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Lyme CommunityLyme Articles25 Reasons Lyme idsease treatment fails
25 Reasons Lyme idsease treatment fails Print E-mail
Written by bartnbabs   
14 October 2009

Why Lyme Treatments Fail

By James Schaller, M.D., M.A.R.

My average patient has been to 10-50 physicians before me. Such

patients have not been healed of their Lyme disease. Below are

some common reasons for their treatment failure:

1.
Many patients and practitioners are profoundlyignorant about how to interpret a Western Blot Test.

They say it is either “negative” or “positive.” Wrong. If a

person has one "fingerprint band”, they have Lyme disease.

These highly specific bands, widely accepted in the world

literature, are 13, 14, 17, 21, 23, 24, 25, 28, 31, 34, 35, 37, 39,

47, 50, 54, 83, 84, 93 and 94. The lab can be a junk lab that

invests nothing to optimize their testing kit, but if one of these

bands is positive—Lyme is present. IGeneX has the best

Western Blot in the world. No other lab has invested so much,

for so long, to create the best test. If your clinician wants to

first use an ELISA, simply run. To put it bluntly, the ELISA

test as a screening tool is useless, missing even the most

obvious PCR positive patients with clear past histories of

massive Bull’s Eye rashes, which, while not the norm, provide

Practitioners are not aware of current treatment

approaches
. Practitioners who follow a year-after-year IV

treatment approach are not "up-to-date” in their knowledge of

Lyme. Ten years of Lyme disease treatment is not acceptable.

These so called “cure” treatments often merely lower the

body’s pathogen load or decrease symptoms without fully

eradicating all the different types of infectious agents.

3.
Some treatments are simply useless. For example,

the use of hyperbaric oxygen (HBOT), for the

treatment of tick-borne infections fails
. The use of

HBOT in mice studies is not applicable to humans. To prove

that HBOT is useless for the treatment of tick-borne

infections, I decided to perform a self-funded study to examine

its benefits for the treatment of Lyme (Borrelia), Babesia,

Ehrlichia and Bartonella. After receiving 120 treatments at 2.4

atmospheres for 90 minutes each, all participants still had

clear positive findings for all four infections. Therefore, there

is no validity to the claim that HBOT “kills” Lyme disease. I

have talked to the late Dr. Fife in detail and carefully evaluated

the HBOT research of Dr. Robert Lombard, which has further

confirmed this finding. I love this treatment for many medical

problems, but it is not a cure for tick-borne infections. It may

help other aspects of patients’ suffering.

4.
Ignoring new data leads to treatment failures. All

medical groups have founders who represent the core of their

organization. These founders are closed-minded about

receiving new information. This is simply human nature. For

example, I have published many new books on advanced tickborne

infections, all showing new critical information. For

some “Lyme-literate” physicians, it took educated patients

throwing a copy at them before they read this new

information, and by then, years had already passed. Some

health care workers believe in a Lyme literate Pope or

President, but no such expert exists. Sure, some offer useful

information from past investigations. However, no one has

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mastered modern tick-borne medicine and all the newest coinfection

information.

5.
Sick physicians are trying to treat sick patients. I

have been asked by a number of physicians to share my

various findings, because they have become ill themselves and

need treatment help. I have asked them to stop treating

themselves, and to do an hour consultation with very extensive

labs. Most have refused. Tragically, what they could have

learned by fixing themselves would have translated into real

help for their patients.

6.
Current treatment recommendations are profoundlyflawed. IV treatments are often used without herbal or

synthetic antibiotic cyst busters. The most common treatment

for Babesia is 750 mg/teaspoon of Mepron, taken twice a day.

The most commonly used herbal Babesia cures are

artemisinin, dihydroartemisinin, or artesunate (for example,

Zhang Artemisia from Heprapro.com). The latter involves a

standard dose of one capsule three times a day—yet all four of

the approaches listed above fail at published and

recommended doses, even after long trials of treatment.

7.
A lack of two-year blind studies leads to treatmentfailures for Bartonella. For example, I have found that high

doses of Levaquin, Rifampin, Zithromax, doxycycline,

Mycobutin, Ceftin, Omnicef, Cumanda and Banderol, all fail to

cure Bartonella. These antibiotics, along with Rife machines

that are used at various frequencies and power, may lower the

body’s pathogen load and lead to initial and convincing feelings

of improvement, but none of these treatments leads to a cure

for Bartonella.

8.
The current tests for Babesia, Bartonella andEhrlichia are markedly flawed. Some DNA or PCR tests

that are processed by a popular East Coast lab, often miss a

positive infection up to ten times. If a lab needs to produce ten

urine or blood samples to show a positive result, it is not

Insights Into Lyme Disease Treatment

386

functional. Some labs are only fair at tissue PCR testing, when

the tissue has clear Lyme, Babesia and Bartonella that can be

observed microscopically. This is a diagnostic disaster.

Amazingly, some rely upon large national labs to do manual

examinations of red blood cells to look for Babesia and

Bartonella. I have never seen a large national lab detect

Babesia or Bartonella in over 600 manual smears. No national

lab has been able to capture these infections even once in

patients with certain strains of Babesia and Bartonella. I have

repeatedly offered to assist them in improving their

technology by linking them with hematology experts in tickborne

infections. They did not care that their manual smears

were worthless, and I was repeatedly ignored.

9.
The knowledge base about both Bartonella testingand treatment borders on the catastrophic. Bartonella

is one of the most common infections in the world. Calling it a

“co-infection” may be an error. If anything, Lyme (Borrelia)

might be the “co-infection.” Bartonella is found in vast

numbers of common vectors including dust mites, fleas, flea

feces, pet saliva, ticks, etc. Amazingly, it can turn off or lower

antibodies to Lyme disease, Babesia, Ehrlichia, Anaplasma

and even itself. Bartonella floats in blood and also enters all

blood vessel walls without causing a fatal fever, and indeed,

actually lowers fevers. It is the ultimate stealth infection. It

turns off antibodies, fevers and immune function defense

chemicals as it damages organs in anywhere from 20-60

different ways.

10.
The use of fixed “protocols” or “procedures” in the

treatment of tick-borne infections is sadistic “machine

mill” medicine
. Why? It treats each ill human person as a

machine that is built the same and has the exact same problems,

which in turn objectifies the patient and flirts with the

sociopathic. We see this mindset in serious criminals, who mold

people into objects in an effort to fit their skewed perceptions of

the world. It is junk medicine to apply a blanket protocol to a

unique human body, with a complex and multi-faceted infection

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387

cluster and unique biochemical response. Doing so is useless

“mill medicine,” plain and simple.

11.
Since Bartonella turns off the production of antibodies

to infections like Babesia microti or Babesia duncani

and Lyme disease, this infection must be considered in

all initial consults, but it often isn’t
. I would suggest that

practitioners learn the 60 different skin patterns that can be

created by Bartonella or a mix of Bartonella/Lyme infections. It

would also be useful for them to become familiar with the

indirect lab markers that are associated with Bartonella

infections, as well as those that are associated with mixed

Bartonella/Babesia infections, such as IL-6, IL-1B, TNF-a, ECP,

and VEGF. We discuss clinical patterns that are seen as a result

of these lab results in the
Babesia 2009 Update book and The

Diagnosis and Treatment of Bartonella book (available from

www.lymebook.com).12. Some patients have very few Babesia protozoa

parasites, but they are causing serious trouble in

their bodies. Practitioners don’t recognize them to be

a problem, however
. Their small numbers cause them to

be missed in visual FISH exams, PCR and antibody tests.

13.
Most labs don’t test for new species of Babesia and

Bartonella, such as Babesia duncani or the many

other documented species of Babesia (15) or

Bartonella (10) that infect humans, but practitioners

cannot rule out the presence of these infections just

because patients test negative for them.
One way to

reduce treatment failures is to use new medical tricks to detect

stealth Babesia. (Babesia can cause symptoms of ongoing

fatigue, headaches and weight gain, as well as others, while

hindering the treatment of Lyme disease).

a. The “trick” is simple: A patient is given at least two

Babesia killing medications such as Mepron and

artesunate or Malarone (given for the proguanil).

Insights Into Lyme Disease Treatment

388

These medications are used for ten days at a dose that

both patient and physician feel is worth the risk.

Usually, at least one of the medications will kill a few

Babesia parasites. Approximately ten to fourteen days

later, a follow up lab test is performed, in which blood

is drawn and special attention to ECP levels (which

are produced to kill parasites) is given. The new ECP

level is compared to the baseline. If the ECP rises

significantly, it is usually a sign of Babesia “die-off”.

(Eosinophils release ECP and possibly inject Babesia

debris). Changes in IL-6, IL-1B, TNF-a and VEGF as a

result of this test are also indicative of Babesia die-off.

b. An added option is to wait six weeks after doing this

“trick” and have the patient tested for antibodies to

Babesia microti or duncani. One youth patient with

profound illness was finally diagnosed in this manner,

and after three weeks of triple Babesia treatment had

significant clinical improvement for the first time in

six years. Not being able to detect stealthy, lowvolume

Babesia is a common problem when treating

tick and flea-borne infections. Talented health care

workers commonly miss these red blood cell

parasites, but this trick usually causes the parasites to

show up and can save patients from years of failed

treatment.

14.
The Bartonella testing of most national labs is

useless. It is stunning to read about so-called

“sages” who report that patients don’t have

Bartonella just because a large lab didn’t find

antibodies to the infection in their blood
. First, these

“sages” do not understand that Bartonella turns off its own

antibodies, and that the large labs only check for one (or

two) species that infect humans, and their cut-off titers are

unrealistically high. Thankfully, IGeneX Bartonella FISH

testing will be available soon nationwide (except in New

York State).

Appendices

389

15. Infections and inflammation decrease insight. Tickborne

infections routinely destroy patients’ ability to have

insight into treatments and lead to personality changes

and/or rigid resistance to testing. This is largely due to an

impaired frontal lobe (the part of the brain involved in selfawareness).

Examples of decreased insight are demonstrated

by the following situations:

a. Patients feeling like they are cured when they have

only experienced improvement in their symptoms

b. Patients intentionally going to practitioners who use

inferior labs.

c. Patients refusing, with eccentric resistance, to be

tested for tick-borne infections.

d. Patients dismissing positive test results with a wave of

the hand.

16.
Some patients insist that their problem is mold and

not tick-borne infections. They cannot believe both

are important and either one could be “the last

straw” for them.
Some patients get ill after a flood, large

leak or some other water intrusion problem. They feel they

are ill only because of mold mycotoxins in their home that

have formed 36-48 hours after water intrusion into drywall,

insulation, carpeting and other dust or cellulose-filled

materials. The EPA reports that 30% of US structures have

indoor mold. Some of these indoor molds have war-grade

chemicals on their surfaces. When the tomb room of the last

King of Poland, Casimir IV was opened in Paris in 1973, ten

of the twelve scientists who were present died. One survivor

had expertise in mold and subsequently found three toxic

mold species.

17.
Residing in a moldy location prevents people from

being cured from tick and flea-borne infections.

Insights Into Lyme Disease Treatment

390

This significant factor was the catalyst for my decision to

write two mold remediation books. We have also known

since the 1880's that dust and high humidity leads to mold

and bacteria growth indoors. Their presence makes Lyme

disease much more difficult to cure.

18.
Lyme has at least one surface biotoxin, the

patented BbTox1, and some people cannot detoxify

this biotoxin.
Patients with 15/16--6/5--51 HLA patterns

are probably unable to remove Lyme biotoxins (R.

Shoemaker) and must take a binder, like Cholestyramine,

which has been used to bind biotoxins since the 1970’s.

Other HLA patterns have been identified in 2009 that may

be responsible for the body slowly releasing Lyme biotoxins.

19.
Many patients who have had tick-borne infections

have very high levels of inflammation. High

starting doses of antibiotics exacerbate this

problem and complicate healing.
Therefore, all

starting doses of medications or herbs should be very low

and gradually raised to higher levels. Additionally, liverprotecting

substances should be given in conjunction with

these remedies
. Starting at full dosing in a “medically

sensitive” patient is akin to committing chemical battery.

Massive die-off reactions may be confused with allergic

reactions and can cause panic attacks, shortness of breath,

chest pain and severe migraines. This sloppy, one-size-fits all

approach, is common in large practices in which a few major

“protocols” are routine.

20.
Medical “Band-Aids” are often required to save a job

or a marriage and to care for children, but

practitioners don’t always prescribe these.
They are

often a highly useful component of care, however. Pain,

fatigue, severe insomnia, depression and anxiety often

increase with die-off reactions or as a result of the presence of

the infections. Band-Aid treatments are therefore often useful

and helpful for patients. I treat people who run companies,

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391

schools, very large families and professional teams. They want

to sleep 13 hours per day. They need stimulants for a period of

time. The use of natural or synthetic stimulant options is

discussed in The Diagnosis and Treatment of Babesia

(available from www.LymeBook.com). Patients do not benefit

from sleep in excess of 8 hours. It may just serve to get them

fired!

21.
Some healthcare practitioners are not comfortable

with being aggressive with their patients’

diagnoses and treatment of tick and flea-borne

infections. This is a problem.
If healthcare practitioners

haven’t spent 1,000 hours learning about this complex

emerging area of medicine that requires a great deal of

study, then their patients need to find practitioners that are

serious about it, instead of someone who is just “doing them

a favor” by simply running a few tests.

22.
Some patients relapse due to “treatment fatigue.”

Meaning, they have been treated for many years

and are fed up.
They have done IV antibiotics or IV

nutrients, have taken 40 pills per day, tried a wide range of

specialized treatments, and now are tired of it all. They are at

the end of their treatment rope. This is what happens when

practitioners do not treat them fully and effectively at the

beginning of their treatment. They get treatment fatigue.

Patients should consider a short treatment break, and

discuss this option frankly with their health care providers.

They should not confuse cure with improvement.

23.
The treatment dose that “stuns organisms” is notthe same dose that leads to a cure. A cure is not a mere

reduction in bacterial load. For example, using Bicillin once

a week with no cyst buster will never cure patients of Lyme

disease because it does not remove cysts. So years after

receiving this treatment, levels of the body’s cancer-fighting

cells, marked by some as the CD57, may still be under 90,

which indicates active infection. This is one good test that is

Insights Into Lyme Disease Treatment

392

possibly specific for Lyme disease and other tick-borne

infections. (The C3a and C4a tests are definitely not specific

for Lyme).

24.
Cynical relatives, friends or other health care

workers defame Lyme experts, and convince

patients to drop healthcare workers who are

actually helping them.
They usually use “the money”

argument or “the speed of your recovery” argument to

dissuade patients from receiving help from those who are

sincerely trying to help them. If patients have been battling

for years with multiple infections, they will not be cured in

four months.

25.
Last year, the existence of a Lyme biofilm was

proposed. Many spirochetes make biofilms so this

was not really a surprise, but not addressing these

may undermine treatment outcomes.
Indeed, many

spirochetes in the mouth are known to cause biofilms, and

they are believed to limit antibiotic effectiveness.

Organizations with millions in grants and research money

have never addressed this issue.

I am currently working on a textbook that addresses the

many treatment options for attacking biofilms. No article or

book exists that explores the twenty-plus ways that I would

propose to beat a Lyme biofilm. It is believed by some

professionals that highly specific enzymes, drugs, or one

mineral can undermine a Lyme biofilm. Yet enzymes are like

highly specific keys, and no single enzyme has been a proven

“key” to undermining a Lyme biofilm.

26.
Self-treatment is easy to pursue but does not lead

to cures. The best experts are typically expensive

even when they use physician extenders, and their

level of expertise may be uncertain.
The Internet

seems to offer many effective treatment options but not all of

these are, in reality, good. Some health care practitioners

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393

seem too narrow in their approach to treatment, while others

are open to virtually everything. So patients get into a

medical boat and push themselves out to sea. They read like

crazy. They try treatments a, b and c. They read testimonials

of hundreds of patients. They try a wide range of nonprescription

options. Some days, weeks or months, they feel

better. Other weeks, they don’t feel so good. They are upset.

They ask themselves, “Why do I have to do all the work and

learning?” This is not a good place for them to be in. People

exist who have already explored virtually all of the things

that those with Lyme are going to explore over the next ten

years. They need mentors.

27.
In many of my books and many Internet sites,

patients can read about preventing flea and tick

bites
.
They do not need to be re-infected with Bartonella,

Lyme, Babesia or any other infection. They can learn about

the basic steps to protecting themselves from tick bites by

doing about thirty minutes of reading.

28.
Tick and flea-borne infections cause isolation. They

ruin relationships due to the sick person’s

fogginess, poor insight, depression, various

addictions, rage, anxiety and extreme hostility, or

because he/she refuses to get treatment. They can

even sometimes provoke violence in those infected.

This hinders recovery.
Bartonella is likely the worst

cause of these problems, but Lyme and Babesia and the dieoff

reactions that they cause can also increase these

problems. Isolation leads to decreased treatment options. It

can ultimately lead to divorce and the loss of family

relationships and friendships. This, in turn, leads to

decreased resources and support while ill. Isolated humans,

as Mother Teresa often said, are the poorest beings on earth.

Insights Into Lyme Disease Treatment

394

OTHER REASONS FOR LYME TREATMENT FAILURE

EXIST, BUT IT IS IMPORTANT FOR PATIENTS AND

PRACTITIONERS TO AT LEAST KNOW THESE BASIC

ONES.

ABOUT DR. SCHALLER: James Schaller, M.D., M.A.R., is the

author of 26 books with six on tick-borne infections. He has

published more books on tick-borne infections than anyone in

print. Dr. Schaller is the author of 27 peer-reviewed journal

articles and is one of the most prolific and creative LL MD's in the

world. He is a full-time self-funded researcher, with a part-time

private practice offering tailored care to patients. You can visit Dr.

Schaller’s website at:
www.personalconsult.com.

The following books by Dr. Schaller are sold through the company

that publishes the book you are now holding, BioMed Publishing

Group, available from www.lymebook.com:

The Diagnosis and Treatment of Babesia

The Use of the Herb Artemisinin for Babesia, Malaria and

Cancer [this book discusses all Artemisia derivatives]

Mold Illness and Mold Remediation Made Simple

Bartonella: Diagnosis and Treatment [2-part set]

2009 Babesia Update: A Cause of Excess Weight,

Migraines, and Fatigue

The 35 Causes of Lyme Disease Treatment Failure

[Expected release date: December, 2009]

 excerpt - appendix Weintraub's book -

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