tag:blogger.com,1999:blog-5694894153899281485.post537481612528603982..comments2024-03-09T08:14:49.856-08:00Comments on LymeMD: Lyme and multifocal motor neuropathy and hammersLyme report: Montgomery County, MDhttp://www.blogger.com/profile/11035327980787631502noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-5694894153899281485.post-47722002742072037102015-12-30T09:30:19.078-08:002015-12-30T09:30:19.078-08:00I would be grateful if you continue with the quali...I would be grateful if you continue with the quality of what we are doing now with your blog ... I really enjoyed it<br /><a href="http://texashealthspineortho.org/" rel="nofollow">back pain</a>philipkotler11https://www.blogger.com/profile/08468743125956842219noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-79464919682010269262015-10-06T10:04:57.701-07:002015-10-06T10:04:57.701-07:00Is a medical reception online course hard?
locum a...Is a medical reception online course hard?<br /><a href="http://www.nursdoc.com/locum-agency" rel="nofollow">locum agency</a>Jr. Williamhttps://www.blogger.com/profile/15251136879937544240noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-75273560143835058712015-08-12T09:11:14.149-07:002015-08-12T09:11:14.149-07:00Dr. Jaller, I see utmost logic in your recommendat...Dr. Jaller, I see utmost logic in your recommendation to this patient. Her resting HR of 100 and hypertension indicate autonomic nervous system involvement, likely being affected by toxin release. I see perfectly well why you would not want another "hammer" (ABX) to go down on the proverbial "lyme nail" at this time. Klonopin and Gabapentin are great drug choices that would help settle the nervous system response. Of the two, Gabapentin (Neurontin) makes better sense as it has better effect on the quality of sleep where as klonazepam disrupts delta-wave in the brain which affects slow wave sleep making it a poorer choice.<br /><br />Great post, I enjoyed reading about this case - thank you!Anonymoushttps://www.blogger.com/profile/17657086622848765086noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-59301461618596194772015-07-20T17:30:56.818-07:002015-07-20T17:30:56.818-07:00Spirochick i was thinking the same thing.Spirochick i was thinking the same thing.crfhttps://www.blogger.com/profile/12615529362327162256noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-62325617276852526142015-07-20T17:30:24.287-07:002015-07-20T17:30:24.287-07:00Spirochick i was thinking the same thing.Spirochick i was thinking the same thing.crfhttps://www.blogger.com/profile/12615529362327162256noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-29012887048727210612015-07-19T09:00:09.720-07:002015-07-19T09:00:09.720-07:00Did you take a vaccine history? I bet her symptoms...Did you take a vaccine history? I bet her symptoms started after a vaccine. This really looks like adult vaccine injury to me.SpiroChickhttps://www.blogger.com/profile/05874955783535921113noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-34468514349707590332015-07-18T19:18:19.078-07:002015-07-18T19:18:19.078-07:00Why do you think she did not respond to earlier IV...Why do you think she did not respond to earlier IVIG treatment? ..."One of her S, reluctantly, prescribed IVIG which she stopped 3 years ago because it wasn’t helping. " Vlynxhttps://www.blogger.com/profile/04095906946364141988noreply@blogger.comtag:blogger.com,1999:blog-5694894153899281485.post-21174050214161496392015-07-15T13:19:18.483-07:002015-07-15T13:19:18.483-07:00dear Dr Jaller, i understand there will be many Ly...dear Dr Jaller, i understand there will be many Lyme patients in this unenviable position soon. please could you keep us updated on the outcomes of the therapy you are doing with seronegative Lyme patients. <br />Regards<br />FionaStanhttps://www.blogger.com/profile/01208263089584920153noreply@blogger.com