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May 6 10 tweets 6 min read
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Pegah Touradji, PhD
Assistant Professor of Physical Medicine & Rehabilitation @HopkinsMedicine #LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
It is well known that many patients have persistent symptoms of Lyme disease 6+ month after treatment, including cognitive issues.
#LymeDiseaseAwarenessMonth ImageImageImage
Pegah Touradji, PhD
Reviewing the benefits of including a neuropsychological evaluation with Lyme patients.
#LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
A full neuropsychological evaluation includes subjective information (what the patient tells you) as well as objective measures (what you observe and what you can measure). Many changes are subtle.
#LymeDiseaseAwarenessMonth ImageImage
Pegah Touradji, PhD
Recent study about 90% of patients had cognitive complaints.
#LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
Many other factors can affect cognitive difficulties including: low vitamin D, how much pain they are in, sleep deprivation, support of family, friends and even just having a physician who believes you.
#LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
Potential neuropsychological interventions. Sometimes just reducing pain or improving sleep can help.
#LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
Says there are potential benefits to cognitive behavioral therapy for managing symptoms of Lyme, including pacing, meditation, learning how to function within your current level of (dis)ability.
#LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
Specific type of CBT that addresses insomnia. Resetting the circadian rhythm.
#LymeDiseaseAwarenessMonth Image
Pegah Touradji, PhD
Many times she begins with mindfulness, & relaxation exercises.
Helpful sites for helping with sleep.
#LymeDiseaseAwarenessMonth Image

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More from @Lymenews

May 7
Dr. Scott Commings. Beyone Meat: What alpha-gal syndrome teaches us about the immune response to tick bites. Image
Dr. @scott_commins says they first began to notice patients complaining of delayed reactions to beef in mid-2000's. Image
Commings says Initially the only test they had for Alpha-gal was a two step skin test. Image
Read 13 tweets
May 7
Next is Dr. @aucott_john on Lyme disease and infection associated chronic illness. Lessons from COVID Long Haulers and ME/CFS.
Infection associated illness is not new. #LymeDiseaseAwarenessMonth Image
Dr @aucott_john quickly noticed the symptoms of #LongCOVID were very similar to #LongLyme. Can occur in patients with mild illnesss. Something similar in how these diseases are affecting humans (P.S. Long-haul does not occur post-flu.) #LymeDiseaseAwarenessMonth ImageImageImageImage
Patients with chronic illnesses are often disbelieved. It is difficult as there are no diagnostic tests to prove "Long haul" is real. Image
Read 16 tweets
May 7
Jeff says they were able to present the @liv_lyme @TicktrackerAPP to the The National Association and County and City Health Officials (NACCHO) and the Centers for Disease Control and Prevention (CDC) during Vector Week. #LymeDiseaseAwarenessMonth Image
Since it's launch in 2018 @TicktrackerAPP has had over 8,000 submissions. Submissions peak in May-June. American dog tick was number one tick identified. #LymeDiseaseAwarenessMonth ImageImage
Detail on @TicktrackerAPP submissions. They are working to improve the program to help better identify ticks especially nymphs. #LymeDiseaseAwarenessMonth Image
Read 5 tweets
May 7
Tickborne Disease Updates from Sue Visser, DrPH, MS Associate Directors for Policy and Extramural Program @CDCgov Division of Vector-borne Diseases Image
Visser pointing out that surveillance is comes from the states. ImageImage
Visser. Pointing out the challenges and opportunities for #LymeDisease surveillance. #LymeDiseaseAwarenessMonth ImageImage
Read 7 tweets
May 7
Dr. Jayakumar Rajadas on the striking similarities & possible therapeutic options for #LongCOVID & #LongLyme #LymeDiseaseAwarenessMonth Image
Dr. Rajadas, a pharmacologist by training, finding doxycycline is not clearing infection in the lab. However, mitomycin & azlocillin are working well. Prefers fewest number of molecules as treatment option (1 or 2 at most). #LymeDiseaseAwarenessMonth ImageImage
Rajadas finding TLR2 interaction in both Borrelia and SARS-Cov-2 surface proteins, also elevation of quinolinic acid. #LymeDiseaseAwarenessMonth ImageImage
Read 9 tweets
May 7
Next is Dr. Saravanan Thangamani @Thangamani_Lab Emergence of ticks and tick-borne diseases in NY.
Deer tick
Lone star tick
Dog tick
Asian longhorned tick Image
Dr. @Thangamani_Lab reviewing the many pathogens carried by Deer tick, Lone star tick, Dog tick, Gulf coast tick, and the invasive Asian longhorned tick. #LymeDiseaseAwarenessMonth Image
Dr. @Thangamani_Lab started a citizen science project in 2019 that allows citizens to send in ticks that they are able to use for research. number of ticks and the % pathogens they carry are increasing. #LymeDiseaseAwarenessMonth upstate.edu/whatsup/2021/0… ImageImageImageImage
Read 5 tweets

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