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The diagnosis of Chronic Fatigue syndrome would be made much easier
if physicians understood there is a rule out of borreliosis typically
involved. Only a small portion of borreliosis is detectable via current
methods, and the reason for that is that the ALDF.com and the EUCALB ar
twin spin firms which disclaim medical negligence when physicians follow
their diagnostic and treatment criteria.
First execute the physiological rule-outs, such as Glial Fibrillary
acidic protein, quinolinic acid, matrix-metalloproteinases, neopterin,
antibodies, complexes to antigen, and borrelial DNA in chromosomally
encoded components (not OspA), etc., in the spinal fluid. Those are just
some examples. Also SPECT imaging, brain MRI, EEG, brain contrast MRI
(gadolinium, as is done in the non-human primates) to detect inflammation
of the meninges and so forth.
All of these markers indicate a bacterial infection and can mean an
aseptic meningitis, which borreliosis presents as, typically.
To manage such patients, validate the illness, as a first step
towards recovery and adjustment. All of these markers of pathophysiology
can be found archived in the USA MEDLINE.
The worst option for diagnosis and treatment are psychological
assessments, and treatment, since borrelioses are permanent infections of
the brain, and manifest as psychiatric disorders, as does neurosyphilis,
once known as the Great Imitator.
If an alleged Psychiatric disorder is diagnosed, that may preclude
actual medical treatment and potential recovery. The American Psychiatric
Association's guidelines for treatment of a delirium, is to treat the
medical condition
before treating the alleged psychiatric disorder.
There would be no arguing the validity of that medical approach to a
Chronic Fatiguing illness.
Diagnosing Chronic Fatigue Syndrome
The diagnosis of Chronic Fatigue syndrome would be made much easier
if physicians understood there is a rule out of borreliosis typically
involved. Only a small portion of borreliosis is detectable via current
methods, and the reason for that is that the ALDF.com and the EUCALB ar
twin spin firms which disclaim medical negligence when physicians follow
their diagnostic and treatment criteria.
First execute the physiological rule-outs, such as Glial Fibrillary
acidic protein, quinolinic acid, matrix-metalloproteinases, neopterin,
antibodies, complexes to antigen, and borrelial DNA in chromosomally
encoded components (not OspA), etc., in the spinal fluid. Those are just
some examples. Also SPECT imaging, brain MRI, EEG, brain contrast MRI
(gadolinium, as is done in the non-human primates) to detect inflammation
of the meninges and so forth.
All of these markers indicate a bacterial infection and can mean an
aseptic meningitis, which borreliosis presents as, typically.
To manage such patients, validate the illness, as a first step
towards recovery and adjustment. All of these markers of pathophysiology
can be found archived in the USA MEDLINE.
The worst option for diagnosis and treatment are psychological
assessments, and treatment, since borrelioses are permanent infections of
the brain, and manifest as psychiatric disorders, as does neurosyphilis,
once known as the Great Imitator.
If an alleged Psychiatric disorder is diagnosed, that may preclude
actual medical treatment and potential recovery. The American Psychiatric
Association's guidelines for treatment of a delirium, is to treat the
medical condition
before treating the alleged psychiatric disorder.
There would be no arguing the validity of that medical approach to a
Chronic Fatiguing illness.
Competing interests:
None declared
Competing interests: No competing interests