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» LymeNet Flash » Questions and Discussion » Medical Questions » Questions to ask LLMD for first appointment?

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Author Topic: Questions to ask LLMD for first appointment?
adamttt
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I have my first appointment with a LLMD on Tuesday as 2 weeks ago recieved my blood test results which show i have Lyme disease.

I have written a list of questions to ask the LLMD, is there any you would recommend i ask?

thanks

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Leelee
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Someone wrote a lot of good information about this same topic a few weeks ago. Hopefully you will be able to find it. Maybe if you look at bettyg's newbie package it is there.

The one thing I do remember best is this piece of advice: you are there to listen and learn from the LLMD. I kept that in mind and tried to absorb everything he said.

As for questions, my LLMD pretty much answered them all during our conversation so I didn't have to ask too much. I did show him one CT scan report from a few years ago and asked him what he made of it.

Other than that, he led the appointment in such a way that I didn't have anything to ask.

--------------------
The ultimate measure of a man is not where he stands in moments of comfort and convenience, but where he stands at times of challenge and controversy. Martin Luther King,Jr

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Keebler
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http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=020605


MAKING THE MOST OF YOUR LLMD VISIT


From Melanie Reber


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njlymemom
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Melanie's list is great.

These are a few we add...

you may want to have one notebook just for this purpose

a journal to keep notes between visits and a place to write down notes at the visit

take pictures of rashes if this applies and make a copy for the doctor

keep a list of all meds and supplements to hand to doctor, more efficient and will give you more time for other questions

--------------------
This is NOT medical advice - and should NOT be used to replace your MD's advice. Info is only the opinion of those who publish the site.


The shortest way to do many things is to do only one thing at a time.

cb

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Keebler
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And, some background reading (too much here for a couple day's preparation and you probably have done your fair share to have a LLMD lined up but so just select what might be helpful to you.


Best of luck. I hope your consult goes very well and that you get settled on an excellent path to recovery.


================================


www.clinicaladvisor.com/Controversy-continues-to-fuel-the-Lyme-War/article/117160/


From the May 2007 issue of Clinical Advisor


CONTROVERSY CONTINUES TO FUEL THE "LYME WAR" -(author's details at link)


As two medical societies battle over its diagnosis and treatment, Lyme disease remains a frequently missed illness. Here is how to spot and treat it.

Excerpts:


Meet the players


The opponents in the battle over the diagnosis and treatment of Lyme disease are the Infectious Diseases Society of America (IDSA), the largest national organization of general infectious disease specialists, (and)

and the International Lyme and Associated Diseases Society (ILADS), an organization made up of physicians from many specialties. ( www.ilads.org )


IDSA maintains that Lyme disease is relatively rare, overdiagnosed, difficult to contract, easy to diagnose through blood testing, and straightforward to treat ( www.journals.uchicago.edu/CID/journal/issues/v43n9/40897/40897.html - Accessed April 6, 2007).


ILADS, by contrast, asserts that the illness is much more common than reported, underdiagnosed, easier to contract than previously believed, difficult to diagnose through commercial blood tests, and difficult to treat, (especially)

especially when treatment is delayed because of commonly encountered diagnostic difficulties ( http://www.ilads.org/guidelines.html - Accessed April 6, 2007).

. . .

" . . .To treat Lyme disease for a comparable number of life cycles, treatment would need to last 30 weeks. . . ."


`` . . .Patients with Lyme disease almost always have negative results on standard blood screening tests and have no remarkable findings on physical exam, so they are frequently referred to mental-health professionals for evaluation.


"...If all cases were detected and treated in the early stages of Lyme disease, the debate over the diagnosis and treatment of late-stage disease would not be an issue, and devastating rheumatologic, neurologic, and cardiac complications could be avoided..."


. . . * Clinicians do not realize that the CDC has gone on record as saying the commercial Lyme tests are designed for epidemiologic rather than diagnostic purposes, and a diagnosis should be based on clinical presentation rather than serologic results.


- Full article at link above, containing MUCH more detailed information.


-===


Co-infections (other tick-borne infections or TBD - tick-borne disease) are not discussed in the Savely article due to space limits. Still, any LLMD you would see would know how to assess/treat if others are present.


==========================


Not to frighten, but to help support availability of proper treatment for long enough:


www.jneuroinflammation.com/content/5/1/40


Persisting atypical and cystic forms of Borrelia burgdorferi and local inflammation in Lyme neuroborreliosis


===========================


This article has much attention on both lyme and Cpn - by proper treatment, much can be avoided:


http://tinyurl.com/preview.php?num=64y3rv

(then clink "PROCEED TO THIS SITE")


May 2008 Volume 39 Number 5 LABMEDICINE
www.labmedicine.com - American Society for Clinical Pathology


CHRONIC BACTERIAL AND VIRAL INFECTIONS IN NEURODEGENERATIVE AND NEUROBEHAVIORAL DISEASES

- by Garth Nicolson, Ph.D.


===========================


TESTING

You should also be evaluated for coinfections. Not all tests are great in that regard, either, but a good LLMD can evaluate you and then guide you in testing. One of the top labs is:

www.igenex.com

IGENEX

-----

There are a couple other good labs for certain tests: Fry; Clognen; Focus. Your LLMD will know. Some say MDL does good work (but I don't know if they test all the bands).


========================


VERY important to read - even BEFORE testing:

Dr C's Western Blot explanation:

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=042077


===========


TREATMENT

www.ilads.org

ILADS

The International Lyme and Associated Diseases Society (ILADS) provides a forum for health science professionals to share their wealth of knowledge regarding the management of Lyme and associated diseases.


links to treatment: http://www.ilads.org/lyme_disease/treatment_guidelines.html


and

http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf

Dr. Burrascano'sTreatment Guidelines (2008)

----

http://www.lymepa.org/html/dr__j__burrascano_september_20_15.html

Burrascano's Babesia guidelines - 2008


====================


http://www.lymepa.org/Nutritional_Supplements.pdf


Nutritional Supplements in Disseminated Lyme Disease

J.J. Burrascano, Jr., MD (2008)


=====================


www.lymediseaseassociation.org

Lyme Disease Association


- In the menu to the left of their home page, you can order DVDs of past ILADS seminars. You might also be able to borrow some from your local lyme support group.

This are invaluable to understanding how these infections work. And, none of this is taught in medical schools. None.


====================

This book, by an ILADS member LLMD, holds great information about treatments options and support measures:


http://tinyurl.com/6lq3pb (through Amazon)


THE LYME DISEASE SOLUTION (2008)

- by Kenneth B. Singleton , MD; James A. Duke. Ph.D. (Foreword)

You can read more about it here and see customer reviews.

Web site: www.lymedoctor.com


======================


This protocol uses Andrographis and Reversatrol as two of the top supplements.


http://tinyurl.com/5vnsjg


Healing Lyme: Natural Healing And Prevention of Lyme Borreliosis And Its Coinfections - by Stephen Harrod Buhner

web site options: www.gaianstudies.org/lyme-updates.htm

[email protected]

http://health.groups.yahoo.com/group/Lyme_Aid_Buhner/?yguid=166917351

---------------

http://www.ncbi.nlm.nih.gov/sites/entrez

PubMed Search:

Andrographis - 232 abstracts


Resveratrol - 2670 abstracts


==========================


This relies heavily on the use of Allicin. You can read lots about it at the website.


http://tinyurl.com/5drx94


Lyme Disease and Modern Chinese Medicine - by Dr. QingCai Zhang, MD & Yale Zhang


web site: try www.sinomedresearch.org and use "clinic" and then "clinic" for the passwords or call Hepapro through www.hepapro.com

---------------

http://www.ncbi.nlm.nih.gov/sites/entrez

PubMed Search:

Allicin - 299 abstracts


===================


Regarding other tick-borne infections - and other chronic stealth infections:


http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=069911#000000

TIMACA #6911 posted 03 August, 2008


I would encourage EVERY person who has received a lyme diagnosis to get the following tests.


- at link.


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adamttt
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thanks, that links just what i was looking for
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Keebler
Honored Contributor (25K+ posts)
Member # 12673

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-

Your LLMD may or may not know about Rife machines and, even if so, may not be able to bring it up. Still, you may want to read a little about them or at least know that some lyme patients have found Rife helpful.

You might ask your LLMD if any of her/his patients have used Rife and with what results.

--------

http://www.rife.org

RIFE

-------


http://www.lymecommunity.com/forums/ubbthreads.php


RIFE machine - with lyme and TBD (tick-borne disease).


--------


http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/79024

Topic: Rife Machine


See, especially, the posts by D Bergy on the success his wife has experienced.


-

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bettyg
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most importantly, TAKE SOMEONE who has good hearing, LISTENS WELL, and can take notes.

request copy of typed medical notes by signing their release of info too!!!

you'll do fine; we were all nervous too when we started!

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