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Topic	I got diagnosed with Lyme Disease today.
Coffeebeanz 07/16/18 6:14:59 PM #40:	Tyranthraxus posted... Ultima Dragon posted... That's one of my worst fears. It's fucked how many different symptoms it can cause, and unless doctors are testing specifically for it every test will come back negative and they'll be left scratching their heads. So many stories of people who went from being active and successful to not even being able to get out of bed due to having numerous neurological and physical ailments. I mean if you go to a doctor and say "I feel ill and I also pulled a tick off me yesterday" and they don't test for Lyme disease they need to not be a doctor anymore. A doctor with even a basic education would know how to diagnose Lyme disease without darkfield microscopy. 1. Is the patient even in an area with endemic Lyme disease? 2. Presence of erythema migrans? If the answer is yes to both, treat. If the answer is yes to 1 and no to 2, consider Lyme serology. If positive, move to darkfield microscopy. That said, patients GROSSLY and I mean GROTESQUELY overrate their knowledge of Lyme disease. I can't tell you how many patients I've had DEMANDING treatment for Lyme disease despite literally never setting foot in an area where the Ixodes tick lives. --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:905192865] in I got diag... [t:76811415]...</cite> <quote><cite>Tyranthraxus posted...</cite> <quote><cite>Ultima Dragon posted...</cite> <quote>That's one of my worst fears. It's fucked how many different symptoms it can cause, and unless doctors are testing specifically for it every test will come back negative and they'll be left scratching their heads. So many stories of people who went from being active and successful to not even being able to get out of bed due to having numerous neurological and physical ailments.</quote> I mean if you go to a doctor and say "I feel ill and I also pulled a tick off me yesterday" and they don't test for Lyme disease they need to not be a doctor anymore.</quote> A doctor with even a basic education would know how to diagnose Lyme disease without darkfield microscopy. 1. Is the patient even in an area with endemic Lyme disease? 2. Presence of erythema migrans? If the answer is yes to both, treat. If the answer is yes to 1 and no to 2, consider Lyme serology. If positive, move to darkfield microscopy. That said, patients GROSSLY and I mean GROTESQUELY overrate their knowledge of Lyme disease. I can't tell you how many patients I've had DEMANDING treatment for Lyme disease despite literally never setting foot in an area where the Ixodes tick lives. --- Physician [Internal Medicine]</quote> ... Copied to Clipboard!
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