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    Professor Akiko Iwasaki and the Yale School of Medicine research on Long Covid and post infection syndromes

    It buggers this bogged brain as to when and why medicine stopped assuming that when symptoms persist after acute stage, the pathogen was still mucking about somewhere in the patient. Isn't the way of infections typically acute and treat (if treatable)? Then either the patient's infection...
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    Whole genome sequencing of human Borrelia burgdorferi ... reveals linked blocks of accessory genome elements ... on plasmids, 2023, Lemieux et al

    Hmm...Strle was an author. He was also an author of a similar study more than a decade ago, one with Steere. I am conflicted now. Is this another deflection? Focus on acute infections, maybe even a little disseminated, but decidedly no late stage? Do these more "dangerous" strains hold up as...
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    Whole genome sequencing of human Borrelia burgdorferi ... reveals linked blocks of accessory genome elements ... on plasmids, 2023, Lemieux et al

    "To our knowledge, no large whole genome sequence (WGS) studies of human isolates have been conducted. Fewer than 50 human isolates analyzed by WGS have been publicly reported, either sporadically or included in cohorts consisting primarily of tick-derived isolates and in the majority of studies...
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    Whole genome sequencing of human Borrelia burgdorferi ... reveals linked blocks of accessory genome elements ... on plasmids, 2023, Lemieux et al

    The study: https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1011243 Findings as summarized in Time: https://time.com/6310027/lyme-disease-genes-severe-disease/? My summary: How sick you get depends on the strain (vs species) of Lyme you're infected with. It's not a...
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    Sudden realisation(trigger warning)

    Late 60's through the early 80's was a very strange stretch, with some very peculiar and disabling diseases emerging. Certainly not keepsake days for the likes of the CDC and NHS. Makes one wonder what kind of water was going into what kind of cool aid.
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    Sudden realisation(trigger warning)

    Blunting immune responses theoretically can bring its own set of problems if there is an active - or reactivated - pathogen involved. This seems particularly relevant to LC if Covid persists in privileged sites, but also for lots of other things including ME/CFS and other neurological disorders...
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    Autoimmunity to synovial extracellular matrix proteins in patients with postinfectious Lyme arthritis, 2023, Korawit Kanjana et al

    I don't recall what UK is using these days. It used to be the C6. That's arguably worth a shot if you're covered for it. The US also used to use the C6. It was being positiioned to replace the 2T I think. But that didn't happen. Now there are the MTTT's, of which I think there are 4 different...
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    Autoimmunity to synovial extracellular matrix proteins in patients with postinfectious Lyme arthritis, 2023, Korawit Kanjana et al

    @Ash , yes it can and has. But that's a loaded topic on many levels. One of those is that Bb has been sometimes, albeit rarely, found in synovial fluid after treatment (rarely cultured even without treatment). Even when it's not cultured, many suspect Bb persisters are behind...
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    Autoimmunity to synovial extracellular matrix proteins in patients with postinfectious Lyme arthritis, 2023, Korawit Kanjana et al

    Author lists reads like a Who's Who at the IDSA Lyme school. Makes sense it would since they're revisiting the arthritis white whale. They can propose all they like. Wish they'd move away from the arthritis obsession, though. That it's - by some - felt to be a forced fit perhaps attributed to...
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    Acute blood biomarker profiles predict cognitive deficits 6 and 12 months after COVID-19 hospitalization, 2023, Taquet et al

    I had a MoCA at the NIH. It's like a 15-minute or so mini-IQ with an embedded drawing task, as I recall.
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    :( I would suggest the way forward and out from this is the development of readily available diagnostics that will unequivocally confirm or disprove active infection. Anything less has time and time again proven to destroy lives - irrespective of how one perceives Lyme.
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    USA: Commentary: The pandemic that coronavirus uncovered (Lyme)

    PEM is a core symptom of post treatment Lyme disease? I somehow missed that.
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    I'm sorry for your bad experience @jonathan_h . Dangerous ignorance of what? ME/CFS? Sorry, don't mean to be dense.
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    Long-term symptom severity and clinical biomarkers in post-COVID-19/[CFS]: results from a prospective observational cohort, 2023, Legler+

    Sometimes I wish researchers and advocates would be more careful with wording, as well intentioned as they may be. It can have a misleading effect. There are no generally effective therapies and few are really looking, current scientific findings are all over the place, and clinical experience...
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    lol I'd trade them all for my health back. Half my health. A quarter. And a smidgen of my old faith in the medical system.
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    I know this isn't what you were speaking to, @Mij , but lest anyone think I don't deserve my ME/CFS diagnoses, I received them from no less than six clinicians, four of whom were all prominent ME/CFS researchers. Each one would be recognizable to most on this forum - and each was well acquainted...
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    This is still widely underappreciated. Fortunately, awareness is slowly gaining traction, as is the novel(!) concept that some of these pathogens can cause neurological problems via infecting the brain, including babesiosis. Th babs brain connection should have been on the map in a big way years...
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    I hear you. But that's not the way it works. It's not the real world. I had an embedded tick removed in the center of a bulls-eye. But I'd been infected long before that. That was almost 20 years ago. Since then I've tested positive on the 2T and the C6 and the MTTT - all FDA aprroved and...
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    UK Times and Independent on ME misdiagnosed as Lyme disease, August 2023

    Sure you can. PEM aside, tell me the difference between Lyme symptoms and ME/CFS symptoms. They can be identical. It's easy to appreciate how doctors can confuse one for the other. Compound that with dismal diagnostic protocols and solutions, and one's own immune abrogating Lyme responses. It's...
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