IV antibiotics for lyme?

Hi, new to the forum, with a few quick questions i was hoping someone could help me answer. I am also aware this may of been addressed in another thread but i couldn't find one relevant, so i apologize if this is a repeated topic or misplaced on the forums.
Long story short, i went to the doctor, she's sending me to a disease control center where she predicts i'll be put on intravenous antibiotics, which i read up on before my doctors visit. I assume cefotaxime. I predict four weeks.
So my question is, if anybody has had similar treatment, and what does it consist of. I have another week before my (most likely first) visit to the center, and i'm anxious to know what i should expect from treatment. I have a terminally ill family member (unrelated condition), and i wish not be away from home for the duration of my treatment. Should i expect to be admitted to a hospital for said treatment or can iv antibiotics be administered routinely visitationally? Also, i recently got a new insurance plan, where i openly told them i had a pre existing condition (lyme) and they said it wasn't even on their list... but with the possibility of being admitted for the antibiotics, i worry they may have a problem flipping the bill.
If anyone wants to also share what they went through physically from their antibiotics for anybody else's benefit who might read this, i'm sure it'd be appreciated, and i encourage it. I've been reading forum entries that date back to 2004... but i'm personally just worried about the actual procedure and potential insurance issues.


Thanks in advance for any insight, and best of wishes to everyone :)

Unfortunately, insurance tends to deny coverage for IV antibiotics for Lyme regardless of whether or not you openly tell them. In the future however, I would not discuss your diagnosis with them.

LLMD's tend to let you do the infusions at home. They generally prescribe a PICC line which is a line inserted in your arm up to your heart. It stays in for up to a year (depending on how long you need it). Then you can infuse yourself at home usually and have a visiting nurse redress the site and check on it.

I'm not sure that an infectious disease doctor would allow home infusion. You may need to go in daily for the infusions. You really should consider meeting with a LLMD if possible. Likely one month of IV's will not be enough to cure you if you are at an advanced/chronic stage. Have you tried various combos of oral antibiotics yet?

Rocephin alone, is not a great choice and it is usually combined with actigall, biaxin or zith and flagyl or tindamax to address all three forms of Lyme. That combo does not address bartonella or babesia which require separate meds. Were you evaluated for co-infections? Were your tests sent to a tick specialty lab like Igenex?

If I were in your position, I think that I would hold off on getting the IV (since insurance only covers one month at the most, you want to make the most of it) until you meet with a LLMD. I have never heard of anyone with an advanced or complex case of Lyme who was happy with an infectious disease doctor's treatment (unless they are following ILADS guidelines which 99% do not).

If you do decide to go to the infectious disease doctor, I sincerely wish you good luck with your appointment. I hope that you lucked out and found a lyme-literate one as they are extremely rare. Most IDSA doctors will treat you with a month of low dose doxy. If that doesn't work they tell you that you have post-lyme which is incurable, a psychological problem, stress, or other subjective illnesses like fibromyalgia and chronic fatigue.