Post-Lyme Syndrome: The Scoop
By Bryan Rosner on May 4, 2008 in Politics & Activisim
In this post we will look at Post Lyme Syndrome - is it real or not? First, a little background. Current antibiotic guidelines set forth by the Centers for Disease Control are vastly inadequate and based on antiquated, inaccurate, and unreliable data.
While some people do get well by following these guidelines, a significant percentage do not. Many people remain sick despite a two or three week course of doxycycline or penicillin—the length and choice of antibiotic therapy which the Centers for Disease Control dogmatically and ignorantly insist is adequate treatment. Recent estimates suggest that up to 30% of Lyme Disease cases do not get resolved after following these CDC guidelines.
A preponderance of research establishing the necessity of extended courses of antibiotic therapy for the unlucky 30% has been completely ignored by medical regulatory agencies. As a result, symptoms and misery can continue for the unlucky 30% even though the “right treatment” was given. People who are still infected despite antibiotic therapy have what is referred to as chronic Lyme Disease. The chronic form of the disease is becoming an epidemic in the United States and abroad.
Or is it? A significant percentage of doctors and regulatory agencies do not recognize the existence of chronic Lyme Disease. The prevailing belief is that if someone has Lyme Disease and is treated with a several-weeklong course of antibiotics, they must, by definition, be cured. This belief fails to take into account the last 20 years of scientific research, as there have been numerous studies which evidence that Lyme Disease bacteria are often still present in the body even after antibiotic therapy. In fact, some studies show that common antibiotic regimens have very little effect on the bacterial infection.
Doctors and researchers who do not acknowledge chronic Lyme Disease have invented a bogus label for people who still have symptoms after a short course of antibiotics: “Post-Lyme Syndrome.” Patients abused with this diagnosis are either told that nonliving bacterial toxins are keeping them ill, or worse, that remaining symptoms are psychiatric in nature and they should see a shrink who treats hypochondria and paranoia. So, many patients end up attempting to treat a raging bacterial infection with talk therapy. The truth is that chronic Lyme Disease is in fact a real condition, caused by an active bacterial infection, and largely disparaged by conventional medicine.
The conclusion that chronic Lyme Disease is not a valid medical condition is so preposterous, so irrational, so unscientific that one can’t help but question whether the presiding research organizations are actually pursuing truth or instead, acting as puppets beholden to a political or medical agenda. There is simply too much research to ignore. And as time goes on, instead of behaving rationally and slowly examining new research and moving toward adoption of chronic Lyme Disease as a real condition, the regulatory agencies seem to be going in the opposite direction and becoming more adamant about their erroneous conclusions.
The doctors who recognize chronic Lyme Disease, and are willing to treat it, are few and far between. LLMDs use extended courses of very powerful antibiotics, sometimes in combinations of two or three drugs simultaneously, at much higher than FDA approved dosages, to try to help people with chronic Lyme Disease. Doctors who treat chronic Lyme Disease are heroes with good intentions, coming to the rescue when no one else will.
But even if patient and LLMD are able to connect, there are still additional obstacles. Unfortunately, LLMDs who do step out on a limb and actually try to help people with chronic Lyme Disease by reading the literature and implementing rational treatments are often persecuted, sued, disciplined by state medical boards, ridiculed, and at risk of losing their medical practice, as we have discussed in the previous section of the book. Increasing persecution and legal danger has led to the decision by many doctors not to treat Lyme Disease patients, or at least, to adhere to the inadequate treatment guidelines established by the government.
Although it is becoming increasingly perilous, many LLMDs are willing to brave the legal climate because some people with chronic Lyme Disease do recover by using extended courses of antibiotic therapy. In these cases, people who would have otherwise not recovered at all owe their lives to LLMDs. Offering hope to hopeless patients is the daily business of a Lyme Disease doctor.
Unfortunately, there are some very significant drawbacks to long-term antibiotic therapy. Patients receiving long-term antibiotic therapy often face grueling battles with insurance companies as a result of skyrocketing medical bills. Because official government standards indicate that only a short course of antibiotics is necessary in the treatment of Lyme Disease, many people are not able to get their extended treatment covered.
Another significant drawback to long-term antibiotic therapy is side effects. Because antibiotics are given in very high doses for long periods of time, side effects can be devastating. In some cases, the side effects can be worse than the disease. Many people end up with permanent damage to various organs caused by extended-course, high-dose antibiotic therapy.
The most significant drawback to long-term antibiotic therapy, though, is that it does not always work. The best antibiotics, given at high doses for months on end, often fail to eradicate the elusive and survival-oriented Lyme Disease bacteria. In these cases, symptom improvement can be fragile and relapses are common. “Open ended” antibiotic therapy is frequently required to keep some people stable. My first book, Lyme Disease and Rife Machines, has an in-depth explanation of exactly how and why antibiotics can fail.
The above treatment obstacles do not just exist in theory. The reality is that there are thousands of chronic Lyme sufferers who continuously live a miserable existence despite having attempted to get help from dozens of doctors.
As you can see, the situation can be quite hopeless. Lyme Disease sufferers are left to try to find answers on their own between doctors’ appointments where they are given anything from a diagnosis of paranoia to an inadequate course of antibiotics to a denial of insurance coverage. At every step in the diagnosis and treatment process, Lyme Disease sufferers encounter an uphill battle which often leads to prolonged sickness, financial ruin, and unimaginable stress. Many Lyme Disease sufferers live their lives in complete despair, having tried every antibiotic under the sun without lasting relief.
The bottom line on diagnosing and treating Lyme Disease is that there are many ways to end up with the infection but not many ways to get rid of it. This, as you may have guessed by now, is why we need breakthrough therapies for Lyme Disease.
Now you can see why a book on new Lyme Disease treatments is useful. This book was written because there is a need for this book. People who have failed to get well by using aggressive antibiotic therapy, or people who wish to avoid aggressive antibiotic therapy, will find alternatives on the following pages. After reading about the alternatives, Chapter 11 will provide practical guidance on how to integrate them into a complete treatment plan. Although there is no easy cure for chronic Lyme Disease, there are valuable treatment options which have improved the lives of thousands of people and in some cases, provided complete remission of symptoms. Yet, many of these treatments remain largely unknown. Hopefully this book will change that.









On Sep 18, 2009, Joan Houghton said:
I can’t submit my comment and I don’t know why.
On Sep 18, 2009, Joan Houghton said:
I acquired Lyme Disease May, 2004. I was not able to see an infectious disease doctor who specializes in Lyme until 6 mos later. He put me on a conservative course of treatment. He finally upped the dose of antibiotics in about 9 months after the bite. I continued to experience symptoms and was not responding to treatment. He decided we needed to go with IV antibiotics; however, the insurace turned it down. He dismissed me saying there was nothing more that he could do. I tried to go to Johns Hopkins and Boston General since I thought they would have more expertise with the disease than in the center of the midwest. I looked up doctors who were LLD at both places. I sent my records to them only to have them lost. I became discouraged and stopped my search. Then flare ups have occurred ever since. My family physician did not know what to do, my neurologist, cardiologist, sleep doctor, etc. did not know what to do (one reccommended to go with the NIH but they had completed their study). Now, I found out that Mayo Clinic in Rochester has LLDs.
Currently, I am at Mayo Clinic for two weeks. My first contact is with a interanl medicine doctor who is also the doctor that requests tests and arranges for all the specialists that I need to see. After a one hour discussion, reviewing my records (which contain diagnoses of Lupus, CVID, etc. that no one had ever told me), he suggested that I may have Post Lyme Syndrome. I had never heard of Post Lyme Syndrome prior to this and foolishly assumed it was another term for Chronic Lyme Disease. I have had blood pannels, urine samples, allergy testing, and an EKG completed. I have more specialists to see and a Chronic Fatigue and Fibromyalgia Clinic that he is sending me to a hospital affiliated with the Clinic. After looking up Post Lyme Syndrome on the internet, I found out that doctors feel it is psychosomatic. I am so appalled. He is not the one that is suffering from intermittent bouts of various manifestations of this disease, I am. The next specialist I see is the infectious disease physician and we are really going to have a discussion about this preliminary diagnosis of Post Lyme Syndrome. Unfortunately I found out in my research that the NEJM published an article from Feder et al. that described Post Lyme Syndrome and how it is a psychological condition. I wish I did not have to keep up with the research but I guess I need to be relentless in my pursuits. This is costing me a lot of money to pursue a course of treatment and to have some one help manage the treatment. It affects my quality of life, which no one has addressed. My employment (the only thing that is saving me is FMLA)is tenuous, not to even mention my social life. I don’t want to walk away from here after spending thousands of dollars on top of the thousand of dollars that I have already spent with a diagnosis of this is all in your head. Talk about a health care crisis, this is a health care crisis for many individuals. No one talks about how much money each individual with Lyme has to spend to get help. All the rhetoric is around the insurance companies and increased medical costs. Well the insurance companies, hospitals and doctors are thriving. I am not. I am going broke. I am already discouraged and I have just begun at this world reknowned medical center. I can’t even imagine what it will be like when I have my exit at the end of two weeks.
On Nov 13, 2009, Tanya said:
I have been treated with doxycycline and amoxacillen on four different occasions in a time period of a year and a half. The infectious diease doctor I was seeing put me on the fourth round of meds for 28 days. By the third week my body couldn’t take it anymore. After this medication was finished I went back to the doctor and explained to him that I was definatley not feeling amazing, telling him I still had many of the same symptoms. His answers ranged from “oh well maybe you have chronic fatigue syndrom” to then saying I have “post lyme syndrome” How aggravating! Then he said well there is nothing more I can do for you becasue you have taken the medication so you must not have active lyme. I said how do you know he basically said I don’t know in a round about way. Then I said why did you put me on more medication based on what you just said I should have been cured 3 times before this! I said so you can’t tell if it is active so what am I supposed to do. He said that there is iv treatment but I should not have that unless I am very very sick. I guess it is a waiting game, and until I end up in the hospital there is no other options for me. He says I definatley have lyme but then he says it’s treated? But I have post lyme syndrome? I don’t understand. I’m 24 years old and just want to be well again!
On Nov 14, 2009, Carol said:
I would like to know how Joan’s visit to the Mayo Clinic for chronic lyme turned out.
On Jan 7, 2010, Connie said:
I was diagnosed with Lyme disease in the summer of 2006. I was treated for 1 month with antibiotics. I must say that they helped becaused I could not even function before taking the round of medicine. The problem is that I still have lingering effects from the disease. I have headaches and joint discomfort in my left knee. It was terribly swollen but has since gone down but still is a little larger that my other knee. The last blood test I had taken for the lyme said I no longer had it. The most recent blood test I had gave normal results except for one thing, the sed rate was high. The doctor told me that it means that I have some sort of imflamation going on but he does not know where. This has bothered me since I don’t know if this is a result of the Lyme or something else. He did not want to look into it further. I don’t know what I should do. Are there any treatments for post lyme. I tried salt-c nd oil swishing for a while, but they did not work. Still have symptoms.
On May 14, 2010, Katie said:
I was diagnosed and treated for Lymes when I was three. The only thing is, my whole life I have been living with terrible headaches (monthly and weekly lasting 2 to 3 days), sleeping 12 hours a night, stiff muscles, knee problems and so on. The most frustrating is when I am in so much pain I have to go to bed and cry. It affects my day to day life more than people know and the doctors say I am perfectly healthy. Now I am 25 and after doing some research I feel I probably have chronic Lyme syndrome. Does anyone have any thoughts on this? Is there anything I can do to feel better? Tylenol, Advil, Ibuprofen, nothing helps me!!!!!