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» LymeNet Flash » Questions and Discussion » Seeking a Doctor » Seeking LLMD For My Patient

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Author Topic: Seeking LLMD For My Patient
mavix2
Junior Member
Member # 24579

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I am a family physician in the Ventura County area of Southern California. I need help with one of my patients who has a history of Lyme's Disease. She has been seen by one specialist in the area but I am looking for alternatives. Thanks.
Posts: 4 | From California | Registered: Feb 2010  |  IP: Logged | Report this post to a Moderator
Siciliano
Frequent Contributor (1K+ posts)
Member # 15920

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Hi, [hi] mavix2 and WELCOME to our lyme site. We're glad you came to us for help.

I have sent you a private message (pm), click on the flashing envelope.

Also, check out our great "Medical Questions" forum where you can ask all the questions you might have and our wonderful, knowledgeable members will answer them. Just read some of the threads and you'll see just how informative they are!
[Smile] [Smile] [Smile]

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I'm sorry but I am no longer accepting any private messages due to my own battle with lyme.

Posts: 3897 | From New Hampshire | Registered: Jun 2008  |  IP: Logged | Report this post to a Moderator
mavix2
Junior Member
Member # 24579

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Does anyone know if there is any Medi-Cal coverage for lyme treatments?

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Jon

Posts: 4 | From California | Registered: Feb 2010  |  IP: Logged | Report this post to a Moderator
mavix2
Junior Member
Member # 24579

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Has anyone had any experience with a Dr. G in the Thousand Oaks, Newbury Park area?

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Jon

Posts: 4 | From California | Registered: Feb 2010  |  IP: Logged | Report this post to a Moderator
Dekrator48
Frequent Contributor (5K+ posts)
Member # 18239

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Jon,

You may want to post your last question as a new post on the board so more people will see it and hopefully you will get some responses.

--------------------
The fibromyalgia I've had for 32 years was an undiagnosed Lyme symptom.

"For I know the plans I have for you", declares the Lord, "plans to prosper you and not to harm you, plans to give you hope and a future". -Jeremiah 29:11

Posts: 6076 | From Pennsylvania, USA | Registered: Nov 2008  |  IP: Logged | Report this post to a Moderator
Lymetoo
Moderator
Member # 743

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quote:
Originally posted by mavix2:
[QB] Does anyone know if there is any Medi-Cal coverage for lyme treatments?

That would be rare. I sent you a PM about a Dr Y.

Yes, post the question on Dr G in a separate post. Hopefully one of our members here will know and see your post.

Thanks for being a GREAT doc! ( If you cared enough to come HERE, that makes you an open-minded and caring doc!! ) [Smile]

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 96222 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

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I agree. It is wonderful to see a doc here who cares enough to help a patient.

I talked to a lady yesterday who's doc had told her she was suffering from RA not Lyme because

she was treated for lyme 3 years ago-her test was neg. after 2 weeks of steroids-so it had to be

RA.

I know it is Lyme. And had to tell her the test was worthless that they ran and esp. in the presence of steroids.

Maybe you could consider contacting the LLMD to help spread the word on how to diagnose, test, and treat also. The people need more like you.

Thank You for being what a real doctor should be.

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Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
mavix2
Junior Member
Member # 24579

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My patient has confirmed lyme's, probably had it since age 12, treated at age 20 for 8 months with antibiotics, better but seems to be relapsing now in her early 30s. She also had/has babesiosis and ehrlichiosis dx at the time. I am trying to rule out all other causes. Of course she is seeing tons of specialists with no diagnosis being made. In incredible amounts of pain. Gaining weight rapidly with what appears to be edema but labs always normal except for elevated ESR and CRP. I have been putting my money on Lupus or other autoimmune disorder. We thought maybe Cushing's at one point but can't find anything. Looking at nephrotic syndrome to explain swelling but doesn't really fit with other symptoms. I really am Lyme naive but looking at her constellation of symptoms I think that is what is going on here. She was seeing a Lyme doctor and he advised IV abx about 6 months ago. I have a few more tests and then I have to figure out how to get her into another Lyme doc, or the same one. Of course she is a cash patient. Any advice from the community would be helpful.

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Jon

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Meg
Honored Contributor (10K+ posts)
Member # 22

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I second the Dr Y recommendation....
http://www.lymenet.org/SupportGroups/UnitedStates/

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Success Stories---Treatment Guidelines

Posts: 10010 | From somewhERE OVER THE Rainbow | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

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Her thyroid could be shutting down from the Lyme and it could also be lymph enlargement with it also.

I have seen people gain over 100lbs of fluid with a TSH of over 100. And many Lyme patients have adrenal malfunction. And RSD is always a possibility. As well as nephrotic syndrome. http://www.ncbi.nlm.nih.gov/pubmed/20147284?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=2

I do believe many patients have malabsorbtion of thyroid. It may be there, but because of the cell dysfunction(bugs in the cells). it is not utilized properly. The only cure is to get rid of the bugs.

Things to watch for on new treatment would be massive herxing. Some patients lose so many cells too fast they lose electrolyte conduction and a temp. pacemaker is required.

Sadly most lyme patients have been told they are not that sick for so long- when they are critical

they suffer alone, when if it were any other kind of disease they could get the critical care this deserves. But docs have been told this is easy to cure and a simple fix in 4 weeks.

So most start out low and slow to prevent hospitalization and death for something that could not possibly make them that sick...

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
baileypup
LymeNet Contributor
Member # 22824

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Dr. Y is in San Diego, so it would be at least a three hour drive each way. She is my doctor and very knowledgeable. She is a medicare approved doctor, but doesn't take other insurance.

If your patient was seeing an LLMD in the area, why doesn't she go back?

Posts: 964 | From san diego | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
Member # 12673

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-
Regarding weight gain:

This book is specific to lyme and other chronic stealth infections.

The author discusses the endocrine connection and effects of high cortisol on a person with such infections.

You can read customer reviews and look inside the book at this link to its page at Amazon.

http://tinyurl.com/6xse7l

THE POTBELLY SYNDROME: How Common Germs Cause Obesity, Diabetes, And Heart Disease (Paperback) - 2005

by Russell Farris and Per Marin, MD, PhD

Lyme really messes up the HPA axis (Hypothalamus/pituitary/adrenal network). The pituitary has much to do with weight/growth. Mess up any part of the endocrine system and other parts suffer, too. Most tests will show nothing (and steroid challenge tests are dangerous with lyme) -- but in those who gained a lot of weight despite good eating habits, once lyme (or Cpn) was properly treated, the weight nearly disappeared.


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

PubMed Search:

infection, obesity - 2433 abstracts

viruses, obesity - 388 abstracts

viral, obesity - 464 abstracts

bacteria, obesity - 889 abstracts


One of those:

J Dent Res. 2009 Jun;88(6):519-23.

Is obesity an oral bacterial disease?

Excerpt:

. . . It seems likely that these bacterial species could serve as biological indicators of a developing overweight condition.

Of even greater interest, and the subject of future research, is the possibility that oral bacteria may participate in the pathology that leads to obesity. . . .
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[ 02-22-2010, 12:23 PM: Message edited by: Keebler ]

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
Member # 12673

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-
http://cassia.org/essay.htm

When to Suspect Lyme - by John D. Bleiweiss, M.D.

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

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

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

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

http://tinyurl.com/5crsjv

CURE UNKNOWN: Inside the Lyme Epidemic (2008) - by Pamela Weintraub

This details what an entire family went through. Having this knowledge of their journey will help others to get better, faster treatment. The author details how she, and others, regained their lives.

http://www.cureunknown.com


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

http://www.underourskin.com

Documentary: UNDER OUR SKIN

You might be able to borrow this from the local lyme support group; rent from a video outlet, NetFlix, or the library . . . or purchase a copy for $35.

Until one sees this film, there really is no way they can understand. No way.

Also of major importance is the interview with Dr. Martz, who had been dx with "ALS" only to find it was really lyme and babesia. With treatment, we see him recover.

More about that case:

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

http://www.ncbi.nlm.nih.gov/pubmed/17212618

Motor neuron disease recovery associated with IV ceftriaxone and anti-Babesia therapy

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

http://www.molecularalzheimer.org/files/Biofilm_New_Haven_ppt_Read-Only_.pdf

Biofilms of Borrelia burgdorferi and Clinical Implications fro Chronic Borreliosis

Alan B. MacDonald, M.D.

May, 2008 - 74 pages - powerpoint presentation

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

www.ilads.org

ILADS

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

In addition to the usual coinfections from ticks (such as babesia, bartonella, ehrlichia, RMSF, etc.), there are some other chronic stealth infections that an excellent LLMD should know about:

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

Tests to Consider - other stealth infections


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

http://www.cpnhelp.org/secondaryporphyria

SECONDARY PORPHYRIA: what you should know before starting a CAP (combined antibiotic protocol)

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

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=065801

Topic: TINNITUS: Ringing Between The Ears; Vestibular, Balance, Hearing with compiled links - including HYPERACUSIS as it relates to lyme patients.

-

[ 02-22-2010, 12:40 AM: Message edited by: Keebler ]

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
jblral
LymeNet Contributor
Member # 8836

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Recommend having the patient join the CaliforniaLyme on-line support group:

http://health.groups.yahoo.com/group/CaliforniaLyme/

There are members in your area who can tell about doctors.

Also, the California Lyme Disease Association website maintains a list of support groups throughout the state. Check for one in your area:

http://lymedisease.org/california/california_support_groups.html

Also, CALDA offers educational grants to physicians to attend the ILADS conference to learn more about treating Lyme. (The 2010 conference will be Oct. 15 in New Jersey.)

Posts: 991 | From California | Registered: Feb 2006  |  IP: Logged | Report this post to a Moderator
   

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