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Especially for Physicians

These links are provided for concerned physicians to begin informing themselves about current findings on Lyme Disease, its course and clinical presentation, the role of laboratory tests in making a diagnosis, and the most recent information about treatment in both early and later stages. Several sites also address other tick-borne diseases, which should also be considered.

The Vermont Department of Health provides links to the Infectious Disease Guidelines for treatment of Lyme. These guidelines are not the only treatment guidelines, and we recommend that physicians also familiarize themselves with the guidelines developed by ILADS (the International Lyme and Related Diseases Association), which are based on a more recent and broader information base. We encourage you to contact physicians using these guidelines, in order to understand the importance of these guidelines.

Some links will take you offsite and contain many pages of information, with additional links. You may want to bookmark this page for easy return.

Some recommended resources for physicians:

  • Resolution 166
    A Resolution of the New England Governors' Conference, Inc., Concerning Lyme Disease and Other Tick-Borne Illnesses, adopted by the governors of all New England states, including Dr. Howard Dean, governor of Vermont, and certified August 26th, 2002,

  • International Lyme and Related Diseases Association (ILADS)
    A professional medical and research organization. Site includes research and position papers, and a link for membership. Highly recommended as a resource for any medical professional treating tick-borne diseases. Some info on site is available to non-associates.

  • Evidence-based guidelines for the management of Lyme disease
    The International Lyme and Associated Diseases Society, Expert Rev. Anti-infect Ther. 2(1), Suppl. (2004). These guidelines are available in summary form on the ILADS website, and can be ordered in reprint directly online for a nominal fee.

  • Diagnostic Hints and Treatment Guidelines for Lyme and Other Tick Borne Diseases
    By Joseph J. Burrascano, M.D.
    A prominent Lyme specialist on the many factors involved in diagnosing and treating Chronic Lyme Disease and other tick-borne diseases. Gives an excellent systematic approach to diagnosis and treatment options. His protocol is not the only approach, but is a good representation of the kinds of integrated treatment required, especially in later stages of Lyme Disease.

  • Columbia University Center for Lyme Research Studies
    The first research facility in the United States to focus on neuropsychiatric aspects of Lyme Disease. Founded in 1994. Its director is Dr. Brian Fallon. Website provides information about research findings, diagnostic and treatment considerations, as well as in depth discussion about neurological symptoms found in patients with chronic Lyme disease.

  • An Understanding of Laboratory Testing for Lyme Disease
    Technical article written by Nick Harris, founder of Igenex, and published in Journal of Spirochetal and Tick-borne Diseases - Volume 5, Spring/Summer 1998. Understanding in this area continues to grow, but this article is still an excellent discussion of the rationale, validity, and significance of the various tests available.

The following site is important for physicians to be aware of, but please read the comments:

  • Center for Disease Control Lyme pages
    Though once useful in context with other sources of information, the CDC has recently changed the content of their pages on Lyme disease. The reasons for this are unknown but appear to be political. The current information on the site is outdated and does not reflect the current state of knowledge about Lyme disease. Because the CDC information can no longer be considered science based, we encourage you to consider it carefully and in context with information from other sources.
  • Especially for physicians

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