Essay - When to Suspect Lyme

Date of publication: 2017-08-23 17:38

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But most of all, everyone in the standing-room-only crowd recalled my mother&rsquo s fierce independence and drive to do things &ldquo her way.&rdquo And nowhere was this drive better demonstrated than in her determination to go out on her own terms.

With a loss of voluntary and subconscious editorial control of emotions and expression in word or behavior, a patient with encephalopathy gives the general impression of being erratic, inappropriate, if not dysfunctional. Less frequently, mania, obsessive-compulsiveness, schizoaffective disorders and homicidal/suicidal ideation is encountered and has been reported. Fatal attractions are consistent with the LD style.

Eye related problems in LD are commonplace and can include conjunctivitis, ocular myalgias, keratitis, episcleritis, optic neuritis, pars planitis, uveitis, iritis, transient or permanent blindness, temporal arteritis, vitritis and periorbital edema (Jacqueline MS Ibid). Horner's syndrome, ocular myasthenia gravis, and an Argyll-Robertson pupil are also reported. Optic neuritis has been observed to become recurrent or intractable after treatment with steroids. Given the earlier remarks about the detrimental effects of steroids on LD, recidivous optic neuritis may be due to occult LD.

As luck would have it, the doctor told us that he was trained in palliative care. He immediately validated my mother&rsquo s decision to forgo surgery and offered his unequivocal assurance that any future pain could be effectively managed. He explained that she was eligible for home-based hospice, which would include palliative care. This was the first that we had heard of this program.

The editors of the famous dictionary are probably unaware of the fact that they have just committed a cardinal sin in the mathematical world , in that they only described fingleish widgetry, and failed to include an explanation of fnordleish widgetry.

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About two weeks before her death, my mother began to feel very weak. She became increasingly frail. She lost interest in visitors and phone calls. At one point, she experienced an extremely sharp pain as her home attendant was transferring her from a chair to her bed. The hospice team provided medication that eliminated both her growing anxiety and the pain associated with such transfers.

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