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How Can I Get Better?: An Action Plan for Treating Resistant Lyme & Chronic Disease Paperback – February 14, 2017

by Richard Horowitz (Author)
4.5 4.5 out of 5 stars 416 ratings
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AN INSTANT NATIONAL BESTSELLER!

“Horowitz is one of the most prominent ‘Lyme literate’ physicians…patients wait for months to see him, and several told me that he had essentially cured them of a disease that nobody else seemed able to treat.” ―The New Yorker

“If you have suffered from unexplained, chronic or hard-to-treat illness, this book is your pathway to health.” ―Mark Hyman, #1 New York Times bestselling author of The Blood Sugar Solution on Why Can’t I Get Better?

From Dr. Richard I. Horowitz, one of the country's foremost doctors, comes a ground-breaking book about diagnosing, treating and healing Lyme, and peeling away the layers that lead to chronic disease.

Are you sick, but can’t find any answers why? Do you have a seemingly unconnected collection of symptoms that leave doctors guessing? Or have you been diagnosed, but found that none of the treatments seems to make a difference? You may have Lyme disease and not even know it. Known as “the great imitator,” Lyme disease and its associated co-infections can mimic the symptoms of and often be misdiagnosed as Chronic Fatigue Syndrome, fibromyalgia, rheumatoid arthritis, lupus, multiple sclerosis, and even depression, anxiety, obsessive-compulsive disorder, and psychosis.

In his landmark book, Why Can’t I Get Better?: Solving the Mystery of Lyme & Chronic Disease, renowned internist and leading world expert Dr. Horowitz introduced his revolutionary plan for treating Lyme disease, and chronic diseases in general. Now, in this new handbook How Can I Get Better?, Dr. Horowitz updates his research and offers a direct, actionable step-by-step plan for implementing his 16 MSIDS Diagnostic Map.

You will find:
*The latest pertinent information on the most important scientific discoveries
*Emerging research on bacterial “persisters”―bacteria that can survive antibiotics―and new therapies to get rid of them
*A seven-step action plan that patients and doctors can follow to ensure better health.

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Previous page
  1. Print length
    480 pages
  2. Language
    English
  3. Publisher
    St. Martin's Griffin
  4. Publication date
    February 14, 2017
  5. Dimensions
    6.1 x 1.55 x 9.2 inches
  6. ISBN-10
    1250070546
  7. ISBN-13
    978-1250070548
  8. See all details
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Editorial Reviews

Review

Praise for How Can I Get Better?

"Hudson Valley Healing Arts Center founder Richard I. Horowitz's handbook offers an accessible text for dismantling the chronic disease. A follow-up to Why Can't I Get Better?, this guidebook helps individuals identify their symptoms, and figure out where to go next." ―Chronogram

"Horowitz give concrete advice to people with seemingly treatment-resistant case. ...He is a compassionate and curious expert [and] he provides an informed, inspiring combination of lifestyle and pharmaceutical tips." ―Booklist

Praise for Why Can’t I Get Better?

“Dr. Horowitz’s book is for everyone who has been labeled with a chronic disease…[it] shows how to get to the source of the problem, rather than just treating the symptoms.” ―Dr. Bob Arnot, author of the New York Times bestselling The Aztec Diet and Wear and Tear

“Lyme disease is a far more extensive cause of chronic fatigue and disability than mainstream medicine cares to recognize. But hope is to be found in Dr. Horowitz's landmark book…finally bringing desperately needed understanding and solutions to what clearly represents a modern day epidemic.” ―David Perlmutter, MD, FACN, ABIHM, author of Grain Brain: The Surprising Truth About Wheat, Carbs, and Sugar―Your Brain’s Silent Killers

“Dr. Horowitz has been, and continues to be, ‘in the trenches' in the battle to understand, diagnose and treat people who, like myself, have suffered or are suffering the effects of Lyme... I can think of no one more qualified to write about this subject.” ―Daryl Hall, musician (Hall & Oates)

“Dr. Richard Horowitz brought [my family] back from the brink of Lyme disease hell to true health. In Why Can't I Get Better, Horowitz discusses...chronic disease and the cascade of problems that may start with infection but ultimately go far beyond it... His provocative insights apply to chronic illness writ large.” ―Pamela Weintraub, award-winning author of Cure Unknown: Inside the Lyme Epidemic

“Well-researched, information-rich content…the book offers matter-of-fact, objective narration.”―Library Journal

“This synopsis not only provides a treasure trove of information about Lyme disease to patients and health care providers, it also offers a glimmer of hope for anyone suffering from chronic illness.” ―Publishers Weekly

About the Author

RICHARD HOROWITZ is a board-certified MD specializing in Internal Medicine. He and his wife, Lee, founded the Hudson Valley Healing Arts Center in Hyde Park, New York, which has treated over 12,000 patients for tick-borne diseases over the past twenty-six years. Dr. Horowitz is known for his pioneering work with Lyme disease and is recognized to be one of the country's foremost experts on chronic illness.

Product details

  • Publisher ‏ : ‎ St. Martin's Griffin; 1st edition (February 14, 2017)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 480 pages
  • ISBN-10 ‏ : ‎ 1250070546
  • ISBN-13 ‏ : ‎ 978-1250070548
  • Item Weight ‏ : ‎ 1.14 pounds
  • Dimensions ‏ : ‎ 6.1 x 1.55 x 9.2 inches
  • Customer Reviews:
    4.5 4.5 out of 5 stars 416 ratings

About the author

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Dr. Richard Horowitz

Dr. Richard Horowitz

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Dr. Richard Horowitz is a board-certified internist and the medical director of the Hudson Valley Healing Arts Center, an integrative medical center which combines both classical and complementary approaches in the treatment of Lyme disease and other tick-borne disorders. He has treated over 13,000 Lyme and tick-borne disease patients in the last 30 years, with patients coming from all over the US, Canada, and Europe to his clinic. He is former Assistant Director of Medicine of Vassar Brothers Hospital in Poughkeepsie, N.Y., and is one of the founding members and past president elect of ILADS, the International Lyme and Associated Diseases Society. He is also past president of the ILADEF, the International Lyme and Associated Diseases Educational Foundation, a non-profit organization dedicated to the education of health care professionals on tick-borne diseases. Dr Horowitz has trained over 200 healthcare providers in diagnosing and caring for patients with treatment-resistant tick-borne disorders and was previously awarded the Humanitarian of the Year award by the Turn the Corner Foundation as well as awards from Project Lyme for his treatment of Lyme Disease. He has dedicated his life to helping those stricken with this devastating illness.

He is also the author of two best-selling books on Lyme disease, Why Can’t I Get Better? Solving the Mystery of Lyme and Chronic Disease (2013, St Martin's Press, NY Times Best Seller), and How Can I Get Better? An Action Plan for Treating Resistant Lyme and Chronic Disease (2017, St Martin's Press, National bestseller). These books incorporate recent scientific advances and explain in detail how healthcare providers can effectively diagnose and treat resistant chronic illness. In addition, he has co-authored peer-reviewed Lyme guidelines, and published in the medical literature on novel “persister” drugs for the treatment of Lyme disease and coinfections, as well as the role of the 16-point MSIDS model in chronic illness.

Other projects include Dr Horowitz serving as a consultant to governmental agencies around the world, including those in China, Australia, Belgium, France, the United Kingdom, and the United States. Dr Horowitz was a member of the HHS Tick-borne Disease Working Group and Co-chair of the “Other Tick-borne Diseases and Coinfections” subcommittee from 2017-2019 which provided recommendations to Congress to help the US improve the care of those suffering with tick-borne disorders. He recently served as a member of the HHS Babesia and Tick-borne Pathogen Subcommittee and was elected by Governor Cuomo to serve as a member of the NYS DOH Tick-borne disease Working Group in 2021.

Finally, Dr Horowitz recently published several scientific articles on classical and integrative solutions for COVID-19 which have been effective in helping those with acute and chronic illness, and he will be releasing his first novel, Starseed R/evolution, ‘The Awakening’ a cli-fi (science fiction/climate change) novel in the Fall of 2021, which will provide novel, potential solutions to our present climate crisis.

Customer reviews

4.5 out of 5 stars
4.5 out of 5
416 global ratings
Will Help You Understand Lyme Epidemic
5 Stars
Will Help You Understand Lyme Epidemic
Lyme disease is the most insidious disease around. It can be soul crushing. Horowitz provides a lengthy overview of how it can get caught and treated. It’s not easy to overcome but can with proper care, treatment and support.
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Top reviews from the United States

gracious geek girl
5.0 out of 5 stars Should be on the bookshelf of anyone who has Lyme or is a caregiver for someone with Lyme
Reviewed in the United States on June 25, 2017
Verified Purchase
I consider this to be one of the definitive books on Lyme treatment (Healing Lyme by Stephen Buhner is another). In the introduction Dr. Horowitz says he has treated over twelve thousand patients in twenty-nine years, so he brings a lot of experience to the table. I found his book to be quite understandable, presenting numerous case histories and a wealth of information about the effects of the Lyme pathogens on the human body. Yes, parts of the book are fairly technical though as a chemical engineer by training I did not find anything I could not follow. I like that his treatment approach is not confined to antibiotics; he also uses herbal medicine and various supplements, most of which are readily available online (at least in the US). Treating Lyme is not just a matter of taking a bunch of pills, it is a lifestyle change. Dr. Horowitz discusses ways to lower inflammation, repair damage, and detoxify, as well as to improve health through food, getting adequate sleep, and exercise. Every Lyme patient and/or their caregiver should have this book on their bookshelf.

After years of escalating bizarre symptoms that were dismissed by my traditional doctors, I diagnosed myself with Lyme. Social media played a major part in my self-diagnosis -- I am thankful every day for how the internet and Facebook helped me start on the path to getting better. I am now getting treatment by a Lyme literate medical professional and my health has dramatically improved though I know I have a long way to go. I first bought his earlier book, Why Can't I Get Better?, but I have found this one is even better written and organized, and has been updated with the the latest information, so this book is the one I reach for. I have used this book as a reference for choosing additional supplements (my current Lyme practitioner uses strictly antibiotics, I know this isn't a long term solution but they do have their place). Having an understanding of the pathogens inside my body has helped me be less terrified about this illness and to focus on the things I can do to to overcome it.

My advice? Every Lyme patient needs to be their own advocate (or have a parent advocate if it is a child who is ill) as there is no one-size-fits-all treatment. Only you know how you feel and what is working or not working. Read this book, you'll probably see yourself or your loved one in it and hopefully come away with a better strategy for dealing with this devastating illness.
91 people found this helpful
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Nick P
5.0 out of 5 stars Excellent Resource - A Testament to A Great Doctor
Reviewed in the United States on March 9, 2017
Verified Purchase
This book is an excellent resource, and I can't recommend it highly enough. If you are suffering from Lyme and its associated diseases, you need to educate yourself as much as possible in order to get well again. This book has been, and continues to be, my essential resource that I constantly turn to for guidance. It is a thick book and can be dense at times, and contains an entirely new vocabulary for you to learn (if you are a patient), but please don't let that deter you - keep working at it little by little, and be kind to yourself as you endeavor to recover your health. The reality is you can't put your trust in the modern medical system to help you fight this; you absolutely, positively have to advocate for yourself - this is a very tough lesson to learn.

From the bottom of my heart, thank you Dr. Horowitz for continuing to advocate for patients suffering so immensely from Lyme and associated diseases - even as you continue to face the ignorance and malicious arrogance of those who fail to recognize the reality of what is happening to so many people. Lyme disease is something that bifurcates the world around you, only really leaving those that show the worst qualities of human beings, but also those heroes who emerge to help people suffering and in need. Thank you for being one of those heroes.
92 people found this helpful
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E.P. Clark
5.0 out of 5 stars Comprehensive Overview of Options for Treating Resistant Lyme
Reviewed in the United States on April 16, 2018
Verified Purchase
Once you go down the rabbit hole of Lyme disease and everything that comes with it, you realize that most of mainstream medicine is some kind of crazy looking glass world (why yes, I DID just reference both "Alice and Wonderland" and "Through the Looking Glass" there in the same sentence, thank you for asking) where tripped-out caterpillars try to hook you on their hookahs, mad queens are always offering you jam tomorrow but never today, when they're not screaming "Off with her head!" that is, and walruses and carpenters are sobbing tears of fake sorrow so that they can gobble you down all the faster. Sometimes the only way to get anywhere is to run as fast as possible in the opposite direction as where you think you want to go.

However, there are a few sources of reasonably reliable information and even help. Dr. Horowitz has been treating Lyme patients for decades now, and has built up an arsenal of possibilities to consider and things to try, which he shares here.

"How Can I Get Better?" covers Lyme and its main co-infections, as well as other problems that often go with it, such as hormonal imbalance, mitochondrial disfunction, sleep disorders, and heavy metal toxicity. There are comprehensive lists of different antibiotics and supplements to try, along with suggestions for lifestyle modifications such as meditation. Although I haven't tried most of the things here, and probably won't (at least I hope not!), it's a useful place to start if you're a patient wondering what your options are, or a doctor wanting to find out more about Lyme in order to help your patients.

The protocols and treatment plans Dr. Horowitz describes are drug-heavy, although he also suggests the use of herbal treatments and traditional Chinese medicine, which he says have proven to be helpful for a number of his patients. If you're not sure whether synthetic antibiotics or herbs are better for you, he talks about both, although with more emphasis on the former. He also describes various detox methods to try. He does make a rather terrifyingly blithe statement about how exercise is beneficial to Lyme patients, including those who have developed Chronic Fatigue Syndrome, which made all the hair on the back of my neck stand on end. No doubt exercise is beneficial for many people, and after I was infected with Lyme but before I developed post-exertional malaise it was beneficial for me too, but no more, no more. So if you are of the subset of people who have developed PEM and you have suddenly gone from super-fit to being left completely prostrate by even mild exertion, don't get suckered by that lie that you can exercise your way out of this disease. Treat your infections and start getting better first, and then ease your way back into any sort of exercise very, very slowly and carefully. To Dr. Horowitz's credit he does mention that his CFS patients often end up making themselves bed-ridden by leaping back into exercise too quickly, and stresses the importance of getting fit slowly, but I feel called upon to stress this super-important point again.

Anyway, if you're wondering what on earth to do about your mysterious chronic illness that maybe has been diagnosed as Lyme disease and maybe hasn't, this is a comprehensive and readable place to start your investigation.
57 people found this helpful
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Top reviews from other countries

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Luciana Soares da Silva
5.0 out of 5 stars Excelente
Reviewed in Brazil on April 24, 2021
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Maggie
5.0 out of 5 stars Superb book
Reviewed in the United Kingdom on August 20, 2023
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This book is amazing! It's an in-depth study and a great insight into treating Lyme Disease in a holistic way. I highly recommend it. It's not an "easy" read by any means, there are a great deal of medical terms and descriptions to get your head around but it is of great practical value to those who suffer from the vast array of symptoms associated with Lyme Disease and indeed other auto immune diseases.
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Philipp
5.0 out of 5 stars Für alle mit chron. gesundh. Problemen als auch Ärzte zu empfehlen!
Reviewed in Germany on February 25, 2021
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Habe gestern begonnen das Buch zu lesen, es ist einfach großartig und es wird alles behandelt. Nicht nur Borreliose+Co Infektionen werden genau beschrieben, sondern auch andere mögliche Auslöser für Krankheit: Schwermetalle, Dysbiose, Schlaf, Entgiftung, Entzündung etc... Es wird auch erklärt wie unzuverlässig die Tests der Krankenkassen sind, welche möglichen Krankheiten welche Symptome auslösen, sondern auch wie man diese behandelt (Supplemente, Nahrung, Medikamente etc... inkl. Dosierung)
Wird bestimmt eines der wichtigsten Bücher die ich jemals gelesen habe weden.
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Philipp
5.0 out of 5 stars Für alle mit chron. gesundh. Problemen als auch Ärzte zu empfehlen!
Reviewed in Germany on February 25, 2021
Habe gestern begonnen das Buch zu lesen, es ist einfach großartig und es wird alles behandelt. Nicht nur Borreliose+Co Infektionen werden genau beschrieben, sondern auch andere mögliche Auslöser für Krankheit: Schwermetalle, Dysbiose, Schlaf, Entgiftung, Entzündung etc... Es wird auch erklärt wie unzuverlässig die Tests der Krankenkassen sind, welche möglichen Krankheiten welche Symptome auslösen, sondern auch wie man diese behandelt (Supplemente, Nahrung, Medikamente etc... inkl. Dosierung)
Wird bestimmt eines der wichtigsten Bücher die ich jemals gelesen habe weden.
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ProtactInc
5.0 out of 5 stars Authoritative Book on Lyme and related Tick Borne Diseases
Reviewed in Canada on March 25, 2018
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This book is well written by an expert on Lyme Disease who has created comprehensive treatment programs for his patients. Most interesting is Dr. Horowitz' simultaneous use of multiple antibiotics to address the two types (cystic and cell wall) and two locations (inside and outside of cells) of the Borrelia spirochete bacteria found in Lyme. He claims that none of his patients have developed antibiotic resistance because he chooses antibiotics that attack all forms in all locations. He also uses non-pharmaceutical medicines that have proven beneficial.

Many medical practitioners will fail to effectively treat Lyme disease because of lack of experience/knowledge. Anyone suspecting a tick-related disease would do well to bring this book with them to their doctor to help with proper testing for diagnosis and suggestions for treatment.

The reviewer purchased the book because it details a very useful protocol for helping minimize Jarisch-Herxheimer reactions that can occur when treating Lyme, Syphilis (both spirochetes) and other chronic diseases when many microbes die and create a toxic overload for the body.

An important point that Dr. Horowitz makes is that antibiotics can destroy almost all the bacteria that cause Lyme, but it is the patient's immune system that must finish the job and maintain the recovery. He mentions immune transfer factor from colostrum, and 3-6 beta glucan from mushrooms but it seems clear that he does not have broad experience and success with their use. Wistfully, this reader wishes that Dr. Horowitz and Dr. Jesse Stoff would do lunch, as Stoff has made immune system recovery central to his treatment protocols.
5 people found this helpful
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Jerome
5.0 out of 5 stars Condensé de solutions liées aux déficiences physiologiques
Reviewed in France on April 8, 2019
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Un condensé du précédent livre du Docteur Horowitz sur Lyme (traduit en français). Il reprend de manière beaucoup plus synthétique les différentes solutions liées aux déficiences immunitaires, hormonales, hépatiques... Il n'y a pas de nouveautés. On y gagne en clarté et on va plus vite vers les choses à faire !
5 people found this helpful
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