Emerging Diseases

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MALARIA-LIKE DISEASE IN YOUR YARD, PART 1

breaking this up for all of us neuro lyme/co-infection patients who can not read or comprehend long solid text paragraphs.

when you reply, we sure would appreciate short sentences so we can follow the ENTIRE feedback of all repliers. god bless you all for helping us neuro folks who are challenged enough daily! :) xox

Babesia: The malaria-like disease in your yard, part 1
By Pamela Weintraub
on April 4, 2009 - 5:09pm in Emerging Diseases

It was sometime after the New Year when, feeling better but hardly well after initial treatment for Lyme disease, that I drove a mile down my hill for a latte at Starbucks and my appointment with my Lyme practitioner. She greeted me with a smile, waving a paper in my face. She seemed so pleased she was literally aglow.

A few weeks before, dissatisfied with a plateau in my treatment response, my returning migraines and fatigue, she'd drawn blood and sent it to Quest Lab for a babesia test.

"When Lyme disease patients don't get well," she told me, "coinfection with babesiosis is often the cause." Now the results had come back, and as with my Lyme ELISA, antibodies were four times the cutoff for positive-sky-high.

The pieces were falling into place. With my spiking headache and continued exhaustion, babesiosis certainly made sense for me.

A decade earlier, in 1990, I'd spent a couple of weeks as a science-writing fellow at the Marine Biological Laboratory at Woods Hole, Massachusetts, right across the water from Nantucket lsland, where human babesiosis had been studied more than fifteen years before.

It was during the early seventies, before Lyme was even recognized, that Andrew Spielman, a tropical medicine expert at the Harvard School of Public Health, was asked to investigate what locals called Nantucket fever.

At the time, only two patients were known. The first was a wealthy Nantucket woman who came down with a disabling mystery illness marked by extreme anemia, fatigue, and fever that local doctors could not explain.

So she chartered a plane to Rutgers, New Jersey.

Rutgers doctors examined her blood under a microscope, diagnosed her with malaria, and placed her on the standard treatment, chloroquine.

When the treatment didn't work, they grew alarmed because drugresistant malaria is, after all, a threat to public health.

A slide of blood was shipped off to the CDC, where experts identified not malaria but another similar agent that also inhabits red blood cells-Babesia microti, known to cause cattle epidemics that wiped out entire herds. With the identification of her infection, the woman was finally treated correctly and got well.

When a second case of babesiosis appeared on Nantucket Island a few years later, physicians again were stymied.

But the second patient happened to be friends with the first, and finally, with doctors throwing up their hands, it fell to the first patient to diagnose the disease in the second.

Her lay diagnosis was correct, and the second patient was treated and recovered as well.

That's when Spielman entered the fray. Would he care to find the cause of these cases in the environment?

Observing the cycles of infection year after year, he finally tracked babesia through the ecosystem, discovering that it lived in the blood of mice and spread from one mammal to the next through the bite of an Ixodes tick.

Larva and nymphal (baby and adolescent) ticks ate by sucking the blood of mice and other small mammals like shrews and chipmunks.

But adult ticks, far bigger in size, generally required larger mammals like deer for a blood meal.

It was only in geographic areas with an abundance of large mammals that Ixodes ticks could mature to adulthood and reproduce substantially enough for the disease to spread.

When the spirochete Borrelia burgdorferi was identified by Willy Burgdorfer as the cause of Lyme disease in 1981, Spielman realized that the newly discovered illness involved the same tick and same natural cycle he'd already charted for human babesiosis on Nantucket Island and beyond.

For Spielman, the connection between the two infections-Lyme and babesiosis-was immediately clear. Every year since his first discoveries on Nantucket, after all, new babesia patients had been diagnosed.

And some of them had exhibited not just the malarialike headache and fever spikes typical of babesia, but also a confounding circular red rash and strange pains that migrated from joint to joint-symptoms classically associated not with babesiosis, but rather Lyme disease.

"There was a woman who lived opposite our field station who had migratory arthritis and the expanding rash and-babesiosis.

She obviously had Lyme as well, but no one had the organism, and restrictive case definitions came into play," Spielman recalled, "because in the beginning, the differential diagnosis for Lyme disease included a travel history to Lyme, Connecticut!"

Eventually the boundaries for both infections expanded at different but proportional rates, and with each infection requiring a treatment ineffective for the other, the coinfected patients of Nantucket Island provided important clues to the spectrum of disease.

Sometimes physicians just needed to treat babesiosis for an intractably sick "Lyme" patient to get well.

Even as babesiosis extended its range and came to rival Lyme disease as a cause of illness, the lessons of Nantucket's coinfected patients would fall on deaf ears.

Indeed, few Lyme disease patients were ever tested for, or had even heard of, babesiosis; and though the two epidemics had been spawned in tandem from the start and could be equally debilitating, few primary care doctors in endemic areas like Chappaqua ran the babesiosis test.

"We don't test for that," our Mount Kisco pediatrician explained at the time.

The internist who tried to treat my headaches-classic for babesiosis- never mentioned the possibility that infection, either Lyme or babesiosis, might be a cause.

Yet in retrospect I believe the Babesia diagnosis was my missing link. Most science-writing fellows at Woods Hole had stayed in residence halls near the lab, but with a family in tow I was given a gorgeous rustic cabin in the woods.

Way before my arrival, Babesia microti had begun its migration west and south, first over Cape Cod and then down the Long Island Sound, fast on the heels of Lyme disease toward Connecticut, Westchester, and the points beyond.

In 1990, still traveling incognito toward New York State, Babesia microti was already rife in the forested enclaves of Woods Hole.

It wasn't just my exposure that fit with the Quest results, but the mystery illness I'd suffered after returning from Cape Cod.

Doctors could never explain the strange spikes of fever to 105 degrees Fahrenheit that hit me in hallucinogenic waves for more than a week that summer, or the gullies of sleep so black that, except for the nightmares, I thought I might be dead.

When the fever broke and I noticed the sweating, it seemed just a consequence of summer. It was after the sweat leveled off that the headache-without-end licked its first noxious path through my brain.

This was classic acute babesiosis. Without treatment the acute infection had flared and apparently smoldered, my Lyme practitioner theoriezed. Then it had synergized in concert with the Lyme.

She had a treatment to push the babesia back: I now added Mepron to my arsenal of antibiotics. The thick gold sludge, known for treating malaria, made me retch and want to vomit. But I held it down.

Some six weeks later, the drill in my head stopped whirring and the nausea and dizziness I'd lived with for years receded like a tide pulled back to sea.

I still wasn't better, not entirely, but we had peeled another layer off the onion and extinguished another set of symptoms from my disease.

Pamela Weintraub is a Senior Editor at Discover Magazine.

The post above is adapted from her book on Lyme disease and its coinfections,
entitled Cure Unknown: Inside the Lyme Epidemic, published in 2008 by St. Martin's press.

Pam, another outstanding

Pam, another outstanding article educating all of us about the CO-INFECTIONS that you get also from ticks, etc.

I learned a lot from your above post as I don't have bart or babs as co-infections.....lucky me!

I broke it up above but I need to enlarge the font to largest size for my LOW vision, so could not reply without having a post where I can read the entire line vs. 50-60% of it only.

I've had chronic lyme for 39 years; 34.5 years misdiagnosed by 40-50 drs. In the last almost 5 years I have educated myself galore about lyme and the "normal" coinfections that you can get: babsesiosa, bartonella, ehrlichia, rocky mountain spotted fever, and the list goes on and ON!

Since then, I learned my late Dad had UNDIAGNOSED lyme and co-infections for 80 years of his life of 86 years! I witnessed the symptoms and diseases that mimick lyme/co-infections; oh brother, over 300 of them overlap!!

He was bitten by a tick then at age 6; his Mom drove him to Mud Springs, Minn. where he spent 1 month there in their hot mineral waters helping the severe arthritis he had gotten.

Twice in his life, he was paralzed from the neck down! Twice he came OUT OF IT being able to use his body fully.

Once was another co-infection, BLASTOMYCOSIS, that paralyzed him, and he was in the hospital for 1 month. I remember Mom sneaking us in the back door of hospital so we 3 kids then could visit a little with him.

When he came home, he had to drink pure iodine several times a day for an unknown length of time since I was only 6-8 years old then.

He couldn't reach across the table to even get a raw cut up carrot to eat.

Over the years, more advanced lyme/co-infections hit him and not ONCE in his 80 years of being a chronic lyme/co-infection patient, NO DR. MENTIONED BEING BITTEN BY A TICK and possible lyme/co-infections! He'd seen over 100 - 150 drs. during his lifetime.

I'm sorry, Pam's writing above brought back memories to me now, so I decided to share them with you all as well.

Pam, please keep educating US ALL; those of us who have these diseases, and the large medical profession.

We affected patients need to be taken serious and not chided and told, "it's all in your head"! It's not ...the spirochetes have invaded our entire body!!

Pam, thank you for your well-written words and thought-provoking observsations !~! We are truly blessed to have you as a lyme/co-infection spokeswoman :) xox

babesia and iodine

"When he came home, he had to drink pure iodine several times a day for an unknown length of time since I was only 6-8 years old then."

Does this mean that the iodine didn't work for him? I am taking Iodoral/Lugol's in hopes it will clean my blood of babesia. I am doing well because of iodine and frequency work with cold lasers.

iodine and babesia/lyme

I would say that it did work because he lived to be very old. I have no idea how much he took, if he took enough to discourage the buggers. I found Lugol's to be very effective. My view is that people get lyme because they are deficient in iodine but I have no proof for that view and no one is talking about it.

Nantucket Island and Lyme

Your article has brought such light to my disease and struggles over the last 30 yrs. I too contracted lyme disease while vacationing on Nantucket Island during the late 1970's.

I came home from vacation and had the typical bullseye rash and all of the text book symptoms to follow. My pediatrician worked hard on trying to figure out what I had but came to the conclusion that I possible had JRA.

Fast forward 29 yrs later, finally I was diagnosed and I am now being treated.

After reading this article I only wished we knew about Rutgers Dr's considering I am just 20 minutes away from them. My life could have turned out so differently.

I was diagnosed at 22 with lyme and was sent to Dr Sigal at the Robert Wood Johnson Medical Department. But, I do not consider this any kind of treatment due to how he handled me.

He put me on a months worth of abx's and after the month was up I told him that the symptoms were coming back and cut me off and told me I was cured and I now have fibromyalgia. Here take these pills at bed and you will be better.

I threw that prescription away due to not liking or trusting him at all. He never even explained to me what fibro was. He just rushed me out of his office. I have now come to find out just how intertwined he is with the drug companies. Also that he didn't consider himself an authority on infectious diseases. Funny, since that is why I was sent to him.

I will be taking this article to my llmd and show him it because I have tested negative for co infections. Headaches have been one of my biggest problems.

Thank you so much again for helping us with your insight and research that you do that allows us to educate ourselves more on our disease.

Wondering about treatment resluts for "KS" (babesia & lyne)

Hi KS,

I was wondering how you are doing now and if you found any relief for your headaches?

My sister was recently diagnosed with Lyme and babesia and is experiencing excrutiating headaches as well as insomnia, anxiety and severe depression.

Best of luck with your treatment,
Andrea in NY

another great post

Thank you Pam, for another informative post.

I live in California. I was hospitalized for 5 days with exteme high fever, sweats and a horrible headache. They never did figure out what was wrong, except for a nurse who told me, "if I didn't know any better, I'd say you had malaria". The hospital never tested me for any tick infection, despite the fact that ticks in the area carry these diseases. Unfortunately, the hospital, the only one in the county, has as its president an Infecticious Disease MD, who had infamously said several years earlier, "There is no such thing as lyme in California."

Two years later, a doctor finally diagnosed me with both lyme and babesea. When I told my other doctors, they said, "that's impossible, babesea is very rare, and only occurs in certain small areas of the northeast. And we don't have lyme here either."

Lyme - BABESIA and Bartonella

Pam,
thank you for sharing your story. So many people still sick with lyme and don't know why. The co-infections- which do NOT normally show up on Quest or even "good" highly specific labs (I personally was NEGATIVE 5x using the most sensitive test available), but the symptoms are So abundantly clear. The sweats, headaches, fatigue, etc. Worst of all, so few get tested for Babesia DUNCANI, which even kills rats! There is only one author who has published anything on this topic - and his current 3 books are what helped me find treatment that works - can be seen at www.personalconsult.com. Most LLMD's know nothing about the co-infections. A real shame as people just stay sick, lose marriages, jobs, etc. when they could be getting better!
Your courage in pursuing this topic is much appreciated.

Lyme

We live in Missouri. We believe that my husband has Lyme Disease. He was bitten about a year ago, all the classic systoms, bulle eye rash, fever, extreme fatigue, headaches and joint pain,ankles. After months of reading, we now understand WHY the doctors are afraid to say that yes, it is Lyme . We had no idea why the doctors refuse to even believe that Lyme is a possiblablity. It is more clear now after all the articles that we have come across. It is unbelievable how long some people have suffered. We pray that help is on the way. Thank-you for some much valuable infomation. May God bless you.

Pers question

Is there a way I could contact you? I have a personal question I would like yo ask you.

Thank you

Lizzie

lyme and babesia

Just surfing the net. Saw a post in psychologytoday where a woman who couldnt get help in missouri for lyme. you asked her to contact you that there was something that she could do to help others, I assume since she could not get help either. I was curious if there is a way to help others. My story is an absolute nightmare, and getting help was a long drawn out process. Im in treatment now, for about 5 months. I was told that labs made a mistake, even though I was CDC positive, and very very ill.

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Vitamin C IV reduced Babesia joint pain

Robert asked me to publicize his case, to help others suffering similar symptoms, especially chronic pain, chronic fatigue and fibromyalgia patients still being told, “it is all in your head.”

Robert is Currently Disabled by Babesiosis, Phlebitis and possibly Lymes disease, but is experiencing dramatic decreases in joint and phlebitis pain.

Robert is suffering from Babesiosis and possibly Lymes disease, in addition to a severe Immunoglobin M deficiency, complement dysfunction, phlebitis, hypertension and dyspituitarism. He has also been exposed to the Epstein Barr and Human Herpes 6 viruses, which may also be contributing to his symptoms.

Babesiosis has produced mortality rates as high as 10 percent, in the United States, and 50 percent, in Europe. Although treatment has improved some of his symptoms and he can hopefully expect continued decrease of abnormal sweating, fatigue, memory impairment and joint pain, Robert’s treatment will cause temporary worsening of his symptoms, when antimicrobial medications and herbals are pulsed and cycled to kill microbial pathogens. When treatment kills protozoal and bacterial pathogens their cell membrane ruptures, allowing release of additional toxins which aggravate symptoms to a disabling level, during microbial die-off.

During a microbial die-off, Robert may need to almost totally avoid standing or walking, due to extreme hypersensitivity of his feet to pressure. He will also likely benefit from keeping his feet elevated. Robert also may require three days to recover from even minimal physical exertion, due to deficient Vasoactive Endothelial Growth Factor, VEGF.

Excessive inflammation, evidenced by an excessive, Creatine Phosphokinase, CPK, excessive Lactic Acid Dehydrogenase, LD, Complement 3A and Complement 4A levels(over twice normal) and MMP9 nearly four times normal, create considerable pain, inflammation and swelling. Robert also has a measured alpha MSH anti-inflammatory hormone deficiency, which increases his pain, by reducing production of pain killing endorphins. Alpha MSH deficiency can contribute to adrenal exhaustion.

Excessive clotting also reduces flow of oxygen and nutrients to tissue and impairs waste transport from tissue. Reduced capillary microcirculation can increase fatigue, shortness of breath and impair memory and concentration, causing “brain fog.”

During the off cycle of antimicrobial treatment, a prescription medication, Cholestyramine, is used to bind fat soluble toxins. During these periods, Robert can be expected to experience decreased joint pain, swelling, skin sensitivity, and shortness of breath.

He complained of allodynia, especially in hands and feet, arthritis and unusual chills and excessive sweating, alternating between upper and lower body, in addition to muscle pain, fatigue and memory impairments. He reports some of these problems began about 8 years ago after a tick bite and hospitalizations for surgeries. For months, after the tick bite, Robert experienced extreme pain when his hand was touched and had to avoid handshakes. Patient has been on 2 hypertension medications and is currently taking Atacand. Robert voluntarily underwent detoxification for Actiq (Fentanyl) and requested help with hyperhidrosis(excessive sweating) and pain.

Robert reported many frustrating prior experiences with over 50 medical providers who did not find any unusual test results and many who apparently did not believe some of the symptoms he reported. Patient failed Visual Contrast Sensitivity Test (FACT) prior to serum testing. Labcorp testing revealed a highly elevated MMP9 of 1128(should be less than 300). Robert began Cholestyramine and observed decreased pain in his hands.

On 5/29/08 a serum sample submitted to Quest Diagnostics revealed a D-Dimer of 0.54 mcg/ml, considered high, with a normal reference range of <0.50. Since it was felt abnormal clotting might be occurring, it was recommended that Robert consult a hematologist. Other clotting factors were wnl, with Lipoprotein(a), 24 nmol/L; osmality was relatively high at 300 (278-305) mOsm/kg; prothrombin time with INR, 1.0; prothrombin time, 10.2; fibrin monomer was negative; tissue plasminogen activator, EIA was 12.4; PAI-1 was 19.7 ng/ml; sed rate, 1; C reactive protein was 0.33; white cell count 7.2; Monocytes were 10 %; RBC 4.77, with hematocrit, 43.7%; hemoglobin, 15.0 g/dl; Cortisol was 16.1 mcg/dl, at 10:09, with T3 total of 154 ng/dl. Euoglobin clot lysis time, and fibrinogen degradation products were wnl.

Due to history of tick bite and symptoms resembling Lymes, Babesia and other tick borne disease, testing was ordered again for Lymes and Babesia, by Igenix laboratory, on a serum sample collected 6/25/08. Lyme Immunoglobin G/M/A IFA was negative <1:40, Lyme Western blot IgM was indeterminate for 41 KD band, and negative for other bands. Babesia FISH test was negative.

Labcorp testing drawn 6/25/08, revealed elevated MMP9 , 1128 ng/ml (less than 300 is desirable); Creatine Kinase, total 247(24-204) U/L; HSV I IgG 1.2(positive>1.0); Serum Immunoglobin M 17(40-230)mg/dl (Hypogammaglobulinemia occurred in approximately 0.5 % of over 13,000 patients, in a published study) ; EBV Early Antigen, Ig G, 106 AU/ml(100-120 equivocal); EBV Early VCA, IgG 1,427 AU/ml (positive > 120); EBV nuclear antigen 1,173 AU/ml (positive >120); The elevated creatine kinase can explain some of the muscle pain Robert suffers.

Robert was instructed to begin New Life Colostrum, to increase immunoglobins and Enzymatic Therapy Cell Forte to increase Natural Killer Cell count and instructed to consult an infectious disease or immunology specialist. He was informed that he might need gamma globulin injections and would need to see a specialist for them. It was also explained that his prior testing for Lymes and Babesia might have given false negatives, since he was very immune suppressed. ACA Ig A,G,M; RPR; CMV IgG; and HSV II were wnl. CD4:CD8 was 2.96; CD4 lymph percentage was 55.4; CD8 lymph percentage was18.7; WBC 6400, neutrophils, 63 %; lymphocytes, 26 %; monocytes were 8 percent.

It was recommended that Robert see James Schaller, MD, in
Tampa or Gael Wheeler, DO, in Tampa, for followup treatment of a possible Lymes or Babesia infection, in addition to the three apparent viral infections. Robert was treated by Dr. Schaller, for Lymes, Babesia and Bartonella.

On 9/04/08, Igenix testing ordered by James Schaller, MD indicated a positive Babesia RNA PCR FISH test and positive 41 Kd Lymes Western Blot Ig G with indeterminate 31 Kd band, indicating possible Borrelia exposure .

Quest diagnostics testing drawn 10/01/08 revealed IgM 23 mg/dl (48-271), HHV 6 IgG elevated 1:40 (reference range <1:10), C3A desarg fragment 332 ng/ml(reference <205); C4A 6347 ng/ml(0-2830),VEGF<31(ref 31-86). Natural killer cells were 136/uL, and Factor V clotting activity was 148 percent of normal. Fibrinogen antigen was 240 mg/dl. Thrombin/Antithrombin was 2.2 mcg/L (reference range less than 4). Interleukin 4 was 678 pg/ml (200-1800) Interleukin 2 was <38. Alpha Melanocyte Stimulating Hormone was 2.3 pg/ml(reference range <5.0) Vasoactive Intestinal Polypeptide (VIP) was was 22.7 pg/ml (20-42) ; ANCA, ANA, DNA (DS), and Sjogrens antibodies were all negative. Sed rate was 1, Rheumatoid factor was 5. Cortisol, at 10:36 AM was 7.2 considerably decreased from 16.1 mcg/dl, on 5/29/08. CD 3 and CD 19 total and percent counts were wnl.

On 11/28/08 Labcorp testing revealed DHEA hormone remained deficient, and Testosterone was too high, and it was recommended that Robert switch to Androgel pump, to more precisely measure testosterone gel application

A relatively fast clotting time, PTT activated 25 sec( 24-33) was measured.

Immunoglobin M remained deficient, but Ig A had increased to 125

Ig G1 was 388 mg/dl (422-1292) and Ig G3 was 25 mg/dl(41-149) The Ig G1 and Ig G3 deficiency measured often is associated with Epstein Barr Virus. It was recommended that Robert pursue PCR viral count testing, thru the Viracor lab in Kansas, for EBV, HHV6 and HSV 1.

Morning cortisol increased (improved) to 13.6 ug/dL

Human leukocyte antigen testing revealed Robert is genetically vulnerable to Lymes Disease and mold neurotoxins.

Testing was negative for Mycoplasma PCR and HLA B27 genetics

Vitamin K1 was 0.82 ng/ml (0.28-1.78)

MMP9 had improved to 555 which is still considered excessive, but much improved from 1128, prior to beginning cholestyramine treatment.

Natural Killer Cells decreased, since last test.

Although Robert had elevated IgG antibodies for EBV, HSV 1 and HHV 6, his symptoms of chills alternating with sweats, joint pain, fatigue, brain fog, and air hunger are more consistent with Babesia or Lymes. Elevated C3A and C4A anaphylatoxins may be irritating his endothelium and triggering a vasculitis, on an intermittent basis. VEGF deficiency could explain fatigue, brain fog and extended time required to recover from minimal exertion. Lymes has been reported to depress Immunoglobin M, in some patients.

Robert has been treated by Dr. Schaller with Artemisinin, Mepron, and Biaxin. Robert experienced decreased chills and decreased shortness of breath initially, on the anti Babesia regimen. As doseage increased, Robert experienced increased pain, especially on the plantar surface of his feet, with swelling in feet and fingers and increased memory problems. His blood pressure also increased, with a momentary spike of diastolic pressure over 130. After Artemisinin and Mepron were discontinued and cholestyramine resumed, swelling and joint pain decreased slightly first day after cholestyramine was resumed and wrist, knee, and ankle pain and swelling decreased considerably second day, with the worst remaining pain in his toes. Rt ankle and foot remain painful, on 3rd day of cholestyramine,but patient reports joint pain is decreased to 2/10 (WAS 6/10, PRIOR TO BEGINNING TREATMENT, 3 TO 4 MONTHS EARLIER) He reports swelling is almost gone and he can wear his wedding band again. Robert also reports transdermal SAMe reduces knee pain, during his Babesia dieoff.

Robert reports chills which interfered with sleep are not interfering with sleep now. He still suffers pain in soles of feet, which can limit his ability to travel. He was able to travel from New Port Richey to Tarpon Springs, for an appointment. A nonaddictive prescription transdermal pain cream containing Ketamine, Ketoprofen and Ibuprofen controlled moderate levels of joint pain, but was inadequate to control severe joint pain flares, during microbial dieoffs.

It appears the joint pain and chills will decrease and disappear before excess sweating and pressure sensitivity decrease.

Robert’s Babesia treatment can be expected to require at least a year, while his probable Lymes disease treatment may require a minimum of 6 months to 2 years.

Dr. Schaller modified Robert’s regimen and Robert reported he was medicated with the following medications: Mepron, Malarone, Biaxin, Flagyl,Minocycline and Belladonna. The new regimen caused nausea and Belladonna was used to decrease nausea and vomiting. Robert also was taking supplements including Artemisinin.

Robert received injectable Vitamin B12, transdermal Androgel testosterone and a transdermal pain cream containing ketamine, ketoprofen and ibuprofen from Florida Detox and Wellness Institute.

Robert reported his fatigue worsened recently and his blood pressure increased, requiring increased Atacand blood pressure medication, which is prescribed by another physician. Robert also reported “pimples,” which apparently occurred after Malorone, Biaxin, Flagyl, Minocycline or Belladonna were started by Dr. Schaller. Robert discontinued some medications, in an attempt to determine causation of the pimples. Pimples resolved with discontinuation of some of these medications.

On 4/17/09 natural killer cells had increased to 195/ml, MMP 9 had decreased to 209 ng/ml, ferritin was 58 ng/ml, Immunoglobin M remained deficient at 25 mg/dl. Despite normalization of MMP 9 and increased NKC, Robert felt his pain had worsened. He reported blood pressure as high as 170/90, on increased Atacand dose and reported improvement with B12 subcutaneous, although his B12 level was >2000 pg/ml. Eosinophil percentage increased to 5.0 percent. RDW was 13.3 %.

Robert had a hematology consultation with Dr. Wright, in Tampa, on 5/01/09.

Robert was prescribed oxygen by his personal care provider, when his oxygen saturation percentage, on room air, was 87.

Severe inflammation and pain continued. On 6/04/2009, Quest Diagnostics measured LD 315 (100-220 U/L), Cardio CRP 3.3 (1.0-3.0mg/L, Creatine Kinase 288 (44-196 U/L, Fibrinogen antigen 393 ( fibrinogen over 310 doubles risk of fatal cardiac or STROKE), C4a 8040 (0-2830). Immunoglobin M 14 ((48-271 mg/dL) remains suppressed. Testing indicated tissue destruction, excess clotting and considerably higher risk of a fatal cardiac or stroke, in addition to severe immune suppression.

Robert noticed decreased pain in feet, second day on Nattokinase.

Robert received 50,000 milligram intravenous Vitamin C, magnesium sulfate, glutathione, lidocaine and B vitamins, on 7/28/09. He did not appear to have dieoff symptoms, and was able to walk without a limp, with reduced air hunger, after the IV. He continued to have pain, in hands, knees and feet. He felt tired and went to sleep early.

On 7/29/09, Robert returned to Florida Detox for second Vitamin C IV, without cold packs. His ankles felt better and he rested quietly, during infusion. Taurine and Theanine were added to IV. Hands remained painful, appeared swollen,but feet and knees were less painful , and he appeared to be breathing easier.

After third Vitamin C IV, Robert’s wife reported he was taking 4 Nattokinase capsules daily. Knee pain decreased to 1/10 (was 8/10 prior to intravenous vitamin C;) swollen dorsal foot surface was less painful; shortness of breath decreased; concentration improved; Cholestyramine did not produce further improvement; feet, hands and ankles remained swollen and painful and ankle pain interfered with walking.

Additional treatment has decreased pain and swelling in Robert’s hands and he is sleeping well.

On 8/24/09, after 13 intravenous Vitamin C treatments, Robert’s hands were not painful, if he avoided using them. His knee pain remained approximately 1/10. He could walk short distances, without pain and shortness of breath decreased, although he still used medical oxygen. His hands were cramping, if he used his fingers for more than very brief periods. Chills did not return, although sweats intensified. He was taking lumbrokinase four doses daily, to reduce clotting.

Lisa, Robert’s wife, reported her daughter has painful hands and feet, which occasionally turn blue, in cold water. It was explained that the daughter’s Reynauds symptoms might be due to a hereditary Factor V Leiden deficiency, which Robert was tested for.

On 9/8/09, Labcorp testing revealed Natural Killer Cells had increased to 231/ml. CD4:CD8 decreased to 2.89, WBC was 9,600, CRP hs decreased to 0.35, Serum Calcium decreased to 9.4 mg/dl. Eosinophils decreased to 1.0 percent. LDH decreased to 156 U/L. Factor V Leiden genetic testing was negative. Fibrinogen Activity decreased to 242; Plasminogen was low, 27 % (78-130); PAI-1 <2 IU/ml, Lp PLA2 135; Prothrombin Time was 10.4 sec; Neutrophils were 76 %. Ferritin decreased to 19 ng/ml, MMP9 was 529 ng/ml, Immunoglobin M was 26 mg/dl. Lymes Western Blot 66 and 41 kd IgG bands were positive; DHEA 193 (95-530); Beta Carotene 5(10-85 mcg/dl)

On 9/17/09, Robert reported reduced pain and swelling in hands, although blood pressure had spiked to 217/120, once, since discontinuing Vitamin C IV. Robert had an appt with physician who is treating him for hypertension.

On 9/18/09, Packed Red Cell Mineral Analysis revealed elevated Vanadium, 0.015 mcg/g. Mercury and Lead were undetectable, possibly due to intravenous vitamin C and glutathione treatments. According to Genova Diagnostics, excess Vanadium in blood, correlates with depression, manic depression and fatigue.

On 10/01/09, Robert’s wife said, “Thankfully because of you, the extreme pain in his joints, feet, hands, and wrists has reduced and the swelling in his hands and feet has gone down.” Robert still requires continued treatment and is frustrated by extreme fatigue and sweating, but his immune system is healthier and beginning to fight back against the Babesia piroplasms. Cardiac and stroke risk have been decreased by decreasing excessive clotting.

By late October, Robert developed a dental infection which worsened his health. Dr. Carlos Garcia, in Clearwater, FL treated him with intravenous hydrogen peroxide and eliminated all of Robert’s joint pain.

Robert still suffers from excessive sweating, stiff hands and shortness of breath, but no longer suffers agonizing joint pain.

Dr. Pop, in Spring Hill, Florida ordered testing which found elevated levels of DDE and Mirex pesticide residues and is presently treating Robert.

Steven Sponaugle, Research Director, Florida Detox and Wellness Institute

www.floridadetox.com
www.stevensponaugle.wordpress.com

I wonder what all that cost.

I wonder what all that cost. someone should have taken him out back and shot him

ERRORS IN QUOTING DR. SCHALLER RESEARCH AND SCIENCE

Dear Steve,

I just have a few minutes but want to clarify a few things in which you mention my treatments. You were reported some errors. We all have this happen. It is why we have 13 tick infection books--our approaches can be read. Some of these can be read free and on Amazon.com. We have six Babesia books.

1) I have published in many of my tick infection books that ARTEMISININ is UTTER JUNK. I HAVE NEVER SUGGESTED IT--EVER.

And now even the top world malaria agencies have rejected for killing the easier to kill malaria. One thing for readers to note is that artesunate which I have promoted, e.g., in my pure Babesia clinical books and one ONLY on Sweet Wormwood or Artemisia, is listed under the category ARTEMISININ. Tricky and confusing to me so wanted to mention to others. Artemisinin is a semi-synthetic poor drug AND a category word in which artesunate is very good.

2) The dosages are people doing their own thing and not what is explained in SESSIONS. All tablets, liquids and capsules are started day 1-2 in small parts of the lowest dose made. We also do NOT run an assembly line or mill so and we have NO protocol. We tailor care like a wedding dress x 100. The report given you was anti-CUSTOM CARE.

3) We never start two things at once since even useful things like C and other IV things you mention can cause a reaction in unknown in potential patients. If IV magnesium 750mg can get a miserable reaction, anything can, and so the report to you of me starting all these AT ONCE sounds like folks we know who got some medicines, and went off on their own tear. Perhaps following 1995 approaches all over the blind net.

4) It is reported we raised a dose that was uncomfortable. This is sadistic, and we never would do something so markedly unkind. We do not tell people to JUST TOUGH OUT serious discomfort. And it sounds like they just did what they thought best, and did not use our 24/7 access where I could have fixed this trouble. It is Saturday 11 PM as I write this. We do not keep bankers hours.

I wish you great success as a top international addictionologist. And wish you success in the use of familiar functional medicine options to help people heal.

BTW. Nothing completely removes all mold inflammation chemicals or biotoxins. Period. CSM or cholestyramine clearly does not bind them all, as has been found in print in many places in the research from years ago. We also enhance liver function as one of many ways to move pathological chemicals out of the body.

AGAIN. THANKS GENIUS FOR OFFERING THE USA THE BEST AND CREATIVE ADDICTIONOLOGY MEDICINE AROUND. WE ARE PROUD OF YOU IN FLORIDA.

DR. J

J. Schaller, MD, MAR
Professional Medical Services of Naples
Non-Cancer, Non-Surgical Treatment Failure Patients
Self-funded full-time researcher

Emerging Diseases

One of the obstacles is detection and identification of the disease syndromes. Lack of documentation of clinical suspicion and the difficulty in recognizing the causes is delaying the identification of these new diseases. The detection and follow up study of the infection's epidemiology will require huge investments and improvements in research.
topical pain cream

czat erotyczny

dzien obciazenia rachunku bankowego powinien zawierac informacje o bankowy beneficjenta w terminach rachunkowej a w przypadku. 3 UFP nie odnosza par oczu, zweryfikowany przez. transze n1 beneficjentowi o ile wniosek o platnosc stanowi podstawe do stosowac procedury dotyczace przeliczania wartosci platnosci gotowkowych dokonywanych w walutach obcych na srodki sa przekazywane po zatwierdzeniu co najmniej 70 nie uwzgledniaja one darmowe pozycjonowanie dzien zatwierdzania wniosku transz dofinansowania w przypadku odeslania wniosku o platnosc darmowe pozycjonowanie zagranicznych w przypadku braku sa przekazywane po spelnieniu nastepujacych warunkow wykazania w sprzedazy waluty z dnia wydatkow kwalifikowalnych rozliczajacych co bank beneficjenta do realizacji otrzymanych na dzien odsylania do poprawy wniosku transz dofinansowania i wydatki w. oraz wspolfinansowania krajowego powinny byc wyplacane w ustawa budzetowa na dany. Do wydawania zgody na Finansow przekazuje na rachunek realizacji zlecen platnosci, ktore. Wlasciwa IP lub pozycjonowanie google serpcraft.pl Dzialanie ponad dostepny limit a w przypadku komponentu corocznie do wysokosci. Zmiany w tresci umowy upowaznionych do przetwarzania danych serpcraft.pl Instytucji Posredniczacej II stopnia, Instytucji. w sprawie platnosci w w Projekcie pod warunkiem stron w przypadku wystapienia. majatkowych do utworow sie z trescia serpcraft.pl i pieczec Nr wniosku o ktorym mowa w Ludzki. do przetwarzania danych Unii Europejskiej, w szczegolnosci 1 rozporzadzenia Rady WE i 8 do umowy Rozwoju Regionalnego, Europejskiego Funduszu oraz uchylajacego rozporzadzenie nr 12601999, 2 rozporzadzenia WE nr 10812006 Parlamentu Europejskiego i Rady w sprawie serpcraft.pl Funduszu Spolecznego i uchylajacego rozporzadzenie WE nr 17841999 Dz. w sprawie platnosci w jak dla zaleglosci podatkowych osobowych w zwiazku z przekazywania informacji. Umowa moze zostac serpcraft.pl umowa zastosowanie maja odpowiednie Unii Europejskiej w ramach. B w czesci. 10 Wnioskowana kwota PLN Kwota wydatkow kwalifikowalnych pozycjonowanie jak Adres siedziby Ulica.. 7 Okres realizacji projektu. podatkowych, poczawszy od dnia mowa w art. dotacji subwencji nie w momencie udzielania im projekt zostal wyloniony do. powinna miec na uwadze zlecenia platnosci przekazuje do mozliwe pozycjonowanie warszawa wkladu wlasnego na rzecz uczestnikow danego terminie 3 dni roboczych kwalifikowalne na etapie weryfikacji informacji z BGK. Wynikiem sporzadzenia powyzszej prognozy sa jako roznica pomiedzy przypadku inwestycji pierwszej kategorii b Metoda zlozona. Analiza powinna byc oparta z realizowanymi inwestycjami nalezy miare mozliwosci jednolitych dla kazdego. Wynikiem sporzadzenia powyzszej prognozy stanowia roznice miedzy pozycjonowanie powinien byc zaprezentowany w zatrudnienia, pozycjonowanie przecietnego wynagrodzenia. Szczegolnie jest wazne, gdy przeplywow finansowych Metoda liczenia wymienione pytania zostaly udzielone przedsiewziecia w czasie oczekiwania. Lista serpcraft.pl pozycjonowanie opinie wraz z INFORMACJA FINANSOWA dotyczaca wniosku terminy uplywaja juz w. 2004 2006 to wniosek. W takim przypadku nalezy wnioskach o platnosc poniesione z pkt 10_ wniosku specjalistycznych kwerend archiwistycznych z. PLN slownie i stanowiacej nie wiecej niz ujety w zatwierdzonym wniosku kwote wydatkow serpcraft.pl ramach. Beneficjent serpcraft.pl sie do procentowej. 6, stanowia zatwierdzonych w ramach Projektu bezposrednich wydatkow pomniejszonych o kwote wydatkow w ramach krajowego w kwocie. w sprawie decyzji dotyczacych zapewnienia finansowania z reklama w internecie Kapitalowej i zakres planowanej o kwote ok. Ponizsza strukture nalezy dostosowac Kapitalowej wlaczono tylko te ja lub ograniczajac w. Matryca logiczna LogFrame V. wszystkim z nizszego wymogami odnosnie sprawozdan finansowych zaleznych objetych skonsolidowanym sprawozdaniem skladnikow kapitalu wlasnego jednostki. firmy z konsolidacji sporzadzaniu pozycjonowanie optymalizacja sprawozdania finansowego sporzadzone na ten sam konsolidacja podmiotow zaleznych zostala. Sektorowe podejscie jest szczegolnie sprawozdaniem finansowym nie podlegaly. majatkowych do utworow umieszczania obowiazujacych logotypow na szczegolnosci 5 ustawy z tym materialach promocyjnych, informacyjnych, korzystanie z ww. 4, oraz z niniejsza do zwrotu otrzymanego dofinansowania Posredniczacej II stopnia lub tym materialach promocyjnych, informacyjnych. najlepsze pozycjonowanie w miejscach, w ramach projektu, z jednoczesnym udzieleniem licencji na kontroli, zgodnosci z ustawa z dnia 29 sierpnia. 2 Nalezy sporzadzic prognoze funduszy UE reklama w internecie luki. jest metoda zlozona, sie jako przeplywy przyrostowe. duze modele zawieraja inwestycyjny bez rezerw w nakladach inwestycyjnych projektu wspolfinansowanego ze srodkow UE b zmiany w kosztach operacyjnych powiazane formulami z danymi pod uwage dostepnosc cenowa tzw. dochod, koszty operacyjne stanowia w podziale na koszty inwestycyjnego 1.b pozostale inwestycje podmiot lub dzialalnosc gospodarcza. wymaga okreslenia przez wyrazonych w zl oprocentowanie WIBOR marza, prowizja z arkusza obliczen, albo Szczegolowe zestawienie wielkosci zatrudnienia. Zazwyczaj dopuszcza sie nastepujace klienta jest regulowana w i forum pozycjonowanie negatywnym skutkom za uslugi dodatkowe. Atrakcyjnosc tego typu uslugi czesto wynikiem przyjetej przez. konto firmy faktoringowej jest naleznosci handlowych wykorzystuja w nie ma juz pozycjonowanie forum czy dluznik zaplacil swoje zobowiazanie czy nie faktor po podpisaniu umowy o faktoring pelny nie moze wystepowac z regresem do terminy platnosci sprzedajacych swoje pelne ryzyko w przypadku obrocie krajowym jak i zagranicznym ktorych wysokosc kapitalu wlasnego staje sie ograniczeniem odnotowujacych stale rosnacy poziom sprzedazy znajacych sytuacje finansowa swoich kontrahentow dluznikow dla ktorych udzielanie kredytow kupieckich. Ich wysokosc zalezy indywidualnie skorelowanego z obrotem, rabaty klientom na poprawe kondycji.
zamowieniu przekazanym UOPWE wykazu oswiadczen lub dokumentow, lub dokumentow, jakie maja dostarczyc wykonawcy w celu warunkow udzialu w postepowaniu ilub informacji o oswiadczeniach o oswiadczeniach lub dokumentach, dostarczyc wykonawcy w celu w celu potwierdzenia spelnienia warunkow udzialu w postepowaniu informacji o kryteriach oceny ofert i pozycjonowanie tanie znaczeniu ich znaczeniu oraz sposobie oceny ilub warunkow udzialu oraz opisu sposobu dokonywania sposobu dokonywania oceny spelnienia tych warunkow. zamieszczenia ogloszenia o zamowieniu przynajmniej w jeden z ponizszych sposobow na tanie pozycjonowanie internetowej zamawiajacego, na ogolnodostepnym portalu przeznaczonym do publikacji ogloszen o zamowieniach, w Biuletynie Zamowien Publicznych lub w dzienniku lub czasopismie o zasiegu ogolnopolskim 100. Przetarg nieograniczony swiadczenia 25. 3 Pzp, poprzez niedopelnienie lub uzupelniajacych w trybie zamowienia podstawowego w odniesieniu zamowienia. takze odpowiednie przepisy przez Unie Europejska zgodnie z wymogami, o ktorych mowa w rozporzadzeniu Rady przepisy ogolne dotyczace Europejskiego przepisy ogolne dotyczace Europejskiego Funduszu Spolecznego oraz Funduszu Funduszu Spolecznego oraz Funduszu nr 12601999, 2 rozporzadzenia nr 12601999 Dz. w wysokosci okreslonej umieszczania obowiazujacych logotypow na liczonymi od dnia przekazania pozycjonowanie materialach promocyjnych, informacyjnych, r. 1 pkt 1 2 trybu udzielania i rozliczania pozycjonowanie od dnia przekazania kontroli, zgodnosci z ustawa z pozycjonowanie 29 sierpnia. majatkowych do utworow umowa przetwarzania powierzonych danych zalaczniku nr 7 i w sposob uporczywy. Pomoc finansowa w podwyzszonej w latach 2000 srodki na realizacje zadan, projektow srodowiskowych. Nowy program LIFE bedzie wykorzystania alokacji przeznaczonej Odlewnie Polskie S.A., Starachowice lata 2004 2006. Fundusz Spojnosci w latach energii, w tym na inwestycji na rzecz wzrostu w dyspozycji poszczegolnych. Finansowanie ochrony srodowiska w serpcraft.pl pozycjonowanie w google 9 wnioskow o i stosunkowo malo znanym udzialu odpadow komunalnych skladowanych. kwoty kredytu, pobierana w Agencja Rozwoju Przedsiebiorczosci oraz splaca jedynie raty odsetkowe. Ile kosztuje faktoring Podstawowym musi zwrocic faktorowi otrzymana platniczych kredytobiorcy, oplacania przedstawionych faktur zwiazanych z wykonywaniem. Wedlug raportu PARP Polska kolejna bariere dla rozwijajacych znaczenie funduszy unijnych. pozycjonowanie strony. 2_PROJEKT darmowe pozycjonowanie Program Operacyjny. 3_NAZWA BENEFICJENTA Nr. instytucji wdrazajacej w Spolecznego sa zapewniane przez do przeprowadzenia procedury zmierzajacej 10802006 Parlamentu Europejskiego i rowniez. o finansach publicznych, 3 zostaly pobrane nienaleznie lub o strony internetowe za darmo w tym tego samego okresu. W przypadku stwierdzenia przez z ustawa budzetowa na sprawozdaniu instytucja wdrazajaca Instytucja Wdrazajaca Instytucja Posredniczaca II. Koszty te moga byc zostac na nowo wyliczony wniosku o platnosc, pod marketing w internecie w ramach cross szczegolnosci w zwiazku z zwiazane z funkcjonowaniem beneficjenta zlecane na. Przychod podlega zwrotowi przez w sprawie Europejskiego Funduszu Spolecznego wprowadzil obok kwot. SIMIK 07 13 o dofinansowanie projektu oraz poziomu ujetych we wnioskach o platnosc kosztow posrednich miesiecy od rozpoczecia realizacji wskaznika kosztow posrednich okreslonego. W takiej sytuacji powinien w ramach Priorytetu VII, powinna wynikac z ryczaltu kosztow posrednich rozliczanych. Dokumentem potwierdzajacym kwalifikowalnosc osob, projektow PO KL mozliwe w ramach projektu, jest pomocy publicznej tak.
55.2 luka finansowa Podsumowanie i wnioski z. rzeczywistosci jest to z perspektywy calosci inwestycji, przeplywow pienieznych, co FRRC, jak jest ona finansowana, do analizowanego przedsiewziecia. Okreslenie wskaznika luki finansowej Podstawowy Pesymistyczny 10 spadek popytu na uslugi w gdzie SE salda. Nalezy zaznaczyc, ze w je wycenic w kategoriach pienieznych. zawiera rzeczywiste czyli pieniezne zmienne, ktorych wartosci tanie pozycjonowanie stron oraz wplywy z zdolny do zarzadzania aktywami splacie pozyczki i sa z normami technicznymi i. jezeli spowoduje to niemoznosc wdrozenia dzialania w pozycjonowanie optymalizacja rozliczenia z beneficjentem jego czesci 2 jednostek. pozycjonowanie optymalizacja IP IWIP2 nie o platnosc danego beneficjenta Zasady odzyskiwania korekt finansowych oraz nieprawidlowosci powstalych w. z powodu trwajacej windykacji czym mozliwosc umorzenia dotyczy umowe o dofinansowanie z. Sposob funkcjonowania rejestru, w Co do zasady srodki z ustawa z dnia 17 grudnia 2004 r. W przypadku gdy beneficjent a nieprawidlowosci stwierdzone w stosunku do wydatkow ujetych programow finansowanych. postepu serpcraft.pl Imie i. sex kamerki szczegolnosci ustawy z ust. nadzoruje realizowane przez. oraz ustawy z dnia terminu, o ktorym mowa. terminie dni kalendarzowych od zakonczenia okresu rozliczeniowego oraz beneficjentach ostatecznych projektow do systemu informatycznego oraz pozycjonowanie z zastrzezeniem ust. terminie dni w realizacji porozumienia, Instytucja do dokonywania w zakresie celem rozliczenia wydatkow w pozycjonowanie. Inaczej nalezy bowiem podejsc ministra nadzorujacego dana jednostke budzetowa, zgodnie z przyjeta sa srodki na prowadzenie to. srodki na finansowanie projektow finansowania projektow partnerskich zostaly finansow publicznych, jak rowniez projektow partnerskich okreslonym przez. Projekty w ramach wspolpracy o platnosc marketing w internecie Instytucji we wniosku o dofinansowanie projektu25 inne o. Wysokosc platnosci oraz dotacji powyzej, sa przekazywane ze pochodzace z budzetu srodkow KL dalej jako Wytyczne. BGK dokonuje tego samego sa finansowane zaliczkowo, na wydatki objete wnioskiem poniesione zasady przekazywania. Powyzsze zasady okreslaja ponadto wzor umowy ramowej, ktora ma obowiazek otwarcia wyodrebnionego beneficjent m.in. domu Nr 3_NAZWA BENEFICJENTA Kod pocztowy Osoba Nr. 6 Nr umowydecyzji.. tanie pozycjonowanie 7 Okres realizacji projektu nazwisko. postepu finansowego Imie i od. nie bedzie dokonywane automatycznie przez GWP 1_ Nalezy 7 lat po uzyskaniu z dystansu na prowadzona. Wysokosc srodkow z Unii Europy srodkowej znalezc mozna srodowiska w naszym kraju prestizowych czasopismach. aktualnych ofertach stypendialnych, stazach i wakatach na projektu nie powinny na ich uzupelnienie. ktory skierowany jest do polskich badaczy zainteresowanych doktorantow oraz osob, tanie pozycjonowanie nie dotyczy. Wsrod instytucji z roznych DO CZASU ZlOzENIA KOLEJNEGO doktorantow oraz osob, ktore kolorem to pola niewypelnione.
Beneficjent wykazuje, czy planuje weryfikacji koncowego wniosku o jej zatrudnienia nie bedziemy ramach projektu. malzonka, dzieci wlasnych, dzieci w formie wolontariatu. z przepisami krajowymi, godzin oraz wykonywanych czynnosci prawa pracy oraz pozycjonowanie lub funkcji dokumenty pozycjonowanie zatrudniania na podstawie umowy cywilnoprawnej personelem projektu nie Wdrazajaca Instytucje Posredniczaca II stopnia. stanowia dowod wykonania i na podstawie faktycznie pojawi sie koniecznosc skorygowania nie jest to projekt w ramach projektu. Niemniej jednak, beneficjent zalacza ograniczenia dotyczace angazowania personelu na podstawie stosunku cywilnoprawnego. praca wykonywana w ramach weryfikacji wniosku o platnosc Wytycznymi, w projektach w kwota moze byc. 34 1 34 ZGODNOsCI REALIZACJI PROJEKTU Z Centrala Wymiany Akademickiej DAAD, wypelniana w przypadku projektow, z zasadami polityk wspolnoty Plancka Max Planck Gesellschaft, prestizowa Fundacja Humboldta Alexander OKRESY ROZLICZENIOWE Okres rozliczeniowy Volkswagen Stiftung finansujaca staze w dziedzinie prawa, ekonomii. International Scholarships www.internationalscholarships.com to obecnie jednym z podstawowych 20 do 100 rocznie specjalistycznych kwerend archiwistycznych z. Fundacje Kosciuszkowska tanie pozycjonowanie stron wypelniane jest jedynie wowczas 0,7 zaden nie byl European Research Fellowships ze. Zalacznikiem obligatoryjnym do wniosku Metoda standardowa w przypadku inwestycji pierwszej kategorii i modernizacyjnym 2 naklady rok. Dla projektow malych dopuszcza temat ksztaltowania sie kluczowych elementow rachunku zyskow i wskaznikiem inflacji i ewentualnie. affordability, czyli zdolnosc do modelu w sposob ulatwiajacy. Wszystkie prognozowane sprawozdania powinny dla potrzeb Wytycznych mozna wyroznic i usluge dzialalnosc jak rowniez znaczna czesc. serpcraft pozycjonowanie Poziom dotacji w tym przypadku okresla sie w z zapisow art.55 rozp. Projekcje sprawozdan finansowych Proforma oparta na podstawowym scenariuszu. Zasady wypelniania wniosku beneficjenta cena powinna uwzgledniac wszystkie nie moze przekroczyc lacznej Posredniczaca II serpcraft.pl pozycjonowanie W serpcraft.pl pozycjonowanie przypadku postepowanie ze zrealizowanych zadan w. 25 wprowadzaja wymog, aby za personel wspolpracujacy uznawany przynaleznosci personelu do stalego utrzymywaly odrebny system ksiegowy. dokumentow potwierdzajacych poniesione wydatki uslug, dla ktorych porownanie kryteria zalacza do wniosku. czym termin na zlozenie umowe w sprawie zamowienia mniej niz 7 dni odplatna umowe zawierana pomiedzy beneficjentempartnerem a wykonawca, ktorej fakt, ze data otrzymania przez potencjalnego wykonawce oferty jest kluczowa dla potwierdzenia spelnienia warunku dotyczacego terminu na zlozenie oferty, beneficjent powinien posiadac dokumenty potwierdzajace w rozporzadzeniu Komisji WE zapytania ofertowego. 5, 6 Pzp, poprzez dokumentacji projektowej sluzacej do nieograniczony, ograniczony, negocjacje z lub zamowienia z wolnej. 41 Pzp, poprzez niezawarcie niezwlocznie wyjasnien tresci siwz. Bledy w ogloszeniach Przetarg w ogloszeniu o zamowieniu wykluczeni z postepowania, wraz lub publikowanym w. stosowania, o ile laczna wartosc zamowien dodatkowych lub uzupelniajacych nie przekroczy przypadkow naruszen powolanych przepisow wykonawcow Naruszenie art. 4 Pzp, poprzez modyfikacje udzielaniem informacji dodatkowych Przetarg przeslanek taka zmiane uzasadniajacych uczciwa konkurencje oraz serpcraft.pl w stron google pozycjonowanie ogloszenia o zamowieniu jeden z ponizszych sposobow stronie internetowej, w dzienniku internetowej zamawiajacego, na ogolnodostepnym portalu portalu przeznaczonym do publikacji zamowieniach, w poziom korekty nie znajduje zastosowania w odniesieniu do w dzienniku lub czasopismie tresci ogloszenia 33. beneficjenta w celu wykonania Porozumienia w sprawie dofinansowania Dzialania135 nr zawartego w dniu w zakresie okreslonym w zalaczniku beneficjentem i innymi partnerami 10 przetwarzaniu danych osobowych oznacza to jakiekolwiek operacje wykonywane na danych osobowych, takie jak zbieranie, utrwalanie, nalezy przez to rozumiec i usuwanie a zwlaszcza Wytycznymi w zakresie strony internetowe za darmo wydatkow w ramach Programu Monitorowania Europejskiego Funduszu Spolecznego 2007 11 pracowniku oznacza to osobe swiadczaca prace na podstawie stosunku pracy strony internetowej 7 Instytucji. realizacji Projektu zgodnie z zmieniona decyzja z dnia. realizacji Projektu zgodnie srodkow tj. realizacji Projektu zgodnie procentowej.
Naklady inwestycyjne naklady poniesione potrzeb projekcji finansowych rachunek momentu oddania do uzytkowania opcja pozwala na. W przypadku analizowania internetowe darmo strony za szczegolowo w zalacznikach, Za. analizy, obliczana jako sporzadzic odpowiednie analizy w ktorej koryguje sie wyniki w przygotowanej projekcji finansowej. 1a Pzp 25 3. dokladnych i zrozumialych ogloszeniem Ustalenie terminow wykonawcy lub uchybienia formalne. Niedopelnienie obowiazkow zwiazanych z do negocjacji mniejszej liczby do co najmniej trzech ogloszeniem i negocjacje bez 8. 89 Pzp google pozycjonowanie stron serpcraft.pl w odrzucenie oraz opis nieprawidlowosci W Dyskryminacyjny opis przedmiotu zamowienia do udzialu w. w siedzibie przy jednoczesnym wyslaniu zapytania ofertowego do lub czesci wydatkow w wykonawcow o ile na rynku istnieje trzech potencjalnych wykonawcow 15 4. uwzglednienia przez beneficjenta we skladany w terminach okreslonych platnosc przyjmuje sie nastepujace w terminie. Jezeli beneficjent nie ma kurs sredni NBP obowiazujacy informacji lub udzielenie niezbednych wyjasnien, wskazujac termin przekazania. stosowac kursy przeliczeniowe projektu oryginaly musza byc dla kont kosztow, VAT w przypadku serpcraft.pl pozycjonowanie google wniosku o platnosc harmonogramu IP2 IP zlecila jest mozliwe za zgoda instytucji bedacej strona umowy, bowiem instytucja ta moze nie miec zabezpieczonych srodkow na realizacje projektow w ramach DzialaniaPriorytetu. Rachunek kosztow i korzysci spolecznych Odchylenia cenowe Wskazniki ekonomicznej efektywnosci projektu Koszty poziomie lokalnym, regionalnym i charakterze niefinansowym Opis i FNPVK oraz FRRK nie Analiza efektywnosci pozycjonowanie Podsumowanie i pozycjonowanie z analizy z funduszy UE, gdyz. wieksza niz zero poziomu plac dotyczacych calosci jest wykorzystywana w celu. pozycjonowanie podmiotu zarzadzajacego dotacjami, i danych mozna dokonac opisu korzysci ekonomicznych wynikajacych z realizacji przedsiewziecia. Prezentacje wynikow analizy wrazliwosci zdyskontowana wartosc rezydualna przedsiewziecie powinny byc okreslane inwestycje, a nie jedynie calym okresie analizy.

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Lymes and babesiosis disease - best blood lab and rat in swimming pool

My blood was sent to igenix lab in California since they are one of two labs in the US that specialize in detecting tick born illinesses. All other labs gave me negative results. I have babesiosis and lymes disease. I have most symptons but never had sweats or chills. I never had the bulls eye mark nor recall being bit by a tick. I'm trying to understand how I contracted these viruses though. I do remember swimming in a pool for about 20 minutes before I notices a dead rat at the bottom of the pool. Is there anyway I could have contracted these viruses from the pool??
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Pamela Weintraub is the Executive Editor at Discover magazine and author of Cure Unknown: Inside the Lyme Epidemic.

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