My Late-Stage Lyme Diagnosis

Sandra's black cat, Ronan, sitting on  a white duvet

I wanted to write a little more about this other than my brief Facebook post, which I had so many kind responses to.

What feels important to say is that it’s my understanding that there isn’t really a fool-proof test for this, particularly since I’ve probably had it for 30 years.

I had, in fact, expected a diagnosis of chronic Rickettsial disease, not Lyme. Rickettsiosis is similar to Lyme – I contracted South African Tick Bite Fever a few months prior to the onset of typical chronic fatigue symptoms. I did go to the London Hospital of Tropical diseases and show them my bull’s eye rash, but they sent me away saying I’d get better. I didn’t really put two and two together until some time later – years in fact, and I did try to treat whatever was going on for me alternatively, but with no real change.

The recent diagnosis of Lyme was made by the private practitioner Dr. Ben Sinclair on the basis of a few things, my symptoms of course, and in terms of blood testing my extremely low NK (killer cell) count for dealing with bacteria, a borderline Borrelia (a bacteria that can cause lyme) iSpot, and some anomalies in the size of my red blood cells and the amount of hemoglobin in the cells (high mean cell volume and low mean cell hemoglobin content, indicating potential inflammation or intracellular bacteria).

It does at the very least explain the many acute and chronic bacterial infections I’ve had over the years. What is good is that I did not test positive for co-infections, which are very common with tick-borne illnesses, and my NK cells for dealing with viruses are, apparently, doing their job.

I am very much aware that an antibiotic protocol has potential problems, and doesn’t necessarily ‘cure’ someone with Lyme. This is especially if you’ve had it a long time. I read recently that the longer a chronic health condition lasts, the more likely other conditions accrue. I believe this is true. I also think multiple factors are usually behind a chronic illness, from trauma to DNA to a pathogen, and lifestyle factors. (I would say all three are involved in my own illness.) Or, you can have an initial positive response to antibiotics, and then the symptoms return, and further antibiotics are needed – or they simply don’t help in the long run.

As some of you know, there are two reasons I decided to work with a private consultant versed in tick-borne illnesses, and to treat with antibiotics: Meghan O’Rourke’s book The Invisible Kingdom: Reimagining Chronic Illness, which charts her own multiple health issues and journey trying to find answers, and her positive experience with antibiotics, as well as the fact that earlier this year after three weeks of some unknown illness, I responded immediately to Doxycycline. In the past I’ve worked with at least two alternative practitioners who used herbal protocols that included treating tick-borne issues, but as I mentioned, without any noticeable results. Possibly the same will happen after 16 weeks of three different kinds of antibiotics (Dr. Sinclair’s protocol, and common in the US and Germany). But given I have pretty much tried everything else, and I’m only getting worse, not better, I thought it was worth a try. Perhaps it will relieve at least some of my symptoms, which would be amazing! I realise I will need to pay special attention to the gut microbiome. (Meghan O’Rourke did Faecal Microbiota Transplantation treatment here in the UK at the Taymount Clinic, but this is very costly.) I do already make sure I eat prebiotic/probiotic encouraging foods (and supplements).

Mostly I wanted to write this to help me manage my own expectations, and to outline a little about the ‘story’ – that it wasn’t a shock to get the diagnosis, in fact initially it felt good, to have something specific as I was never even sure I (still?) had Rickettsial disease. And, like most people diagnosed with ME/CFS my regular blood tests are nearly always ‘normal’ and this is frustrating when I have so many debilitating symptoms that leave me largely house-bound and often bed-bound. So to actually see on paper that I do have issues with my immune system – and probably have done so for a long time, it’s a weird kind of relief! And, to be honest I am finding the whole process quite stressful. The basic costs involved are high and many of you have already generously donated to help me get to the point of diagnosis. I will need to get the antibiotics, which have very specific timeline/dosages, and organise three follow up consultations with Dr. Sinclair during the course to ensure I’m doing okay, plus another blood test from Germany once I’ve completed the protocol.

I’m hoping I can get the antibiotics prescribed by my own GP but she’s not available until mid December. Please send good will wishes that she can prescribe and is amenable to the approach! Otherwise I will have to get them privately. Once I have a clearer idea I’ll update my fundraiser.

Thanks as always for your support, for reading this far if you’ve managed!

Sandra lying on a couch with her black cat Ronan

Photo by David Crean

Previous blogs of mine on my physical situation:
The Art of Illness: Part Two
The Art of Illness
Finding Home
Doctor, Doctor
44 Weeks
Still Suffering
ROCKS AND FLOWERS
Feeling Normal
The Real Story
The Unendurable, Part Two
The Unendurable
IT’S NOT COVID
More Things I Don’t Want To Talk About
On Being Invisible

THE ART OF ILLNESS: PART TWO

For some reason I cannot post an update to my Fundrazr Can you support my journey to physical recovery? So I emailed everyone who donated, and am going to post a version of what I emailed, as so many lovely people have reached to see how I am doing. (If you are stumbling across this blog and don’t know the ‘story’ (and want to!) have a look at The Art of Illness.)

I just had my first consultation with Dr. Ben Sinclair, which is what the fundraiser was for, two consultations with him. Oh I wish all Doctors were like Dr. Sinclair. Prior to the session I had completed several pages of questions regarding my health history and so on, which he had read through prior to the meeting (Google Meets). Dr. Sinclair was very thorough, and my take was he had an excellent, intelligent and multi-disciplinary approach, taking in all the complicated aspects of my story. As I also suspect, I most likely have both viral and bacterial issues, plus damaged autonomic nervous system / dysregulated immune system, from both trauma and pathogens (including EBV, HSV, mycoplasma pneumonia, tick-borne disease etc). He listened really well, was articulate and positive, and I felt had a clear understanding of the many issues I have/have had. He himself had Long Covid and had such poor treatment on the NHS, which is why he started his own private practice with a small team behind him including Dr Carsten Nicolaus who specialises in Lyme, tick-borne diseases and associated health conditions.

Dr. Sinclair came up with a plan for me:

First off I need to do some blood tests on immune function, vector borne diseases and so on. Some of these I might be able to have paid for on the NHS, others will have to be done privately. I won’t know for a week or so as I’ll be filling out further forms and discussing with my own NHS GP what she can get done. I am hoping I have enough from what was raised to at least cover the blood tests, but I’m not sure at this point.

Once the tests are done, I will go on a trial of a month of the antiviral drug, Valacyclovir (which I know my NHS GP will be willing to prescribe, thankfully). This is something I’ve been thinking of doing for a while. Dr. Sinclair talked about ‘clearing the decks’ so to speak, before bringing out the big guns (my words!) – as it will help him decide more specifically what to use – antibiotics or alternative approaches or both. 

Dr. Sinclair said a lot of very encouraging things, including how it’s possible my activated sciatic nerve issues could be connected not so much to the prolapsed disk but to all else that is going on. I do know there are people walking around with exactly my diagnosis (pinched nerve from prolapsed disk) who have NO pain, so…. It would be miraculous if this was one of the many things that eased with his treatment programme. And, he thinks my restless leg syndrome could also be an aspect of the whole situation. It would be so amazing if this also cleared up! And, it will take time. I think we are talking about at least 6 months or more of treatment.

My health has been bad lately, including a week of such profound physical weakness I could barely open my eyelids. This is very unusual for me, it might occur for about an hour in the evening but not for a full week. I was so despairing I thought if I had the funds I’d check myself into a respite care or something similar (mostly respite care is for carers, but as I am my own carer for the most part some respite would be lovely…). Thankfully the weakness eased.

Anyway, I am eager to get started on this journey!

I’m sure most of you aren’t interested in all these details but I did want to update once I had the first consultation. 

Again, thank you all so much for reading, and for your generosity.



Previous blogs of mine on my physical situation:
The Art of Illness
Finding Home
Doctor, Doctor
44 Weeks
Still Suffering
ROCKS AND FLOWERS
Feeling Normal
The Real Story
The Unendurable, Part Two
The Unendurable
IT’S NOT COVID
More Things I Don’t Want To Talk About
On Being Invisible

THE ART OF ILLNESS

It’s been over a year since I wrote a blog about my health (the latest one being Finding Home). Mostly because not a lot changed since then, both positive and negative aspects were on an even keel – nothing drastically new, but manageable, many thanks to all the support I received from so many of you. So: better mental health, lessening of weird symptoms (burning mouth/foot syndrome, thyroid goitres etc) but still the small window of energy each day, bordered by exhaustion, still a continuous discomfort veering sometimes into pain down my sciatic nerve, still my pancreatic insufficiency for which I have to take digestive enzymes with everything I eat, still getting up in the night to wee several times, and sadly the restless legs returned when I stopped the sciatic pain medication, but if I can get my ‘bad’ leg pulled (quite literally!) before sleep, this seems to ease it so I’m sure it’s associated with my prolapsed disk. I’m also still waiting for consultations with an NHS cardiologist etc (it’s been over 2 years now…), but it’s been a while since a tachycardia episode has woken me violently in the night.

If there is an art to illness, I felt I was learning it.

I suspect one of the main skills involved in such an art is being willing to ask for help. If you’ve read my blogs you’ll know how difficult this is, was, for me, and yet doing so created a fundamental shift inside me, the beginnings of rewiring of old programming that I had to do it alone, had to be independent, strong, without needing help from others. This was what my mother modelled, and although I could see how negatively this affected her and her life, it was hard to shake myself free of the same beliefs. I was forced to, my health deteriorating so severely I more or less had no choice (see The Unendurable).

But something changed in March and once again I’m asking for help. If you’d prefer to skip to the specifics rather than my lengthy preamble, go here.

For no particular reason (that I know of), my exhaustion no longer had a window of energy and became crushing. It is 24/7. It’s affecting my eyesight, I can barely focus until late in the day (I’ve had my eyes tested, they are fine). The only times this had happened before was if I was actively ill, or after my adverse reaction to the vaccines. I was (am) still “aggressively” resting which means guided meditations lying down and an eyemask, at least twice a day – my days being shorter than most people’s as the best sleep I seem to get is in the morning, so I get up late, and my body starts to shut down around 7 pm, so the most I’m doing then is watching TV or reading.

Although this exhaustion bothered me, I decided to participate once again (and hopefully assist a little) in my partner, David Crean’s  Body Resonance Goddess retreat in the beautiful Milelja Retreat Centre near the little town of Molyvos. I was much sicker the first time (two years ago), and almost didn’t go. I’m so glad I did as it was a deeply healing experience. This time, although I continued to feel very tired, it was once again amazing. Particularly important for me was making deep connections with three beautiful women, two of them half my age (but twice as wise), connections I know will last my life. But the journey home was challenging, 19 hours of delayed flights and long drives and sitting on runways or in the air awaiting a slot.

Two days later I became profoundly ill. What I sometimes call my ‘usual’, only more severe and lasting much longer than normal: deep malaise, as if you are about to come down with a tropical illness, or a bad flu, but without any coughing or sneezing or even fever. I could sense something was ‘in’ me, something unwanted – a virus, bacteria, mycoplasma, I don’t know. Something that lives inside me and hurtles to the surface when triggered, most likely. A retained pathogen, my acupuncturist believes. Three weeks of utter grimness.

At the time I was reading The Invisible Kingdom: Reimagining Chronic Illness, a 2022 medical memoir by the poet Meghan O’Rourke. It tells the gruelling journey of her own physical health, but also delves into the social and political ramifications of chronic illness. The gaslighting, the sexism, the failures of the medical institutions. The book is extensively researched and she interviews a number of doctors and scientists. It’s not an easy read, not because it isn’t well written, it is, but because of all she suffered emotionally and physically, still suffers, and the truth she writes about how it is for those with chronic illness.

There is so much I’d like to quote from the book but the parts that struck me the most were about how so many who are ill are expected to learn something from it. We do, of course we do, but at what cost? As Meghan writes:

There is a razor-thin line between trying to find something usefully redemptive in illness and lying to ourselves about the nature of suffering. Until we mourn what is lost in illness—and until we have a medical community that takes seriously the suffering of patients—we should not celebrate what is gained in it.”

If you don’t want to buy the book, Goodreads has a good list of short extracts and quotes.

Like myself, Meghan has multiple reasons for her illness. But the thing that helped her the most, the thing that allowed her to live a relatively normal life, was treatment for Lyme disease: an intense and long-term course of antibiotics. (She followed this up with FMT in England – fecal microbiota transplant, to take care of the microbiome killing side-effect of antibiotic therapy, something I’ve known about for years as it can help those with chronic illness, but for me it’s unaffordable).

One of the factors that most likely triggered my ME/CFS was South African Tick Bite Fever (similar to Lyme, but often called Rickettsia). I’ve long thought about embarking on an antibiotic treatment, long avoided it, long wanted to try everything else. I’ve also thought about taking antivirals, which some with ME/CFS do very well on, and given it’s likely I have flare ups of Epstein Barr Virus and that I do have flare ups of HSV 2, they could help. But my impulse has always been towards alternative approaches, and even when I went to a tick-borne illness versant doctor in Germany fifteen years ago, she treated me with herbs (one year of them, after which she said I was cured and yet my health steadily deteriorated, possibly because I wasn’t properly dealing with past traumas that can also be a factor in chronic illness. I went on another tick-born illness focussed herbal protocol about six years ago – you read Finding Home you’ll see the extensive trauma therapy journey I’ve been on – and my mental health has never been better thanks to this. But I’m still ill).

Reading Meghan, and feeling so entirely awful for three weeks got me thinking. There are tests for tick-borne diseases, mostly in Germany and the US, but they are hugely expensive and not entirely conclusive. I spoke to my GP here in the UK and she told me she has a patient with a similar profile– trying everything including trauma therapy, and that the antibiotic most used for Lyme, Doxycycline, finally helped this patient. Would I like to try? I had no hesitation. YES, I said. I didn’t expect any result but within a day of taking them I no longer felt grim. The tiredness, the difficulty focussing, yes, but not grim. I’m on a week trial, to be extended another week if I’m doing alright.


A couple of days after starting the antibiotics I connected with someone in a support group for those with tick-borne illness. I’m not sure why I reached out to this particular person, perhaps because she’s both a scientist and a writer, because I liked her profile picture, her posts about solar power, about how humans and apes share a common language, her posts about cats. She hasn’t been ill for as long as I have and she initially thought it was ‘just’ Long Covid. She discovered Dr. Ben Sinclair, a private consultant who is putting together a centre of excellence focussing on hard to diagnose and treat illnesses like Long Covid and Lyme and is working with some world leading experts on these.

As I know, many with post covid infections or adverse reactions to the vaccine have reactivation of other viruses or bacteria and based on her symptoms, Dr. Sinclair treated her with both Doxycycline and antivirals (Valacyclovir). While she still has Long Covid, she is doing much better since this combined treatment, and still works with him.

Given my own GP is not a specialist in this area, given the NHS only allows for 10 minute slots if that, and given this new journey I am on is not straightforward, not without side-effects or detours or set-backs (as is clear from Meghan’s book) I strongly feel I need such a support, at least an initial consultation.

It’s not cheap, of course, but much cheaper than the blood tests I had vaguely been thinking about over the years: £299 for an initial 45-minute consultation. (The ten-day FMT Programme Meghan did in the UK costs £5175.00 but that’s not in my sights right now!).

So, yes, once again I’m asking for your help. Once again it isn’t easy, and I have no expectations. But if you can help that would be amazing. (If you’ve read this far, that’s amazing too!).

I would like help towards two consultations with Dr. Sinclair, one to start with and another to see how I’m getting along. Thankfully as I’m ancient now, prescriptions are free 😊

Here is the link to the fundraiser: Can you support my journey to physical recovery?

Thank you for reading. Thank you for being there. Thank you for the little messages I get on my Facebook and Instagram posts, it all means so much to me.



Previous blogs of mine on my physical situation:
Finding Home
Doctor, Doctor
44 Weeks
Still Suffering
ROCKS AND FLOWERS
Feeling Normal
The Real Story
The Unendurable, Part Two
The Unendurable
IT’S NOT COVID
More Things I Don’t Want To Talk About
On Being Invisible