JaSon2233 said...
His text is referring to 10-20% of Lyme patients who then develop chronic lyme. That is the correct way to interpret it i believe. It this the line you see in 95% of academic literature. Thats why I thought he was saying it was the whole chronic lyme picture.
I think its pretty clear to most patients that we have a very heterogenous mix of problems. Some its pure infection thats highly diseminated, some its a mix of infections, some its an autoimmune syndrome, some its another type of immune dysregulation, some lingering damage, some maybe bacterial debris stuck in the body that can't be cleared and is stimulating immune system, probably other problems as well.
I just find it incredibly annoying when someone comes out claiming they have the solution to all of us, when its clear to us that certain things work for others and are a disaster for others.
Calm down, he's not saying that. He's a very intelligent and caring dr. He's on our side. Guy is a national treasure, and I mean that. As Solaris can attest, anyone who goes to see Dr K quickly becomes one of his disciples lol
Dr K gave me some literature on the differential diagnosis of chronic lyme he wrote personally when I first saw him. He describes the symptomology from "chronic lyme" as being multi-faceted. Here's a copy of the first page:
https://ibb.co/prsly93You'll see he believes you can have an active infection that lasts years.
But he also describes a "persistent presence of non-infective lyme". From speaking with him he believes these are "residual" spirochetes that arent in an infective (growing) phase. They sit there in low levels and trigger the immune system. These lead to chronic inflammation of an autoimmune nature, even though its the spirochetes triggering it. It's these cases that he uses bicillin for.
Then he describes cases where there's a co-infection. Nothing new there.
But you'll notice, he also mentions that even if you've cleared the infection, you can still be left with an autoimmune condition. He's very sharp, that Dr K, and he points to the fact that people given the Lyme vaccine went on to develop autoimmune conditions, likely via molecular mimicy of the OspA protein (which is present in both a live spirochete or the vaccine). And since you cant blame that on an infection in that instance, this is clearly a possible outcome, of the vaccine, or an infection.
It's been demonstrated that lyme patients can develop a whole host of anti-neuronal antibodies via this mechanism. I fear that's how i developed small fiber neuropathy.
Post Edited (dcd2103) : 1/24/2022 7:50:32 PM (GMT-7)