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Doesn't sound like anything much to be concerned about if I'm an uninformed clinician. Especially the "and other symptoms" part. Or the "activity-limiting fatigue" for that matter. So, Deliverance types. Reckon tending stills and picking banjos instead of working for a living.

Enough of them know better. It's not all blind filial chanting. Although this study comes close, in my estimation. If you research Lyme, truly study its landscape for a long time, you realize there are no pat answers yet about persistence. That is criminal after more than 40 years. It's a...

Studies like this don't seem for me to be so much about science as they do churning out party-line rhetoric. Anybody here who's familiar with typical Lyme symptoms, check out Table 2 Baseline Patient Characteristics and see if that might be coming up short. And what does this even mean...

The primary determinant should be having clinically demonstrated LB. If you're going to talk causes of persistent symptoms, first order of business is being able to prove, unconditionally, Lyme and/or its co-infections (which can cause similar sequelae) have been eradicated - this in order to...

"No evidence was found for microbiological or LB-specific clinical determinants of persistent symptoms, but an association of host immune responses with persistent symptoms was observed." No evidence at all? None? With close to 300 Lyme patients? I'd have thought there might be some somewhere...

Whatever happened to "Opportunity cost is the highest valued opportunity lost"? I'd hope to see a stab at that in any meaningful estimate. The lost potential never realized.

A nesting doll of theories within theories, but cool, regardless.

They may be able to learn from CFSAC's story.

I confess I am a bit bemused by the broad indifference to IgG values that characterizes the greater medical community. It is my simple and arguably simplistic understanding that when infected, the body's first defensive response is IgMs. This lasts roughly 30 days. It can involve fever and...

I'd be lucky to get a 3T. When I tested normal with an MRI, it was with 1.5T. The times my MRI came out funky was with a 3T. If I had access to a 7T, I'd do whatever I could to see its results.

Depending on where one lives, there may have been many who were not really surprised. North central US, northeast US, west coast US...There, at least, there'd been precedent of sorts. Too often, this is what medicine is these days.

I've participated in several research studies. Back then, being paid helped with my decision to participate, but it wasn't necessary. I'm sicker today. Arguably a bit more cynical as well; at the very least, more practical. If I knew the researcher and liked them, I'd do it without pay, but of...

Bloodwork and CSF, correct? Pretty good for acute infections. Even then, though, the metrics or diagnostics may be problematic depending on the infection. As for persistent infections, those lasting months or years, I'm not sure how strong we are at identifying them; that hasn't been our medical...

Not sure why Lyme is in the mix then. Well, chronic Lyme as they are referring to it. A good portion of whomever they see with a history of Lyme will still clinically present as Lyme, e.g, CDC-positive Bb IgG's. But, eh, it's nice to be included.

Whoa! If true in the US as well, the implications to people like me could be bad. That has to be illegal if they said it would be shared with no one. Tiered pricing, with some folks not allowed coverage? Folks like us?

Gee, with only 17 patients, and all those years, I'd have thought they could look for pretty much any pathogen. Detecting them, that's different. But saying "we don't know what antigen to look for, so we never detected one" suggests to me that somehow not detecting pathogens was in part tied...

I misunderstand some things that are written these days, but I still appreciate the meaning of being flipped the bird.

So much for the concept of differential diagnosis. What happened to doctoring in the investigatory sense? What am I paying them to do, or not to do, because they get my money regardless?

Sorry if I'm detouring the device thing, but I NEVER EVER talk brain PEM with my doctors or familly. So this is a treat. Physical exertion can cause PEM, we all know that and most of us endure it. Brain exertion - yes, that's physical, but it's different - can cause pretty much the same set of...

So, good question. And as far as I can see, maybe. Brain PEM is tricky, at least for me. Clearly, sometimes HR and HRV play a role in predicting or even correlating with brain PEM. Emotions would dove tail there. Maybe forced concentrating on a study or writing like I'm doing now, but I don't...