Henry, what can we do to ensure more physicians have that information and use it? And know that not all EM rashes present as a bull's eye with a clearing? I had a solid expanding bull's eye rash where all the bands were red but the center was much darker (almost a blue-red) as was the outer edge. Over the cm limit and growing. Not an allergic reaction. (That cm limit is going to have to change to accomodate B. miyamotoi rashes, for what it's worth - another story, as odds are greater there will be no rash at all.)Henry wrote:Sophsky: Some physicians may not know this. But, it always has been the view of the IDSA , as well as any physician who knows anything at all about Lyme disease that the EM is sufficiently diagnostic in itself to justify treatment without the need for further tests.
Not all EM rashes look like the bull's eye with clearing. So does it make sense to educate more doctors that the EM can present in different ways and teach them to look for a puncture in the center if the tick was not remembered by the patient?
Mine was - and I had the tick on me in a container during my office visit, and yet I still did not get 2 weeks of doxy on the spot. I got one 200mg pill. It seemed like the doctor was not familiar with the IDSA guidelines based on my experience.
I think some patients wouldn't feel half as angry about what's happening if more doctors took care of Lyme disease when the odds of recovery are better. That means - Mr. MD, at least follow the IDSA guidelines for Lyme disease when it is new and right in front of you? I might very well not be here if the doctor who first saw me did their job properly.
I do hold some of these family doctors accountable for the situation a number of us are in.