Re: IDSA Guidelines...can anyone tell me what this means?
- From: pam3001@xxxxxxxxx
- Date: 13 Oct 2006 07:50:37 -0700
#3, every time I check back here, which is not very often, I notice
you stay confused over the meaning of the term clinical diagnosis as
used by IDSA in Lyme Guidelines. The IDSA guidelines state exactly
what LDA suggests on this issue, to wit, that clinical diagnosis refers
ONLY to the rash. Other than that the Guidelines advise that doctors
defer to the two-tier test method in confirming the Lyme diagnosis --of
course, along with a few late major manifestations that are objective
in nature and well-circumscribed, but these cannot meet the bar without
serology. I will probably not check on this group again for months
and certainly will not stay to argue with you on what seems to me a
point of reading comprehension. However, if you don't get IDSA's
interpretation of the term 'clinical diagnosis' from your read, I
suggest you call IDSA or one of the guideline authors to have them
confirm this. Good luck and I hope you are able to work this out. I
suggest that checking with the source is a better way to learn what
they mean by the term than arguing with people in this forum. You
simply are incorrect and your read of the material is missing the crux
of the meaning that is spelled out in detail in the body of the text.
Pam Weintraub
.
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