Hippocrates and other thoughts

In the past few weeks I was re bitten by a tick and found a secondary tick on my pants.

Where they came from, I am uncertain. I sent the ticks in to be tested and immediately made a doctor’s appointment. As a Wellness coach for Lyme patients, I followed my advice to the letter.

It was rather routine until I was seen by the Nurse Practitioner and was informed that she could only give me one-day dosage of doxycycline for prevention. I asked her if she was using the guidelines from the National Clearing house of guidelines # 1 guidelines and she had no idea and responded with the fact she was using the CDC guidelines.

The conversation was tense but polite. I mentioned Guidelines.gov and she inquired which organization they were from so I told her. She asked me to quote them, which I cannot, but I told her what I could and in her opinion, after she said the word Hippocrates, she would follow the CDC guidelines.

At that point it was not in my interest to argue but I will send the guidelines to her with a print out from the CDC stating, and I quote “Lyme disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected blacklegged ticks. Typical symptoms include fever, headache, fatigue, and a characteristic skin rash called erythema migrans. If left untreated, infection can spread to joints, the heart, and the nervous system. Lyme disease is diagnosed based on symptoms, physical findings (e.g., rash), and the possibility of exposure to infected ticks.  Laboratory testing is helpful if used correctly and performed with validated methods. Most cases of Lyme disease can be treated successfully with a few weeks of antibiotics. Steps to prevent Lyme disease include using insect repellent, removing ticks promptly, applying pesticides, and reducing tick habitat. The ticks that transmit Lyme disease can occasionally transmit other tickborne diseases as well.”

Then I will add information from https://www.clongen.com/clinical-diagnostics-services/lyme-disease-background/  , which is a discussion of Babesiosis being found in ticks from a tick drag.  After that I would put in writing that I will expect a tick test at my next visit and have this appended to my records.

It is sad that we have to do this, but we must advocate for ourselves. Being the ones who knows our bodies best and wanting the best care means doing the leg work to make sure that the people we pay to take care of us have all the up to date information and our best interest at heart. If ever a doctor follows guidelines that are questionable, do some research and talk to well respected research doctor. (Remember we pay them. They need to earn their pay).

Doctors are human and can follow the status quo only because it is what they have been taught. The ones who follow true medical science, know your genetics and how they work in concert are the doctors you will need for the treatment of Lyme.

After all, the oath says, “I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow. I will apply, for the benefit of the sick, all measures which are required…

I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.”

I really wish doctors might go back to the version called The Declaration of Geneva which was written in 1948 by the WMA in Geneva.  The Hippocratic Oath has a few versions now and “Do No Harm” is nowhere to be found in any of them. It might bring back the word conscience.

For you I will repeat it here:

                                The Declaration of Geneva

At the time of being admitted as a member of the medical profession:

  • I solemnly pledge to consecrate my life to the service of humanity;
  • I will give to my teachers the respect and gratitude that is their due;
  • I will practice my profession with conscience and dignity;
  • The health of my patient will be my first consideration;
  • I will respect the secrets that are confided in me, even after the patient has died;
  • I will maintain by all the means in my power, the honour and the noble traditions of the medical profession;
  • My colleagues will be my sisters and brothers;
  • I will not permit considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient;
  • I will maintain the utmost respect for human life;
  • I will not use my medical knowledge to violate human rights and civil liberties, even under threat;
  • I make these promises solemnly, freely and upon my honor

In this newsletter is only one example of a medical practitioner’s behavior. By no means do I infer that all medical professionals are the same. They are not.

I hope that all of you have a fantastic month left of summer before the hectic school season begins.

Stay hydrated spray for protection and be happy,

Christina