"If you had just seen your primary care doctor just recently and had lab work, you do have the right to request additional labs (you just had the reg Lyme test) including the Igenix panel, which is usually out of pocket."
A couple of comments:
(1) You can request additional lab work, but the MD is not obligated to order it, and some/many MDs do not see the need for any testing beyond the older ELISA and Western blot tests. It can't hurt to ask, but non-Lyme specialists may decline, and if they order IGeneX testing, the doc may not know what to do then except the largely outdated treatment of a couple of weeks of doxycycline. If that happens, then consider finding a Lyme specialist who think bigger thoughts. Let us know if you want help finding a Lyme doc near you.
(2) IGeneX testing is not necessarily "usually out of pocket". It depends on your insurance company. My insurance paid for the testing just like anything else.
(3) "You should not have to require another visit first w/ your PCP in August." It is up to your doc to recommend a visit if s/he think it should be done, and the doc may have legitimate reasons for seeing you again.
(4) "Your PCP may have to give you order paperwork and you probably need to go to the local hosp lab to draw since the lab spec handling is specific and needs to be shipped to the lab in CA." I would not assume this either. My blood was drawn not at a hospital (and there were several nearby), but at an office/clinic that handles just testing -- less hassle, maybe less expensive. Your doc may be able to recommend one nearby.
(5) "You, as a patient, have a right to request specific labs." You can ask, but the MD is under no obligation to do so. It is an MD's obligation to order only tests etc. that the doc believes is useful or necessary.
(6) "I know I did have to use my credit card at time of drawing. It will take about 3 weeks for results." I didn't have to use my credit card, and the turnaround time on tests varies.
(7) "You should not have to require another visit first w/ your PCP in August." I would leave this to the MD to decide -- there may be good and valid reasons the doc wants to see you sooner.
(8) "Your PCP may have to give you order paperwork and you probably need to go to the local hosp lab to draw since the lab spec handling is specific and needs to be shipped to the lab in CA. You, as a patient, have a right to request specific labs, as this." You can request which lab you want, but the MD is not obligated to do so. MDs who do not fully appreciate Lyme may not use IGeneX labs, which is an issue with the doc, not an issue with the local labs.
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In my experience, finding an MD who is either an ILADS member or is open-minded enough to consider the ILADS diagnosis and treatment guidelines (including using IGeneX testing) is the first and most important step to take in dealing with Lyme. MDs may also be willing to order tests that are not common (such as the IGeneX tests), but they may not know what to do next if the test is positive.
If you live where you have difficulty finding a Lyme specialist, you may be able to persuade your local MD to order the Lyme tests, and if they are positive, then finding a Lyme specialist would be the next step.
wow! i really wish you had been around 30-40 years ago----of course no internet then but---i can wish. I am so impressed by the knowledge and the sharing i see in this group. You are amazing! Thanks for the inspiration. And compassion. And the time you spend doing this. I see it as karma-yoga. And your karma accounts must be over-flowing.
Earth
If you had just seen your primary care doctor just recently and had lab work, you do have the right to request additional labs (you just had the reg Lyme test) including the Igenix panel, which is usually out of pocket. You should not have to require another visit first w/ your PCP in August. Your PCP may have to give you order paperwork and you probably need to go to the local hosp lab to draw since the lab spec handling is specific and needs to be shipped to the lab in CA. You, as a patient, have a right to request specific labs, as this. I know I did have to use my credit card at time of drawing. It will take about 3 weeks for results.
I hear you. I would do what you are doing. We'll be here -- keep us posted, and take care --
No, It's just that I can't get another appointment with my doc sooner than mid august. All docs in my area are like that, backed up out the door.
Neurology is simply to cover neurology at this point.I really want the test for lyme in any case, it seems the most probable cause, rather than having a weird atypical case of some other neurological problem. I think, the chances of lyme are much higher, and the test is simple and easy.
I will ask the neuro, but I don't expect anything.
I pick up my results from records tomorrow. On the first lyme test. I'll write them here when I get a chance.
It's good that you are pressing ahead -- please don't wait any longer than necessary. The longer the Lyme bacteria are unchallenged, the harder it can be to get rid of them. Neurologists as a group are not known to understand or appreciate the seriousness of Lyme, but you may find an exception.
Are you anticipating that the neurologist will test through IGeneX? As a rule of thumb, neurologists often are in the camp with infectious disease docs, who often do not use IGeneX testing, but instead use the older (and, to my understanding, less reliable [but still useful]) Western blot and ELISA test.
After you see the neurologist, I would suggest you get full copies of ALL test results (to which you are entitled by law, as I understand it) and take them home to read .. and, if you like, to share the results with us. We would be glad to share with you our thoughts, but know that no one here is an MD, so it's just our opinions.
In any event: all good wishes to you!