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    IACFSME 2022 Virtual Medical Conference: Day 3 Presentations: 29 July (9 am to 4.40 pm EDT)

    We know of a few bacterial and parasite infections that persist in the face of treatment, and that are commonly failed by diagnostics. Borrelia comes to mind, as do bartonella and babesiosis. For at least a portion of ME/CFS patients. persistent unresolved infection should remain on the table.
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    Orthostatic intolerance and neurocognitive impairment in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), Gaglio … Jason, 2022

    I suppose it frequently depends on which parts of the brain are impacted. I would think it's usually involving areas of the brain that effect both symptoms, so it seems as if they are related - and, in fact, they may be in the sense that they both may be downstream brain issues.
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    Long Covid in the media and social media 2022

    Long Lyme? Amy Proal used that re-branding, I think. To me it's like saying Long Syphilis. It just isn't right.
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    Pulse Today ("the leading publication for GPs in the UK"): "Long Covid: Explaining the unexplainable?"

    In a word, ego. Hubris is wrecking the discipline anyway. There's no reason I can think of that that deficit wouldn't manifest as a juvenile need to set us straight in our own back yard.
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    Long Covid in the media and social media 2022

    "quotidian." That sums up the message for me, in a very distressing I've-heard-this-tune-before kind of way...
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    Research priorities for ...(ME/CFS): the results of a James Lind alliance priority setting exercise, 2022, Tyson et al

    Specific to or with? If you can take this literally, clearly a range of cognitive deficits is widely acknowledged in pwME. Other brain stuff, too, like balance and autonomic dysfunction (which since it's rooted in the brain I imagine qualifies as neurological).
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    Brainstem ADCYAP1+ neurons control multiple aspects of sickness behaviour, 2022, Ilanges et al

    Sickness behavior is at least one step removed from symptoms. It's diagnosing from the outside. Veterinarians like it, and coined it, because, well, horses and cows cannot speak or sign. When applied to humans, at best it is a social construct. On a darker level, the term can devalue symptoms...
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    Suzy Weiss Manifesto on “Spoonie” Culture

    Cute piece. Left me with a faint aftertaste, a sorta Sorority-like vibe. Oh wait! I forgot the air quotes: Sorority-like "vibe".
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    Brainstem ADCYAP1+ neurons control multiple aspects of sickness behaviour, 2022, Ilanges et al

    I red-flagged them at "sickness behavior". In my book it's little more than a dog whistle. Are we talking about symptoms? Then call them symptoms.
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    Seronegative autoimmune encephalitis: clinical characteristics and factors associated with outcomes, 2022, Woo Jin Lee et al

    Literally, i.e., zero identifiable pathogenic antibody? Or "negative" results according to someone's metric - one that actually may demonstrate pathogenic antibodies? I think it's an indictment of current medical science that I should have to ask either question.
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    The Current State of Knowledge on Baggio–Yoshinari Syndrome (Brazilian Lyme Disease-like Illness):..., 2022, Yoshinari et al

    I think this is an important study, @Andy , @Hutan , @jpcv . This study could be a banner study for ILADS. If I'm the CDC/IDSA, this study may make me more than a little nervous. I don't know where to begin. First, the authors don't pull punches in the study itself. The name of the disease...
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    The Current State of Knowledge on Baggio–Yoshinari Syndrome (Brazilian Lyme Disease-like Illness):..., 2022, Yoshinari et al

    Ikr? Ok, I'm trying to read the entire study. First, they were mentored by Steere. Second, they test the Brazilian strain - whatever it is - against the North American G39/40 strain, using the Dearborne 2T algorythm. Not surprisingly, they had to modify that because they weren't getting good...
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    The Current State of Knowledge on Baggio–Yoshinari Syndrome (Brazilian Lyme Disease-like Illness):..., 2022, Yoshinari et al

    Why is this math so difficult? Is it a spirochete that causes disease? Is it a form of Borrelia? We don't need a mainframe computer to perform the calculations. Moreover, we've seen this silliness before in the US midwest with Masters Disease (STARI). It's like some agencies cannot get out...
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    Modified Two-Tiered Testing Enzyme Immunoassay Algorithm for Serologic Diagnosis of Lyme Disease, 2022, Khan et al

    So, this is a big deal, this MTTT. Go to the CDC Lyme website and there are now TWO accepted methods to test positive for Lyme: The conventional 2-tier with an ELISA and Western Blot, and this "new" MTTT. The modified two-tiered test -MTTT - with two first tier or ELISA tests - counts just so...
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    A diagnostic classifier for gene expression-based identification of early Lyme disease, 2022, Servellita et al

    Looks like a Hopkins endeavor, at least some of its authors. Cool premise for early Lyme, i.e. before IgM's typically kick in with Lyme. Left me a little uncomfortable with emphasis on in-vitro and rodent references, but there's some pedigree here author-wise. 63 is a small sample but may be...
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    Over 14% of Worldwide Population Has (Had) Lyme

    It got my attention. What for me is possibly even more disconcerting, is I suspect (but do not know) this estimate did not include seronegative Lyme patients. Add those individuals into the mix and that 200 million mark may be lowballing it.
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    Over 14% of Worldwide Population Has (Had) Lyme

    Or different prevalences of various tick species and Bbsl strains, depending on geography.
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    Over 14% of Worldwide Population Has (Had) Lyme

    A small correction if you don't mind: Seropositivity doesn't necessarily reflect current infection, it can at best only indicate exposure. That being said, Lyme almost invariably progresses from IgMs to IgGs, so we'd expect everyone who tested positive for past exposure to technically test...
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