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Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/16/2009 10:07 PM (GMT -6)   
Hi All,
I have a problem. In the last 13 months I have passed out twice.

First I have a very violent 'session' of emptying my entire digestive system, and then - no matter how long I wait-

when I try to move, things start to swirling around me. No matter whether I try to stand or try to find another way to lay down,

I pass out. The last time this happened, a mere 3 months ago, I managed to give myself a mild concussion.

Needless to say, I was not a happy camper the next day.

I have looked just about everywhere I can think of to look, although a lot of brain fog has hampered my search some.


I was on abx. both times. Is it possible that has now become part of my own "special" herx?

I'm really sorry in advance, for I must now sign out & get to bed (got one of "those' headaches coming on strong) but I knew if I waited until morning....

Well, I don't know if anyone else here is like this - but I knew I would not think of posting this question for a while again. eyes
Thank you for your suggestions.
Trav.
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


Jendays247
Veteran Member


Date Joined Jul 2006
Total Posts : 652
   Posted 6/16/2009 10:10 PM (GMT -6)   
I know this is the last thing you want to hear...well it's the last thing I usually want to hear...but you should talk to your doctor about it.

OR :)

Do you keep track of what you're eating? Can you sense ANY type of pattern at all?
Current treatment (began June 10th 2009):
Biaxin 1000mg/day, Pulsing Flagyl 500mg/day 1 Week Every Month
 
 

veromia333
Veteran Member


Date Joined Mar 2009
Total Posts : 674
   Posted 6/16/2009 11:17 PM (GMT -6)   
It may be bartonella
The line is faded not showing where Lyme came in. I became a new Mommy n my Lyme decided to show itself. Swollen elephant like knee and finger and limiting back pain. Bell's palsey, weight loss as if I had no muscle on my bones anymore. And much more text book lyme symptoms. To a Lyme doc, after alot of there is nothing wrong with you and a recommend to counceling,he said V this is Lyme. What kept me pressing on I had Lyme while I was pregnant. I know I was not infected while pregnant. I am watching her with an eagle eye. God Bless everyone. Love Veronica. Were the ones who know about Lyme not the doctors. Isnt that just mad? Backwards. Alice in wonderland.


RottenDog
Veteran Member


Date Joined Apr 2009
Total Posts : 1013
   Posted 6/16/2009 11:56 PM (GMT -6)   
mormaly for me to pass out i have to be in extrem pain, but about a month ago it came on me so sunddenly sitting at the PC typing, this was b4 i was placed and any meds other then my celerbex for pain, then right after that i started with virtago. it is very scary i am so sorry you was hurt in your fall. lyme what a evil disease.
   RD
                                                                                                                 
 
still looking for answers
 


Deejavu
Veteran Member


Date Joined Aug 2005
Total Posts : 4282
   Posted 6/17/2009 4:56 AM (GMT -6)   
Hi Traveler,
 
Passing out is really scary and I'm so sorry that this has happened to you.  I never passed out in my life until I became infected with lyme.  I would get this sharp pain in my butt (not saying where) shocked and the pain was so bad that I passed out.   This happened many times when I was sick and it was really, really scary.  At that time I didn't know I had lyme but I did have a huge rash on my ankle.
 
Out of curiousity I looked at the meds you are taking and do you think it's possible that the Trazodone may be causing this?  I didn't do much research, only googled twice and found these links. 
 
This one says Trazodone can cause dizziness as well as other side effects:
 
 
This site says it can cause headaches and fainting:
 
 
Don't know if this helps and hope you feel better,
Denise


It's all about the Immune System mixed with a large dose of Positive Thinking and Daily Detoxing   ~  Pay It Forward!!
 
This song is about my years with chronic lyme since 1995 and being in remission for over 3 years:
 
 


judy3
Veteran Member


Date Joined Nov 2006
Total Posts : 667
   Posted 6/17/2009 7:13 AM (GMT -6)   
Must be very scarry to pass out, is it possible you are losing electrolytes ? You may consider testing your electrolyetes periodically or did you consider orthstatic hypotension?

Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/17/2009 7:57 AM (GMT -6)   
Hi Jendays,
Thank you so much for your input!!!

I did talk to my doc & he did an scan ( can't remember if it was an MRI or CAT), and, of course, it was "normal". That's what my Neuro has said as well - although my brother would beg to differ!! tee hee!!!

And, no, I haven't been able to find any patterns in what I eat or what activities I had each day - other than nausea & that lovely little sx stays with

me most of the time lately - although nausea was not a sx during the 1st time period when I passed out. Crazy, huh?



Hi Veromia,
I would like to thank you for your input!!! What make you think of Bart? When I was 1st seen by an LLMD, he just assumed I had many co's, but I never saw any specific dx on which co's.


Hi RD,
Thank you for your input also.

Although I deal with a lot of pain, I would not say I had any extreme pain either time. Although it was a good thought. You are sooooo right about LD being an evil, insidious disease!!!


Hi Deejavu!
I can actually remember you!!!! For someone who has so many memory issues, I feel almost like I found something profound when I actually remember someone I haven't had contact with for awhile!!!! =)

Funny thing is that I don't feel all that bad! I have had no unexplained rashes (Heck!! I've had NO rashes lately!!), or any "new" sx.
about the only light I can shed on how I feel during one of these 'episodes' would be that it feels like a very, very bad & serious case of the stomach flu.

I have been on Traz for over 1 yr now, without any other 'side effects'. What thoughts do you have??? Since I take it every night (or NO sleep at all @ night!!
shocked ) and have for over 1 yr now, any idea why would it do a sneak attack, & only twice in approx. 1 yr?

I have talked to both my pharmacist & doc about any meds causing t is & they are stumped as well.

And as for me - I'm really stumped!!! rolleyes I welcome ANY more suggestions!!!!
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/17/2009 8:13 AM (GMT -6)   
Hi Judy!!!
Thank you for your input!! I hadn't thought of an electrolyght imbalance. How does one go about checking it out on their own or getting that checked out?

Hi Frango!!!
Ahh, another 'old' friend!!! Thank you for your suggestions!! And as far as I'm concerned, LD took away any modesty I had about discussing sensitive topics!!

I will follow up on your suggestions & see what I might be able to find out. As far as having this happen before LD-- I have narrowed down the time period as

to when I most likely contracted this disease & I would have to say I most likely was at the ripe old age of 6 or 7. All I can remember of my life at that time has to do with being ill - a lot!

So trying to remember that far back is not an option for me- heck!!! I have trouble remembering what I ate for dinner last night!!! eyes

Please - I'm still open to any more suggestions - or guesses at this point!!! smhair
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


veromia333
Veteran Member


Date Joined Mar 2009
Total Posts : 674
   Posted 6/17/2009 10:20 AM (GMT -6)   
BARTONELLA
1. More ticks in NE contain Bartonella than contain Lyme
2. Clinically seems to be a different species than “cat scratch disease”
3. Gastritis and rashes, CNS, seizures, tender skin nodules and sore soles
4. Tests are insensitive

TREATING BARTONELLA
1. Levaquin 750 mg qd
2. Cipro 750 bid
3. Doxy 100 mg II po bid
4. Zithromax 500-600 mg qd
The line is faded not showing where Lyme came in. I became a new Mommy n my Lyme decided to show itself. Swollen elephant like knee and finger and limiting back pain. Bell's palsey, weight loss as if I had no muscle on my bones anymore. And much more text book lyme symptoms. To a Lyme doc, after alot of there is nothing wrong with you and a recommend to counceling,he said V this is Lyme. What kept me pressing on I had Lyme while I was pregnant. I know I was not infected while pregnant. I am watching her with an eagle eye. God Bless everyone. Love Veronica. Were the ones who know about Lyme not the doctors. Isnt that just mad? Backwards. Alice in wonderland.


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 6/17/2009 10:32 AM (GMT -6)   
I happened to see your post title and wanted to make sure you are heading to the er with this passing out? It could be so many issues, yes of course it can be from your lyme, but I think with that kind of sign it might be a good idea to get fully checked out.
Forum Co-moderator - Crohn's Disease:_All comments have the caveat contact your local health care provider.

I will find a way or make one. –Phillip Sidney 1554-1586

All that I am and all that I shall ever be, I owe to my Angel Mother.

The Bucket List- Have you found joy in your life?  Has your life brought joy to others?

Make sure your suffering has meaning…


Jendays247
Veteran Member


Date Joined Jul 2006
Total Posts : 652
   Posted 6/17/2009 11:16 AM (GMT -6)   
The fact that you're...emptying...yourself right before says A LOT. The question is why is that happening? You could certainly be losing electrolytes and this is why you're passing out. What you want to know is why you're losing them in the first place.

If electrolytes are to blame, you may be low on potassium. It's a simple blood test and only takes a day to get back usually. Ask your doc!
Current treatment (began June 10th 2009):
Biaxin 1000mg/day, Pulsing Flagyl 500mg/day 1 Week Every Month
 
 

Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/17/2009 2:38 PM (GMT -6)   
Wow!!
You all responding so well to my cry for help has truly touched me!!! I kind of forgot just how good it feels, as this is something very few sites can offer!!!
*******Thank you from the bottom of my heart!!!***********

Veromia
thank you so much for that info!!! I will see if my doc knows how to test for Bart, as he is only a Lyme-friendly doc, although he is a very understanding doc too. Unfortunately that's the best I can get here in my area.

Although I'm not sure if I could have contracted Bart, as I have only been as far east as Michigan & Georgia. I live in the upper south/lower midwest. But(!!!),

anything is possible with a Lymie!!! shocked


MMMNAVY~
Thank you so much for your concern! I have reached the point where should I pass out again - even for a minute- I am calling out to hubby & will make him help me back to the bed!!

I am not taking any more risks!! When I make my nightly trip to the potty, I now am very aware of my situation & surroundings!!!


Jendays~
You may be very right in wondering about my electrolytes. I have become very heat sensitive the last few years ( cry ), although it was early spring and late fall when these occurred.

I normally drink 4 - 5 quarts of some kind of fluids, except for summertime where I increase that amount by almost double. I know that the amount of fluid drank doesn't mean I am getting enough electrolytes though.

My doc told me on my last visit (about 1 month ago) told me I was low on sodium - of all things!) and told me to increase my salt intake. I use good sea salt.

Sorry all I forgot to mention that before!!!

Is it possible that low sodium could cause that as well? At any rate - thank you. I will ask my doc to test my potassium levels as well.


Frango~
I will talk with my doc about the autonomic nerve thingy. My heart is supposedly very healthy & strong - should I ask more in-depth questions about my heart? What kind of things should be watched for?


Once again - you all have me thoroughly warmed inside, knowing I have such wonderful & great people to help me get through this!!!!
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


JELAINEP
Veteran Member


Date Joined Sep 2007
Total Posts : 2017
   Posted 6/17/2009 5:14 PM (GMT -6)   
When I had my gallbladder removed, they gave me a little oxyxodone/cotin - whichever. I walked into our bedroom and said.... I'm going to faint.... carrying a full glass of ice-water in one hand and lord only knows what was in the other hand. I was only out for 1 - 2 seconds.... and my husband responds from bed, "Honey, are you all right? I heard you pass out!" He let me clean up my own mess, change pajamas and go to bed. It's not a good sogn when "passing out" becomes somewhat of a "norm".

Hope this helps!
Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it's the only thing that ever has.  - Margaret Meade
06/00- I begin to fall apart, 08/01-LD +, 10/01- Igenex and CDC LD positive, 10/02-LD +, 11/03-LD +, 10/07-Bartonella +, CD57=3, koseri IgA +, Morganella +, motgani +,Rocky Mountain Spotted Fever +, Typhus +, Klebsiella pneumonia +, Proteus miabilis +, Citrobacter i IgA +, Hafnia alvai IgA +, NKC4 +, Interleukin 4 (IL4) +, IL8, Immunobillin (IM01) +. 
Rx's 06/15/09: Wellbutrin 300, Paxil 60, Xanax 5, Acidophilus, Lyrica 600, Levaquin 500, Diflucan, Invanz IV, possibly Gammaglobulin, Flagyl, HBOT  
"How much more can I take?", songhttp://www.youtube.com/watch?v=5gHiR1xeOSs


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 6/18/2009 7:21 AM (GMT -6)   
Traveler,
I am quite serious going to the ER (not just calling your husband), this is not something to mess around with. It could be your CNS, heart, an infection, or it could just be plain old dehydration.  I have the violent bm's due to crohns and passing out afterwards usually only happened when I had an infection or artial fribration.  Please, Please see a doctor about this.
Navy


Forum Co-moderator - Crohn's Disease:_All comments have the caveat contact your local health care provider.

I will find a way or make one. –Phillip Sidney 1554-1586

All that I am and all that I shall ever be, I owe to my Angel Mother.

The Bucket List- Have you found joy in your life?  Has your life brought joy to others?

Make sure your suffering has meaning…

Post Edited (MMMNAVY) : 6/18/2009 8:03:52 AM (GMT-6)


Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/18/2009 7:31 AM (GMT -6)   
Jelaine~
Tee hee!! I know what you mean!! My hubby didn't know anything at all was happening - even though last time I went dowwn was in the bedroom!!

I bounced off of a tread mill & landed in his boots - boy was I ever glad that hubby doesn't have an overwhelming foot odor problem!!!! Hubby had NO clue that anything had happened!!!

LK~
I will be looking into electrolytes & how one can lose them (as if I didn't already lose enough stuff!!), as well as the issue with the vegas nerve issues.

Frango~
I have not had the tilt table testing - I highly doubt any dr or practionor in my area has ever even heard of it!! I live 5 hrs away from the nearest LLMD & am not really up to it. Hubby & I are taking our 1st vacation in a long while, and it

wil be a 6 hr drive. This will be my longest trip in over a 1 & 1/2 yrs - so i'll see how well I can handle it. If I do alright I will begin to 'plot out' making the 5 hr trip to my LLMD.Of course, the distances I'm talking about are one-way totals.

My BP has always been rock-steady & in the lower ranges. If this is from LD, it's one side-effect I don't mind, as my mom & bro both need high BP meds.


LK & Jelaine~
I will be trying to figure out If I have an electrolyte issues.

It wil be the middle of July before I can get in to see my reg. doc. & ask all of these questions, so in the meantime I will do what I almost always do when I have 'burning' questions!!!!

Read everything I can get my grubby little hands on!!!

Once again ~ thank you all from the bottom of my heart!!!
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


judy3
Veteran Member


Date Joined Nov 2006
Total Posts : 667
   Posted 6/18/2009 8:30 AM (GMT -6)   
Hi Traveler,
Instead of a tilt table test try to monitor your prssure yourself, Kandinsky wrote me I should sit for a few minuites  ( not after eating) take my pressure, stand up and take the pressure again, see if you see lower numbers when you stand up, this was my first lyme disease symtom Orthostatic Hypotension, I tried to find a doctor that specializes in autonomic diseases but  he wanted 1600.00 and I dont think there is much he can do, if you see your  standing and sitting numbers dont match, also take your pulse if your pulse goes up and pressure down I would recommend a cardiologist, hopefully it will never happen again but if it should you may consider calling 911 if they can get to you really fast to test your vitals, it may give you some idea of what is happening, did you ever wear a Holter?

Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/18/2009 3:54 PM (GMT -6)   
Judy~
Hi there!!! Thank you for answer my call for help!!
A Holter?? Okay, I give - what's a holter??

I will do as you suggested as well - it's somewhere to start!!
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


Jendays247
Veteran Member


Date Joined Jul 2006
Total Posts : 652
   Posted 6/18/2009 4:08 PM (GMT -6)   
A Holter Monitor is just a smaller version of a hospital heart monitor. You're all hooked up as if to an EKG and you have a little gadget that records everything. They sometimes do this for 24 hours, sometimes a week, sometimes a full month. You should record in a booklet what symptoms you feel and when (i.e. going to the bathroom, walking fast, when you first stand up, etc).

Good luck! I also have blood pressure and heart rhythm issues. I feel as if my heart is swollen in my chest quite often. They've never been able to detect anything except PVCs, and in the absence of heart disease, they say PVCs are not harmful.
Current treatment (began June 10th 2009):
Biaxin 1000mg/day, Pulsing Flagyl 500mg/day 1 Week Every Month
 
 

Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35736
   Posted 6/18/2009 4:44 PM (GMT -6)   
Ahhhhh!!! Thank you Jendays!!

I pray that it doesn't come to that!! Man!! I imagine that it would be expensive!!!!
- Traveler
Now living without appendx & gall bladder

"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Lyme Arthritis, Neuro infection from LD, FM, CFS, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis").

Various meds for LD & co's,
1200 mg neurontin, 100mg trazodone
2000 mg chlorzoxazone 50mg Hydoxyz Pam
160 mg dicyclomine 2000mcg B12
40 mg celexa b-complex
800 IU Vit. E 2000 mg fish oil
6mg melatonin 400mg Mg Ox
AND... a multi-enzyme probiotic formula.

Gee, a person would think I was ill or something!! =)


hopingToFindCure
Veteran Member


Date Joined Nov 2008
Total Posts : 759
   Posted 6/18/2009 5:22 PM (GMT -6)   
Halter monitor is not that big a deal...Any heart doc can strap it on and they could get to the bottom of this.

All passing out episodes must be taken seriously.

Don't give up getting to the bottom of it. Even if a neuro and lyme doc did!
Bit June 08.


peacesoul
Veteran Member


Date Joined Jan 2007
Total Posts : 2446
   Posted 6/22/2009 9:07 AM (GMT -6)   
I've passed out a few times.
The last time I passed out was Nov 07. I was on the highway in traffic and I slowly felt myself lose it.
I had time to pull over and then I was out.

Right aftrer this I got on abx for 5 months for the lyme. But after much research, figured out mine was not lyme related but related to my hormones.

If you're emptying, it does not sound hormonal.
In this case, it may be a digestive issue caused from the abx.

You may want to see a Gastro doc

Turquoise Sky
Regular Member


Date Joined Apr 2009
Total Posts : 250
   Posted 6/22/2009 9:41 AM (GMT -6)   
Traveler,

Deffinitely tell your Dr. about it. Look up vasovagal syncope. I have worked in a nursing home for 23 years, and over the years we have had residents who would experience this while on the toilet. We watched them closely and after a bit of rest in bed, they would recover. As an aide, I don't know off hand what was done medically to try to alleviate this or what meds they were on. I just looked it up and there are things that can be helpful. Also if you have the chance of falling and injuring yourself, you might want to make sure you husband is nearby and at least keeping an ear open in case it does happen again. Certain residents did this regularly.

Take Care!

Martha's Vineyard
Veteran Member


Date Joined Jul 2008
Total Posts : 1119
   Posted 6/22/2009 4:26 PM (GMT -6)   
Hey Traveler,
Pretty scary stuff. Did you have a exciting day before the passing out? Stressful? Did you have chest pains before hitting the ground? Did you have shortness of breath?
Do you break out into a sweat before?
I had these two, and they got much worse for me. But in the begging it took alot to bring it on, then later....not much. Chest pains, tingling, diziness ,trouble breathing...then..... the room would start to swirl.....911....and then onlock the door and sit the hell down asap.
They can be brought on by anxiety or even joy.
Sucks.
But they went away for me. But it turned out that I had bart too. So maybe you should check that out too.
Hopefully you will learn to feel these things coming on in the future. And when they are.....sit down and quiet yourself....breath....lay down if you can. And try to talk yourself out of it.
Sounds silly...think they call this yoga...lol
And also. Always remeber to unlock your front door...call someone and let them know that you are going down...a friend....someone close to come to your aid.....asap. And have a phone in your hand.
Most importantly...sit down.
2004 in Martha's Vineyard me and my two daughters then 11 mos and 6 all got Lyme Disease. This was only known to us because we found the tiny ticks on us and we got very ill. My dog also got lyme and he went lame.
We have fought it for 4 years to no avail.
We all got it again this summer is Texas.
I am now in treatment in Scottsdale Arizona at Envita.

"The eyes cannot see for for what the mind does not know."

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