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» LymeNet Flash » Questions and Discussion » Medical Questions » Appointment number 2 with LLMD

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Author Topic: Appointment number 2 with LLMD
lymephobic
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SO I had my second appointment with the LLMD on Monday.

Turns out that I did test positive for Bart (not Igenex) so the Rifampin was the right choice.

My CD-57 was at 46. This was after 11 weeks of doxy 100mg 2x/day from my GP and neurologist. My doc said that if I stop treatment before I reach around 180 my chances of relapse are pretty high.

I asked how long she thinks I may have had this and she said maybe about six months. That would bring me back to June which puts my original theory in the garbage.

So now I think back and wonder....where did I get this from?

I have a few ideas, but I can't pinpoint it. I know I am driving myself nuts about this, but I wish I knew.

Anyway, I also asked how long she thought I would need treatment. She said 6 mon minimal. She added that I am not too bad compared to most of her Lyme patients. I have to agree...more good days than bad lately.

So my question to all of you....She only has me taking Rifampin right now. What abou the Lyme? I also tested pos for that by CDC standards back in September.

Should I also be treated for that? or should I concentrate on the Bart only right now. My worst symptoms are from Bart.

Honestly the only Lyme symptoms that I can think of are the joint pains in my knees and hips. They are however minimal compared to the neck pain, jabbing eye pain, head pressure, flu-like feelings that are attributed to the bart.

Any thoughts???

Posts: 193 | From New Jersey | Registered: Oct 2008  |  IP: Logged | Report this post to a Moderator
JKMMC09
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I believe that Rifampin does have some effect on Lyme, but it is a weak effect. Most LLMDs combine Rifampin with either Doxycyline or Zithromax (even when just treating Bartonella) to prevent resistance and to help it penetrate certain areas better, I believe. My daughter takes Zith. and Rifampin.
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sixgoofykids
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I would recommend reading the Dr. B treatment guidelines on www.ilads.org

Rifampin is not typically used as a stand alone treatment because of resistance (I believe that is also stated on the Rifampin website, but you might want to double check that).

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sixgoofykids.blogspot.com

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Lymetoo
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I would definitely want something for the Lyme too....unless she's going to treat it pretty soon...like next month or two.

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--Lymetutu--
Opinions, not medical advice!

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lymephobic
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Thanks for your replies.

I already have a list of questions to ask the next time I see her on Jan 7th. My first one will be why only Rifampin.

She unfortunately does not do phone consults.

Posts: 193 | From New Jersey | Registered: Oct 2008  |  IP: Logged | Report this post to a Moderator
   

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