Category: Ask The Doctor

Is there one climate more conducive to good health?

Posted on 07/14/14 by Charles W. Lapp, MD

Q:            Maureen C wrote, “My husband and I are fortunate to be able to live wherever we would like.  Given my medical situation, where is the best location for me to live?” A:            There is not one best place to live in general, because everyone has different needs and desires. Some prefer cold climates and […]

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Why Do Antibiotics Make Me Feel Better?

Posted on 06/28/14 by Charles W. Lapp, MD

Many PWCs have experienced improvement of symptoms following antibiotic treatment for other conditions.  The natural questions then are why?  And should I continue to take antibiotics? The first answer is simple.  Antibiotics may “work” in more than one way.  Yes, they might be treating some hidden infection in the body.  But antibiotics have other ameliorating […]

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Do I Have Lyme, CFS/ME, or Both?

Posted on 06/28/14 by Charles W. Lapp, MD

On a regular basis PWCs return to me with a new diagnosis of Lyme Disease.  My main concern in such a situation is whether the diagnosis is accurate and treatment appropriate. Lyme Disease can be a trigger for CFS/ME just as can EBV, HHV6, and other infections [Steere AC, JAMA 1993].  That’s why we request […]

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Candida Infections and CFS/ME/FM

Posted on 01/26/14 by Charles W. Lapp, MD

Cally L. wrote me, “I’ve been reading about candida overgrowth. Is this something you think is valid? Something I should be tested for?” A:      Candida overgrowth is a common phenomenon in persons with CFS/ME/FM, probably because NK Cell Activity is low in most patients and it is the NK Cells that are thought to help […]

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Late Lyme versus ME/CFS

Posted on 12/07/13 by Charles W. Lapp, MD

Q: Nancy H asks, “Do you treat Lyme patients any differently than a patient with ME/CFS or FM?” A: While there is no known cause of ME/CFS or FM, it is well-acknowledged that infections trigger many cases. While EB Virus (mononucleosis) is probably the most common, I have also seen ME/CFS and FM apparently triggered […]

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What About HBOT?

Posted on 08/01/12 by Charles W. Lapp, MD

Mary V. was inquiring about HBOT, or Hyperbaric Oxygen Therapy.  “What do you think about this?  Is there any danger in trying it?” A:   Hyperbaric oxygen therapy has been shown to be helpful for PWCs  provided it is administered in a “solid chamber.”   There are canvas chambers currently selling in the market that don’t actually […]

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Does “Brain Fog” Ever Go Away?

Posted on 07/18/12 by Charles W. Lapp, MD

Q:           Adam W asked about cognitive problems:  “Does the ‘brain fog’ or ‘spaced out’ symptom of CFS ever resolve?” A:            As with most CFS symptoms, cognitive dysfunction waxes and wanes. One report suggests that IQ falls during a flare of cognitive dysfunction, and our personal experience is that memory, attention, processing speed, and other parameters […]

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The Meaning of “M.E.”

Posted on 06/14/12 by Charles W. Lapp, MD

Q:            Michele K asked, “Why do some CFS/ME specialists refer to ME as ‘myalgic encephalopathy’ and other refer to ‘myalgic encephalomyelitis’?   Doesn’t this add to patient and public confusion?” A:            The term “myalgic encephalomyelitis” was coined by the British physician, Dr. Melvin Ramsay, in the 1950’s when he described an outbreak that occurred in London.  […]

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Does CFS/ME Lead To Alzheimer’s?

Posted on 06/14/12 by Charles W. Lapp, MD

Deborah B asked, “Do the concentration and memory deficits in CFS/ME lead to Alzheimer’s?” A:            The short answer is “no.”                 The cognitive deficits in CFS/ME include slow processing, poor recall, reduced attention and distractibility.  These deficits wax and wane over time, and do not appear to be permanent.  As PWCs improve their cognitive issues […]

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Is CFS/ME An Immune Disorder?

Posted on 06/14/12 by Charles W. Lapp, MD

Bobby B wrote:  “I often get conflicting answers to this question.  Is CFS/ME/FM an autoimmune disease?” A:            Bobby, I don’t mean to conflict you further but the answer is “yes, and no.”    Autoimmunity is certainly part of the CFS/ME/FM conundrum, but the disorder also affects the central nervous system, endocrine system, the muscles, and […]

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