Archive for the ‘Psychological Aspects’ Category

Examining Bartonella With Dr. Burrascano

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Examining Bartonella With Dr. Burrascano

Nov. 1, 2022

Go here for time signatures with topic headings.

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FREE Webinar: Microbial Induced Autoimmune Inflammation as a Cause of Mental Health Disorders in Adolescents

FREE Webinar

Microbial Induced Autoimmune Inflammation as a Cause of Mental Health Disorders in Adolescents

Dec. 5, 2022

2 PM EST/8PM Central European Time (Amsterdam, Berlin, Rome, Stockholm, Vienna)

FREE for members & non-members

Presenter: Daniel A. Kinderlehrer, MD

Register here:  https://us02web.zoom.us/webinar/register/WN_fvmm9RSOTDGOG4G8LyD1OQ

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Imaging Techniques Reveal Brain Abnormalities From Post-Treatment Lyme Disease

https://www.jhunewsletter.com/article/2022/11/imaging-techniques-reveal-brain-abnormalities-from-post-treatment-lyme-disease?

Imaging techniques reveal brain abnormalities from post-treatment Lyme disease

By VICKY ZHU | November 8, 2022  

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COURTESY OF MATT HAUGHEY / CC BY-NC-SA 2.0

Brain imaging techniques can help scientists understand what is going on inside the heads of patient populations.

In their recent study published in PLOS ONE, Dr. John Aucott and Cherie Marvel found that unexpected white matter activity in the brain, a symptom normally considered pathological, was found to be correlated with better outcomes in patients with post-treatment Lyme disease (PTLD).

PTLD occurs in patients who have received treatments for Lyme disease but have yet to fully recover. Persistent complaints about cognitive difficulty are one of the symptoms.

Aucott is an associate professor in the Division of Rheumatology at the School of Medicine. He is also the director of the Lyme Disease Clinical Research Center and a clinical-translational researcher in Lyme disease with a focus on PTLD.

He stressed that PTLD affects 10% to 20% of patients who were previously diagnosed with and treated for Lyme disease in an interview with The News-Letter.

“Post-treatment Lyme disease is not a trivial problem. It is a problem that should be noticed,” he said.

Marvel is a cognitive neuroscientist and an associate professor of Neurology at the School of Medicine. She has been using brain imaging methods to look at different cognitive and motor functions, primarily in clinical populations.

In an interview with The News-Letter, Marvel noted that the complaints of PTLD patients did not align well with the standard cognitive or neuro-psychological testing.

“So we thought we should look inside the brain. The way we can do that non-invasively is through functional MRI,”she said.

Participants were asked to perform working memory tasks while their brain activity was recorded by functional magnetic resonance imaging (fMRI). fMRI measures brain activity by detecting increased oxygen level in areas of activation.

Aucott highlighted that the decision to use an fMRI test for the study was intentional.

“The mystery behind post-treatment Lyme disease is whether there is something biological going on. Tests that are normally available to clinicians, such as regular MRI or CT, scans can’t identify these,“ he said. “So we hypothesized that stress tests under fMRI would be more sensitive to any biological changes.”

All participants performed two tasks. The easier task, which was the control condition, required participants to remember two letters for a short duration. After, the screen would show a new letter, and the participant would need to evaluate whether it was one of the two letters previously shown.

The harder task, which was the experimental condition, required participants to count two alphabetical letters forward of the same two letters and remember the new letters. Then, they were asked if a newly-appeared letter was one of the two new letters.   (See link for article)

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**Comment**

It is disingenuous to use the PTLD moniker for many reasons:

  1. It denies persistent infection
  2. It only includes the smaller subset of patients that have bee diagnosed and treated early and omits the larger subset of patients that are diagnosed and treated late
  3. Those with persistent symptoms may develop secondary psychosomatic & psychiatric disorders.  By using the PTLD moniker, treatment will only address the secondary conditions, but continue to deny life-saving antimicrobials
This is crucial because ignoring these facts will only propagate the continuing under-treatment (or denying treatment altogether) of severely ill patients

SUMMARY:

  • The researchers found expected brain activity in the gray matter but also in the white matter, which wasn’t expected.
  • White matter cells communicate signals between gray matter.
  • The finding caused the researchers to look more closely at the phenomenon.
  • Axial diffusivity (water leaking along the axon) is how the neurons relay electrical signals to each other and increased axial diffusivity was correlated with better outcomes and few symptoms.
  • Aucott states this response appears to be the body’s compensatory response to slower cognitive functions and is similar to a positive response to injury.
  • The researchers want to follow patients longitudinally as well as look for inflammatory markers through cerebral fluid samples.

Swamp Boy: A Teen With Bartonella

https://nowthisnews.com/swamp-boy  Go here for the comic By Kris Newby

Illustrated by Mado Peña. Additional editing by Joshua Davis and Gina Mei.
Co-published in partnership with Epic Magazine.

In 2015, the day before Halloween, a mild-mannered teenage boy suddenly became delusional. He informed his parents that a demonic voice had begun speaking to him. Over the next weeks, his psychosis deepened: He believed he had transformed into his favorite comic book character, the Swamp Thing. And he was convinced that a family cat was possessed and was telepathically instructing him to murder his own brother.

The family panicked. What the hell happened to their sweet boy? Doctors pronounced that the teen had sudden-onset schizophrenia and he was repeatedly sent to a psychiatric ward. “Schizophrenia from one day to the next?” his parents wondered, dumbfounded. The specialists had few answers, so the parents began an 18-month journey to solve the mystery on their own.

This harrowing medical mystery was published in collaboration with NowThis and illustrated by comic artist Mado Peña, who brought the teenage boy’s hallucinations to life.

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**Comment**

This comic is based on the true story of a 14 year teenager with Bartonella which highlights how this common illness can manifest psychiatrically.  It really is a “must read” and should be given to anyone who doesn’t believe how devastating it can be.  Although it’s presented in comic-strip formatting, the material is as serious as a heart attack.

To learn more about Bartonella history, diagnosis, and treatments, watch the medical education courses on Invisible International’s Montecalvo Tick-borne Disease Education Platform.

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Neurological Pain, Psychological Symptoms, And Diagnostic Struggles Among Patients With Tick-Borne Diseases

https://www.mdpi.com/2227-9032/10/7/1178/htm

Neurological Pain, Psychological Symptoms, and Diagnostic Struggles among Patients with Tick-Borne Diseases

1School of Economic, Political & Policy Sciences, University of Texas at Dallas, Richardson, TX 75080, USA
2Laboratory for Human Neurobiology, Boston University School of Medicine, Boston, MA 02118, USA
3Center for Science, Technology, and Innovation Policy, George Mason University, Fairfax, VA 22030, USA
*Author to whom correspondence should be addressed.
Academic Editor: Raphael B. Stricker
Healthcare 2022, 10(7), 1178; https://doi.org/10.3390/healthcare10071178
Received: 3 June 2022 / Revised: 20 June 2022 / Accepted: 21 June 2022 / Published: 23 June 2022
(This article belongs to the Section Preventive Medicine)
Abstract
Public health reports contain limited information regarding the psychological and neurological symptoms of tick-borne diseases (TBDs). Employing a mixed-method approach, this analysis triangulates three sources of symptomology and provides a comparison of official public health information, case reports, medical literature, and the self-reported symptoms of patients with Lyme disease and other TBDs.
Out of the fifteen neuropsychiatric symptoms reported in the medical literature for common TBDs, headaches and fatigue and/or malaise are the only two symptoms fully recognized by public health officials. Of TBDs, Lyme disease is the least recognized by public health officials for presenting with neuropsychiatric symptoms; only headaches and fatigue are recognized as overlapping symptoms of Lyme disease. Comparisons from a patient symptoms survey indicate that self-reports of TBDs and the associated symptoms align with medical and case reports. Anxiety, depression, panic attacks, hallucinations, delusions, and pain—ranging from headaches to neck stiffness and arthritis—are common among patients who report a TBD diagnosis. Given the multitude of non-specific patient symptoms, and the number and range of neuropsychiatric presentations that do not align with public health guidance, this study indicates the need for a revised approach to TBD diagnosis and for improved communication from official public health sources regarding the wide range of associated symptoms.
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