Archive for the ‘research’ Category

IV Ketamine in PTLS

https://www.dovepress.com/effects-of-intravenous-ketamine-in-a-patient-with-post-treatment-lyme–peer-reviewed-article-IMCRJ

Effects of intravenous ketamine in a patient with post-treatment Lyme disease syndrome

Authors Hanna AF, Abraham B, Hanna A, Smith AJ

Published 18 August 2017 Volume 2017:10 Pages 305—308

 

Video abstract presented by Ashraf F Hanna.

Department of Pain Management, Florida Spine Institute, Clearwater, FL, USA

Abstract: Post-treatment Lyme disease syndrome (PTLDS) is a pain disorder for which there remains no gold standard treatment option. Here, we report a case of PTLDS in a female patient whose pain was refractory to treatment options such as radiofrequency ablation, vitamin infusion therapy, opioid analgesics, and other pharmacotherapies. The patient commenced an experimental intravenous ketamine infusion therapy at the Florida Spine Institute (Clearwater, FL, USA) and achieved relief from her chronic pain, an improved quality of life, reduced depression and suicidal ideation, and reduced opioid consumption.

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**Comment**

While I am always on board for relief of patient’s symptoms, PTLS is defined as symptoms remaining after Lyme treatment.  Knowing that this treatment by the mainstream medical establishment is seriously lacking due to the ignorance of borrelia itself (the fact it shape-shifts and persists) as well as the ignorance of coinfection involvement (which necessitates numerous drugs, not just doxycycline) , I question the entire premise of PTLS.  Ketamine may very well be a bandaid covering serious infections that need to be dealt with.

 

Also, it’s important to note what Ketamine is:  http://www.medicalnewstoday.com/articles/302663.php

The drug has hallucinogenic, tranquilizing and dissociative effects, and is one of the recreational drugs used illegally in the club drug scene.

Here are some key points about ketamine:

  • Ketamine was first synthesized in 1962 by Parke-Davis and classified as a controlled substance in the US in 1999.
  • The US military used ketamine as a field anesthetic during the Vietnam War.
  • Ketamine blocks the neurotransmitter glutamate at the receptor, causing a trance-like state and disconnection from one’s environment.
  • Ketamine is the most widely used anesthetic in veterinary medicine.
  • Ketamine is often used as an anesthetic in parts of the world that have limited availability of resuscitation equipment.
  • Because it is odorless, colorless and can render the user unable to move, ketamine has been used as a date rape drug.
  • Ketamine abuse is associated with the use of other “club drugs” including ecstasy.
  • Ketamine is structurally similar to phencyclidine (PCP).
  • Most of the ketamine illegally distributed in the US is diverted or stolen from legitimate sources – particularly veterinary clinics.
  • The complicated, multistep process involved in synthesizing ketamine prevents illicit production of the drug.

A question that begs to be asked is how will Ketamine affect Lyme and other coinfections such as Bartonella which commonly give patients psychiatric symptoms including: hallucinations, anxiety, panic attacks, confusion, memory loss, suicidal ideations, depersonalization, and other cognitive issues similar to side-effects of the drug itself?

Before we simply raise our hands in surrender and take a drug that can put us in a stuporous trance I think we need to continue to do important research as to why patients continue to have debilitating symptoms.

LDA/Columbia 18th Annual Lyme CME Conference: Lyme & Tick-Borne Diseases: What Clinicians Need to Know about an Expanding Epidemic Sept 23-24, 2017

 

LDA/Columbia 18th Annual Lyme CME Conference
Lyme & Tick-Borne Diseases: What Clinicians Need to Know about an Expanding Epidemic

Sept 23-24, 2017
Hilton Penns Landing, Phila., PA. Hotel info

Looking for the real facts on Lyme disease and other tick-borne diseases− what’s happening with coinfections such as Powassan, B. miyamotoi and with Bartonella? What’s new with rickettsial diseases and with tick bite causing meat allergy? Why do Lyme patients often have low blood pressure–how does Lyme affect the heart, breathing, and digestive process when the autonomic nervous system is disrupted? Can Lyme cause optic neuritis? How does inflammation from Lyme affect the brain and how can it be treated? Biofilms and persisters, what are they and are they causing chronic Lyme disease? What are some prevention strategies and have we learned new information from big data?

  Pre-Conference Video, Approx. 3.5 Min

The conference is designed for doctors, nurses and researchers. Those who register for CMEs and CNE’s may receive credit, and the public is also invited to register. An included reception will enable conference attendees to network with the conference faculty.

Thanks to support from the Steven & Alexandra Foundation and IGeneX Labs for this conference.

Click here for Registration and Conference Information:  https://lymediseaseassociation.org/information

 

Bm in Manitoba 2011-2014

https://doi.org/10.9778/cmajo.20170070

Human seroprevalence of Borrelia miyamotoi in Manitoba, Canada, in 2011-2014: a cross-sectional study

 

Background: Hard tick-borne relapsing fever caused by Borrelia miyamotoi has been reported in Russia, the Netherlands, Germany, Japan and the northeastern and upper midwestern United States. We sought to investigate the presence of B. miyamotoi infection in humans in Manitoba, Canada.

 

Methods: Two hundred fifty sera collected from residents of Manitoba with suspected Lyme disease between 2011 and 2014 were tested for Borrelia burgdorferi antibody using a C6 peptide enzyme-linked immunosorbent assay (ELISA) followed by Western blot. Residual sera were then anonymized, stored at -80°C and subsequently thawed and tested for B. miyamotoi antibody using a 2-step glycerosphosphodiester phosphodiesterase-based ELISA and Western blot assay.

 

Results: Twenty-four of the 250 (9.6%) sera tested positive for B. miyamotoi immunoglobulin G. Participants who were B. miyamotoi seropositive were predominantly male (54%) and younger on average than those who were seronegative (32 and 44 yr of age, respectively). Participants who were seropositive for B. burgdorferiwere significantly more likely to be B. miyamotoi seropositive than those who were B. burgdorferi seronegative (20.3% v. 6.6%, respectively, odds ratio 3.6, 95% confidence interval 1.5-8.5).

 

Interpretation: This initial report of human B. miyamotoi infection in Canada should raise awareness of hard tick-borne relapsing fever among clinicians and residents of areas in Canada and western North America where Lyme disease is endemic.

 

Immunization of Mice – No Bb Protection

http://www.sciencedirect.com/science/article/pii/S0264410X17311520

Immunization of mice with Borrelia burgdorferi lp54 gene encoded recombinant proteins does not provide protection against tick transmitted infectious challenge

Abstract

The Borrelia burgdorferi outer surface membrane proteins BBA65, BBA66, BBA69, BBA70, and BBA73 were tested for their ability to confer protection against B. burgdorferi infection challenge. Mice were immunized with recombinant forms of the proteins singly or in combinations. Following initial protein inoculation and booster injections, seroconversion was confirmed prior to B. burgdorferi challenge by tick bite. Despite mice having high antibody titers for each antigen, no significant protections against the challenge infections were observed. These results demonstrate that these recombinant proteins were not protective and reflects the challenges confronted to identify effective novel vaccine candidates for Lyme disease.

 

Fibromyaligia Clinical Trial – Lipid Replacement Underway in Texas

https://www.linkedin.com/pulse/new-cross-over-clinical-trial-using-fibromyalgia-test-garth-nicolson

New Cross-Over Clinical Trial Using Fibromyalgia Patients to Test Membrane Lipid Replacement in Reducing Pain, Fatigue and Gastrointestinal Symptoms
Published on September 12, 2017

A new clinical trial for patients with fibromyalgia living in central Texas has been approved and is seeking patients, including veterans. This trial, “Membrane Lipid Replacement in Fibromyalgia”, is described below. For more information on MLR see: http://www.immed.org/treatment%20considerations/06.11.2016.update/Clinical_Uses_MLR-NicolsonDiscoveries2016.pdf

Description of the Trial

Cellular energy systems are largely located within the mitochondria in cells. Oxidative and other damage to mitochondrial membrane lipids been associated with loss of function leading to fatigue found in aging and disease. We have found that replacement of damaged membrane lipids through the use of oral supplements has been associated with reductions of fatigue in several small clinical trials.

Trial Design

This new IRB-approved clinical study is to be a randomized, double-blinded, placebo-controlled cross-over trial between FDA-approved membrane lipid wafers (NTFactor Lipids®) and placebo to detect associations between relief of fatigue, pain and other symptoms in patients diagnosed with fibromyalgia. Patients will not have stop taking their current medications to enroll in the trial, which will last approximately 3 months. The diagnosis of fibromyalgia will be confirmed using the American College of Rheumatology criteria. The only “treatment” will be the membrane lipid and placebo wafers.

Participation

Patients interested in this trial may enroll through the web site www.immed.org using the button “Sign up for Clinical Trials,” or call (512) 547-5007.

Garth L. Nicolson, Ph.D., M.D. (H)