Government Data

By on

Australia is very much in the midst of a “Pandemic of the Fully Vaccinated, with 9 in every 10 Covid-19 cases, and hospitaliations, and 8 in every 10 deaths between 26th Nov 21 and 15th Jan 22 recorded as being among the triple/double vaccinated population.

According to official data, New South Wales (NSW) Australia has seen confirmed Covid-19 cases increase ten-fold since the middle of December 2021, breaking records for the number of confirmed cases in the region since Covid-19 first struck in March 2020.

Excerpt:

This means that between 26th Nov 21 and 15th Jan 22, the vaccinated population accounted for 76% of all Covid-19 deaths, and it also proves that it doesn’t matter how many jabs you get, the Covid-19 injection simply won’t protect you against death, in fact it appears it may make your chances even worse.

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https://dailyexpose.uk/2022/02/06/canadas-pandemic-of-the-fully-vaccinated/

Canada’s Pandemic of the Fully Vaccinated | 7 in every 10 Covid-19 Deaths are among the Fully Vaccinated according to official data; & Trudeau’s Government is trying to cover it up

An investigation of official Government of Canada data has revealed that the fully vaccinated account for 9 in every 10 Covid-19 cases, and 7 in every 10 Covid-19 hospitalisations and deaths across Canada in the most recent wave of infections to hit the country.

This is despite just 6 in every 10 people in Canada being fully vaccinated; suggesting the Covid-19 injections do not only fail to work, they actually make recipients worse. (See link for article)

Important graphs:

Hospitalizations by vaccination status (Dec. 5 – Jan 22):

Hospitalizations by vaccination status (Jan. 9-Jan. 15):
 
COVID deaths by vaccination status (Dec. 5-Jan. 15)
 

COVID deaths by vaccination status (Jan. 9-Jan. 15)

Despite the Government of Canada clearly trying desperately to conceal it, a bit of time, effort, and simple math has revealed that their own data shows Canada is very much in the midst of a ‘Pandemic of the Fully Vaccinated’, with 89% of cases and 72% of hospitalizations and deaths recorded among the fully vaccinated population in the most recent 7 days of available data, despite just 59% of the population being fully vaccinated.

7 Ways to Detox Your Lymphatic System

https://vitalplan.com/blog/total-body-detox-7-ways-to-clear-up-lymphatic-congestion

7 Natural Ways to Detox Your Lymphatic System

By Beth Janes Posted 01-13-2022

Reviewed by Bill Rawls, MD
Medical Director of Vital Plan

To say that your lymphatic system has a lot of responsibility for your well-being is a huge understatement. This intricate “highway” of specialized vessels moves lymphatic fluid from the tips of your toes to the top of your head and to centralized lymph nodes. It helps regulate the balance of all fluid in your body. And its most important function? Detoxification.

It’s the lymph system’s job to pick up and dispose of cellular “trash” like white blood cells, bacteria, viruses, toxins, and other molecular debris from every tissue in your body. That’s crucial, since all cells make waste as a byproduct of their normal processes. “Lymphatic fluid carries all that waste to lymph nodes, which act like garbage disposals to destroy it,” says Dr. Bill Rawls, M.D., Medical Director of Vital Plan.

Unfortunately, there are a number of things that can slow down the system and flow of fluid, resulting in symptoms such as fatigue and sluggishness, brain fog, puffy skin, swollen and stiff joints, chronic headaches, and inflammation. The main cause, says Dr. Rawls, is illness. Which makes sense: There’s simply more cellular junk to dispose of when you’re sick — not unlike how an onslaught of cars during rush hour causes slow traffic.

Sick woman covered in blanket at home in isolation at quarantine

“Chronic illness, in particular, causes congestion throughout the whole body,” Dr. Rawls explains. “When microbes in tissues are flourishing, and more white blood cells are present trying to kill them, they fill up the lymph nodes, causing the nodes to swell, which backs up the whole system.” But it’s not just chronic illness that impedes lymph flow — even a simple cold can trigger swollen lymph nodes, and part of the reason you feel sluggish may be the extra waste your body is trying to dispose of.

Other key causes of lymph fluid slow-down include lack of physical activity and falling short on water intake. That’s because the lymph system is primarily composed of water — if you’re dehydrated, the fluid slows down and inhibits waste removal from the body. Movement of lymph fluid depends on pressure from breathing and muscle movement to move fluid around. So being sedentary or dehydrated is kind of like construction on the highway — it can slow things down to a crawl.

Meanwhile, maintaining a healthy lymphatic system is one of the best ways to support your immune system by quickly and efficiently ridding your body of garbage — and it’s something we have a lot of control over. “That’s empowering when you can say, ‘I can do these few things every day to help keep the lymphatic fluid flowing and keep myself healthy,’” says Vital Plan health coach Belinda Macri, a yoga teacher, Ayurveda practitioner, and health coach.

Here are some simple, everyday ways to clear up lymphatic congestion in your body and boost your immunity in the process.

7 Natural Ways to Cleanse the Lymphatic System

While you can find professional therapists who specialize in lymphatic massage to get fluids in motion again, both Macri and Dr. Rawls point to these inexpensive DIY strategies for effectively keeping your lymphatic system moving and your body’s natural detoxification process humming.

1. Eat Plenty of Fresh Fruits and Vegetables.

A big chunk of your body’s hydration needs should come from water-dense fresh fruits and vegetables, Macri says. This fluid, along with sipping water throughout the day, helps keep your lymphatic “pipes” lubricated and draining properly. For better hydration, Dr. Rawls recommends drinking alkaline water to quell free radicals and decrease inflammation.

A variety of fresh fruits, vegetables top view. Large vegetable and citrus mix collection.

Fresh produce and other minimally processed, healthy foods also help maintain a strong gut-blood barrier, which prevents toxins and food irritants from leaking into the bloodstream (aka leaky gut syndrome). The result is less inflammation and a lower potential influx of toxins that might otherwise clog up your lymphatic system.

2. Sleep in Loose-Fitting Clothes and Undergarments.

At night between 10pm and 2am is when the body naturally goes through a major detoxification process, so make sure you’re allowing the lymphatic fluid the most freedom to move,” Macri says. Garments that dig into skin or are restrictive, especially under the arms or groin area where you have lymph nodes, might partially cut off the natural flow, she says.

3. Take Belly Breaths.

Not only do muscle contractions initiated by deep breathing help move lymphatic fluid, the mindfulness practices that go along with deep breathing are some of the best ways to manage stress. And when it comes to factors that congest the lymph system, “Stress is a biggie,” Macri says.

If you can spend a chunk of time each day in meditation — great. But even taking mini time-outs throughout the day to focus on breathing is beneficial. Macri suggests scheduling 5 minutes of time at 10am, 2pm, and 5pm, and using that time to close your eyes and take three to five deep belly breaths. Here’s how to do it:

black woman in white tshirt taking deep breaths with a smile

“When you inhale, simply allow your belly to fully expand out like a balloon,” Macri says. “It’s a huge de-stresser — truly one of the most powerful things you can do.” Indeed, research suggests slow, deep, conscious breathing helps decrease feelings of anxiety in stressful situations, it may lower blood pressure and heart rate, and it can even boost the immune system. A study in the journal Frontiers in Psychology also found that belly breathing reduces stressful feelings and levels of the stress hormone cortisol.

4. Get a Move On.

Any sort of movement increases the pressure in lymphatic vessels, which is needed to help manually move the fluid along, Dr. Rawls says. Walking, biking, yoga, tai chi, and qigong are some of his top choices.

Feet of sportsmen walking on a road after training outdoors, selectve focus

“If you’re walking, try moving your arms up and over your head and out to the sides,” Macri says. “Even if you’re at your desk, do some squats and move your arms up and down to get the flow going.”

As for yoga poses, sun salutations are an effective sequence, or try individual poses, she says. Poses that invert a part of your body are especially effective as they recruit gravity to help move fluid. Macri recommends the following:

  • Downward-Facing Dog or Dolphin: To do down-dog, come onto the floor on your hands and knees, with your hands slightly in front of your shoulders and your knees under your hips. Exhale and lift your knees away from the floor to straighten your legs (without locking your knees). Lift your sitting bones toward the sky, and gently press your heels toward the floor, so your body is in an inverted V shape. Dolphin is like downward dog, except instead of using your hands, you’re resting on your forearms, Macri says.
  • Legs Up the Wall: This pose is exactly as the name implies. Lay on your back on the floor, with your back in a neutral position (no curve in the lumbar spine) and your bottom touching the base of the wall. Extend the backs of your legs straight up against the wall.
  • Cat and Cow: Start on the floor on your hands and knees, with your hands shoulder-width apart and knees hip-distance apart. Keep your shoulders down as you inhale and tilt your head up toward the sky, drop your belly toward the floor, and arch your back. As you exhale, tuck your chin and round your back toward the sky. Alternate back and forth for several breaths.

5. Bounce Around.

Rebounding — jumping on a small, circular trampoline — also uses gravity and movement to your lymph’s benefit. A mild aerobic workout, it’s often touted as an effective way to get your heart pumping and your lymph fluid moving.

Jumping on an elastic trampoline.This exercise develops coordination.Legs get stronger.

“As you’re jumping, bring your arms up and over your head to create even more movement,” Macri says. It’s also less strenuous — and easier on joints — than jogging, it may help improve balance, and there’s little technique required. “Just jump and jump,” Macri says.

6. Practice Daily Dry Brushing.

Dry brushing has long been used for lymphatic drainage and to improve flow. “The pressure on the skin pressurizes the tissues, which helps push fluid through the system,” Dr. Rawls says.

Macri suggests using a natural bristle brush or loofah for the daily ritual, which is traditionally done first thing in the morning or before a shower. It also helps exfoliate skin, stimulate sweat and oil glands, and boost circulation, all of which invigorate the body, she says.

Woman scrubbing her legs with a brush making skin peeling in the bathroom

Start by brushing the sole of one foot using swift, upward, and circular strokes. Move up to your ankle, then the front and back of your lower leg. “You always want to brush up, or in the direction of your heart or belly button,” Macri says. Move up to the front and back of your thigh and your hip, and then repeat on the other leg, starting again with the bottom of your foot.

Repeat this practice on each arm, starting at your wrists and moving up to your shoulders, neck, and chest. Then move to your abdomen, and continue to brush toward your heart. “It only takes three to five minutes, and you just feel nice and tingly all over afterward,” she says.

7. Lean on Enzymes and Herbs.

Look to those that are known to help break down, bind to, and dispose of proteins, bacteria, toxins, and other substances that can lead to dysfunctional lymphatic flow, including:

cut pieces of burdock rootBurdock root: A gentle herbal remedy, burdock root has been used for thousands of years in traditional Chinese medicine to detoxify the blood and boost circulation. It also has a long history of use for clearing lymphatic congestion and enlarged lymph nodes.

white andrographis flower growing in greeneryAndrographis: This well-known antimicrobial herb contains antiinflammatory properties and is a bitter digestive tonic. Andrographis decreases inflammation, and promotes bile flow, relieving stress on the lymphatic system and facilitating healthy detoxification.

close up of yellow dandelion flowerDandelion root: Like burdock root, dandelion root is known in herbalism as an alterative herb, which means it gently increases elimination of metabolic wastes through all of the major organs of elimination, including the lymphatic system.

close up of pineapple skin Bromelain, papain, and peptidase: All are protein-digesting enzymes, and having these in your system helps break down some of the proteins that contribute to inflammation.

orange turmeric powder pileTurmeric: Responsible for the bright yellow color in curry, turmeric helps balance inflammatory responses. Additionally, the curcumin in turmeric has liver-protectant qualities and inhibits oxidative damage caused by solvents, alcohol, medications, or viruses.

close up of green sarsaparilla leaves and budsSarsaparilla: Derived from the bark of a thorny vine found in South America, sarsaparilla binds to and helps dispose of endotoxins that are released from microbes during die-off.

close up of red root with white flowersRed root: This herb is another one that binds to toxins and flushes the system. A word of caution: red root is a coagulant and can mildly thicken the blood, so it’s best to avoid it if you have a history of cardiovascular disease.

As you can see, detoxing your lymphatic system is a relatively easy and enjoyable way to maintain or restore overall health and wellness. Follow these simple steps, and it won’t be long before you experience a noticeable uptick in energy, focus, and mobility.

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References
1. Choi, Inhu et. al. “The new era of lymphatic system: No llonger secondary to the blood vascular system.” Cold Spring Harbor Perspectives in Medicine. 2012 Apr; 2(4): a006445.
2. Paul, Gina et. al. “A longitudinal study of students’ perception of using deep breathing meditation to reduce testing stresses.” Teaching and Learning in Medicine. 19:3, 287-292
3. Joseph, Chacko N. et. al. “Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension.” Hypertension. 2005;46:714-718
4. Bhasin, Manoj K. et. al “Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways.” PLOSone 2013 May 1;8(5):e62817
5. Ma, Xiao et. al. “The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults.” Frontiers in Psychology 2017; 8: 874

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