Lyme Times
Summer 2010 Issue

Table Of Contents
LymeTimes Summer 2010 Issue
Lyme Guidelines: Treatment Choice Essential for Patient-Centered Care

Advocate admonishes panel to recognize global science and prevent harm from treatment and insurance denials

By Tina Garcia

8
Lyme Guidelines: IDSA’s Rigid Position Limits Treatment Options

Guidelines should acknowledge legitimate scientific controversy and allow clinical discretion

By Lorraine Johnson, JD, MBA

12
Lyme Guidelines: IDSA’s Practice Guidelines Miss the Evidence Mark

Clinical expertise and patient values should frame future guidelines

By Daniel Cameron, MD, MPH

17
Lyme Guidelines: Documenting Persistent Infection

ILADS past-president presents evidence challenging IDSA recommendations

By Steven Phillips, MD

48
Lyme Guidelines: Objections to Requirements and Restrictions

LLMD criticizes IDSA conclusions on diagnostic testing, clinical judgment, persistent infection, treatment options

By Raphael Stricker, MD

55
Biostatistician Disputes IDSA Guideline Conclusions

An Interview With Allison DeLong

By Lyme Times Staff

62
Scrutinizing the Scientific Evidence

Statistical analysis of treatment trials reveals inadequate justification for restricting clinical discretion

By Elizabeth Maloney, MD

64

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