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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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Lyme, Borrelia, Bartonella, Protozoa

Posted on May 14, 2017 in Blog |

The following is an excerpt Dr. Mozayeni wrote from our book Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners I think when Borrelia is present, it tends to be associated with joint pain and sometimes joint swelling because the lining of the joints is very vascular; it is getting its nourishment from the vessels of connective tissue. The lining itself of the joints is the synovium and the synovial tissue is highly vascular. That is why there is a lot of action and a lot of symptoms related to synovial inflammation with all of these chronic infections, Bartonella and Protozoa included. Given this new perspective, the question then becomes: How does this realization shift the diagnostic and therapeutic emphasis? You have to look at Bartonella with the best available test. You have to look at the Protozoa with the best available test, and You have to understand – It is a far stronger form of evidence when you have molecular proof of these infections using these new tests than having a few antibody bands on a Western blot. We need to use molecular tests to succeed more with our therapies. Share...

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Case Study: The Tick Bite Wasn’t Lyme

Posted on May 1, 2017 in Blog |

Lynn’s journey began during a family football game on Thanksgiving Day, 2006. She pulled a tick off her arm later in afternoon. Two weeks later, Lynn developed a fever and back pain. She had no rash. She thought she had the flu. She mentioned the tick bite to her physician, but he assured her it was too early to see any symptoms of Lyme Disease. Nevertheless, he gave her 28 days of Doxycycline. She returned a month later, still complaining of vertigo and back pain. “You are anemic. You need to eat more protein.” One afternoon, during a trip to the shopping mall, she had to lean down and place one hand on the floor and one on the wall to keep the world from spinning. The doctor treated her for an ear infection. They ran the ELISA test twice, both returned negative. Two months after her tick bite, Lynn’s personality was completely flat. A small group of girlfriends had flown from Texas to surprise her for her birthday. All she wanted to do was sleep. She couldn’t understand the jokes her girlfriends were giggling about. By the end of January, she was in the Emergency Room with such fatigue she couldn’t catch her breath. She was jumbling her words, her speech slurred. This 34-year old mother of two toddlers was showing signs of a stroke. A CT scan revealed peri-carditis. She was sent to a cardiologist, then a neurologist, and an endocrinologist. She visited nationally acclaimed medical centers in the Midwest, Florida and Virginia. She said they told her they don’t know how to treat your Lyme, but we can tell you how to eat differently. “Become a vegan,” one physician suggested. From January through April, 2007, Lynn didn’t drive because of the vertigo and because she had gotten lost while driving the three blocks between her home and her daughter’s school. Significant memory loss followed. Her church started bringing dinners over because she was burning dinner every night. “I would forget I was even cooking any food,” Shannon admitted. Two years after her tick bite, Lynn tested positive for Bartonella in Dr. Mozayeni’s office. Her brain and...

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When It’s Time to Take a Break from Treatment

Posted on Sep 12, 2016 in Blog |

This past week marked my seventh anniversary of seeing Dr. Mozayeni: September 9, 2009 (9/9/09). Some of you may be thinking, “wow, 7 years. That’s a long time to be in treatment. Isn’t she getting better?” Yes, I am. It is important to note here that I was sick for 29 years before getting an accurate diagnosis. Treatment is not going to be a short-term easy fix. I sent him a quick note saying, “My first appointment with you was seven years ago today. Thank you.” He replied, “ Amazing how time flies. Thanks for your trust. We’ve been through a lot. And we have more to do.” I replied, “Honestly, I was thinking of going a six month hiatus, physically and emotionally. Grateful for the safe place to do this work, but I’m tired.” And without missing a beat, he suggested, “ You could come in every three months and focus for now on . . . “ I’m showing you this interaction for a few reasons: 1. It’s important to say THANK YOU to your LLMD. 2. It’s nice to receive a Thank You in return and the validation of the hard work I have put forth as well. 3. It’s important to be HONEST with your LLMD and tell him/her what is going on for you. 4. It’s amazing to have an LLMD who doesn’t skip a beat, who knows treatment fatigue is part of the healing process and suggests some options to you. Sometimes, it is ok to take a break from the forward momentum of active treatment. I have done this at several points in the past 7 years. 1. I published a book, which caused some consternation among some family members. It was a rough patch during which I became almost suicidal. Dr. M managed my emotional status and he backed off my meds a bit. 2. My 16 year-old nephew died by suicide. Suicide wreaks havoc and hell on the entire family, including extended members. It threw me for a loop, most assuredly. It also affected other family members who then dropped into horrible depression. I learned during this time that if...

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