Table of Contents

CONTENTS

Preface xii

Acknowledgments xvii

CHAPTER ONE: The Hidden Epidemic 1

CHAPTER TWO: “Have We Aways Had Lyme?” Discovering Infectious Disease, Environmental Change, and the Surge of Lyme Disease 27

CHAPTER THREE: Discovering Lyme Disease 53

CHAPTER FOUR: “Is It Chronic Fatigue Syndrome?” “Is It Fibromyalgia?” Diagnosis of Lyme and Other Tick-Borne Diseases 67

CHAPTER FIVE: “There Must Be Tests” 97

CHAPTER SIX: “If It Isn’t Lyme, What Is It?” The Consequences of Not Diagnosing Lyme Disease, Multiple Sclerosis, Alzheimer’s Disease, Lupus, and More 112

CHAPTER SEVEN: “Where Are the Doctors?” The Politics of Lyme 134

CHAPTER EIGHT: “Will I Ever Get Well?” Treating Persistent Lyme Disease--The Jarisch-Herxheimer Reaction 163

CHAPTER NINE: Living with Persistent Lyme Disease--Insurance and Lifestyle Issues 185

CHAPTER TEN: “What About Antibiotic Resistance?” “Aren’t Antibiotics Dangerous?” Antibiotics Used for Treating Lyme Disease 200

CHAPTER ELEVEN: “What Do the Studies Say?” The Experts Speak 212

CHAPTER TWELVE: “Whatever Happened to the Lyme Vaccine?” Lessons Learned About Medical Research 228

CHAPTER THIRTEEN: Preventing Lyme Disease--What to Do After a Tick Bite--It’s More Than Tucking Your Pants into Your Socks 248

Appendix: List of Symptoms 263

Resources 265

Notes 271

Index 277

About the Authors 285