lymelearner said...
Sidetracking a bit I somehow accidentally googled my way into this:
https://www.lymedisease.org/wp-content/uploads/2018/05/Informed-consent-for-Lyme-treatment.pdf
I hope this informed consent actually becomes the new normal.
Something like that could both protect LLMD's and protect patients by making them aware there is no right answer and there is competing beliefs but that they can choose which option they want after having risk/reward presented to them.
And this section in there about the risks of PICC lines.
"There are additional risks associated with IV treatment. IV treatment usually involves the installation of
an intravenous line in my vein to allow easier IV treatment. PICC lines may result in local infection, or
if unchecked, systemic infection. If signs of skin inflammation occur, the line may need to be removed.
Rarely, PICC lines break off when they are being removed and may then require surgical removal.
There is also a chance that, upon insertion, a nerve near the vein could be damaged. There is a risk of
blood clots from PICC line insertion. If a clot forms, the PICC line may be removed and I may be
hospitalized for the initiation of anti-coagulation therapy. The risk of clot development is decreased,
although not eliminated, by flushing the PICC line twice daily with saline and heparin and by avoiding
vigorous repetitive motion activity of the arm in which the PICC line is placed. The overall risk of
significant adverse events for IV depends on the duration of treatment and is 1.8% per 1,000 days on an
IV."
Did you just choose to ignore my post about
real world experience with a PICC line? You are just copying and pasting stuff off the internet that you have no clue about
. For example:
Blood clots and PICC lines. If you do actually get a blood clot on the end of the line, they inject a special clot busting fluid into the line to dissolve it over a period of 45 minutes. No need to go to a hospital and no need to get your line removed.
Also, informed consent: Every LLMD I have seen has made me sign a sheet offering up the IDSA method of 30 days of abx and the ILADS method of extended abx with no set treatment protocol. I had to choose the ILADS method before they would proceed.... again... posting things you have no clue about
.