Off Topic

[Guest guest]

What do you think of this? Is he a crazy, greedy control freak or an

Aspie Genius? I recieved this tonite from an e-pal in another part

of the country:

*S*

Well I just recieved from the LLMD's office a packet of papers to

read through. Bascially outlining the Policy Services & Fees and a

Questionnaire. This is the Doctor's office who behaved poorly on the

phone w/ me. Anyhow I have written out what they sent me. Thought

you might find it interesting. This Doctor in Nevada City holds the

position of " clinical Consultant " at Igenex.

So he is between Palo Alto And Nevada City. Outside of the Nevada

City offices there is no phone and no " real " office space, but

rented rooms for only 2 days per month. So, if you live near Palo

Alto, you must go to Nevada City at least once, and maybe once every

three months also.

It allows 1 free phone consultation w/in first month of visit. The

intial visit is $350.00 !!

Follow up visits are $190.00 maybe required if medication is changed.

Phone consultations are available after in person visit for $75/15

minutes. !!

Antibiotic Injections:

Bicillin shot $40

Rocephin shot $ 125

Prescription Refills:

72 hours in advance

New Patients:

must have follow up visit w/in 1 month of 1st visit.

first weeks are the most difficult and unsettling, many symptoms

change rapidly, neccessatating exam and explaination.

Maintaining Current Patient Status:

By maintaining a 3 months interval time between visits. For Proper

care, 1 visit every 3 months must be seen by Dr.

After 3 months patient will become Inactive.

New Patient fee will be applied along w/ in depth reassesment of

your status.

Cancellation:

48hrs or $50 fee billed.

Primary Care Doctor Requirement

Duration of the disease Battle:

There is no Rigid Time frame, in general the more time has elapsed

the longer the patient will require treatment.

Types of Lyme Antibiotic treatment :

Oral Meds,

Intramuscular shots,

intravenous injections

Mid Lines

Picc Lines

Medi ports & Hickman Catheters are kinds of indwelling catheters.

There advantages & disadvantages

What we expect from Patients:

Muscle toning exercise at least 2 x' per week, 20 minutes per day.

Inportant component in combatting Lyme disease. Even if pain prevent

a rigorous workout must do something. However Aerobic exercise is

potentially dangerous for Lyme patients. Intially one day of rest

between workouts is mandatory.

No smoking, must quit.

some nutritional supplements are an integral part of the treatment.

and therapies such as acidopholous are essential. Must protect

oneself from harmfull effects of long term antibiotics.

Patients must not addres Doctor about payment arrangements. or may

be removed from the pratice. Only through receptionist. Must pay in

Full before leaving office.

No Alcohol. Detrimental and interacts w/ meds.

Avoid Lyme vaccine unless you are absolutely sure you do not have

Lyme.

The Doctor is out of town frequently. Hours are irregular. Monthly

calendar will be made available to current patients 1 or 2 months in

advance.

The Reception is only staffed part time.

Threats or aggessive behaviour or other forms of Lyme rage.

Will not be tolerated, will recieve written warning, subsequent

offenses will result in removal from the practice.

Antibiotic Doses & side effects

Several side effects can lead to possible complications. These

include, but not limited to, allergic reactions, stomach, intestinal

disorders, antibiotic resistant bugs which can turn mild infections

into catastrphic events, nausea, rashes, visual or hearing loss,

drug interactions, liver, kidney damage, nerve damage, immune system

disfunction and yeast infections.

You are assuming the risk if you accept treatment.

Several techniques will be used to avoid these complications, but

sometimes they are unavoidable.

There is also a page that goes on about:

Political Arena

Lyme disease and associated diseases are complex & puzzling problem

that scientists, practioners, and patients are only beginning to

understand.

Tremendous controversy surrounds the diagnosis and treatment of

chronic Lyme.

Disagreement w/ the of long term antibiotic treatment. The

scientific Media lends little support, very few studies illustrating

the benefits of long term use.

Many doctors have unwillingness or Lack of knowledge to pursue Lyme

as the primary cause of Patients symptoms. As a result many go

undiagnosed or misdiagnosed.

It is also true that the conditions, symptoms exist alone without

any relation to Lyme disease, Babesia, Erlichiosis or Bartonella.

In theses case a Rhuematologist or nuerologist many be suited to

mange patients care.

We will inform you when we believe that your symptoms are not Lyme

related. A porporton of Patients who come to our practice indeed do

not have Lyme.

Oh they also wrote that it is not just getting a diagnosis of wether

or not u have Lyme disease but includes an undrstanding of the

current state and severity of the disease.