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CHAPTER ONE The Hidden Epidemic I CHAPTER TWO "Have We Aways Had Lyme?" Discovering Infectious Disease, Environmental Change, and the Surge of Lyme Disease 27 CHAPTER THREE Discovering Lyme Disease 53 CHAPTER FOUR "Is It Chronic Fatigue Syndrome?" "Is It Fibromyalgia?" Diagnosis of Lyme and Other Tick- Borne Diseases 67 CHAPTER FIVE "There Must Be Tests" 97 CHAPTER SIX "If It Isn't Lyme, What Is It?" The Consequences of Not Diagnosing Lyme Disease, Multiple Sclerosis, Alzheimer's Disease, Lupus, and More 112 CHAPTER SEVEN "Where Are the Doctors?" The Politics of Lyme 134 CHAPTER EIGHT "Will I Ever Get Well?" Treating Persistent Lyme Disease The Jarisch-Herxheimer Reaction 163 CHAPTER NINE Living with Persistent Lyme Disease Insurance and Lifestyle Issues I85 CHAPTER TEN "What About Antibiotic Resistance?" "Aren't Antibiotics Dangerous?" Antibiotics Used for Treating Lyme Disease 200 CHAPTER ELEVEN "What Do the Studies Say?" The Experts Speak 212 CHAPTER TWELVE "Whatever Happened to the Lyme Vaccine?" Lessons Learned About Medical Research 228 CHAPTER THIRTEEN Preventing Lyme Disease What to Do After a Tick Bite It's More Than Tucking Your Pants into Your Socks 248 Appendix: List of Symptoms 263