Lyme disease is a global pandemic high on suffering with a low mortality. It is reminiscent of the global pandemic of Syphilis although Bb is not transmitted sexually. Most people are cured, once they are diagnosed and treated. Physicians should have and maintain a high index of suspicion for the diagnosis of Lyme disease. A few develop Long Lyme. Other causes of the exhaustion syndrome need to be excluded in these patients. No diagnosis of dementia should be accepted until Neurological Lyme has been excluded. Dogs bring ticks into the house.