Alfred Miller,M.D.

Please view brief videos:youtube.com/channel/UCD19kTs… the-rheumatologist.org/artic… Proper testing is critical.1) Borrelia infection may involve different species of Borrelia.Borrelia Burgdorferi (Lyme) is prevalent in the Northeast and upper Midwest.Relapsing Fever Borrelia is prevalent in Texas.Testing for Lyme Disease in Texas results in a negative test and therefore an erroneous conclusion ruling out Neuroborreliosis, but testing for Relapsing Fever Borrelia will be positive and confirms the diagnosis of Neuroborreliosis.I prefer to use a lab dedicated to Tick Borne Diseases whose testing includes many different species of Borrelia. 2) The tests measure the patient's blood for antibodies against the invading spirochete. 3) The tick bite may go unnoticed in 50% of those infected. 4) Approximately 3 months after the inoculation (tick bite or sexual transmission) the spirochete becomes a cyst which is sequestered deep in tissue and impenetrable to antibiotics. The immune system is not exposed to these sequestered spirochetes and therefore, no antibodies are produced. The testing for antibodies will be negative or muted. 5) Pre-test provocative antibiotics will prevent false negative results.These antibiotics must include a "cyst buster" to allow the antibiotics to penetrate to kill the spirochete. Typical antibiotics include Flagyl or Tindamax to open the cyst and Azithromycin or Ceftin to kill the spirochete.These are administered daily for 28 days pre-testing. 6) The provocative antibiotics expose the spirochete to the immune system resulting in robust antibody production which is then measured on the testing. I have encountered numerous patients whose initial tests for Borrelia are negative but after the provocative antibiotics the same tests performed in the same lab become very positive. "Provocative Antibiotics" to expose the Lyme spirochete to the immune system in order to get a robust antibody production. The antibodies will be measured on the definitive tests.The specific antibiotics:1) Azithromycin 500mg or Ceftin 1000mg2) Flagyl 500mg or Tindamax 500mgTake both daily for 28 days before any testing.Regarding the testing:Two labs -1) LabCorp - they have collecting stations in every city.                    Order "CD 57".                 2) Igenex Lab - They have a website - the physician contacts them and they will send a collecting kit and a FedEx mailer.                     Order Igenex panel #TBD 41 (This is very comprehensive and includes Borrelia and co-infection).Please send me copies of all of the results from both labs because often subtle abnormalities are ignored.Alfred Miller,M.D.,F.A.C.R.Retired Mayo Clinic trained PhysicianPrivate practice Internal Med./Rheumatology for 40 yearsRetired Full Professor, Department of Medicine, Clinical Faculty, Univ. Of Texas Medical School #Borreliapropertesting #lymedisease #autoimmunedisease #arthritis #heartdisease #AbnormalHeartrhythm #inflammatoryboweldisease #peripheralneuropathy #Autism #AlzheimersDisease #PTSD #TBI #Degenerativeneurologicaldisorders #Psychiatricdisease #Adultonsethydrocephalis

Borrelia Infection causes intracranial aneurism. All patients with history of intracranial aneurism must be properly tested for Borrelia #intracranialaneurism

Every patient with MYASTHENIA GRAVIS should be properly tested for Borrelia infection.#Myashiagravis

Bell's palsy is caused by Borrelia infection. Proper testing will confirm the infection.#Bellspalsy.

Every patient diagnosed with CHRONIC FATIGUE SYNDROME must be properly tested for BORRELIA INFECTION.#chronicfatiguesyndrome

Polymyalgia Rhuematica is caused by BORRELIA INFECTION.#PolymyalgiaRhuematica

Sjogren's Disease (syndrome) is caused by Borrelia infection. Proper testing will confirm the infection and eradication of the infection will CURE.#Sjogrensundrome

Psoriasis and Psoriatic Arthritis are caused by BORRELIA INFECTION. Proper testing will confirm the Borrelia Infection. Eradicating the infection will cure. Skin and joints will recover.#PsoriasisPsoriaticArthritis

FOOT PROBLEMS: Plantar fasciitis is caused by BORRELIA INFECTION. Posterior tibia tendonitis is caused by BORRELIA INFECTION. Hammer Toe deformities are caused by BORRELIA INFECTION. Proper testing will confirm the infection and eradication of the infection will halt further damage.#footproblemsPlantarfasciitisPosteriortibialtendonitisFootpainHammertoedeformity

The main 2 reasons for joint replacement are trauma or Borrelia infection.#jointreplacement.

EVERY JOINT in the body, large and small, contain a synovial membrane. Borrelia spirochetes are attracted to synovial tissue. Once the Borrelia enters the synovial membrane, the joint destruction begins.#Jointpain.

EVERY patient diagnosed with LUPUS and RHEUMATOID ARTHRITIS must be properly tested for Borrelia infection.#LUPUSRHEUMATOIDARTHRITIS. Proper testing is critical. 1) Borrelia infection may involve different species of Borrelia. Borrelia Burgdorferi (Lyme) is prevalent in the Northeast and upper Midwest. Relapsing Fever Borrelia is prevalent in Texas. Testing for Lyme Disease in Texas results in a negative test and therefore an erroneous conclusion ruling out Neuroborreliosis, but testing for Relapsing Fever Borrelia will be positive and confirms the diagnosis of Neuroborreliosis. I prefer to use a lab dedicated to Tick Borne Diseases whose testing includes many different species of Borrelia. 2) The tests measure the patient's blood for antibodies against the invading spirochete. 3) The tick bite may go unnoticed in 50% of those infected. 4) Approximately 3 months after the inoculation (tick bite or sexual transmission) the spirochete becomes a cyst which is sequestered deep in tissue and impenetrable to antibiotics. The immune system is not exposed to these sequestered spirochetes and therefore, no antibodies are produced. The testing for antibodies will be negative or muted. 5) Pre-test provocative antibiotics will prevent false negative results. These antibiotics must include a "cyst buster" to allow the antibiotics to penetrate to kill the spirochete. Typical antibiotics include Flagyl or Tindamax to open the cyst and Azithromycin or Ceftin to kill the spirochete. These are administered daily for 28 days pre-testing. 6) The provocative antibiotics expose the spirochete to the immune system resulting in robust antibody production which is then measured on the testing. I have encountered numerous patients whose initial tests for Borrelia are negative but after the provocative antibiotics the same tests performed in the same lab become very positive. "Provocative Antibiotics" to expose the Lyme spirochete to the immune system in order to get a robust antibody production. The antibodies will be measured on the definitive tests. The specific antibiotics: 1) Azithromycin 500mg or Ceftin 1000mg 2) Flagyl 500mg or Tindamax 500mg Take both daily for 28 days before any testing. Regarding the testing: Two labs -1) LabCorp - they have collecting stations in every city. Order "CD 57". 2) Igenex Lab - They have a website - the physician contacts them and they will send a collecting kit and a FedEx mailer. Order Igenex panel #TBD 4 BL (This is very comprehensive and includes Borrelia and co-infection). Please send me copies of all of the results from both labs because often subtle abnormalities are ignored. Alfred Miller,M.D.,F.A.C.R. Retired Mayo Clinic trained Physician Private practice Internal Med./Rheumatology for 40 years Retired Full Professor, Department of Medicine, Clinical Faculty, Univ. Of Texas Medical School 210 Chester St. San Antonio, Texas, 78209 [email protected] 210 378 3030

Every one with cardiac arrhythmia, cardiac valvular disease, and/or congestive heart failure must be properly tested for Infection with BORRELIA. #Atrialfibrillation #Aorticstenosis #Congestiveheartfailure #CHF