

These can include facial palsy, insomnia, depression, chronic pain, mental fogginess, impaired motor function, mood changes, and general feelings of unwellness. It initially presents only with fever, headache, and fatigue, but if the infection goes undetected and untreated, other conditions arise. The bacterial infection is spread by the eastern or western blacklegged tick. One of her doctors has guessed that she was infected sometime between 20, though her medical history suggests she may have been infected much earlier.

As Khakpour, A&S '02 (MA), notes in her new book, Sick: A Memoir (Harper Perennial), less than 10 percent of estimated Lyme cases have been confirmed by the CDC-recommended two-step testing process. The Centers for Disease Control and Prevention estimates that 300,000 are infected by Lyme each year it's the fastest growing, vectorborne infectious disease in the country. She needed to make sure it was, well, beating as it should. As somebody living with late-stage Lyme disease, she is a reluctant ER veteran, aware of when, and why, she needs to seek medical assistance. In early April, novelist Porochista Khakpour was sitting in a New York City emergency room.
