Years ago, I treated an MS patient who had Lyme causing his illness. He was disabled, with lots of demyelination on his MRI's. Happily, he responded well to long term antimicrobials, got off disability, and had dramatic resolution of most of the demyelinating lesions in his brain and spine. His neurologist at first refused to accept it, kept writing "chronic Lyme" in quotes in the medical notes, to imply that it was a fictitious condition (docs can be so petty). He attributed the improvements to spontaneous remission for the first year or so, but after a while he begrudgingly admitted that the antimicrobials must have helped. Literally 20 years later I had a patient with that same neurologist. She had a diagnosis of possible MS, wasn't disabled, but had very significant quality of life impairments due to numbness and weakness. I found evidence of Lyme so I treated her too. And happily her neurologic symptoms resolved by more than 95%. When I got a copy of her notes from that same neurologist, he was still putting "chronic Lyme" in quotes. Still refused to believe his patients as well as his own eyes. The moral of the story: Some docs are stubborn morons who will never change. Here's some info about Lyme & MS. No worries, the paywall is down for both parts 1 & 2. Hope it helps folks. zerospin.substack.com/p/mult…