POT/S with Lyme disease is a sign of active acute infection, not a tarnished immune system/nervous system after infection. Man this Post Treatment Lyme disease stuff has lead to so much delayed treatment and error since they can't agree with the fact that a short duration of antibiotics does NOT cure lyme disease. There can be nerve damage after infection that is true and it can take time to heal, however the standards of a "cured" infection are completely erroneous and fall on old assumptive models of disease treatment, It is my hope that some day soon the CDC will get with the program so we can make some actual leeway in the treatment of this mind crushingly painful illness.