The New York Times published a few of the answers to last week's article "Doctors Doctors Do Know Things Patients Don't Know".Mine (well, an edited 10th of it) is among them...
http://www.nytimes.com/2005/05/17/science/17lett.html?
Letters
Published: May 17, 2005
Recognizing Lyme
To the Editor:
Dr. Kent Sepkowitz ("Doctors Do Know Things Patients Don't Know," May 10) uses the "vast, lumpy terrain of Lyme disease" to show that doctors can be smarter than patients in choosing a therapy. The only thing he shows is that he doesn't know much about Lyme.
When his patient asked about antibiotic therapy, Dr. Sepkowitz pulled out the elephant gun of intravenous antibiotics, and then was smugly satisfied to see the rare complication it produced. What about oral or intramuscular antibiotics? Were these simpler and less risky approaches discussed with the patient?
Next time Dr. Sepkowitz should seek out the treatment guidelines of our society at www.ilads.org. He would discover up-to-date information about appropriate treatment, and he might learn what many of his patients already know.
DR. RAPHAEL STRICKER
San Francisco
The writer is president-elect of the International Lyme and Associated Diseases Society.
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To the Editor:
As vast and lumpy as the terrain of Lyme disease may be ("Doctors Do Know Things"), it is one of the rare conditions where patients may know best.
Millions of people never fancied themselves as having Lyme disease. They just became sick, and got sicker. Little by little, they lost their ability to function normally. Some lost their lives. At their side were well-intentioned but utterly clueless members of the medical community.
I'm only 30, and for more than 10 years I was told that my health problems were psychosomatic. Only when I lost my ability to walk and couldn't remember where I lived or my age did a doctor finally order a blood test. It came back positive for Lyme.
CHRISTELLE TORRES
Stamford, Conn.