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by duncan
Sat 8 Sep 2012 12:25
Forum: Published Studies
Topic: Lyme neuroborreliosis as described in 1999
Replies: 26
Views: 2636

Re: Lyme neuroborreliosis as described in 1999

Spanky, sorry, didn't mean for you to think I had left a question out there. My observation about researchers like Wormser employing vague terms like "usually" was merely that, an observation. The tendency can be problematic, and even dangerous - but it certainly isn't restricted to Wormser. Just so...
by duncan
Fri 7 Sep 2012 18:18
Forum: Published Studies
Topic: Lyme neuroborreliosis as described in 1999
Replies: 26
Views: 2636

Re: Lyme neuroborreliosis as described in 1999

Meaning degree of involvement could involve several different metrics, or not. Ambiguity here favors the author, not the reader.
by duncan
Fri 7 Sep 2012 18:01
Forum: Published Studies
Topic: Lyme neuroborreliosis as described in 1999
Replies: 26
Views: 2636

Re: Lyme neuroborreliosis as described in 1999

Spanky, technically, the panel speculates here ("...differences may be related..."). So, maybe it would be fair to speculate that the distinction referenced can be attributed to both duration of infection, and "degree of involvement". Incidentally, I can interpret that last phrase in a number of ways.
by duncan
Fri 7 Sep 2012 16:44
Forum: Published Studies
Topic: Lyme neuroborreliosis as described in 1999
Replies: 26
Views: 2636

Re: Lyme neuroborreliosis as described in 1999

The IDSA guidelines cite over 400 references, many of which are studies that predate the one posted above. And the panel whose quote you highlighted: would that be the same panel that admitted to diagnosing, collectively, only a single patient with Lyme encephalomyelitis, and only 7 cases of encepha...
by duncan
Fri 7 Sep 2012 16:19
Forum: Published Studies
Topic: Lyme neuroborreliosis as described in 1999
Replies: 26
Views: 2636

Re: Lyme neuroborreliosis as described in 1999

It's a good find, and thank you for posting. The tendency to employ ambiguous wording in abstracts or other papers certainly is not peculiar to Wormser; it's rife in most scientific publishing endeavors, I think, and worrisome at that. What's distressing with Wormser is the perceived weight he bring...
by duncan
Fri 7 Sep 2012 11:55
Forum: Published Studies
Topic: Lyme neuroborreliosis as described in 1999
Replies: 26
Views: 2636

Re: Lyme neuroborreliosis as described in 1999

If I read this correctly, Wormser's observation preceded Prasad/Sankar's by a couple of years. I cant help but feel Wormser et al's use of the word "usually" is vague and should have been qualified, but that's just me. This is an interesting read, even if disturbing on more than one level.
by duncan
Thu 6 Sep 2012 22:09
Forum: Medical Topics
Topic: How long is 'long term' antibiotic treatment ?
Replies: 54
Views: 5541

Re: How long is 'long term' antibiotic treatment ?

Sorry, new to the Forum and the conversation, but if I might toss in a question: So, long term treatment for, say Lyme encephalomyelitis, would be 29 days, but not 27 days, of IV ceftriaxone?
by duncan
Thu 6 Sep 2012 0:39
Forum: Lyme Café
Topic: Neuroborreliosis is not the same thing as late Lyme disease
Replies: 28
Views: 6294

Re: Neuroborreliosis is not the same thing as late Lyme dise

Carina,

Sorry, poor sentence on my part. The "rare" I was referring to was a case of Bb being siloed or restricted to the heart alone.
by duncan
Wed 5 Sep 2012 22:11
Forum: Lyme Café
Topic: Neuroborreliosis is not the same thing as late Lyme disease
Replies: 28
Views: 6294

Re: Neuroborreliosis is not the same thing as late Lyme dise

I think your observation is accurate in an absolute sense, but the embedded issue rests in politics and nuance. If the CNS and brain are involved, usually that will suggest enough time has elapsed where the infection - and how one's immune system is coping - has changed to late stage. It's like a ma...