The lay public is clueless about how doctors are educated and how they stay up to date. The above statement reflects the beliefs of most patients I encounter on a daily basis. They are wrong. Dead wrong.
Doctors do turn to trusted sources when researching a disease and/or looking for topical updates. Practicing doctors are completely unaware of the raging controversy which has been going on for many years now. Major players on the two sides of the dispute are listed below. It is unlikely that a diligent physician looking for information about Lyme disease would encounter any information suggesting that the IDSA guidelines are in dispute. The current maneuvering of the IDSA is designed to ensure that the status-quo remains unperturbed.
Group number one:
Chronic Lyme is real:
ILADS: marginalized- a fringe group.
Dr Burrascano- Medical board issues- discredited.
Dr. Jones- Medical board issues- discredited.
Dr. Jemsek- license to practice in North Carolina suspended- thoroughly discredited
Dr. Horowitz- ILADS president- emphasis on CAM- ridiculed by mainstream- evidence based medicine
Dr. Stricker- discredited in various and sordid ways- none credible
Other ILADs physicians- off the radar- no academic credentials- irrelevant
Dr. Donta- Good credentials- Professor of infectious disease medicine at Boston University- No publications in highly esteemed journals like New England Journal of Medicine- marginalized- a single voice- an outlier.
Group number two:
Legitimate- dependable sources of Medical information:
There is no chronic Lyme:
All other prestigious medical universities ? Columbia: "Fallon is not a real doctor- he is a psychiatrist- his work doesn't count"
All major textbooks including Harrison's textbook of medicine- all current textbooks of infectious disease medicine
"Up to date"
Neurologists and their professional organization
Rheumatologists- rheumatology literature and texts
The New England Journal of Medicine
99.999% of practicing infectious disease specialists in the US
Local community specialists
US University specialists and medical school professors
Primary care physicians who defer to the above mentioned sources for judgments and recommendations
State Medical Boards and governing authorities
No, doctors are not lazy or poorly informed about new developments in the field of chronic Lyme disease and tick borne illness. They are entirely up to date.
When well informed physicians encounter the treatments of LLMDs along the way they will know one thing for sure. If it looks like a duck- Quack.
PS: Let there be no confusion about what I believe. The so called discredited physicians mentioned above, have been unfairly persecuted. They are all heroes- who have advanced the understanding and treatment of Lyme and related illness at great personal cost and to the benefit of thousands of patients afflicted with this horrific illness.