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ILADS Statement on CMS Proposed Rule Concerning Antibiotic Stewardship

FOR IMMEDIATE RELEASE:
August 26, 2016

Statement attributed to:
Board of Directors, International Lyme and Associate Diseases Society

The International Lyme and Associate Diseases Society (ILADS) has commented on the Proposed Rule of the Centers for Medicare & Medicaid Services, CMS-3295-P: “Medicare and Medicaid Programs: Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care” which appeared in the Federal Register (0938-AS21, June 16, 2016). Without further clarification, these regulations could limit or eliminate antibiotic treatment for the many patients who suffer from Lyme disease and other tick-borne infections. [Read more…]

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Whole Families with Lyme Disease

Elizabeth Large, NDElizabeth Large ND

This summer I spent 10 days in Pennsylvania and Connecticut on a mission to learn how two well known Lyme literate doctors treat pediatric Lyme disease. This preceptorship is made possible by an ILADS scholarship for those wanting to expand their knowledge in treating Lyme disease. The first three days were spent with Dr. Ann Corson (see a slideshow of Dr. Corson’s practice philosophy) who practices in a town barely making the map in rural Pennsylvania. Dr. Corson is an integrative doctor who treats both adults and children. She has incorporated a well rounded natural approach as well as using antibiotics as needed.  I was impressed at her advanced knowledge in natural medicine and her open-mindedness to

[Read more…]

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Antiinflammatories, Antibiotics Boost Treatment of Depression

treament imageInternational Congress of the Royal College of Psychiatrists (RCP) 2011.

June 30, 2011 (Brighton, United Kingdom) — Adding an anti-inflammatory medication to an antidepressant may augment efficacy and enhance depression treatment, researchers said here at the International Congress of the Royal College of Psychiatrists 2011.

Carmine Pariante, MD, PhD, from the Institute of Psychiatry, Kings College, London, United Kingdom, told delegates attending the International Congress of the Royal College of Psychiatrists 2011 that a series of studies published during the last 5 years offers clear evidence to support the combination therapy with anti-inflammatory drugs and antidepressant medication.

“Inflammation is a key element in the pathogenesis of depression, and using anti-inflammatory drugs is a novel strategy that uses a completely new antidepressant approach, finally, after 20 years of me-too drugs,” Dr. Pariante told Medscape Medical News.

Speaking on behalf of the Psychiatric Research into Inflammation, Immunity and Mood Effects (PRIME), a consortium of UK researchers in biological psychiatry, Dr. Pariante said that it is well known that long-term illness is a trigger for depression and that people with chronic disorders also have high levels of inflammatory markers or cytokines. [Read more…]

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Conversations with Eric Gordon, MD – Tracking Treatment, Rheumatoid Arthritis, and Lyme

Continuing the phone conversation with Eric Gordon, MD from August 16, 2011.

Dr. Eric GordonDR. GORDON:

Okay.  So, where were we?

Interviewer:

You were talking about having those high inflammation levels and how those impact how to decide what to treat.

DR. GORDON:

Ah, how to decide….yes.  At least for me what makes treatment so difficult is the noise. I mean in the sense of, when you start someone on a therapeutic trial, if you’re moving somewhere with them when they start antibiotics, and they begin to respond partially, and then they have some problems, which you fix, and then there is more partial response, and they have more problems.  After a while you’re doing a lot of fixing the problems, trying to do a lot of symptomatic therapy. [Read more…]

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Treatment Fatigue

Answers from the Gordon Medical Staff

Question:

Please talk about treatment fatigue in general, in particular, what are your options if your body cannot tolerate antibiotics, maybe the liver function is limited?

By “treatment fatigue” I assume you mean that a specific patient cannot tolerate ongoing standard doses of antibiotics. I would like to address a broader view of this problem, since what it is really addressing is how capable the individual is of mobilizing their immune system (with the aid of antibiotics) to kill the infecting organisms (Lyme, Bartonella, Babesia, Ehrlichia, Mycoplasma, etc.), and then how capable it is to remove those dead organisms and toxins from the body. This requires the coordinated workings of the organs of detoxification: the liver, intestines, lymphatic system, kidneys, skin, lungs, and spleen, along with the immune system, to do this properly. [Read more…]

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How Do You Know If You Really Have Lyme Disease?

Question: Why do patient symptoms vary so much? Everyone seems to have different symptoms so how can we be sure we all have Lyme disease?

There is virtually no illness in which a specific disease manifests the exact same way in everyone who has that disease. For example, if a woman goes through menopause, she may experience primarily hot flashes or night  sweats, or she may have difficulty sleeping, or low energy, or mood swings, or depression, or vaginal dryness, or decreased libido, or difficulties with focus, memory, and concentration, or some combination of all of these. [Read more…]

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Treatment: Antibiotics or Herbs?

Question:

Is it possible to effectively treat Lyme disease and co-infections without antibiotics?  Is the immune system able to wipe it out if given the right support?

Dr. Eric GordonAnswer from Dr. Eric Gordon:

I would say unequivocally, maybe. The difficulty goes to the heart of the Lyme war between ILADS  and the IDSA. Since active Lyme is a clinical diagnosis, which means it is determined by the patient’s history and current symptoms, we can’t really say how many people diagnosed with Lyme have Lyme, or other infectious or toxin caused diseases.  If you look at symptom lists, the overlap with other illnesses is huge.

My answer is yes, I have read reports of people treated with herbs, and their symptoms and their CD57 tests have normalized. In my practice,  I often start with herbal treatments, but almost always use antibiotics at some point in the therapy. The biggest issue is not drugs vs. herbs, but rather the underlying toxicity of the person, and whether or not their immune system can manage inflammation.  I have had several patients who had severe “Herx’s” to herbs and yet did well on antibiotics. [Read more…]