Because I am not attempting to be your primary care physician or your psychiatrist, your first visit will be much like a visit to an urgent care facility. I will take a brief history and examine you for things which are pertinent to the reason for your visit.
- If you have kept the tick and brought it with you, I will give you information on reliable labs you can send it for testing.
- I will explain the various protocols for treatment and, together, we will select the appropriate protocol for you.
- Because antibiotics can clear some of the good bacteria from your digestive tract (your “biome”),
I will also make recommendations for maintaining the health of your biome with specific probiotics
and dietary changes.
- When you complete your treatment (which will be approximately one month after your exposure),
I will discuss with you the possibility of ordering antibody tests looking for co-infections. We will talk about the usefulness of the Lyme test at this point, as well as tests for co-infections.
- Depending on what we find, I will either treat you, send you home to continue in health with
proper vigilance, or refer you to another Lyme literate physician.
- There is a need for education with Lyme disease, its prevention, and its co-infections. I will be
happy to provide the information you need. You will also find many useful links on the Links page
of this website.
I do not participate in any health insurance network so I will be asking you to pay at the time of service by check or cash, or online via PayPal before your visit. If your health insurance covers out-of-network doctors, I will give you an invoice with proper codes for reimbursement so you can submit it to your insurance provider.
Other Services for Advanced Lyme Patients
I also see patients with Lyme and/or co-infections whose visits and care are of a different nature. These patients have neurologic complications of Lyme that create cognitive and emotional problems. These “neuro- psychiatric” problems can include loss of attention, concentration and memory as well as mood issues or symptoms that look like obsessive-compulsive disorder.
I help patients deal with the emotional burdens of this illness, and the difficulties it creates in their personal and work lives. I prescribe antibiotics or herbal remedies and supplements for help eradicating the bacteria, and when patients require intravenous therapy, I refer to a colleague who will manage this.
I interface with whatever doctors need to be involved as well as with family when necessary. I order and interpret various tests and provide a mixture of talk-therapy and holistic psychiatric and Lyme care.