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LymeMD: April 2015

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Friday, April 10, 2015. I met this 58 year old male one month ago; I am now seeing him for a follow-up visit. No one else ever heard voices, only he did. About 4 years ago he moved out of the home into a new domicile: the voices followed him. He thought that supernatural spirits followed him from one house to the next. I saw him today after a month of therapy. He told me he felt 80% better. 8220;How about the voices? No The positive 31 and 34 bands only appear after some time, at least 6 months to a year...

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LymeMD: Occams Razor: Lyme and Mast Cells

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Thursday, July 30, 2015. Occams Razor: Lyme and Mast Cells. She went to her family doctor who ordered a Lyme test. The results were CDC positive: positive EIA first stage followed by positive Western Blot, IgM only. Her family doctor consulted a well respected fount of the best, current medical information: "Up To Date," and dutifully prescribed a 3 week course of doxycycline. She made the rounds: Mayo, Johns Hopkins, a few others and then me. I called in a 3 week course of doxycycline. In addition to th...

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LymeMD: Please read: I need your help.

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Thursday, May 7, 2015. Please read: I need your help. I have been writing this BLOG since 2008. It has been widely read with over 1.2 million page views. I hope it has been helpful. I have intentionally tried to keep this BLOG non-political. But alas, Lyme is a political disease and this is an inescapable fact. I am in trouble now and asking for help. The last investigation was initiated by a complaint from a major insurance company with which I previously participated with, 3 years ago. The penalties ma...

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LymeMD: June 2015

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Monday, June 29, 2015. Lyme and mast cells. I have been asked to provide more feedback regarding mast cell therapies for Lyme disease. I present a brief, recent patient case. She sees groups of deer in her back yard daily. She has three dogs, all diagnosed with Lyme. A standard Lyme test was negative. A Lyme test from Stony Brook was negative. Coinfection testing was positive for Bartonella (MDL) and a blood smear failed to show any Red blood cell parasites. Treatment: I treated her for Lyme and coinfect...

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LymeMD: Medical Board v Jaller: We won!

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Tuesday, July 7, 2015. Medical Board v Jaller: We won! Many patients have expressed concern: will I still be around to care for them? The answer is a resounding yes. The settlement reached between myself and the Maryland Board of Medicine is an astounding victory. I was granted full license to continue practicing in exactly the same way I have for years without any restrictions. I have my attorney Bill Askinazi and the Maryland assistant Attorney General, Victoria Peppers to thank for this great outcome.

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LymeMD: January 2015

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Tuesday, January 20, 2015. Sudden weepiness, tearfulness, crying at commercials – all for no apparent reason is a common complaint amongst those suffering with Lyme disease. Why does this occur? It is easy to find lengthy symptom lists for: Lyme disease, confections, Babesia, Bartonella, chronic fatigue syndrome, fibromyalgia, gluten sensitivity, adrenal fatigue and other overlapping conditions. Many symptoms on the various lists are repeated over and over frequently leading to more confusion. Some sympt...

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LymeMD: January 2014

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Saturday, January 18, 2014. After 3 years of therapy my 60 year old patient feels well enough for a trial off antibiotics. During this recent visit I explored the topic: when do you think you started having symptoms of Lyme disease? She thinks it started 5 years ago with neck pain and a "pinched nerve.". Busy doctors frequently make a quick jump: neck pain to MRI. A diagnosis is made. These conditions looks like the same problem. With Lyme (and other infections) pain does not occur because the nerve ...

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LymeMD: February 2015

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Friday, February 27, 2015. Chronic fatigue, low grade fever and babesiosis. During a recent office visit I thought about those persistent low grade fevers and suggested we repeat a blood smear (a prior one many months ago was negative). A photomicrograph is included here. Discussion: Did she have Lyme? I have relied heavily on Lyme Western Blots, C6 ELISA tests and clinical judgment to diagnose Lyme. I have not used the ISpot which I thought was too nonspecific. This test measures interferon responses of...

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LymeMD: March 2015

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Tuesday, March 31, 2015. Potential for new Lyme therapy: bursting the bubble. A say the problem with Lyme is “6 old men”. I say this somewhat metaphorically. But a small group of older academic physicians developed a paradigm years ago and has continued to successfully convince the faithful. It is so brutally unfair that anguished parents fighting for their critically ill daughter are asked to take part in this fight. This article published in the NYTs is very instructive in this regard. June 17, 2001.