My Lyme Disease-Heart Disease Story

Having read the Boston Globe December 13th article on linkage between heart disease and possible death from Lyme Disease, I wanted to share my story. Living in the Berkshire Mountains of Western Massachusetts, I have a regimen of active nature hiking. (1) In an annual check-up in 2011 the nurse found my pulse was very low, so I was given a heart monitor to track my pulse over 24 hours. Upon turning it in, it was reported that my heartbeat was down to 36 beats per minute.   As this is a seriously low rate, I was told to immediately check with a cardiologist. When I visited a local cardiologist, I … Continue reading Zolpidem Order


The Great Imitator

“Know syphilis in all its manifestations and relations, and all other things clinical will be added unto you.” Sir William Osler Henry Foong, a dermatologist from Malaysia and a good friend, recently wrote me about a patient he’d seen with primary syphilis. The disease we used to call “lues” or notate with the Greek letter ∑ (sigma) is becoming more common in Malaysia, in his experience. This reminded me of a memorable case I saw in the late winter or early spring of 1973. At the time, I was a first year of dermatology residency at New York University. I was not a happy camper. I was tired of New … Continue reading

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