PERSISTENT  LYME DISEASE COMPLEX
( the clinicians checklist)

 1. Multi-systemic disease  with multiple symptom presentations

• Systemic: fatigue, malaise, chills, sweats, fever,  weakness
• Cognitive: ¤memory and concentration, slow  processing speed, disorientation
• Neurologic: paresthesias, tics and twitches,  imbalance, shooting pains, headaches,  vision, hearing
• Joints and muscles: Chest: GI: GU: Endocrine

 2. Variable severity of the illness due to multi-factorial reasons

• Genetic predisposition
• Environmental toxicity's
• Other illnesses, allergies and injuries
• Nutritional, social, spiritual

 3. Multiple organism causation often requiring multiple treatments

• Borrelia: spirochete, L-form, cysts, buds
• Babesia: protozoa, (?another parasite)
• Bartonella: bacteria
• Ehrlichia and Anaplasma: bacteria
• Other opportunists: Candida, HHV-6, Mycoplasma

4/15/09 presentation outline