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» LymeNet Flash » Questions and Discussion » Medical Questions » Need help with decision for trmt

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Author Topic: Need help with decision for trmt
lymeyinok
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Member # 5817

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In the summer of 2002, I tested positive for lymes with a Western blot test (IgM+) and received 4 wks of amoxicillin because unable to take doxy. Tested again and still active so received again 4 wks of amoxi. Symptoms better so no more antibiotics recommended. Perhaps you should know that in Okla. we don't have lymes (according to most medical professionals I have dealt with - try finding a lldr here!!) again started having symptoms a month later and started on a cephalosporin abx and found a internal med. dr. who again tested me and once again I was positive for IgM with bands 41a,23b,39b. continued with the ceph. for 4 total weeks and symptoms subsided so no more recommended. As I said, drs. here just unfamiliar with trtmt unless in med. books!
Last summer had lymes symptoms again but in denial and agreed with dr. to wait and see if got any worse. Well, it was a long year and the symptoms DID finally get worse to the point that I went in to find out what could be done because I felt like I did when I first had lymes -joint pains, dizzy, foggy, headaches, severe fatigue! Again tested positive on the IgM - 41 and 23 bands, IgG negative, MRI showed nothing abnormal. Dr. now wants to either do a lumbar puncture or just start IV antibiotics. What would anyone recommend to do first and if abx, then which ones? and for how long?
Would appreciate any recommendations or sharing of experiences similar to mine!! Thanks!!!!!!!

Posts: 46 | From Norman, OK, USA | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
3greatkids
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Hi Your story sounds just like mine. Read Tincups links I think it just popped up. This will really help you to understand alot. You should seek treatment from a Lyme literate M.D. LLMD. I'm sorry you are not feeling well, but with proper treatment from LLMD, you can get better. As they say, Welcome to Lymenet, you will get support and knowledge here. Take care
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Curley911
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Hi Limeyinok,

Seems to me you are the poster child for abx does NOT "cure" lyme disease. Most people I talk to (I'm a hairdresser) seem to have a working knowledge that you never "get rid" of lyme. Some don't know that, but most mention it. At this point you have CHRONIC Lyme Disease and must be treated as such. That calls for a LLMD . . . very important!

As for the lumbar puncture I say NO NO NO. We have created a lyme education and support group where I live and our Infectious Disease Dr. insists that this test be run before he will treat IF it is positive. Statistically it is very low in accuracy. It only tells you if it's in that area if I understood right.

If a patient says no, then he says he can't treat patients who won't cooperate. Now he flat out says "I don't treat lyme".

Can you take Biaxin??? Have you been tested for co-infections? I thought I was relapsing w/lyme when my Epstein Barr activated and created a huge amount of fatigue. I suggest you run, not walk, to your nearest LLMD and get the WHOLE PICTURE. This is a complicated disease involving the whole body.

I wish you luck. You're fortunate to have a positive WB. Use it well!

Take care,
Curley


Posts: 982 | From Florida | Registered: Feb 2002  |  IP: Logged | Report this post to a Moderator
arg82
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I agree with Curley about the LP. I've had two done, neither one showed anything and the first one messed up my back for a while afterwards. They were really unnecessary and were not pleasant experiences.

I also agree with Curley that you should get to a LLMD. I don't know of any in your area but you could post over in Seeking a Doctor or contact a support group in your area (you can do this by clicking on "support groups" on the left hand menu).

It sounds like you also should be evaluated for co-infections before any decision on treatment is made. IVs might be something you need, but unless co-infections are addressed it will do you little or no good. And orals can help a lot of people, IVs are not necessary even for late stage chronic Lyme (as some people on here can attest to).

--Annie

------------------
``The best way out is always through.'' -Robert Frost


Posts: 2184 | From Rochester, MA | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
cbb
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Welcome to LymeNet.
Sorry you've got Lyme, but so glad you found the group here.
People are very willing to share what they've learned from their experiences with Lyme disease & co-infections.

You've been given good advice. I just want to add some comments.

Print "Diagnostic Hints & Treatment Guidelines..." - 32 pages of excellent info by one of the very best LLMDs. www.ilads.org/burrascano_1102.htm

page 7: Diagnosing Later Disease - says in part:
"Spinal taps are not routinely recommended, as a negative tap does not rule out Lyme."

page 16-18: Antibiotic Choices & Treatment Categories
Note recommended dose of Amoxicillin.
Do you know what dose you were given per day?

Early Disseminated Disease - milder symptoms present for less than 1 yr...
Adults: oral therapy until no active disease for 4 weeks

Go to www.ilads.org
On the left, click "Basic Info" & print a copy - 3 pages of great facts that everyone should know.

About the LLMD -
You definitely need to be evaluated by a LLMD - ASAP.

Go to Seeking a Dr here on LymeNet & put your location in the title. Info about LLMDs will be e-mailed to you. We do not give drs' names here unless they have given permission.

Checked the map & it looks like you're a little less than 300 miles from Dr C in Springfield, Missouri. He's definitely worth the drive.

Read "What do you like about Dr C?" http://flash.lymenet.org/ubb/Forum3/HTML/004140.html

There are a couple LLMDs in Texas, but I do not have the info on them.

For reliable info on all aspects of Tick-Borne Diseases (TBDs), check Tincup's "Links for new LymeNet members" http://flash.lymenet.org/ubb/Forum1/HTML/009342.html

At the top right, click the little blue word "search", type in the info, & you can learn about lots of topics that have been discussed here on LymeNet.

Again, welcome & keep asking questions when needed.


Posts: 4638 | From South Carolina | Registered: Mar 2001  |  IP: Logged | Report this post to a Moderator
   

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