Archive for the ‘Inflammation’ Category

With Unexpected Death, Autopsies Should Look For Lyme Carditis

https://www.lymedisease.org/lyme-carditis-autopsies-mervine/

With unexpected death, autopsies should look for Lyme carditis

By Phyllis Mervine

A friend of mine died last week in her sleep. She was only 49. She wasn’t my close friend, but she was a very close friend of close friends, so it was shocking nonetheless and totally unexpected. Suspecting something cardiac, they scheduled an autopsy. I don’t know her history or if she had any health complaints recently. I also don’t know what they found.

But being a Lyme advocate, I immediately thought of Lyme carditis and decided I should try to educate the forensic pathologist who would be responsible for conducting the autopsy. After all, he was unlikely to look without some prodding and probably was unaware that our county in northern California is a high-risk area for Lyme. I also remembered a talk I had heard a couple of years ago at the Lyme Disease Association conference.

When young people die suddenly

In his talk, a young doctor from the Centers for Disease Control (CDC) described three cases where young people had died suddenly and had donated tissues to a tissue bank for possible transplantation. Testing at the tissue bank showed inflammation in tissue from their hearts, suggestive of Lyme carditis. Further tests were positive for infection with the spirochetes that cause Lyme disease.

Relatives of one patient said he had had a flu-like illness with muscle and joint pain during the two weeks preceding death. The patient also lived with a dog that was reported to have ticks frequently. Another patient had been diagnosed with a cardiac conduction abnormality in the past and was a hiker but had no known tick contact or rashes. The third patient had seen a doctor for episodes of shortness of breath and anxiety the day before he died. He was given anti-anxiety medication but no one suggested Lyme disease, although he lived on a heavily wooded lot in Connecticut and had frequent tick exposure.

The CDC immediately issued an advisory to medical examiners and pathologists in the agency’s MMWR (Morbidity and Mortality Weekly Report): “Three Sudden Cardiac Deaths Associated with Lyme Carditis — United States, November 2012–July 2013.” This is what the article said:

Medical examiners and pathologists should be aware that Lyme carditis is a potential, albeit rare, cause for sudden cardiac death in persons from high-incidence Lyme disease areas. Diffuse, mixed perivascular lymphoplasmacytic infiltrates seen on pathologic examination of heart tissue from patients who have sudden cardiac death in high-incidence Lyme disease areas should prompt serologic evaluation for Lyme disease and further histopathologic examination for spirochetes, including IHC evaluation and PCR.

Resources for the coroner

I thought of trying to set up an appointment with the sheriff/coroner but wanted to do something right away, so I called the sheriff’s office and sent an email, putting the CDC advisory right at the top and asking him to discuss the matter with the forensic pathologist. I added that his deputies are at risk, as are many others in our community who work and play outdoors. I included some other information but the advisory was the main thing.

I suspect I was too late to change protocol on this case, but maybe now that I’ve cracked open the door I can go talk with the sheriff and tell him about our local epidemiological study. I feel it was more about getting myself prepared than anything else. Below is some additional information I may include when I meet with the sheriff.

An article on five cases of sudden cardiac death due to Lyme disease was published in the American Journal of Pathology in 2016. The abstract lists the tests they did, which the pathologist might want to refer to.

“light microscopy, Warthin-Starry stain, immunohistochemistry, and PCR for B. burgdorferi, and immunohistochemistry for complement components C4d and C9, CD3, CD79a, and decorin.”

https://www.ncbi.nlm.nih.gov/pubmed/26968341

There’s also the problem that serology, which tests blood for antibodies, generally has poor sensitivity. All the big labs like ARUP and LabCorp use a strain from NY. IGeneX Lab in Palo Alto includes strains found in California.

Lyme expert Dr. Daniel Cameron has done a nice job of summarizing five cases in a blog. http://danielcameronmd.com/autopsy-study-reviews-cases-due-to-sudden-cardiac-death-from-lyme-disease/

Cardiac Tropism of Borrelia burgdorferi: An Autopsy Study of Sudden Cardiac Death Associated with Lyme Carditis. (March 2016)
http://ajp.amjpathol.org/article/S0002-9440(16)00099-7/abstract

Excerpt:

“Fatal Lyme carditis caused by the spirochete Borrelia burgdorferi rarely is identified. Here, we describe the pathologic, immunohistochemical, and molecular findings of five case patients.”

Mayhe this is something you want to do in your own hometown—preferably before someone dies of cardiac Lyme. They say it is “rare,” but who really knows?

Read the entire case report in the MMWR here https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a1.htm

Phyllis Mervine is Founder and President of LymeDisease.org. She has advocated for the rights of people with Lyme disease for three decades.

_________________

**Comment**

Great article.  It’s a reminder that we all need to pull up our shirt sleeves and go the extra mile educating others just like Phyllis is doing.  Take this info and copy it for future reference.  We all may have an opportunity to do the same thing.

In my study of this fiasco, I’ve noticed that the reason researchers declare something “rare” is because there is no formal record of it.  If we all do what Phyllis is doing, there will be more and more public records (death certificates, case studies, and surveillance reports) for researchers to pull up.

Microbiologist Tom Greer has a fantastic article about how post-mortem work is one of the only ways we are going to get to the bottom of the Lyme Wars:  https://madisonarealymesupportgroup.com/2018/04/13/chronic-lyme-post-mortem-study-needed-to-end-the-lyme-wars/

For information on preparing for brain and tissue donations upon death for Lyme research, please see:  http://whatislyme.com/guidelines-for-brain-and-tissue-donations-for-lyme-patients/

 

Recover From Brain Fog & Lyme Disease Naturally

https://www.linkedin.com/pulse/recover-from-brain-fog-lyme-disease-naturally-gary-blier/

Recover From Brain Fog & Lyme Disease Naturally

Published on June 26, 2018
Gary Blier
Founder, Advanced Cell Training

When most people think of Lyme disease, it conjures up thoughts of rashes, flu-like symptoms, and joint pain. However, there are a significant number of Lyme sufferers who also experience brain fog: agonizing neurological symptoms that leave them feeling drained, irritable, confused, and cognitively lagging.

Brain fog is one of the most common psychiatric manifestations of Lyme Disease. In fact, it’s estimated that 70% of individuals affected by Lyme show signs of cognitive decline or memory loss.

While you may be familiar with brain fog within the Lyme community, you may not be aware of what it is or why it happens. We’ll break it all down for you in this article and provide you with natural solutions you can carry out at home to lift the fog that robs you of a clear mind.

What is Brain Fog?

Brain fog is a term given by those whose brain function is underperforming compared to a normal, healthy brain. It can range from a mild case of “cloudiness” to a more severe case that makes it difficult to perform basic tasks.

Brain fog symptoms include:

Memory loss
Slowed processing
Difficulty thinking or making decisions
Poor concentration
Mood swings
Confusion
Sleep disturbances
Decreased problem-solving abilities
Easily overwhelmed
Low energy or fatigue
Headaches
Depersonalization or dissociation (i.e., loss of emotional connection to others and life)
Other brain fog indicators may include feeling fuzzy-headed, unmotivated, melancholy, or irrational for no apparent reason. It’s also not uncommon for anxiety and depression to accompany brain fog, especially in cases of prolonged illness.

Additionally, brain fog symptoms can wax and wane during periods of high stress, exposure to electromagnetic frequencies and overly stimulating environments, hormonal changes, and during a herxheimer reaction. Symptoms can even intensify with certain moon cycles.

Your Brain on Lyme

Scientists are still trying to understand Lyme disease and how it affects the brain, but several studies have already concluded that Lyme bacteria can impact every aspect of the brain. Medical experts also agree that Lyme and coinfections cause the brain to swell, which can result in neurological or neuropsychiatric symptoms such as brain fog.

One of the most common causes of brain fog are the Lyme pathogens themselves, otherwise referred to as spirochetes. These corkscrew-shaped bacteria deeply embed themselves inside tissues, neurons, and cells. They can cross over the blood-brain barrier and wreak havoc on brain receptors and neural pathways.

When these pathogens die off, they excrete harmful endotoxins and exotoxins that inhibit brain function. If you do not detox properly, these toxins can accumulate and cause brain fog or damage brain tissue. The very presence of such toxins trigger the immune system to go into hyperdrive, releasing more cytokines into the blood, fueling inflammation within the brain and body. Cytokines are small proteins that are instrumental in cell signaling.

To overcome Lyme disease and brain fog, it’s crucial to address all underlying inflammation by making modifications to one’s diet and lifestyle.

Natural Brain Fog Recovery Tips

Get on the road to recovery from Lyme brain fog by taking inventory of the following areas:

Restful Sleep

One of the most significant neurological challenges for people with Lyme is insomnia. More than just a frustrating symptom, disturbed sleep patterns can interfere with healing by damaging the immune system, allowing toxins or pathogens to take root in the body. Insufficient sleep can also raise cytokine chemicals and quinolinic acid in the body that can lead to inflammation and worsen neurological symptoms.

Getting adequate sleep is key to Lyme recovery. Remember, it’s not just about the hours you clock every night, but also the quality of sleep that matters. Your brain and immune system do most of their healing when you are in a deep sleep, so it’s advised to get sleep around 10:00 pm and wake after about 7-8 hours of good sleep.

Need extra help in this department? Ask a medical practitioner about checking your hormones or thyroid levels to see what could be preventing you from getting enough zzz’s.

Anti-Inflammatory Diet

To support your brain health, try an anti-inflammatory diet to give your brain and body the nutrients it needs to heal. Buy organic as often as possible because toxic GMOs and pesticides can cause inflammation and put unnecessary stress on your body.

Eliminate these common offenders from your diet: caffeine, alcohol, refined carbohydrates, gluten, and sugar. All of these are enemies of brain fog and can impair brain function. It’s also best to avoid these substances until after your Lyme recovery.

Click here to read a great article on the top 15 anti-inflammatory foods that can transform your health:  https://draxe.com/anti-inflammatory-foods/

Also, cut out neuro-inflammatory saturated fats and instead up your intake of good or monounsaturated fats. Olive oil, nuts, avocado, and some types of fish have been shown to enhance memory and cognitive function, according to Harvard Medical School.

De-Stress Your Brain

High levels of cortisol, the body’s “stress hormone” have been linked to brain fog. Chronically elevated cortisol can disrupt your symphony of hormones that work intrinsically to keep your body in check. When one hormone falls too low, another one overcompensates to restore harmony.

Routinely check your cortisol levels (preferably via a saliva test) to ensure your levels are in balance. Actively pursue activities that reduce stress and declutter your mind, whether it be meditation, prayer, music, or your favorite hobby. Give yourself permission to unplug from the grid and relax.

Detox, Detox, Detox

Brain fog is often a sign of built-up toxins–Lyme, mold, parasites, or yeast–in the blood and intestines. Consider infrared sauna sessions, or doing light exercise or yoga to stimulate your lymphatic system. Get those toxins moving out of your body!

You may also speak to your healthcare providers about supplements you can take to support your detox pathways. Bentonite clay, activated charcoal, and juice cleanses are generally safe options for cleaning out the sludge.

Another way to help flush toxins out is to stay well-hydrated throughout the day. Multiply your body weight by 67%. The resulting number is the number of ounces of water you should drink daily. For example, a 100-pound person would need 67 ounces of water. Divide that by 8 – the number of ounces in a glass of water – and the result is roughly 8 glasses of water per day. Most of us fall far short of this amount.

Self-Healing for Lyme Disease and Brain Fog

You might also need extra support recovering from Lyme disease and brain fog. Advanced Cell Training (ACT) offers a self-healing program that enables your body’s own awesome ability to kill microorganisms – even in the brain. With ACT, you can train your own immune system to respond appropriately to spirochetes, parasites, and coinfections. This simple training process has helped thousands over the last 20 years overcome health issues. Basically, we point out where your body is going wrong and show it how to self-correct and get things back on track.

For more on ACT:  https://advancedcelltraining.com

 

Candida – Signs You Have it & What to Do! The Candida Summit Online & FREE July 9-15, 2018

https://www.linkedin.com/pulse/candida-signs-you-have-what-do-dr-tom-o-bryan/

Candida – Signs You Have It and What To Do!

Published on May 29, 2018
Dr. Tom O’Bryan

Educator and Physician at theDr.com | Celiac Disease/Non-Celiac Gluten Sensitivity/Autoimmunity | Functional Medicine

A Candida overgrowth can be serious, progress to an infection, is often resistant to drug protocols, and it can show up in unexpected symptoms, like cravings, depression, autoimmune diseases…

Click this link to save your seat, and please share this invitation with those you love: http://healthaffiliate.center/863-29.html

In my upcoming interview on The Candida Summit, I will discuss how candida can become systemic and show up in a long list of easily misunderstood symptoms, but how it’s home base is always in your gut.

To make it worse, candida can be extremely difficult to test for and diagnose — and it can cause major health problems and even autoimmune diseases, such as Hashimoto’s thyroiditis, rheumatoid arthritis, ulcerative colitis, lupus, psoriasis, scleroderma, or multiple sclerosis.

So what are common symptoms of candida overgrowth?

* Fatigue, joint pain or Fibromyalgia

* Digestive issues, such as bloating, constipation, or diarrhea

* Difficulty concentrating, poor memory, or brain fog

* Lack of focus, ADD or ADHD

* Irritability, mood swings, anxiety, or depression

* Vaginal infections, urinary tract infections

* Severe seasonal allergies

* Strong sugar and refined carbohydrate cravings

* Skin issues like eczema, psoriasis, hives, and rashes or fungal infections, like athlete’s foot

Click this link to save your seat, and please share this invitation with those you love: http://healthaffiliate.center/863-29.html

Candida overgrowth is not just an innocent “yeast” infection. It interacts with your body’s organs, like your brain, your hormone balance and your body’s ability to detoxify through your liver.

It is NOT your fault. There are so many causes behind candida overgrowth, like the use of antibiotics, a high sugar diet, allergies and food sensitivities, stress, alcohol, immunosuppressive illnesses, use of NSAIDs, and even birth control.

At this event, you will learn how to identify if you or a loved one may be suffering from an overgrowth, or worse. And strategies for addressing candida and the issues that often accompany it, like heavy metals and parasites.

If you have wondered about this, or if you have health concerns that are not getting answers yet, this Summit may be the answer.

To your health,

Dr. Tom O’Bryan

PS: Even if you can only listen to two or three of the interviews – or just one per day, this event addresses a condition so stealth and often even found at the heart of conditions like cancer and dementia. Click here to save your seat at this event, at no cost, as my guest: http://healthaffiliate.center/863-29.html

 

Suicide Poses a Complicated Risk in Those With Infectious Diseases

https://www.contagionlive.com/news/suicide-poses-a-complicated-risk-in-those-with-infectious-diseases

Suicide Poses a Complicated Risk in Those with Infectious Diseases

JUL 02, 2018 | JARED KALTWASSER

A diagnosis of an infectious disease can be devastating for patients. Even as more effective treatments become available for infections such as HIV and hepatitis C, patients who receive a positive diagnosis must prepare for significant life changes and new burdens.

As physicians struggle to keep up with the latest treatments and therapeutic research, a growing body of evidence is highlighting another problem closely tied to infectious disease: suicide.

The first half of this month (June) was marked by a pair of high-profile suicides, prompting a national discussion about risk factors and prevention. When it comes to infectious diseases, suicide is a major problem, but one that is difficult to address because its cause is difficult to isolate.

“It gets very messy and hard to pinpoint an exact cause [of suicide],” said Travis Salway, PhD, a post-doctoral fellow at the University of British Columbia’s School of Population and Public Health and the British Columbia Centre for Disease Control.

The problem can be related to psychological and psychiatric factors, stress, pain, and chemistry. And sometimes, it can even be linked to the treatment for the underlying infection.

Though the issue is complicated, the statistics are clear. Salway’s research, which focuses on health disparities for LGBT individuals, found that nearly 1 in 4 (22%) gay and bisexual men who are HIV-positive reported suicidal ideation within the past year. Five percent of respondents to Salway’s survey reported a suicide attempt within the past year.

Another 2010 study found that although suicide rates dropped significantly among the HIV-positive population after the introduction of highly active antiretroviral therapy (HAART), the HIV-positive suicide rate was still 3 times higher than the general population.

However, the issue of suicidality among patients with infectious diseases is not just an HIV story.

Reports have shown increases in depression and suicidality among patients with hepatitis C (HCV) infections, and among those who received interferon therapy.

Contagion® Editorial Advisory Board member, Robert C. Bransfield, MD, a psychiatrist who has studied links between infectious disease and suicidality, said interferon therapy marked something of a turning point. Although it didn’t cause depression or suicidality in every patient, the occurrence was significant enough to cause people to look more closely.

“You’re activating the immune system. Immune activation helps fight the infection, but immune activation can also alter neurochemistry and make people feel suicidal,” Dr. Bransfield said. “That was the first time there was a drawing of a connection that there’s something there.”

More recently, Dr. Bransfield has been studying the relationship between Lyme-associated diseases and suicide. Last year, he published a study estimating that at least 1,200 people in the United States with Lyme-associated diseases commit suicide each year. That’s out of a total of 40,000 documented suicides (it is believed the number could be significantly higher if undocumented or poorly documented suicides were added).

Why the apparent link between infectious disease and suicidality, especially when HCV, HIV, and Lyme disease can all be treated with increasingly effective medications? Dr. Bransfield said there are multiple reasons.

In some cases, the issue may have to do with the stress of chronic pain, the potential to lose or miss work, or social stigma.

“That could be a psychological reason,” he said. “But separate and apart from that, there’s a physical thing that pushes people to suicide.”

In fact, a growing body of research has suggested that inflammation is linked to suicide.

“When you’re in a pro-inflammatory state, the risk of suicide is greater,” shared Dr. Bransfield.

Inflammation sets in motion a chain reaction, disrupting the kynurenine pathway, which leads to an increase in quinolinic acid.

“Quinolinic acid then works on the N-Methyl-D-aspartic acid (NMDA) site, and the NMDA site is a receptor in the nervous system,” he said. “When it hits that, it can make someone suicidal.”

That knowledge opens up significant new areas of research, but it also forces something of a change in the mentality of the medical community.

It forces us to not be so fragmented within our specialty,” Bransfield explained. “Psychiatrists have to think of other specialties and general medicine and keep current, but so do infectious disease doctors. Infectious disease doctors can’t just view themselves as the authority in their field without thinking about how their fields connect to other fields, such as psychiatry.”

Aside from the physiological links between infectious disease and suicide, Dr. Salway said the issue is further complicated by the fact that many patients in some of the highest-risk categories have multiple risk factors for suicidality.

“We know that factors like loneliness or poor self-esteem, substance abuse, exclusion from your family, seem to be associated with the sexual behaviors that transmit HIV,” he said. “There tends to be a clustering of health problems.”

The idea that multiple risk factors are often at play, is known as syndemic theory. Proponents of syndemic theory argue for a more holistic approach and acknowledging that a patient may have had significant issues and risks for suicide and depression long before they actually contracted HIV.

The theory can be helpful for physicians because it emphasizes areas where they can make a difference.

“Unfortunately, in general practice even in high-risk populations, it’s remarkably difficult to identify people who are imminently suicidal,” explained Dr. Salway. “We don’t have the screening tools to know who needs to be provided immediate care.”

By thinking holistically, physicians can reduce the risk of suicide in HIV-positive patients by addressing other risk factors.

“The current recommendations are actually to bolster the options for things like substance use treatment, depression treatment—things that we know often go hand-in-hand with suicidality,” he said.

Whenever he presents his findings, Dr. Salway finds providers are eager to try and address the problem of suicidality.

“It’s not that they’re not concerned or compassionate about [suicide prevention among patients with HIV], and some are very well aware of it,” he said. “But, we do have a gap in telling physicians how to respond to it. That’s hard to do without better tools around suicide prevention, generally.”

In the clinic, Dr. Bransfield said physicians should not be afraid to ask patients about suicidality, something that often doesn’t happen.

“You don’t hurt anyone by asking,” he said. “You don’t plant the idea there.”

He added that physicians ought to do a better job of reading literature from other specialties. “I think it’s good for infectious disease doctors to brush up and get more current with their knowledge of psychiatry,” he said.

Another way to help, but one that requires resources from public health agencies, is better access to care. A 2017 study in The Lancet found HIV-positive men, in particular, are at a higher risk of suicide (twice the rate of the general population). However, the rate was 5 times higher during the first year after diagnosis, suggesting that treatment and the possibility of controlling the disease long-term can have a positive impact.

“These findings highlight the importance of prompt diagnosis and linkage to care as major public health interventions to reduce premature mortality,” wrote Sarah Croxford, MSc, of Public Health England, and colleagues. “HIV testing should be further expanded outside traditional settings to reach vulnerable populations and patients supported across the HIV care pathway.”

Dr. Salway added that support groups and community organizations can also play a role. HIV support groups, for instance, can help foster conversations about mental health, encouraging people to be more open about their struggles.

Though the challenge is complicated, Dr. Salway is gratified that people who know about the issue seem to want to fix it.

“I think people will start to push this along,” he said. “I’m optimistic.”

____________

**Comment**

Great article.  I agree whole-heartedly about the importance of a support network such as a support group.  If you’ve never considered that before, please do.  You can find Lyme/MSIDS support groups by going to the right side of the website and scroll down to “Lyme Resources,” and by clicking onto “Find a Lyme Support Group.”  It is so cathartic to be in a room full of people who “get it.”  You can also ask a lot of questions and become educated.

I also whole-heartedly agree about the need for medical professionals to “cross train,” as the integration of body, mind, and spirit can never be overestimated.  Since Lyme/MSIDS can be anywhere in the human body, it’s imperative medical professionals are open-minded about manifestations and realize that once it gets into the central nervous system, cognitive and psychological manifestations can be rampant.

A great example is that a prominently experienced LLMD in Wisconsin states 80% of his PANS/Autistic patients also have Lyme/MSIDS.  This article shows how one doctor connected the dots just in time for two patients who fell through the cracks:  https://madisonarealymesupportgroup.com/2017/10/01/panspandas-steroids-autoimmune-disease-lymemsids-the-need-for-medical-collaboration/

Right now, “Brain on Fire,” is showing on Netflix:  https://madisonarealymesupportgroup.com/2018/06/26/netflix-currently-showing-brain-on-fire/

It is also a book:  https://www.nytimes.com/2012/12/23/books/review/brain-on-fire-by-susannah-cahalan.html

I highly recommend both.

https://madisonarealymesupportgroup.com/2018/06/14/depression-the-radical-theory-linking-it-to-inflammation/  Accepting that some cases of depression result from infections and other inflammation-causing disorders of the body could lead to much-needed new treatments, he argues.

https://madisonarealymesupportgroup.com/2018/01/18/depression-not-caused-by-chemical-imbalance/

https://madisonarealymesupportgroup.com/2018/03/09/aggressiveness-violence-homicidality-homicide-lyme-disease/

https://madisonarealymesupportgroup.com/2018/04/12/psychiatric-drugs-create-violence-suicide-school-shootings-other-acts-of-senseless-violence/

 

Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984262/#__ffn_sectitle

Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus

Monitoring Editor: Alexander Muacevic and John R Adler
Aakash Desai, Gaurav Manek, Anand M Krishnan, Corina Iorgoveanu, Ahmed Zaghloul

Abstract
Lyme disease is a tick-borne illness caused primarily by the spirochete Borrelia burgdorferi. The disease is most prevalent in forested areas endemic for Ixodes tick, which transmits the spirochete. Here, we describe a case of Lyme meningoencephalitis masquerading as normal pressure hydrocephalus (NPH) which initially presented with urinary incontinence, gait instability, and neurological decline. Due to its non-specific symptoms and low incidence, Lyme meningoencephalitis causing NPH like syndrome poses a diagnostic conundrum for clinicians. Awareness of this disease entity is key for prompt diagnosis and treatment.

____________

**Comment**

Normal Pressure Hydrocephalus (NPH), which normally affects older people, is a brain disorder where there’s too much cerebrospinal fluid in the brain’s ventricle which causes trouble reasoning, thinking and walking, as well as loss of bladder control.  There can also be personality & behavior changes, and apathy.  Brain imaging to detect enlarged ventricles as well as MRI’s help with diagnosis.  Causes include hemorrhages, inflammation, and infections, and unknown reasons.

In this case, the patient appeared to have NPH but was rather infected with Lyme.

I know many patients who have excruciating headaches that they would describe as meningal, including myself.  The entire lining of the head hurts.  Some even receive a Chiari diagnosis as the swelling can force the brain to go through the opening of the skull.  For me the best antibiotics were those like minocycline which cross the blood/brain barrier.  I honestly wondered if I’d ever have a day without this head pain.  Good, effective treatment eradicated this but doctors are woefully unprepared.  Please contact your local Lyme support group if you have symptoms for a list of ILADS trained doctors who understand the complexity of this disease and will treat accordingly.

For more:  https://madisonarealymesupportgroup.com/2016/04/02/chiari/

https://madisonarealymesupportgroup.com/2017/06/04/minocycline-for-ms-and-much-more/