












These frames describe different ways Lyme is understood and experienced. None of them alone can hold the full picture
Clinically, Lyme is defined as a single infection of Borrelia burgdorferi, a necessary simplification that allows medicine to diagnose and treat. But when the illness is confined to a single organism, what doesn’t resolve neatly afterward is often displaced into separate categories, rather than understood as part of a continuing experience.
Lyme begins with a tick, not a lab result. A tick bite is a vector-borne event: complex, mixed, and not fully reducible to a single organism. When people speak from this frame, they’re responding to the exposure as it occurred, not just to what can be clinically separated from it.
Others mean Lyme as a medical diagnosis, defined by criteria, tests, and treatment guidelines. This works when cases follow expected patterns. But many of us don’t fit those patterns, and once you fall outside them, the diagnosis stops explaining what’s happening, even while the illness continues.
For many, Lyme is what didn’t end when treatment did. Symptoms change, move, and persist in ways that are hard to explain or prove. When this experience can be dismissed because it doesn’t fit a clean definition, that’s where frustration and distrust really take hold.
From my experince, Lyme stops looking like a single event and starts looking like a path. Something that unfolds through infections, immune responses, treatments, and partial recoveries. What matters isn’t just whether one thing is present, but what never fully returned to baseline. This frame exists because none of the others can hold the whole story on their own.
The Lyme debate isn't heated because people are careless or dishonest. It’s heated because we’re often using the same word to mean entirely different things. Until we’re clearer about the language we’re using: disease versus illness, organism versus experience, we’ll keep arguing past each other, even when we’re describing real, overlapping truths.
Clinically, Lyme is defined as a single infection of Borrelia burgdorferi, a necessary simplification that allows medicine to diagnose and treat. But when the illness is confined to a single organism, what doesn’t resolve neatly afterward is often displaced into separate categories, rather than understood as part of a continuing experience.
Lyme begins with a tick, not a lab result. A tick bite is a vector-borne event: complex, mixed, and not fully reducible to a single organism. When people speak from this frame, they’re responding to the exposure as it occurred, not just to what can be clinically separated from it.
From my experince, Lyme stops looking like a single event and starts looking like a path. Something that unfolds through infections, immune responses, treatments, and partial recoveries. What matters isn’t just whether one thing is present, but what never fully returned to baseline. This frame exists because none of the others can hold the whole story on their own.
Others mean Lyme as a medical diagnosis, defined by criteria, tests, and treatment guidelines. This works when cases follow expected patterns. But many of us don’t fit those patterns, and once you fall outside them, the diagnosis stops explaining what’s happening, even while the illness continues.
For many, Lyme is what didn’t end when treatment did. Symptoms change, move, and persist in ways that are hard to explain or prove. When this experience can be dismissed because it doesn’t fit a clean definition, that’s where frustration and distrust really take hold.
The Lyme debate isn't heated because people are careless or dishonest. It’s heated because we’re often using the same word to mean entirely different things. Until we’re clearer about the language we’re using: disease versus illness, organism versus experience, we’ll keep arguing past each other, even when we’re describing real, overlapping truths.
When you’re confronting Lyme disease, language matters, but not on its own. What matters is what the language points to.
A diagnosis can begin with a test, but it rarely ends there. What exactly was tested? What was found? Was it Lyme alone, or something more complex? Were co-infections considered, and if so, which ones, and how were they identified?
These questions aren’t academic. They shape everything that follows.
This is where confusion deepens. People are told they “have Lyme,” but not always what that means in concrete terms. Testing varies. Interpretation varies. Treatment pathways diverge quickly. What looks like clarity on paper can feel anything but clear in the body.
Understanding what you’re actually dealing with (what was tested, what was not, what is known, and what remains uncertain ) becomes essential. Not because it guarantees the right answer, but because it allows you to participate meaningfully in decisions that affect your health.
Being informed, in this context, is not about mastering medical language or finding certainty where none exists. It’s about being able to name your situation accurately enough to advocate for yourself. To ask better questions, recognize gaps, and make sense of conflicting guidance as it arises.
Many people living with Lyme know something is wrong long before it can be clearly named. They live with patterns, symptoms, and changes that don’t fit neatly into tests or brief clinical encounters. That knowledge is real, but it rarely has anywhere to go. We need to address that.
Lived experience can be worked with. When it’s given structure and understood in context, it doesn’t just become meaningful to the individual, it adds to a larger, shared understanding of Lyme. Taken together, these experiences can contribute to a fuller picture of what this illness actually is, helping reduce confusion and supporting progress toward better understanding, better care, and ultimately, less suffering.

and we're going to go much deeper as it takes shape. But if you’re here early and need grounded information about a new infection, or searching for more clear info: testing is often the most important first step. Lyme disease can involve more than Borrelia burgdorferi, and standard tests have limits. Understanding co-infections, available testing, and how to advocate for yourself can make a meaningful difference early on.
LymePath is being built as a shared space for this work. Through written resources, short-form video, documentaries, live conversations, and an app designed to help make sense of lived experience over time. Each part will emerge as it’s ready. Together, they’re meant to support knowledge, communication, and clearer paths forward.
