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» LymeNet Flash » Questions and Discussion » Medical Questions » Persistent Lyme/Now What? Help

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Author Topic: Persistent Lyme/Now What? Help
NCLymie
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I was diagnosed by an NC LLMD (Dr. J.) with persistent/chronic Lyme Disease in October or 2003. I went on 9 months of IV antibiotics and then went to oral for four months after that. I was extremely ill the entire time (duh) and went off the antibiotics because my doctor agreed with me that I was "toxic". I developed yeast of the gut which took months to diagnose and get under control. I am better, but I'm still not close to being myself. Cannot do much without becoming exhausted and winding right back into bed. Last time I went to the doc, he asked why I was there. I felt as though he should be telling me what comes next. I started taking Cymbalta which has helped me have more stanima, however, I have to be extremely careful to not overdo. I am not sure if I should be on antibiotics or if I am at the end of my treatment. My cognitive is still bad, but better. Cymbalta also helps with pain, but my demeanor has become almost flat. Any suggestions? anyone in the same boat? People ask me how I am, and I can say better, but I ask myself the same question, how am I? - I'm not sure!

[This message has been edited by NCLymie (edited 11 June 2005).]


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janet thomas
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Do not expect information from someone not well informed. ( your doc now) Go to support groups at the left, find one in your area and contact them for a Lyme doctor referral. Lyme patients need to be proactive.

Months to diagnose yeast after 13 months of abx. A gradeschooler could figure that out. Well, maybe not.

You're right, the doctor should be telling you what comes next, guess that one just doesn't know.


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NCLymie
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I was seen by NC LLMD, that's my horrible confusion. I feel so much worse today. I wanted to take my boys for a hair cut, but my husband ended up doing it. I have other appointments today and just don't want to move. I feel depressed and overwhelmed. I just don't know what to do.I am supposed to go away for the summer and will be away from this doctor and don't think there is any doctor close by where I am going (Western New York), so, I just don't know what to do.
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newdurham77
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NCLymie,

When were you bit - when do you think you first developed lyme disease? Did you get bit in NC? Have you been seeyiing Dr J or someone else in his clinic?


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NCLymie
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I do not remember a bite or rash, however, I did have an explained viral meningitis in the early 1980's along with a horrible infection that had to be lanced and was treated with antibiotics. That could have been the bite site. For many years I had unexplained serious viral illnesses along with double vision, etc., etc. It wasn't until 2003 that I found Dr. J and he diagnosed Lyme and backed it up with Igenix lab positive. Had pik line for 9 months and then orals. Was sleeping round the clock on the oral antibiotics. Gained 50 pounds. Have been off antibiotics since October 2004, and ever since then I have gone back to the office for symptomatic treatment. He had mentioned putting me on a monthly oral med, but as I said, the last time I went in, he wanted to know why I was there. that's when he put me on Cymbalta and said he had to fix my sleeping problem. That has been fixed, but I still actually feel as lousy as I did before I started treatment. I'm scared to go back on antibiotics since it rendered me bed ridden from 2003 - 2004. I just think I'm still sick. It is difficult to get an appointment unless you are dying and I feel dismissed by him. Other nurses are kind, but I don't believe they know what to do with me. I'm lost and scared. Last time I was there was mid=March and I saw him.
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newdurham77
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NCLyme,

Sorry to hear about your experiences. While I am certainly not qualified to offer advice, I think I would try to get back on oral antibiotics - as doing nothing might not help you get rid of this disease.

As for the stamina, I strongly believe exercise (if only walks around the house) is a must to get the immune system back up to fight the disease. In addition, it will help your mental side as well.

Please keep us posted. Good Luck!


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NCLymie
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new durham 77; do you see dr. J? do you have chronic persistent Lyme? How long have you been treated. I do walk around the house and try to do as much house work as possible. Also use exercise band and weights. Swam yesterday and today I'm a mess. See, something is wrong with me. This is why I went to see him in the first place!


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newdurham77
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I see dr J as well. I don't think I have cronic lyme - i started getting treated about 6 months after the tick bite (which I got in Durham, NC). He's been very good to me - and his treatment seems to help.

As for the exercise, I think it is essential, regardless of how I feel the next day - and yes, get it outside of the house, preferably in some team sport environment. In my case, when I go out and am around other people, I tend to forget a little bit about the lyme ...


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NCLymie
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Oh my God! Join a sports team? Did you read my post at all? You obviously are not as ill as I am - not to "one up you", but you have no conception of my illness or the severity of it. You need to read the post for today "When people ask,"are you feeling better?" Anyone want to punch them?

Sorry I'm being so blunt, but I'm asking for help on my illness, not a trite answer to join a sports team and get out! I was an aerobics instructor for ten years before succuming to this illness and I was also a personal trainer and an aggressive tennis player. So, believe me, to hear someone tell me to get out and join a sports team is a HUGE insult and a kick in the gut.

Thanks for your help - but I think I neeed someone with a more severe symptoms and someone who has been suffering like me for 20 plus years to answer my post.


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first free
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I get sick when I stay up too long or I should say sicker. If I'm having a "good day" - I might over do it. I actually can feel myself getting sicker. I mean by the end of the day my lymph nodes will swell up like jawbreakers, muscles will feel bruised and mentally I can't even string a sentence together. I use to be very active. I walked,went to school, had a part-time job and took care of my first son durning the day. I'm better than I was-BUT I want the old me back. So if anyone can help us ~HELP~ ~jackie

[This message has been edited by first free (edited 11 June 2005).]


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newdurham77
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I am sorry for the lack on understanding - did not mean to be inconsiderate. My english is also not my first language and I might have "mis-wrote". I did not suggest joining a sports team, although from re-reading my post, I can see why one would read it that way. In my and my gf's case, when we go out of the house, we tend to forget a bit about this constant drag; when we are in the house, we keep thinking about it the entire time...

As you said, I am probably not qualified to offer advice in the first place... Sorry for the trouble I created...


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riversinger
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Hi NCLymie!

Sorry you are feeling so bad. Late stage Lyme is the pits! I'm with you, team sports are WAY out of my league.

Sounds like you were only treated for about a year with antibiotics, is that correct? I'm like you, long term infection, sick a very long time before diagnosed, no tick or rash, but positive Ignenex tests.

It was a very long time on antibiotics before I started to feel any improvement. If I hadn't been keeping a diary of symptoms, I might not have realized some of the things that were improving. Last fall, at 1 1/2 years into treatment, I had a serious relapse, and am just climbing out of that.

From what I hear, this is not at all unusual. Long term infections have had plenty of time to worm therir way into protected sites in the body. They invited all kinds of friends to come in and coinfect your body, making it MORE hospitable to them, and less to you.

It takes time, patience, persistence, and a good doctor, or several, to get through this illness. Some people take two, three, four, five years of treatment to recover. They have to shift protocols, and doctors. Some alternatives work for some of them. Very few can take a path exactly like someone else.

It does sound like you could get more treatment. I can't tell if you are not wanting to take more antibiotics, or if the doctor somehow thinks you shouldn't. I know taking meds isn't fun, but neither is untreated Lyme.

There are lots of protocols to try. Maybe not so many doctors, but there are a few. If yours isn't working for you, and you can't figure out how to make it work, maybe you have to make a change.

You may have to travel, from where you are. But I think it IS possible to get better than you are now. I can't promise, but I do think it is true.

------------------
Sonoma County Lyme Support
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perplexed
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Hi NCLymie

Team Sports!! Wow..if that was a cure..all the athletic clubs would be full. I use to be an avid swimmer 1/2-1 mile 5 times a week. Now in my chronic lyme...which is only getting worse..I am lucky to see my shower 4 times a week. My energy level and overwhelming fatigue takes all the strength out of me.

I has made an appt with DR J, but changed my mind and I am going to Dr C in July for my 1st visit with an LLMD. I think I am very glad that I changed my mind even though Dr C is harder for me to go to. I got sick in 1972...docs did not know Lyme then...and it wasn't until 2001 that I got diagnosed. The 4 yrs since then have been up and down and now just down most of the time.

I could not join a sports team or even a checkers tournament at this time. My mind, body and soul are exhauster. I know exactly how you are feeling. And, yes, Dr in NC should have know about the yeast infection...please find a good LLMD and keep us posted.

Jean


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janet thomas
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I sent you an email. I think there is a well respected LLMD in western NY, anyone else know of any LLMD for NCLymie?

Don't let only one doctor's opinion dissuade you.


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Melanie Reber
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Hello there NCLymie,

I am so sorry that you are feeling ill, blue and confused...not a pleasant combination at all!

I am also a patient of doc J's, so if you would like to chat via email, I would be happy to write back, OK?

Riversinger is correct about the amount of time and patience that it takes to lick long term lyme. There is no easy or fast cure unfortunately. Usually, the longer that you have been ill, the longer it takes for some relief.

I just wanted to pass on a bit of hope to you...
I was first infected back around '88, finally diagnosed in '03, and am now about 80% back to good!

About a year into treatment, I took a sudden nose dive for the worse. It wasn't the doc, or the meds, it was just that I was sicker than anyone had realized with a hidden Bart infection. Once that was addressed, I slowly began to regain some semblance of life again.

So, I always think, that if you have been in treatment for awhile, and don't see the improvement that you had hoped for, the first step would be to suspect hidden co-infections.

There are some good doc in NY...let me know if I can help in that area, OK?


Hi Jackie,

Have you been tested or treated for Bart? Swollen Lymph nodes are a big symptom.

My best,
Melanie

------------------
C O L O R A D O * S U P P O R T * S Y S T E M
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Thomas Parkman
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Dear NC,
Welcome to the club. I have been going to the same doctor as you since March of 2002. I am very sick with lyme, have severe peripheral neuropathy, fluctuating fatigue-there are times when all I can do is collapse-the arthritis, the lyme rage, the awful and embarrasing gastrointestinal mess-and on and on, so I can relate. I do wish to imply that we are getting into the game of I am sicker than you are, etc.

I agree with you and have experience all the problems in dealing with that particular clinic. However, you should understand that this doctor is the only doctor in North and South Carolina that is openly treating people on a large scale with lyme disease. He has some 1000 lyme patients, of whom over 100 come from the midlands of SC where I live. I live in Hell, by the way, aka as Columbia SC. The problem is he is swamped but if people do not go to him there is nobody else.

In SC if you openly practice the treating of lyme disease there is the very real possiblity that you will lose your medical liscense. This is to say the least bizarre. But the CDC and DHEC, the department of environmental control have said there is no lyme disease in SC and so when people go to the ducks with a bull's eye rash, the tick bite and the whole nine yards, they do not get proper diagnosis, are told there is no lyme in SC, and of course do not get treatment or the wrong diagnosis.

As for the IV meds, I went through 8 months of hell, was sick as a dog, developed colitis, from which I have not recovered and all the rest of it. The problem is the doctors themselves do not know what to do.
As Dr. J told me one time: "We are twenty years away from a complete understanding of this disease." So it is a frustrating situation for everybody. How you even begin to keep 1000 patients straight is beyond me, not to mention all the AIDS patients he has.
He is at least doing something very courageous by treating lyme people at all.

I do not wish to minimize your frustrations and problems. But when you understand a larger picture it may help in some degree.

As for exercise, I am an exercise freak. I do not know just what you can do but at least try to do a little something. I walk, swim, ride a bicycle. There are times when the pain is so bad I have had to get out of the pool. I have been so exhuasted that I have wanted to fall asleep in the street. But if you can exercise, no matter how little, no matter what-a few yoga postures-it will help. I am convinced that if it were not for my exercise mania that I would be a bed ridden invalid or dead.

Besides exercise gets oxygen into your body. Boris and Myrtle (Burgdorferi that is) and their 11 million off spring and relatives, who are currently living in their little love nests in the lining of my stomach, my brain-the stump of which is left-and all the rest of it, HATE OXYGEN. So my theory is you give me hell, I give you hell. So I am going to expercise like forty hells, even if I drop dead in the street. At least by going down fighting the microscopic swine I can keep my sefl respect.

In any case, enough of my raving. I just hope this helps and that things will begin to turn around for you. You may email or call me if you wish. We could swap notes. Cheers. Thomas Parkman


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Thomas Parkman
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Dear NC:
One typographical correction to my earlier missive-I really am brain dead but at least today I have not gone into lyme rage and almost rammed my car into a cement mixer. The sentence in the first paragraph should read " I do NOT wish to imply that we are getting into the game of I am sicker than you are." Well at least most of the words were spelled right, at least the ones I could find in the dictionary. Cheers.

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NCLymie
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Thank you all for your kind replies. I am sorry - newdurham77 for being upset. I was having a particularly bad morning after hosting my son's 12th bday party yesterday. I want to do those things, exercise, be with my children, participate in life, etc., but the setbacks are depressing and frustrating. There are days where I feel almost like my old self, and of course I overdo and it takes three weeks to regain what I lost.

To Thomas Parkman: believe me I do believe in Dr. J., but the frustration is not directed at his lack of caring, but the fact that he is the only MD around that cares to carry this load. It's not fair to him or the rest of his staff. He has a wonderful staff, but they are overtaxed. He is the only one who correctly diagnosed my condition, however, after going off the pic-line and taking my $50,000, I am definitely not an important patient anymore. He is a business man as well as a physician. His piano-playing CD with contributions going to AIDS is wonderful, yet a little self serving and I personally would rather have him in the office seeing patients instead of in a recording studio or meeting with architects about his new fancy building.
I have a connection with many doctor's in the Cornelius/Huntersville/Mooresville area and they truly are counting on him to be their Infectious Disease specialist, and I truly think that there are times when his self promotion gets in the way of treating patients. His nurses are wonderful, but they are nurses, not doctors. I don't understand why facilities such as his can't train other Infectious Disease doctors to enter his arena. Is it that he would have to share a bigger piece of the pie? I could write four pages of incidents that I have had with that clinic, but as you know so well, there is no where else to go. Now, of course they know that as well - right? They have been excellent at times, and really horrible at other times, so ... I put up with the bad and thank God for the good.
I want to get better. I try to exercise when I can. I use an exercise band and weights and I swim, walk and will bike this summer. Exercise is definitely not the answer to all my problems and I truly wish people would get off my back about it. I do what I can and I listen to my body.
I think that I am having a Lyme Rage and I don't mean to aim it at anyone else - although I am.
I would love to have a better support system in North Carolina. There used to be a Lyme Support meeting, but I was too sick to attend. Maybe I could do it now. I think that the clinic should provide that and I think they should provide networks for people to get together and exercise or learn about nutritient, etc. I asked how I can lose the weight I'm on, and their registered dietician handed me the South Beach Diet. I find that irresponsible. As I said, I could write four pages, but will save that for my book.

Sorry I sound abrasive, but I need a place vent!! Hope you all understand and know we all have days (months .... years) like these!


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hatsnscarfs
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NCL,
I understand your frustraion about the exercise suggestions.

Last December I could barely lift my arms. I tried to exercise but couldn't do even 3 leg lifts. Doing more was absolutely impossible.

Finally I tried some of the very easy supported yoga poses in the relax & renew book. To my surprise it made a huge difference. Just trying to move the pillows was a monumental effort but I did it.

3 months later I was out skiing. Now I have had to cut back on exercise again. Light weights seemed to bring on all sorts of joint pain. If I use the ski machine I won't have enough energy to work. I do make efforts to go for walks each day.

Each of us has a unique experience with this crazy disease. We each have to listen to our own bodies and keep adjusting to what we can or can't do on any given day.

I started Biaxin & Plaquenil 1 month ago. I'm feeling much better on it. I have more energy & less brain fog. It has brought back some old symptoms though,particularly knee pain which comes on suddenly & severely and after a little while disappears.

hatsnscarfs


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groovy2
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Hi NClyme
river is right--If you have been sick
a long time it takes a long time
to get better--I was sick for 18 years
before I figured out what I had--
Progress was very slow--took over
18 months before I saw steady
improvement--even now if I dont
take meds correctly (on time)
symptoms come back--Fast and hard-
Lyme is a very powerful and evil
germ--Good luck to you--Jay--

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ivebinlymed2
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I am sorry to hear about your suffering. This disease is so mysterious it is hard to find the right doc to help you.

That said, we are awaiting a diagnosis for our ten year old daughter. She sees the NP at the same clinic you go to. She was very compasionate with my daughter.

She is pretty certain our daughter has lyme.
We should know in three more weeks, (we've waited three already, but who's countin').

I was wondering if you could tell us all a little more about your symptoms?

Maybe the folks here at lymenet could give you some ideas about how to get your immune system working better to fight the little spiro-boogers!

I hear that your chief complaint is exhaustion. It sure has taken the wind of my daughter's sails!

Her exhaustion comes and goes, kind of like CFS, here one day, gone tomorrow. She can't walk one day, but can the next. When she overdoes it you can really tell.

Poor thing doesn't know her limitations as a child. She wants to do everything like she always did it before lyme. She just danced in her seven year dance recital! Yay for her, she did it and in step, too! I am so proud of her, can you tell?

I think everything in moderation must be key. You have to build up to any form of exercise whether you have a disease or not, right? So I think when you have a chronic disease such as this, baby steps are key here.

Setting goals that you feel can be met and kept are better for you both physically, as well as emotionally.

What is the point in setting a goal of climbing a mountain on a day when you feel you can barely turn over in bed? Imagine the frustration.

It sounds like you are doing great, doing some swimming (that is good low impact exercise, easier on the joints) and walking!

I think it is key to listen to your body. Hello? you're the only one in it after all! (tell your nutty buddies that are on your back about exercise, I said so!)

For your biking this summer you might want to try the downhill trails ei: The Virginia Creeper Trail and the New River Trail, if you are up for the traveling.

We just did the Virginia Creeper with our daughter. Great time, beautiful place, easy downhill ride, very little work and the kids love it, even the four year old! WEAR YOUR TICK REPELLENT, PLEASE! HA!

Back to your immune system, I think a "good dietician" maybe can help. A friend of a friend went to a dietician that is located behind the Bob Evans restaurant off of W.T. Harris Blvd. Would you like me to get the name?

She said her friend was eating her way around her kitchen trying to find the right food to satisfy her body's needs. You know how your body gives you signs you need certain nutrients? I have done this before that is how I know!

Her friend gained quite a bit of weight and it turned out that she was eating the wrong things while trying to find what her body needed.

This dietician told her the nutrients her body needed and since she has satisfied it nutritionally she dropped all of her weight she gained!

Maybe she could help or maybe a good homeopathic doc affiliated with a chiro practice could satisfy your needs? Anybody on here know of a good one in this area?

I have been learning that natural medicine coupled with your LLMD can be the arsenal you need to kick lyme disease tail!

For instance, some on here take glucosamine for their joints and say it helps a lot. I am going to look into that for my daughter.

Lymenet is a wealth of info. As I said earlier throw your symptoms out here and see what happens.

You may even want to focus on certain symptoms and do different posts for them and see what you get back. The people here are great!

Email me using the little envelope button at the top of my reply if you like. I would love to talk to you further. My family lives near the Mt. Holly-Huntersville/Hwy 16 intersection, just down the road from you!

I would love to help you however I can. I too think a support group would be great. My daughter probably has an interesting perspective to share with your children!

Take care and chin up, things are bound to get better now that you have landed on this site! I hope to talk to you soon!


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Thomas Parkman
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Dear NC Lyme:
Patients of Dr. J other than yourself have posed more or less the same questions and we all have our list of incidents with that office. It is a mixed bag of tricks for sure. And yes, he is making money hand over fist like nobody's business. Of course having to look at the likes of me for five days a week eight hours a day would be more than enough reason to go off to all the conferences I could and have all the staff I could and hopefully get all the money I could.

The problem is that the medical racket has just shut down and will not open back up. Doctors who treat lyme patients in SC run the very real risk of losing their liscenses. I know of one tragic case of a nuerologist in Seneca. The good old boys more or less ganged up on him and destroyed him. They were very clever about it and very, very nasty indeed. But hey, this is SC. These people know a few tricks that even Joe Stalin never thought of.

So you may want to get to another specialist in some other part of the country. The fact that there is only one lyme literate doctor in two states with a population of over 12,000,000 is a disgrace!!!!!.After all we do not go to this doc or that doc for the joy and pleasure of itor because we want him or her to have the equisite pleasure of looking at our innards or various body parts, after all this is why most of us wear clothes!- but in order to have the doc do something that will make us better if not well. If he does not deliver the goods, go find somebody else or save your time and money and stay home, say I. Cheers.


Posts: 341 | From Columbia SC 29206 | Registered: Feb 2003  |  IP: Logged | Report this post to a Moderator
achtungBb
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Hey NC I hear you loud and clear...when you are that sick the thought of turning over in bed can be overwhelming.
You have had less than good care IMHO and should have been on stuff to prevent and control yeast long before it surfaced as a problem.
KA---CHING is the name of the tune played on that lobby keyboard.
Yes it does take a long time to get better, but the deal is that you get to some type of maintainence, whether that is iv OR oral its up to your body to determine, and the type of Bb you have, your limitations etc. Someitmes the dx can be written as something other than lyme so you can continue to be covered.
There are fortuneately LOTS of LLMDs to choose from.
Yes it is an ongoing treatment and search for other coinfections as once Lyme and HGE and HME get tx other things tend to surface that may not be apparant at first
there is an excellent article by Va Scherr on the iLADS page about it..the carousel disease
I emailed your friend who is sending you the names of two, and their phone #s.
I would say you would want to ask them if they treat open ended...that may mean for life....
also dr B is open in NY and he is the best. He got me well, then dr "X" undid it all.
we see someone in another state now and are doing great...compared to how he had let me slip down. again it was an insurance thing, tho I dont understand it as my insurance is not a problem...
X has his own IV clinic and that is how the real deal is (read $$$$) so best find someone who really will treat you with YOUR best concerns in mind. your life should come first, not the bank.

did you let his insurance people handle the insurance problems, or did you? did he go to bat for you? did he follow thru? did he give you copies of what he sent to insurance co? these are all important questions and need to be answerered. call you insurance co dont let them handle it.
we have to be proactive with our disease...even with the best of dox it helps to find out all you can and do the most you can.
while you are waiting for the answer, find someone else.

thomas, you can get better but you may also have to travel somewhere else.

Now, I expect for this post NOT to be edited I have not spoken a bad word, nor lied, nor broken any rules. I know that sometimes people get censored here, but lives are at stake. so leave it be.

This is just good general advice from someone who has been around the block more than once.
so leave it alone J------r.


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snowboarder
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Hello NC Lymie,

A little bit of exercise might be okay but not heavy duty. I've been a skier for over 30 years and was a ski instructor and did ski patrol for a while. There is no way I could do what I used to do.

The recumbent bike which is a sit down bike has worked wonders. Windsor pilates has a 20 minute workout that works great for me. Some days I can walk and other days I'm on the couch not moving.

If your not happy with your current LLMD you could see another doc but like Melanie said, these docs are doing the best they can and we are a ways off from having a cure for lyme.

Shocking to hear you say your doc isn't telling you what to do now...that's why we you made an appointment.

Hope your feeling better soon!


Posts: 738 | From Colorado | Registered: Oct 2004  |  IP: Logged | Report this post to a Moderator
   

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