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Evaluating the Probability for Each Infection including Lyme

Posted on May 24, 2017 in Blog |

The following is an excerpt written by Dr. B. Robert Mozayeni in our book Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners. There are greater risks for Bartonella as a co-infection of Borrelia because you can contract Bartonella also from flea-bites and cats. Fleas and several other vectors are the risk factors for Bartonella transmission Bartonella has been shown to be present in: fleas, dust mites, allergen extracts that are used to treat dust allergies by injection, bed bugs, and most importantly, the common house cat. Especially if the cat is an indoor/outdoor house cat, it is very likely to be carrying Bartonella. The microbe gets into its saliva, the saliva gets onto its fur, its dander and the dander gets into the air. However, currently, there is no evidence to support Bartonella transmission by cats unless the cats are concurrently infested with fleas. When Bartonella bacteremic cats are co-housed with non-bacteremic cats transmission cat to cat does not occur in the absence of fleas. This may or may not be true for dogs – we have no data speaking to this. Current evidence from cats is that the saliva and nails become contaminated with infectious flea feces when the cat has fleas. While no studies have been done that measure the risks, basic facts suggest a cat owner should be very careful to limit how much time the cat is allowed outdoors in order to reduce its risk for flea and tick exposure. Further, a cat or dog owner should be vigilant about controlling fleas. Fleas, including sand fleas, present a high risk for Bartonella infection. We try to blame the flea and the bug rather than the pet. Veterinary medicine has worked to develop some excellent products to prevent flea and tick infestations in cats and dogs, which should prevent bartonellosis in family members. The products should be used year round for the life of the pet. Up to 80% of feral cats may have Bartonella. It may be higher. I have found in patients with Lyme Disease a far greater exposure to cats than to deer ticks. Most cats are completely asymptomatic even when infected...

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Hypotension and Lyme Disease

Posted on May 23, 2017 in Blog |

The following is a case study from Galaxy Diagnostics: Hans (age 20) – Hypotension Hans, a college student in Minnesota, was an active child growing up. He enjoyed hiking, biking, skiing and had pet dogs. He enjoyed a lively social life and was an honor-roll student. In April 2006, the year before high school, Hans began displaying what appeared to be allergies when he broke out in hives and had itchy eyes. However, an allergist was not able to explain the origin of the problem. These symptoms quickly progressed with the development of insomnia and headaches, followed by light sensitivity and short-term memory loss. His parents were very concerned and consulted numerous physicians, including a neurologist, ophthalmologist, and infectious disease doctor. None of these physicians was able to offer a specific diagnosis, instead only treating symptoms. After two years, Hans’ condition worsened. His energy level was so low he was unable to attend high school instead relied on private tutors and home schooling. Because he was unable to take part in the things he had enjoyed growing up, Hans began to develop anxiety and signs of depression. Hans had been tested for seemingly everything. He was diagnosed with hypotension and put on medication for his blood pressure, but the only treatment offering significant relief for his symptoms was acupuncture. Hans found his way to Dr. Mozayeni and started on a long-term antibiotic regimen. At age 20, Hans now enjoys the highest quality of life he has experienced since middle school. He is able to drive and attends college classes. He is able to catch up on the social life he missed out on as a teenager. His energy level, insomnia, headaches, and light sensitivity can still be problematic, but as he continues treatment, he has great optimism. Share...

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Tips for Lyme Patients, Family and Friends

Posted on May 22, 2017 in Blog |

Advise family that time for relationships has to occur when you can, not on the traditional schedules. Delegate. You have no choice. If you can’t delegate, learn to let it go. Tell friends you want to be included. One friend sends me photos of events her family has. Not on Facebook; to ME. It sends my heart soaring. Bring the party to the ill person. Bring a sandwich, soup, and iced tea. And a cupcake with a smiley. And a small terrarium or something requiring little care (our memories fail us). Send cards for no particular reason. It’s nice to send them and to receive them. Don’t tell me to exercise. I am an adult, highly intelligent, and I am ill. My body tells me what I can handle. Understand and accept my appearance may change. Makeup, hair care, dressing up no longer apply – I can only do what is easiest for myself based on my income, inability to sit for hours, inability to shop. Offer to do my laundry once a month, help me sort my pills, put bills in a dedicated spot, set up my calendar. Help with pets; buy a bag of pet food, walk the dog. Lyme patients love and depend on their pets for support. If I refuse an offer of help, it may be because you offered something I cannot use. Share...

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Testing for Co-Infections of Lyme Disease

Posted on May 21, 2017 in Blog |

The following is an excerpt written by Dr. B. Robert Mozayeni in our book Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners. When we talk about Borrelia, we must talk about other infections called co-infections. I don’t know if there really is anything “co” about these infections. I think they are called co-infections because as Lyme patients’ symptoms didn’t respond to treatment, people started looking at other infections. So which germs really cause Lyme Disease? Co-infections found in patients include Babesia, Ehrlichia, Anaplasma infection, Bartonella or other proteobacteria, or Mycoplasma. One study done in New Jersey found by PCR, which is not as sensitive as enrichment culture followed by PCR, approximately a third of the ticks carry Borrelia, a third carry Bartonella, 2% carry Ehrlichia and 8% carry Babesia. The positive rate for Bartonella, could have been higher if the study had been done with enrichment culture followed by PCR – a method developed later. Researchers started recognizing the gut of a tick is not a place where the tick only selectively carries Borrelia. Ticks, like other insects, can carry various microbes. However, it is not proven that these microbes are transmitted by ticks; and it is not proven that they are not transmitted by ticks. It should not take a lot of research to determine this. If a tick is feeding off a variety of mammals why wouldn’t the gut of the tick have a whole bunch of different things in it? But it does create some interesting questions. For example, we have never really had a good Bartonella test until recently. How can we be really sure the ECM rash is only from Borrelia? What if the ECM rash is from both Borrelia and Bartonella? That is an interesting potential study. Is there some combination of microbe inoculation that has to occur in order for someone to get sick from a germ? Does it have to be Protozoa plus bacteria? Would the same person get as sick if they had only one of those? These are some of the questions related to these infections. The complexity goes up exponentially because now we have to go further...

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One Spouse’s View of Lyme Disease

Posted on May 20, 2017 in Blog |

My husband Jeff wrote an entire chapter in our book Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners. I have included his concluding paragraphs below. It is work, hard, daily work, to support and love a spouse, partner or family member with Lyme and co-infections. But it is vital. Every patient needs and wants to be loved and believed. They are not crazy, or “attention seekers.” They are not making this up. Each and every symptom is real. They are in pain. They are confused. They have very real problems making simple decisions; even the day-to-day decisions are difficult. It is hard to describe the exhaustion because it is so bone and soul deep. The look in the eyes of the infected is deep-set and far away pain and angst ridden. The hurt is deep. Often, the only thing that helps is holding them and reassuring them they are loved and you will be there for them. It is this depth of unconditional love we must wrap them with. Love and care is healing. Share...

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