Welcome to my practice.

Please stay safe during these challenging times

I currently offer continuing care for my patients via Telemedicine.  Call for details. 

I have found that this format is very effective and efficient.  

Select patients seen in office. 

I have been writing a blog about Lyme disease (Lymemd.blogspot.com) for about 12 years.  

The blog has moved in a host of directions over time, reflecting changes that have taken place in medical practice. 

I treat Lyme with aggressive cutting edge oral and IV combination therapies when necessary. 

Who do I treat? 

Lyme disease, primarily chronic Lyne disease, associated symptoms and syndromes.

POTS, dysfunction of autonomic nervous system

Mast cell disorder

Chronic fatigue syndrome

Much more

Typical patients in my practice present with:

diagnosed with psychosomatic disorders (incorrectly). 

sent from one specialist to the next , none providing diagnosis or effective treatment. 

Patients with chronic pain, joint pain, fibromyalgia

chronic fatigue and chronic fatigue syndrome.

cognitive dysfunction, memory loss and brain fog. 

fed up with doctors who do not listen to them. 

POTS. -- postural orthostatic dizziness and dysautonomia.

 mast cell activation disorders, common but generally unknown. 

 manifestations of chronic infection. 

 unexplained and/or misdiagnosed autoimmune disorders. 

 mysterious illnesses involving multiple organ systems. 

 perplexing symptoms and no diagnosis made. 

 a variety of poorly understood neurological disorders.

chronic headaches/migraine.

Neuropsych disorders associated with infection --

OCD, ADD, PANDAS/PANS --chronic autoimmune encephalitis triggered by infection. 

interconnected disorders//syndromes e.g. EDS/MCAS/POTS. 

non-celiac gluten sensitivity.

alpha gal disorder, meat allergy following tick bite -- lone star tick. 

neuroendocrine dysfunction, e.g. adrenal dysfunction, hypothyroidism. Patients with disorders of the immune system disorders, CVID. 

need IVIG therapy. 

need IV antibiotics. 

Please read my blogs:  Lymemd.blogspot.com (I am the sole author)

Corner stones of practice:

Science based approach

Patient centered approach

Each patient is different

Patient education 

Background information:

There has been a longstanding war about Lyme disease persists. 

Resources: documentary "Under Our Skin" and ILADS organization.

Patient advocacy organizations such as "National Capital Lyme Disease Association are a good resource. 

There is a war about the truth. 

In medicine, as in science the truth is constantly evolving and changing.  The practice of medicine constantly evolves and changes, as it should. 

When the pursuit of the truth become steeped in politics  the "truth"  becomes immaterial because an alternative agenda becomes the priority. 

The vitriolic dispute amongst physicians about the nature of persistent infection with Lyme and other tickbone pathogens called coinfections continues after many decades.  There has been one change.  Rather than calling the disease post Lyme syndrome (stating the syndrome is due to something autoimune), mainstram medicine uses the term:  posttreatment Lyme disease syndrome. It is recogniized that a subset of patients who were treated for early, well documented Lyme disease may develop a chronic illness, something like chronic fatigue syndrome.  Persistence of organisms is accepted as established science. 

What is ignored is the larger population who were never diagnosed with or treated for early stage Lyme and went to become chronically ill. 

In all cases mainstream medicine decries the use of long-term antibiotic therapy. 

Persistence of infection -- "established science,"  is at the heart of the syndrome and requires treatment.  Lyme treatment may be difficult. Cocktails of oral antibiotics and IV antibiotics may be required.  I use the term chronic Lyme disease. 

Coinfections are the rule rather than he exception.  Babesia after Lyme is the greatest unrecognized  tickborne illness.

Lyme and chronic infection in general can set off a variety of disorders.  Most patients require more than just antibiotics.

My practice is based on evidence and science, tempered with experience and judgement because the practice of medicine is still more art than science. 

I hope my patients  partner with me in the process of healing. 

http://lymemd.blogspot.com

Follow us on Facebook at www.facebook.com/drjaller

All patients over the age of 11 are welcome.