[HN Gopher] New studies offer insight into Lyme disease's treatm...
       ___________________________________________________________________
        
       New studies offer insight into Lyme disease's treatment, lingering
       symptoms
        
       Author : gmays
       Score  : 213 points
       Date   : 2025-05-06 11:38 UTC (1 days ago)
        
 (HTM) web link (news.northwestern.edu)
 (TXT) w3m dump (news.northwestern.edu)
        
       | AnthonBerg wrote:
       | The studies mentioned (but not linked?):
       | https://scholar.google.com/scholar?oi=bibs&hl=en&cluster=179...
       | 
       | https://scholar.google.com/scholar?oi=bibs&hl=en&cluster=384...
        
       | jadbox wrote:
       | This is desperately needed. I have Midwest family who have
       | suffered ten years due to persistent lyme disease from having a
       | single tick bite.
        
         | registeredcorn wrote:
         | Same. Family member who lived out around Utah and Colorado. She
         | had been racked with pain for something like 15-20 years. She
         | was going to doctors constantly, trying to figure out what was
         | wrong. She was labeled as a "drug seeker" and got shoved around
         | for years as a result.
         | 
         | Later on, she came across a doctor who happened to used to live
         | in the North East and recognized it as Lyme disease pretty much
         | instantly. She still deals with pain on a constant on-going
         | basis, but has been _slightly_ lessened with more targeted
         | medications, etc. Hopefully something like this can offer her
         | and others like her some sustainable, long-term relief.
        
       | adregan wrote:
       | Wasn't there a new Lyme's vaccine in the works due to come out
       | soon? Anyone aware of how that's going?
        
         | giantg2 wrote:
         | The one I heard about is supposed to be an antibody injection.
        
         | bluGill wrote:
         | In clinical trials - the one I was able to find has the first
         | report due end of 2026, with the final end of 2027. I assume 6
         | months or a year after that to do paperwork before approval so
         | I'm guessing late 2028 before we get it (assuming it passes
         | trial, which isn't a given)
        
         | colinwilyb wrote:
         | Clinical trials still ongoing.
         | 
         | https://www.pfizer.com/news/press-release/press-release-deta...
        
       | giantg2 wrote:
       | I thought that there are approved human vaccines, but they were
       | voluntarily removed due to economic reasons and lack of adoption.
        
         | bluGill wrote:
         | There was, withdrawn in 2002. Protection wanes so even if you
         | were one of the few who got it then you have no protection
         | today. There are a couple new vaccines in the works, one in
         | phase 3 testing so hopefully we get something in a few years.
        
           | mplanchard wrote:
           | Yeah there's what looks like a solid candidate going through
           | a variety of worldwide trials right now.[0]
           | 
           | Very hopeful for a meaningful means of prevention in the
           | coming years.
           | 
           | [0]: https://www.pfizer.com/news/press-release/press-release-
           | deta...
        
             | giantg2 wrote:
             | How is this really different from the previous Lymerix?
             | Aren't they both 3 shot series and OspA based?
        
           | giantg2 wrote:
           | It was withdrawn, but the approval was never revoked.
        
             | bluGill wrote:
             | True, and I suppose the patent is expired by now so you
             | could in theory start making it. Though the FDA has rules
             | about how you can produce such things. Probably better for
             | a company to risk/start a new vaccine which they can patent
             | and thus get some benefit that way vs one out of patent.
             | Also just because you can legally make it doesn't mean it
             | is practical. It may require other things that are not
             | longer made, or specific equipment that would be expensive
             | to recreate. Still this is an opportunity for someone in
             | India (where a lot of generic drugs are made already,
             | though the country doesn't matter) if they want to.
             | 
             | I don't hike as much in areas where Lyme is common as I
             | used to, but I'd still take a vaccine if I could. (I didn't
             | know the vaccine existed in 2001 or I would have)
        
           | zzzeek wrote:
           | the current FDA has no chance of allowing novel new vaccines
           | to move forward
        
         | ixtli wrote:
         | iirc the vaccines stopped the tick from successfully
         | transferring the bacteria. it didn't make the body able to
         | better combat it. (and if you read the article linked it
         | explains that its not actually the killing of the spirochete
         | that is the problem its the remains of it and how the host body
         | responds to those remains.)
        
         | ghaff wrote:
         | It's a complicated story. There were (almost certainly
         | overstated by some) side effects and it just wasn't a super-
         | effective vaccine. Still IMO shouldn't have been take off the
         | market. Hopefully one of the vaccines under development pan out
         | because Lyme is a real problem in some areas and increasingly
         | spreading north.
        
         | micromacrofoot wrote:
         | There are multiple human vaccines in the works at the moment,
         | earliest might be available towards the end of 2027 as long as
         | they're not defunded by the current administration
        
       | dev_l1x_be wrote:
       | It is kinda funny that humanity can kills entire species like the
       | dodo while cannot eradicate a bacterium like Borrelia.
        
         | quesera wrote:
         | Big things are easier to eradicate, especially if they are
         | slow, unaccustomed to being prey, and nutritious.
         | 
         | Eradicating a bacterium with wild animal reservoir populations
         | (deer, white-footed mice, black-legged ticks, all of which are
         | endemic species) is ... a _much_ harder problem.
        
         | monster_truck wrote:
         | If I could hunt Borrelia with spears it would be over
        
           | voidmain0001 wrote:
           | I would like to kill more deer which are part of the Lyme
           | cycle. There are so many in the rural area I live, they
           | remind of big city rats.
        
             | diamondfist25 wrote:
             | Make wolves great again
        
         | rarrrrrr wrote:
         | Strangely enough, there's even some likelihood that killing off
         | the passenger pigeon actually promoted Borrelia burgdorferi.
         | The passenger pigeon's main food source was tree mast. Large
         | flocks of pigeons would descend and clear the forest floor of
         | food. After it went extinct, the population of small animals
         | which also eat tree mast exploded, and these are reservoir
         | species for Borrelia.
        
           | BurningFrog wrote:
           | A Passenger Pigeon relaunch is planned for 2032:
           | 
           | https://reviverestore.org/projects/about-the-passenger-
           | pigeo...
        
         | nkrisc wrote:
         | There were far fewer dodos than any given bacteria. You can
         | also see a dodo.
        
         | bregma wrote:
         | Borellia bergdorfii does not taste like chicken.
        
       | CyberDildonics wrote:
       | Bypassing the clickbait we have this:
       | 
       |  _In two new studies led by bacteriologist Brandon L. Jutras,
       | Northwestern scientists have identified an antibiotic that cures
       | Lyme disease at a fraction of the dosage of the current "gold
       | standard" treatment and discovered what may cause a treated
       | infection to mimic chronic illness in patients. The studies were
       | published in the journal Science Translational Medicine._
        
       | bentt wrote:
       | This is amazing and really needed in the northern US and Canada.
       | It is also great they speak to the chronic lyme condition because
       | many people get accused of it being psychosomatic or even false
       | (similar with long Covid). Their theory of it being bacterial
       | remnants in the liver is validating.
        
         | ixtli wrote:
         | Its sad that we needed to have a partially avoidable mass death
         | due to COVID in order for people to start considering these
         | chronic conditions more broadly in society. People have been
         | having these issues for generations.
        
           | bentt wrote:
           | I mean, sure.
           | 
           | But some things are just really complex and the root causes
           | are very, very difficult to pin down. There was a lot sad
           | about COVID, but like 4000th on the list is how it revealed
           | the human dynamics that lead to chronic diseases being
           | overlooked because science has no valid explanation for
           | what's happening to patients. I say this as someone who
           | suffered from Lyme Disease for a number of years.
        
           | agos wrote:
           | look at it the other way: we got a couple of unexpected
           | silver linings from the COVID hell. one is attention to these
           | chronic conditions (finally!)
        
             | bentt wrote:
             | Yes! It's vital that we continue to look for opportunities
             | in the midst of such a crisis.
        
           | almosthere wrote:
           | Now everyone agrees, experts are just normal people that have
           | built a bias towards one ideological thing or another.
           | 
           | Long COVID? (looks up "party" stance)... that doesn't exist.
           | Eat Apples.
        
         | Aurornis wrote:
         | > It is also great they speak to the chronic lyme condition
         | because many people get accused of it being psychosomatic or
         | even false (similar with long Covid).
         | 
         | I have a friend who worked in research for rare, chronic, and
         | misunderstood diseases for a few years. Post Treatment Lyme
         | Disease Syndrome (PTLDS or just PTLD) is well accept by now.
         | 
         | The problem they encountered was that so many of the people who
         | presented with "Chronic Lyme" diagnoses were either self-
         | diagnosed from the internet or diagnosed by uninformed primary
         | care doctors who used it as a catch-all for symptoms they
         | couldn't diagnose. Many had never received positive test
         | results, or they had received positive test results from cash-
         | pay alternative medicine labs who used their own in-house
         | alternate tests.
         | 
         | It was really depressing to hear stories about people who had
         | been misled into spending tens or hundreds of thousands of
         | dollars on things like year-long courses of expensive, IV
         | antibiotics for a condition they most likely did not have. Even
         | the idea of a persistent infection hasn't held up to scrutiny.
         | The current line of thinking is shown in this article, where
         | persistent particles of past infection might cause ongoing
         | immune-related symptoms. Those symptoms would not respond to
         | the high-dose, long-term antibiotic therapy pushed by the
         | alternative medicine Lyme treatment providers, obviously.
         | 
         | So while it's a difficult topic, having some better mechanism
         | to separate the verified Lyme cases from the self-diagnosed or
         | those wrongly diagnosed is actually very important for
         | improving acceptance of the condition. It's tragic that many
         | with persistent symptoms of true Lyme infections have been
         | dismissed, but it's also tragic that many with non-Lyme
         | conditions have been misled into thinking that "Chronic Lyme"
         | is the explanation for all of their problems contrary to the
         | evidence. Getting the latter group out of the "Chronic Lyme"
         | mindset and on to a path where their true underlying condition
         | can be addressed, whatever it may be, is a win for them.
        
           | Fomite wrote:
           | This. It's been very hard to separate out "Chronic Lyme
           | Disease" as an unfalsifiable self-diagnosis from "Lyme
           | Disease That Which Has Chronic Sequelae", which is fairly
           | well accepted by most infectious disease doctors I know.
        
         | wyager wrote:
         | I had an interesting run-in with chronic (-ish) illness. I got
         | some random flu-like virus in late 2019 (I don't think it was
         | covid, although I was living in HK at the time). Whatever it
         | was, it really screwed me up and left me with a bunch of weird
         | symptoms (e.g. dizziness/vertigo) that had me pretty
         | incapacitated for a few months.
         | 
         | Thankfully the symptoms abated eventually, but doctors couldn't
         | really find anything and none of the diagnostic tests turned up
         | anything that interesting. Ultimately they thought it was
         | probably minor viral encephalitis, but the diagnostics for this
         | are quite bad, so no confirmation either way.
         | 
         | You can't really convince doctors that you're not the kind of
         | person with a propensity for imagined symptoms (probably a lot
         | of hypochondriacs tell them that), so there's not really
         | anything you can say to argue when a doctor implies you're just
         | imagining things.
         | 
         | That and other experiences made me realize:
         | 
         | A) diagnostic technology is really quite poor (e.g. at the
         | time, only one lab (one of the UC schools, I forget which) was
         | even theoretically capable of testing for encephalitic viruses
         | outside of 2-3 very common ones, and all of the tests had
         | ridiculous limitations on e.g. sensitivity window)
         | 
         | B) most doctors really overestimate their own intelligence, and
         | they act accordingly
         | 
         | C) you and your friends/family are the only ones who (can
         | afford to) actually care about and put serious effort into your
         | medical outcomes. If you actually want to get good medical
         | results, you basically just have to diagnose yourself and
         | convince some doctor to go along with it without triggering
         | their sense of superiority
        
       | ChrisArchitect wrote:
       | Earlier release that links the study:
       | https://news.northwestern.edu/stories/2025/04/the-antibiotic...
       | (https://news.ycombinator.com/item?id=43863980)
        
       | netaustin wrote:
       | I contracted Lyme disease while on vacation in Cape Cod last
       | year. The first symptom was left-side facial paralysis, which my
       | physician diagnosed as Bell's Palsy, so I spent two weeks on
       | steroids before we figured out the real issue. Three weeks of
       | doxycycline cured the Lyme but left feeling pretty wrecked for
       | more than a month afterwards! I seem to have avoided the chronic
       | symptoms some people experience, but a low-dose antibiotic would
       | have been great.
        
         | hentrep wrote:
         | Disclaimer: Not a doctor.
         | 
         | I think you're alluding to this in your last statement, but
         | standard treatment for Lyme can absolutely wreck your natural
         | gut microbiome. This could explain some of the lingering
         | chronic effects post-treatment. Did you try supplementing with
         | fermented foods or probiotics after completing dox?
        
           | netaustin wrote:
           | Oh yeah, it just took time. Pill-based probiotics didn't seem
           | to work, but food (or time) did after a couple months.
        
         | voidmain0001 wrote:
         | I'm on a second round of Doxy. The first was 21 days and now I
         | have a 60 day prescription. It doesn't knock me out. I take the
         | first dose early in the morning with a lot of water. I don't
         | eat until noon, but not before first taking a capsule of
         | probiotics to replenish gut bacteria. I take the second Doxy in
         | the evening with a meal. Then 3 hours later I take another
         | probiotic capsule to restore gut bacteria overnight. Maybe that
         | regime is helping or maybe I'm just fortunate.
        
           | ToDougie wrote:
           | Which probiotic?
        
             | voidmain0001 wrote:
             | Option+ 30B CFU. It was on sale at a pharmacy that was in a
             | convenient area. I bought based on it being discounted and
             | having average CFU.
        
         | dec0dedab0de wrote:
         | Just to be pedantic, Bell's Palsy is the name of the condition
         | not the cause. So it was Bell's Palsy caused by Lyme disease.
         | 
         | I have noticed that the line between condition and cause is
         | often overlooked, even by doctors. For example this leads to
         | people thinking Pinkeye/conjunctivitis is highly contagious,
         | when it is still conjunctivitis if it is caused by getting
         | something in your eye. I think that holds for everything that
         | ends in -itis too Sinusitis, Arthritis, Tendonitis, etc.
         | 
         | I know that is a bit of a tangent, but you reminded me of
         | someone who had bell's palsy telling me that it was actually
         | shingles. I explained that just because it was caused by
         | shingles doesn't mean it stops being Bell's Palsy, just like
         | how it is still a cough if it's from the flu or from smoking.
         | They ended up getting really angry at me about it, but I think
         | hn might appreciate the semantics a bit more.
        
           | engineer_22 wrote:
           | Do you have trouble reading other people's emotions?
        
             | dec0dedab0de wrote:
             | No, I could clearly tell they were angry. I just never
             | understood why some people get angry about minor
             | corrections.
        
             | perching_aix wrote:
             | Do you?
        
           | brady8 wrote:
           | Much of being a physician is pattern recognition - the vast
           | majority of Bell's Palsy is idiopathic (generally viral), and
           | thus that's how we usually treat it. If we tested everybody
           | for everything everytime the health system(s) would collapse.
           | 
           | It definitely helps as a patient to advocate, and add
           | anything that a physician like myself maybe wouldn't always
           | ask, like if you've been a tick-infested area and/or
           | discovered a tick attached to yourself recently.
        
             | netaustin wrote:
             | Yeah I agree that's what happened to me. Alas, no tick, no
             | rash, and I'm not sure my PCP in New York City sees a ton
             | of Lyme. Still, I'm glad he caught it when he did!
        
             | cco wrote:
             | > If we tested everybody for everything everytime the
             | health system(s) would collapse.
             | 
             | Looks like Labcorp made over 3 billion dollars last year,
             | so I think probably that number would go up instead of
             | collapsing?
        
               | refurb wrote:
               | Labcorp is one of several labs and most hospitals have
               | their own labs and only send out specialized tests.
               | 
               | It is true - you can't test every patient for everything.
               | There is an estimated 1B primary care visits in the US
               | each year. Assume every patient get 5 tests at $50 a test
               | and you just spent a quarter of a trillion just on tests.
        
               | fsagx wrote:
               | The test itself for lyme must be inexpensive - The vet
               | did a test for my dog as part of routine yearly office
               | visit. I don't know if it's just in my area, or if it's
               | common now.
        
             | dec0dedab0de wrote:
             | I don't know why you're being down voted, of course you
             | can't test for everything, and you're going to start with
             | the most likely causes.
             | 
             | The frustrating part for me is when people think of the
             | symptom as the cause. Like they understand that multiple
             | things can cause a fever, but they don't understand that
             | multiple things can cause bronchitis.
             | 
             | When I was a kid I had "sinusitis" multiple times a year,
             | but my doctor never explained to me that it could be the
             | same or different causes. When I learned that '-itis' just
             | meant inflammation, it blew my mind. I have done my best to
             | spread that knowledge ever since.
        
           | netaustin wrote:
           | Not a tangent! I certainly appreciate the semantics, and
           | there seems to be some academic interest in the semantics
           | alone! Some Lyme researchers would like to call it "Lyme
           | Disease Facial Palsy" or LDFP to encourage practitioners to
           | differentiate early. Not sure that would've helped me, I had
           | no bullseye rash and no fever, just horrible fatigue and
           | facial paralysis. The idea would be to encourage
           | practitioners in Lyme-prone locations to see Bell's, test for
           | Lyme, which I think your point about overlooking the link
           | between condition and the cause supports. Lyme showed up on a
           | blood test my PCP ordered only after I completed a course of
           | prednisone with no improvement and much misery. He didn't
           | even tell me he added a Lyme test, but I'm glad he did!
           | 
           | Here's one paper on the topic I remember reading at the time:
           | https://pmc.ncbi.nlm.nih.gov/articles/PMC8791801/
        
         | mikepurvis wrote:
         | My kid contracted it from a tick bite while camping in Ontario;
         | it showed as joint pain in the legs that would come and go for
         | like a week at a time. Made it tough to explain to the doctors
         | as by the time we'd get there, he'd be fine again.
         | 
         | In the end it was four weeks of doxycycline-- that was several
         | months ago and it doesn't seem to have recurred, thankfully.
        
         | serial_dev wrote:
         | A couple of years ago I had about 10 tick bites and one of them
         | resulted in the signature bull's-eye rash. Thankfully, I was
         | aware of the ticks and I was checking for the bull's-eye rash
         | to appear and it got treated with doxycycline.
         | 
         | Many people face symptoms months after the bite or they might
         | not remember getting bitten by a tick so it's common that it is
         | misdiagnosed and they get all kinds of ineffective and / or
         | unnecessary meds, so I added it to my "list of illnesses to
         | check" in case I ever get unexplainable neurological issues,
         | fatigue and joint problems.
        
           | tasuki wrote:
           | > was checking for the bull's-eye rash to appear
           | 
           | Note that the absence of that wouldn't mean you didn't get
           | lyme disease.
           | 
           | Where I live, most of the ticks carry lyme disease, yet not
           | that many people get infected: if you pull it out quickly,
           | you greatly reduce the chance of getting infected. Of the
           | people I know, perhaps 20% had lyme disease (and knew about
           | it, I must add).
        
             | hattmall wrote:
             | 1 in 5 people had Lyme disease where you live? Where is
             | that??
        
               | tasuki wrote:
               | Central Europe. Maybe 1 in 10. I know at least 10 people
               | who did, anyway. And I have not talked about this with
               | all the people I know.
               | 
               | Some have no lingering issues, others have lingering
               | issues seemingly for life, and yet others have issues for
               | a couple of years and then they're ok.
        
         | y-c-o-m-b wrote:
         | Doxycycline is my favorite antibiotic and the most effective
         | against chronic sinusitis and chronic prostatitis for me. I
         | only take it maybe once a year, but it does wonders for a good
         | long time.
         | 
         | It also cured my nearly lifelong IBS-D about a decade ago. I
         | had a small re-occurrence of IBS-D last year after so many
         | years without it. I was able to convince the doc that it fixed
         | it for me in the past, so he prescribed me doxycycline again.
         | Boom! All fixed just like before.
         | 
         | I have no idea why that particular antibiotic does the trick,
         | but I've taken so many others from amoxicillin line, bactrim,
         | even cipro, flagyl (gross) etc. and only doxy is the silver
         | bullet for me it seems.
        
           | Klonoar wrote:
           | That's wild that it had that effect for you with any form of
           | IBS. I know two people with Crohns where it set off and
           | irritated their systemd for months.
        
             | speed_spread wrote:
             | > irritated their systemd
             | 
             | Ouch
        
               | Klonoar wrote:
               | Ha! I blame autocorrect, but I'm keeping it.
        
               | fuzzfactor wrote:
               | That's gotta hurt.
               | 
               | Then again if it irritates you, maybe it deserves a
               | little disruption itself.
        
         | e40 wrote:
         | I had a co-worker that had a Bell's Palsy diagnosis and it
         | turned out to be Lyme disease. Don't know which antibiotic they
         | took, but he did get clear of it in a few months.
        
       | binary132 wrote:
       | And here I thought "long Lyme" had been proven fake.
        
         | gavin-1 wrote:
         | "long Lyme" isn't well defined, but you're probably thinking of
         | chronic lyme [1]. This article refers to PTLD.
         | 
         | The distinction matters. Chronic lyme is quackery that
         | encourages people to pursue aggressive long-term antibiotic
         | treatment for a non-existent persistent bacterial infection.
         | Often these are people who have never been infected with
         | Borrelia in the first place.
         | 
         | The article directly contradicts the persistent (undetectable)
         | bacterial infection "chronic lyme" theory.
         | 
         | [1] https://en.wikipedia.org/wiki/Chronic_Lyme_disease
        
           | voidmain0001 wrote:
           | Agreed. Long Lyme certainly exists. I appear to have it as do
           | numerous acquaintances. I wrote "appear to have it" because a
           | blood test for Borrelia returns negative. However, just two
           | weeks ago a doctor told me that Borrelia can evade a blood
           | test by infecting the nervous system. That was news to me so
           | I found this from NIH in the USA.
           | https://pmc.ncbi.nlm.nih.gov/articles/PMC8870494/ Borrelia
           | can cross over to the CNS. Lovely.
        
             | IncreasePosts wrote:
             | What symptoms? How can you say your symptoms are from long
             | Lyme, and not something else, or just getting old?
        
               | voidmain0001 wrote:
               | My symptoms are spot on with Acrodermatitis chronica
               | atrophicans.
               | 
               | https://en.wikipedia.org/wiki/Acrodermatitis_chronica_atr
               | oph... https://www.ncbi.nlm.nih.gov/books/NBK563289/
        
             | Aurornis wrote:
             | > I wrote "appear to have it" because a blood test for
             | Borrelia returns negative. However, just two weeks ago a
             | doctor told me that Borrelia can evade a blood test by
             | infecting the nervous system.
             | 
             | The theory of persistent infection hasn't really held up.
             | There were a few researchers who claimed to have some
             | evidence, but it hasn't really been replicated. It's
             | largely been dismissed from mainstream research.
             | 
             | Sadly, it's still a favored theory in many alternative
             | medicine communities. It's also a really contentious topic.
             | There's a long history, including Lyme researchers leaving
             | the field after receiving death threats following
             | publication of research that didn't agree with the
             | alternative medicine theories.
             | 
             | > That was news to me so I found this from NIH in the USA.
             | https://pmc.ncbi.nlm.nih.gov/articles/PMC8870494/ Borrelia
             | can cross over to the CNS. Lovely.
             | 
             | To be clear, that article is about CNS penetration of the
             | infection, not _persistence_ of the infection.
        
               | voidmain0001 wrote:
               | Is there a reason you refer to alternative medical
               | communities in response to my comment? Considering I made
               | no reference to using alternative medicine, what does it
               | have to do with my comment? Do you have an agenda? I know
               | that I don't have one and neither did my comment.
        
               | diamondfist25 wrote:
               | This is the bias that people have
               | 
               | They only trust the small sample of evidence that science
               | provides, and dismisses the vastly unknown space that
               | their science cannot comprehend
        
               | seattle_spring wrote:
               | "Science" is simply a structured methodology that uses
               | tangible evidence to substantiate hypothesis. How exactly
               | would that framework be unable to "comprehend" something
               | like Lyme?
               | 
               | This quote seems apt here: "You know what they call
               | alternative medicine that's been proved to work? -
               | Medicine."
        
       | loeg wrote:
       | > Northwestern scientists identified that piperacillin, an
       | antibiotic in the same class as penicillin, effectively cured
       | mice of Lyme disease at 100-times less than the effective dose of
       | doxycycline.
       | 
       | Would be nice if it translates to humans.
       | 
       | > The authors argue that piperacillin, which has already been
       | FDA-approved as a safe treatment for pneumonia, could also be a
       | candidate for preemptive interventions for those potentially
       | exposed to Lyme (with a known deer tick bite).
        
         | hn_acc1 wrote:
         | As someone allergic to doxycycline (was given it as a kid, had
         | a huge rash all over my body), that sounds helpful if I ever
         | need it.
        
           | elric wrote:
           | Not allergic myself, but tetracyclines basically turn me into
           | a vampire, the slighest bit of sun exposure burns me to a
           | crisp. Very unpleasant.
        
       | dcchambers wrote:
       | This is fantastic news. I live in Wisconsin - a tick and Lyme
       | Disease hot spot. Ticks are one of the few bugs that really freak
       | me out due to Lyme Disease, especially for my kids who spend a
       | lot of time out playing in the grass.
       | 
       | Any news on the development of the fight against Lyme Disease is
       | great news.
       | 
       | One key thing I've learned is that ticks are very unlikely to
       | spread disease-causing bacteria within the first few hours of
       | biting. So just do regular checks whenever you've been outside in
       | tick-prone areas and get them off right away if found. If removed
       | promptly the chance of infection is basically zero.
        
       | charlangas wrote:
       | Both of my sisters (currently mid-30s) have had their lives on
       | pause for over 10 years due to chronic Lyme disease because
       | doctors in Mexico hadn't ever even heard of it. It took 4 years
       | of pain for the first of them to be diagnosed. Not sure when, if
       | ever, they'll be cured because when you don't treat Lyme disease
       | within a few months of infection, it digs in and is incredibly
       | difficult to kill.
        
         | Aurornis wrote:
         | > Not sure when, if ever, they'll be cured because when you
         | don't treat Lyme disease within a few months of infection, it
         | digs in and is incredibly difficult to kill
         | 
         | FYI, the idea that active infection continues to exist in
         | hiding within the body is a fringe theory.
         | 
         | The linked article talks about one of the current theories for
         | why some patients have persistent symptoms after the infection
         | is treated. The theory involves certain components of the past
         | infection lodging themselves in the liver where they persist
         | and can cause symptoms.
         | 
         | This is a difficult topic because some alternative Lyme
         | treatment providers will tell patients they have a persistent
         | infection and then subject them to years of high-dose
         | antibiotics with no scientific basis, which can create a
         | separate set of problems without addressing anything.
        
           | thedougd wrote:
           | Yes, and they use non-specific testing that will produce a
           | positive result in most people.
           | 
           | There's a massive scam industry around Lyme and it's a shame
           | because it interferes with legitimate suffers' ability to get
           | honest treatment. Or worse, sends those who don't have Lyme
           | down a rabbit hole where their actual condition is never
           | treated.
        
           | elric wrote:
           | > This is a difficult topic because some alternative Lyme
           | treatment providers will tell patients they have a persistent
           | infection and then subject them to years of high-dose
           | antibiotics with no scientific basis, which can create a
           | separate set of problems without addressing anything.
           | 
           | I know someone who has been suffering from what they call
           | "chronic lyme" for years. These people are painfully well
           | aware of the unlikeliness of antibiotics fixing them, and
           | they're very much aware of the problems being caused by
           | antibiotics. But the alternative ("doing nothing") isn't
           | helping them either, so they cling to the hope that the
           | antibiotics will do "something".
           | 
           | It doesn't help that they're stigmatised. They're "lazy".
           | They're "faking it". It isn't a "real disease". None of that
           | helps them. Maybe the antibiotics don't help them either, but
           | at least they have a chance of doing something.
        
         | pembrook wrote:
         | Sorry to be so blunt, but it's extremely unlikely both your
         | sisters would have a rare chronic condition related to Lyme
         | that wouldn't respond to the standard course of antibiotics.
         | The hysteria around Lyme on the internet is ridiculous.
         | 
         | Unfortunately nobody wants to say it to your face, but among
         | females, you can never rule out social contagion when
         | confronted with extremely coincidental outcomes like this.
         | 
         | Or, it could be a genetic condition they both have being
         | misdiagnosed as chronic Lyme via internet research.
        
         | e40 wrote:
         | I read an account here years ago of someone that tried
         | everything and as a last resort did a 2-3 week fast under
         | doctors supervision and it cured it. I always thought I would
         | try this if I got LD.
        
       | formerphotoj wrote:
       | For more info on Lyme and related difficult to identify diseases,
       | NYT columnist Ross Douhat wrote a book about his experience w/
       | Lyme and his ongoing adaptations. It's called...
       | 
       | The Deep Places: A Memoir of Illness and Discovery
        
       | 3D30497420 wrote:
       | On a related note, the Trump administration frozen more than $790
       | million in federal funding for NU because of "ongoing federal
       | antisemitism investigations":
       | https://dailynorthwestern.com/2025/05/05/lateststories/by-th...
        
         | boplicity wrote:
         | This is what the "fight" with "elite" universities is _really_
         | about: No longer funding research.
         | 
         | That's the most important aspect of this thing. Every other
         | aspect of this is a sideshow to the main event. And the main
         | event very much is the de-funding of scientific research.
         | 
         | No longer funding this research is a _huge_ change. And one
         | that will eventually have far-reaching consequences for
         | _everyone._
        
           | 3D30497420 wrote:
           | I think it is even broader than that. It is removing any
           | potential opposition. That opposition is independent
           | institutions, such as universities, but also the truth
           | itself. If there's no one to research things, then how will
           | you know if something is "true" or not? If there's no one to
           | communicate those findings, how will anyone find out? Etc.
        
             | ToDougie wrote:
             | Independent institutions is an oxymoron.
        
               | e40 wrote:
               | Independent from POTUS is what was meant.
        
           | throw310822 wrote:
           | > This is what the "fight" with "elite" universities is
           | really about: No longer funding research.
           | 
           | No, sorry, the fight with the universities is quite clearly
           | to crush criticism of Israel and all forms of identity
           | politics. The stops in funding for research are a means to
           | achieve this plainly declared objective.
        
       | roody15 wrote:
       | My mother got a tick bite and felt off and the doctor told her
       | she had allergies and sinus infection due to high pollen. Luckily
       | my younger brother is a physician and told her to go back and ask
       | for a Lyme disease test. They said okay but said Lyme disease is
       | really rare and wasn't necessary. Long story short she was
       | positive but was caught early enough that 30 days Doxy was all
       | she needed.
       | 
       | That same year I was bitten and had a super itchy spot near my
       | private regions. It was crazy itch and made a bullseye rash. I
       | went to a clinic and they said they had never seen the bullseye
       | rash and it was textbook Lyme disease (or one other common tick
       | disease). Same was treated with Doxy and was fine. It's an
       | strange disease because if caught early super cheap antibiotics
       | work well... but if has spread through your body it can take
       | years to recover and be quite serious!
        
         | The5thElephant wrote:
         | Why have I heard so many stories of doctors not wanting to
         | diagnose something as Lyme disease?
        
           | soulofmischief wrote:
           | I literally used to get laughed out of the clinic, told I was
           | a healthy young male and just needed to exercise more. After
           | a decade of this, I was finally diagnosed with gout,
           | something doctors had just been lying about testing for. No
           | one could believe someone could have gout in their 20s (It's
           | been developing since my late teens and I've generally had
           | arthritis my entire life, since I was a child).
           | 
           | It took a _physician 's assistant_, who happened to see me
           | one day when _both_ of my doctors were on their third
           | extended vacation of the quarter, to hear my plight, take my
           | suggestion of gout seriously, and do the leg work, also
           | revealing to me that  "full test panels" don't include uric
           | acid by default and that my doctors had been lying to me
           | about their thoroughness.
           | 
           | The assistant was also massively more knowledgeable about the
           | disease, its history, the history of treatment, etc., and
           | disease in general, than either of the two doctors running
           | the clinic. Really opened my eyes.
        
             | The5thElephant wrote:
             | Funny enough I also got diagnosed with gout once in my 20s.
             | I have always had somewhat bad toes/bunions (probably
             | partially genetic, and partially wearing only tight soccer
             | shoes as a kid) and I went to a wedding wearing some new
             | leather shoes that I hadn't broken in yet. The next day I
             | woke up with a fever and horrific pain in the sides of my
             | toes. Went to doctor and they did some tests and were also
             | seemingly surprised at the results indicating gout. They
             | asked me to come back in a week to double check, and by
             | then my symptoms were gone and the tests no longer
             | indicated gout.
             | 
             | Our bodies are such strange mechanisms.
        
               | soulofmischief wrote:
               | > They asked me to come back in a week to double check,
               | and by then my symptoms were gone and the tests no longer
               | indicated gout.
               | 
               | Ha. Do you still have symptoms? If not, yea just a bad
               | initial diagnosis. If you do still have symptoms
               | sometimes though, it should be noted that gout is hard to
               | test for when you're actively experiencing aggravated
               | symptoms, as the uric acid crystals are lodged into your
               | tissue and not freely available in the blood stream /
               | urine. This exacerbated everything quite a lot, as when I
               | was much younger I definitely got uric acid tests done
               | when my symptoms were at their worst.
        
             | anitil wrote:
             | I have seen young men get diagnosed with gout, but they
             | were Islanders (Samoans and Maori in my case), who I
             | believe are at a higher risk so doctors are more aware of
             | it
        
             | AdamN wrote:
             | This is why, although I know there will be problems with
             | it, we should get AI and blood tests more accessible for
             | individuals. Accessing the healthcare system for "I know
             | I'm not 100% but ... I don't have anything specific wrong
             | like a broken bone" is basically a crapshoot - and a
             | totally stupid one.
        
             | jerlam wrote:
             | I wonder if the medical textbooks only mention gout as a
             | historical curiosity and not as a modern day disease. I
             | have an older relative with gout, have met someone in their
             | 30s with gout, and yesterday heard a story about an
             | acquaintance with gout, so it's not that rare anymore.
        
               | soulofmischief wrote:
               | I think it's just typically seen in older men. In fact,
               | only something like 5% of gout sufferers are women. But a
               | 2023 study says [0]:
               | 
               | > The global gout prevalent cases in individuals aged
               | 15-39 years was 5.21 million in 2019, with the annual
               | incidence substantially increasing from 38.71 to 45.94
               | per 100 000 population during 1990-2019
               | 
               | So while marginal, it is either getting more prevalent
               | for younger men over the last 30 years, or we are getting
               | better at catching it.
               | 
               | What's interesting is all of the older men I've met with
               | gout describe moderately uncomfortable pains, I was
               | surprised to learn that my case is exceptionally intense,
               | debilitating enough to be a physical handicap at times
               | (along with sciatica, fused discs, flat feet, some other
               | little things and possible fibromyalgia) which has
               | plagued my life since I was in my teens.
               | 
               | It's been a horrendous disease that has greatly impacted
               | my ability to be as active as I'd like, and sometimes
               | during a flare-up it's extremely difficult just to walk
               | to my bathroom. Flare ups sometimes happen constantly and
               | sometimes I get a month or two of reduced symptoms.
               | 
               | Another thing is that I don't eat meat, and I rarely
               | drink, which are the two biggest aggravators of symptoms.
               | When the doc told me I needed to cut those things out I
               | laughed, and they said they were very surprised that my
               | symptoms were so bad given that I already avoid the most
               | offensive foods.
               | 
               | I'm also currently trying to pin down another autoimmune
               | disease. From what I know, I don't speak to him, but my
               | father has been in and out of the hospital his whole life
               | and it took decades to pin it down as lupus. I am
               | wondering if he lacked the butterfly rash because I don't
               | have one, but otherwise have basically every symptom of
               | lupus, but it also could be fibromyalgia or even MS.
               | Combined with the gout though, I feel 40 years older than
               | I am, almost every little tissue and bone and muscle
               | hurts from head to toe (literally toe, gout keeps one of
               | my toes at a constant level of pain).
               | 
               | [0] https://pmc.ncbi.nlm.nih.gov/articles/PMC10152042/
        
           | dessimus wrote:
           | Lyme Disease : PCPs :: Lupus : Dr. House?
        
           | BiteCode_dev wrote:
           | Doctors are trained to be arrogant, dismissive of unknown
           | unknowns, and with a terrible understanding of statistics.
           | 
           | Add to that:                   - They have a lot of patients
           | and not enough sleep.         - They need to pay back a huge
           | student loan.         - They hold terrible responsibilities
           | and risk being sued.         - They don't have much time for
           | themselves, let alone update their knowledge.         - Most
           | patients are overreacting idiots, so it's a winning strategy
           | to ignore what they tell you most of the time.         - They
           | are not trained nor selected for empathy or open-mindedness.
           | 
           | And you get so many medical errors.
           | 
           | Basically, you have to double-check everything they do, and
           | endure their cynical rebuttal when you make suggestions, ask
           | questions or try things they didn't request.
           | 
           | I had to face many such errors myself, two almost lethal.
           | 
           | When you can, shop for one that is both good and is open to
           | discussion. But even then, there is a limit. At some point,
           | your doctor WILL fail you, so you have to take
           | responsibility, usually when you're weak and at a low point
           | in your life.
           | 
           | And if you are wrong, people will tell you you should have
           | listened to your doctor, but if the doctor is wrong, well,
           | shit happens.
           | 
           | One of my practitioners is a friend of 15 years, I literally
           | lived with him, he is considered top in his specialty. I'm
           | surrounded by people working at the hospital.
           | 
           | He saved my life once.
           | 
           | Even that is not enough. I still have to double check stuff
           | every time.
        
             | caycep wrote:
             | I would say, it depends. I also have a lot of colleagues
             | who overtest out of paranoia and risk avoidance.
        
             | newyankee wrote:
             | Makes you question, how bad could an all encompassing AI be
             | at diagnosing given enough multimodal data
        
               | adventured wrote:
               | One can debate its merit right now, the upside / downside
               | equation. In 10-20 years? Game over. Doctors will largely
               | be the physical space touch point. AI will in effect use
               | meatbags to interact with the patients.
        
               | pcthrowaway wrote:
               | I think I'm feeling the effects of Gell-Mann amnesia
               | here. The same is said about software engineers, but I'm
               | not as confident as you that there won't be a need for
               | the profession in 10-20 years.
        
               | Retric wrote:
               | I suspect AI chosen by an organization trying to maximize
               | profits could be _really_ bad.
               | 
               | This is an industry that places people's lives as vastly
               | less important than minor scheduling issues as someone
               | working 12+ hours is seen as perfectly normal.
        
               | mec31 wrote:
               | Another perspective on the underlying issue--do you
               | suppose that MDs will be more easily replaceable with AI
               | than nurses will be?
        
             | dev1ycan wrote:
             | "Doctors are trained to be arrogant"
             | 
             | Says the programmer who is giving an opinion on a field
             | that is not his...
        
               | BiteCode_dev wrote:
               | I'm not trained to be arrogant, I'm born that way.
        
               | fuzzfactor wrote:
               | It's purely anecdotal but does have some provenance going
               | back at least to the 19th century, with one of the early
               | liver specialists.
               | 
               | He was reportedly at a cocktail party one evening when a
               | messenger burst in and informed the esteemed doctor that
               | one of his patients appeared to be dying from a heart
               | attack.
               | 
               | "My good man," he replied, "that can't possibly be true.
               | When I treat a patient for liver disease he _dies_ of
               | liver disease. "
        
             | VoidWhisperer wrote:
             | > At some point, your doctor WILL fail you, so you have to
             | take responsibility, usually when you're weak and at a low
             | point in your life.
             | 
             | The two times I've been hospitalized in my adult life, I've
             | been incredibly thankful for my parents stepping in to act
             | as my patient advocates, including pushing back on doctors
             | when necessary. (The first hospitalization was guilliane-
             | barre and the other a rare hemotological condition, so i
             | wasn't in a great place in either scenario to advocate for
             | myself).
             | 
             | A pediatrician in my family has said that patients get
             | significantly better outcomes when they have a patient
             | advocate, because even if they are directly related to you
             | (i.e. parents or sibling), they are going to be far better
             | at being objective on the situation than you, the person
             | being affected by it, is
        
             | refurb wrote:
             | It makes more sense when you realize most of the time it's
             | not <disease>. Doctors see thousands of patients per year
             | and 99% of them have common conditions with straightforward
             | diagnosis.
             | 
             | Add on top vague symptoms that can't actually be measured
             | and are subjective and you end up with challenging
             | diagnoses.
             | 
             | I do agree that patients should educate themselves and
             | advocate for themselves. Doctors aren't perfect and they
             | don't know everything.
             | 
             | But it helps to have some perspective of what doctors deal
             | with on a day to day basis.
        
             | hilbert42 wrote:
             | _" Basically, you have to double-check everything they do,
             | and endure their cynical rebuttal when you make
             | suggestions, ask questions or try things they didn't
             | request."_
             | 
             | I had frequent headaches and the student health service
             | referred me to a well-known and very respected hospital for
             | tests as an outpatient. The doctor to whom I was referred
             | was a well-known neurologist with papers to his name--
             | probably the most eminent neurologist in the country at the
             | time (even now, some decades after his death, his name
             | appears on Wiki as someone of eminence).
             | 
             | He then sent me for a series of tests at the hospital and
             | they extended over a number of days although not
             | consecutive (which was inconvenient). Those tests were
             | rather exhaustive and included amongst others neurological
             | tests, brain x-rays, electroencephalographs and testing my
             | eyes including injecting fluorescein into my veins to
             | improve the contrast of the photos they took of my
             | eyes/retina--afterwards I was pissing out that brilliant
             | florescent yellow dye for the better part of a day.
             | 
             | Keep in mind that those tests involved other doctors and
             | clinicians who would have examined the neurologists report,
             | so decisions weren't taken in isolation.
             | 
             | After all that and multiple visits to the hospital he said
             | that they could find nothing wrong with me and suggested
             | that I be admitted for at least three days for further
             | tests! I declined as I was about to have uni exams and
             | never did return to be admitted.
             | 
             | Several months later I visited a local GP practitioner
             | because I'd had a bad dose of the flu and after he'd dealt
             | with that I mentioned my ordeal at the hospital.
             | 
             | He was palpably furious and mumbled quietly under his
             | breath which was just audible enough for me to hear
             | "fucking idiots". Within a split second he went on to say
             | "presumably during all this testing no one actually
             | suggested that you might have migraine?" to which I replied
             | "no". That made him even more annoyed.
             | 
             | He then prescribed a common Parke Davis formulation called
             | Ergodryl, which, back then, was a common go-to drug for
             | migraine, it's a formulation of egotamine tartrate,
             | caffeine and diphenhydramine (a well-known antihistamine).
             | 
             | Problem solved, that drug completely killed my headaches.
             | I've never forgotten that incident and although I've
             | experienced similar inept performances I've never
             | experienced one on that scale again. Ever since I've never
             | fully trusted a medical diagnosis unless confirmed by
             | second options and backed up with tests. It pays to be not
             | only cautions but also to do one's own independent
             | investigations.
             | 
             | From my experience, not all doctors are mediocre to the
             | extent that I'd wished I'd seen another, some I've visited
             | are quite exceptional and have an innate ability to cut to
             | the core of a problem immediately, or at least start
             | investigations on the right footing. Unfortunately, from my
             | experience, they seem few and far between in numbers.
             | 
             | I was once introduced to a state director of health (the
             | State's top medical officer) through a common interest
             | outside of medicine and I got to know him relatively well.
             | Some time later I mentioned that incident and he said to me
             | without hesitation that he would not trust 90% of his
             | profession to make a competent diagnosis, and he went on to
             | say that if I were ever to be stricken by some dangerous
             | life-threatening disease that I was to give him a call and
             | he'd provide me with a short list of the competent ones who
             | he'd trust--one's that he would go to if he became sick.
             | Fortunately, to date I've never had need to take up his
             | offer.
             | 
             | Frankly, for the lay person this has to be a significant
             | worry. How on earth does one know who is competent and who
             | is not, especially if it's at short notice?
        
           | wyager wrote:
           | The majority of doctors I've interacted with, with a low-
           | single-digit number of notable exceptions, seemed to estimate
           | their own intelligence at about 1 or 2 stddev higher than it
           | actually was. Combine this with (I imagine) a large number of
           | legitimately stupid and/or hypochondriac patients, and you
           | have a recipe for really shitty diagnostics.
        
           | fma wrote:
           | American doctors are also reluctant to do rabies shot. Yeah
           | they are expensive, the risk is low and there are ways to
           | rule it out, but I'd rather not die. Other countries can get
           | them anywhere for cheap. Here...thousands of dollars in the
           | ER. One reason could be its just not administered enough. The
           | other is, for profit American medical system because no one
           | wants to die.
        
             | hilbert42 wrote:
             | _" Other countries can get them anywhere for cheap."_
             | 
             | Those of us outside the US understand the US health care
             | system is more profit orientated than many other countries
             | but we cannot understand the huge price differentials,
             | they're often huge in comparison with many others. Surely
             | figures that high are nothing other than price-gouging.
             | (Even if demand is low and the stuff has to be imported the
             | additional costs can't be that costly. Surely not?)
             | 
             | So why doesn't consumer and or monopoly law kick in to stop
             | it (as it does in many other places)?
        
           | pjc50 wrote:
           | Certain things are way under-diagnosed, especially anything
           | relating to a chronic condition that does not have an easy
           | biomarker. Doctors get cynical about their patients.
           | 
           | A particularly nasty one is endometriosis.
        
           | treis wrote:
           | Chronic Lyme Disease is a popular choice for hypochondriacs
           | (or maybe they're actually right, who knows?) so it gets
           | raised eyebrows when people think they have it.
        
         | jtbayly wrote:
         | My wife got a tick bite in Indiana. Went to Wisconsin shortly
         | after, and developed bullseye rash. Went to clinic and they
         | told her she couldn't get Lyme's in Indiana. She insisted on a
         | test. Positive. Doxy cleared it.
        
         | greenie_beans wrote:
         | always have to argue with a doctor to get a lyme test. i'm like
         | come on please i spend a lot of time in the woods idgaf what
         | you think i'm paying for it
        
           | n8henrie wrote:
           | Why don't you order one through labcorp in that case? Can't
           | one just order and pay for bloodwork directly through a lab
           | without a physician visit?
           | 
           | I am a physician in the US and have done this before (prior
           | to medical school), so I had always thought it was (still)
           | possible.
        
             | jerlam wrote:
             | Labcorp doesn't appear to have a lyme test easily available
             | to the public, but Quest does:
             | 
             | https://www.questhealth.com/product/lyme-disease-test-
             | with-c...
        
             | greenie_beans wrote:
             | have no idea, never heard of that. i'm an idiot when it
             | comes to my health care. i've only ever been to the doctor
             | when i have a problem. have been in and out of health
             | insurance so to me going to the doctor is an extremely
             | expensive thing to avoid. especially when doctors are
             | dismissive about whatever issue i come with. i've never
             | been for preventative care, don't even know what i would
             | say when they ask what i'm there for.
        
       | jpadkins wrote:
       | Good time to remind people that right next to the town of Lyme CT
       | is Plum Island Animal Disease Center, who happened to be
       | researching tick based disease transmission when Lyme disease was
       | first discovered (named after the town that had the first case).
       | Crazy coincidence.
       | 
       | https://www.defenseone.com/threats/2019/07/did-us-invent-lym...
        
         | goda90 wrote:
         | Evidence of bacterium that causes Lyme disease was also found
         | in the 5000+ year old "Iceman" mummy found in the alps. People
         | have described the disease in the 1700s, 1800s and in the 1900s
         | prior to the outbreak in Lyme. Ticks preserved alongside their
         | animal hosts in 1800s biologic samples also are found to have
         | it. Genetic sequencing of different bacteria samples suggests a
         | much older evolutionary tree than a few decades existence.
        
           | jpadkins wrote:
           | Bioweapon researchers use existing bacteria and virus to
           | enhance them for weapon usage (I.e. coronavius gain of
           | function research). So the fact that the bacterium previously
           | existed in nature does not disprove that a version engineered
           | to be spread via ticks was released.
        
         | seattle_spring wrote:
         | Not really. Isn't the best place to open a center that
         | "researches tick based disease transmission" somewhere that's
         | close proximity to a hot-spot for ticks that transmit diseases?
        
           | diamondfist25 wrote:
           | Hmm reminds me of the lab in Wuhan's that's doing weapons
           | level bio research, and yet the virus came from a wet market
        
             | seattle_spring wrote:
             | Yes, very similar situation. Opening a Coronavirus research
             | lab next to an area historically active for natural virus
             | harbors and transmission makes perfect sense. However, that
             | situation also empowered the uninformed to come out of the
             | woodwork and repeat the nonsense they heard from people
             | like Bret Weinstein, using the correlation with a perfectly
             | reasonable explanation as some kind of "gotcha".
        
       | boplicity wrote:
       | How strange that scientific research just like this has become
       | extremely political.
       | 
       | Case in point: The Trump administration has cut Northwestern off
       | from over a quarter billion dollars in funding because of "anti-
       | semitism." Note, that the vast majority of this money is for
       | research just like the one linked in this article.
       | 
       | Of course, people seem to be arguing about anti-semitism more
       | than cutting off funding for research. But make no mistake:
       | cutting off research funding is _exactly_ what is happening. And
       | that has practically _nothing_ to do with antisemitism.
        
         | stevenwoo wrote:
         | I was listening to an interview with Adrian Tchaikovsky the
         | writer and his theory was conservatives have a love/hate
         | relationship with sciences (and arts and academia).
         | Paraphrasing from memory - if some thing or someone reinforces
         | their belief system they love it, and they despise it when it
         | contradicts them, this effort against science is to get a
         | reality (scientific results) to agree with their preconceived
         | notions. The bonus is suffocating dissent of any kind against
         | those in power. The context was this was about his book about
         | exobiology and authoritarian governments, Alien Clay.
         | 
         | Anti-semitism is just the convenient cover, likewise pro
         | Palestinian protesters are judged to be interfering with USA
         | international relations (wrt Israel) by the Secretary of State
         | under one clause of Immigration and Nationality Act that they
         | use to justify legal immigrants to be kidnapped and deported.
        
         | Quinner wrote:
         | Yet the people that were apoplectic about Facebook voluntarily
         | working with the government to combat covid misinformation are
         | mysteriously silent.
        
         | throw310822 wrote:
         | The government is cutting funding to universities to crush
         | opposition to Israel, which they call derogatorily
         | "antisemitism". It is plainly stated. The objective is
         | shielding from criticism a foreign country. Damn deal with it
         | instead of second and third guessing the motives of the
         | government.
        
       | whyenot wrote:
       | Lyme disease does exist on the west coast, including in the Bay
       | Area. A friend in Los Altos got Lyme disease from a tick in her
       | yard. This is the worst time of year for ticks in the Bay Area.
       | I've picked off over 100 ticks while doing field work in Henry
       | Coe State Park. The one advantage we have on the west coast is
       | that our ticks are larger and you usually notice when one starts
       | crawling on your skin and especially when one bites you.
        
         | ToDougie wrote:
         | A friend from Sacramento visited me in SoCal and brought his
         | dog along. We hung out for a few days, and eventually I found a
         | bullseye rash on my leg but no tick anywhere on my body. I went
         | to urgent care and they recommended I see an infectious disease
         | specialist, pronto -- and to start doxy that evening. My
         | bloodwork came back with too few markers for them to call it a
         | case of Lyme disease, but the specialist felt strongly that we
         | made the right decision to use the antibiotics.
         | 
         | Everyone always told me there is no Lyme disease in NorCal.
         | Reading your comment helped me feel vindicated.
        
       | heelix wrote:
       | Our kid got bit by a tick. Was lucky enough that it had the bulls
       | eye pattern and was able to look it up. She got a crazy high
       | temperature. Was crazy. A strong antibiotic cleared it up.
       | 
       | I really wish there still was a vaccine available (for humans). I
       | treat my pant legs and jacket sleeves with permethrin, which
       | slowly kills the ticks - but does so usually before they would
       | attempt to bite. One of the better camping tricks that I've
       | applied to everyday life.
        
         | Loughla wrote:
         | Duct tape inside out at the top of your socks under your pants
         | does wonders as well. We couldn't find permethrin during COVID,
         | so we did that. It worked mostly. The big bastards didn't get
         | stuck, but they're easy to see. It was the little deer and seed
         | ticks that got stuck. So that's a win.
        
       | chasil wrote:
       | "...doxycycline (and other generic antibiotics) wreak havoc on
       | the microbiome, killing beneficial bacteria in the gut and
       | causing troubling side effects..."
       | 
       | Doxycycline is used as prophylaxis for a wide variety of
       | pathogens; either the risk is tolerable with them, or the alarm
       | is needlessly elevated.
       | 
       | https://www.fitfortravel.nhs.uk/advice/malaria/doxycycline
        
         | Loughla wrote:
         | Troubling side effects, from my experience being treated for
         | Lyme with doxy is diarrhea for a while.
         | 
         | I'll fucking take that all day long to get rid of Lyme. It
         | sucks out loud. Every one of my joints was killing me. Even the
         | useless little joints in my pinky toe.
        
       | fdudjnr wrote:
       | I had a tick bite years about with bullseye and didn't get
       | treated. I've had Lyme disease-related symptoms ever since, but
       | and assume from what I've read it's too late to do anything about
       | it. Would this treatment still help or am I still fucked?
        
         | e40 wrote:
         | It is purely anecdotal but I read a post here years ago about
         | someone that had a 10 year battle with Lyme disease, had gone
         | through rounds of antibiotics and it always came back. He
         | finally heard that maybe long fasts (2 weeks) might help, tried
         | it and his symptoms went away. Just mentioning it because it
         | seems relevant. I always thought should it happen to me, I
         | would give a 2 week fast a try, under a doctor's supervision.
        
       | stinos wrote:
       | _The authors argue that piperacillin, which has already been FDA-
       | approved as a safe treatment for pneumonia, could also be a
       | candidate for preemptive interventions for those potentially
       | exposed to Lyme (with a known deer tick bite)._
       | 
       | This strikes me as somehwat odd: as far as I'm aware there are
       | worldwide issues with overuse of anitbiotics leading to various
       | bacteria becoming resistent (and a quick serach seems to indicate
       | this is also the case for piperacillin), but here they're saying
       | that it would be ok for a probabaly large amount of people (as
       | in: millions annualy?) to get antibiotics preemptively? Or is the
       | reasoning that the does is low enough that it's fine?
       | 
       | I mean, it's not uncommon for me and people I know to get a bite
       | multiple times a year. It's better when taking precautions and
       | know what to avoid, but still, sometimes you just have to be in
       | tick-ridden areas and it's impractical to check yourself every
       | hour.
        
         | bflesch wrote:
         | The main problem with antibiotic resistance is meat industry
         | where thousands of pigs or cows or chicken are stuck in the
         | same place and all get administered high dose antibiotics for
         | duration of their life until some weeks before they get
         | slaughtered and sold.
        
       | diamondfist25 wrote:
       | Years ago I suddenly had a swollen knee. So painful that I barely
       | can walk. I dragged myself to Kaiser thinking that I torn
       | something in my knee. Later on, it was diagnosed as arthritis
       | 
       | Doctor said it was incurable, and gave me a list of meds where
       | the side effects looked worse than the disease.
       | 
       | I rejected it, and started examining every piece of data known to
       | mankind.
       | 
       | This led to me to variety of things. First was biological, a new
       | tech drug that's super expensive and I had to be on it for life.
       | I was only 30, and no way I'm taking a drug for life at this age.
       | What if I get laid off (or go travel) and can't afford the 5k
       | price tag per dose for my entire life?
       | 
       | I then found other treatments, ones more natural but scorned on
       | by the medical elite professionals. I went to Eastern Europe to
       | do oxygen therapy.
       | 
       | I came back home, and was well. I told the clinic that I'm healed
       | now and don't need to come back for the biologic anymore. The
       | staff at the clinic were appalled -- they never heard of a case
       | of someone getting healed and weaning off their meds
       | 
       | The medical system is here to squeeze everything from you. You
       | are the top of the line revenue stream. Your health and wellbeing
       | is in direct conflict of their objective function -- make more
       | money
       | 
       | Never forget this
        
         | qiine wrote:
         | > _oxygen therapy._
         | 
         | Like hyperbaric or just with a mask and a tank of o2 ?
        
       | drooopy wrote:
       | I've recently became friends with an individual who suffers from
       | lingering chronic effects from Lyme disease. I'm never walking
       | out in the countryside again without knee-high boots, jeans
       | tugged in my socks and the strongest bug repellent spray that
       | money can buy.
        
       | PetriCasserole wrote:
       | Simple way to detect if you're in an area with ticks: tape a
       | white washcloth to a long stick and swish it back and forth
       | around the ground. Check the cloth for ticks every so often and
       | you'll find the tick "hotspots" and can avoid them. Permethrin-
       | treated clothing is also fantastic for protecting against ticks -
       | it's just highly toxic to water life and cats in liquid form.
        
       | James_bread wrote:
       | I found this break down helpful from the study:
       | https://danielcameronmd.com/could-piperacillin-be-the-lyme-d...
       | 
       | 1. The Study Was in Mice, Not Humans 2. Mice Don't Develop
       | Chronic Symptoms 3. No Co-Infections 4. IV-Only Formulation
       | 
       | Another promising and more tested treatment is that of doctor
       | Richard I. Horowitz:
       | https://sciprofiles.com/publication/view/834d15f5acf0268c9bc...
       | 
       | I have been suffering from Lyme disease for over 15 years but I
       | just discovered it was Lyme 2 years ago. I had a negative test
       | first but did not trust it and did a test at a specialised lab in
       | Germany and that came back positive. From what I hear is that the
       | normal antibodies test only works for 50%.
       | 
       | Suffering from Lyme is brutal, and you look fine from the outside
       | so it's hard for others to relate too, it attacks your whole
       | system and if it's in your brain and nerve system it can make you
       | feel heavily depressed and anxious like you have PTSD, this makes
       | social events feel like a warzone.
       | 
       | For a period of time I could bairly talk, I just could not find
       | the words anymore. If friends or family of my get a tick bit I
       | always suggest them to get antibotics even if you did not have a
       | bullseye, better safe than sorry and the risk is of getting it is
       | way greater than what the antibiotics will do to your body.
        
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