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[personal profile] enot06
Написала письмо доктору [R], которая лечит Таню, присовокупила распечатку материала для Health Care Providers, завезла в поликлинику. Дошло до обмена сообщениями на автоответчике, завтра, надеюсь, свяжемся.
Для справки - доктор сказала, что не использует е-мэйл для работы, так что мои ссылки попали к ней в виде текста на бумаге. Мне приходилось работать с врачами существенно страше ее, которые охотно переписывались со мной по е-мэйлу.

Записала к детскому ревматологу, специалисту по Лайму, найденному с помощью отзывчивого читателя, чей ребенок тоже пал жертвой этой болезни.

Dear Dr. [R]:
I did some research on Lyme disease and co-infection.
At this point, I think that my Lyme infection was caught very early, while Tanya-Ruth had disease in her system for longer. She developed rash – large spots with pale center and red border - all over her legs and arms (and one on her face) around June 24-25. It then turned bluish. It was mistaken for allergic rash and we haven’t asked for doctor’s advice till later (July 8). By then she had random arthritis-like pains and was getting abnormally tired from moderate physical activity. She is taking doxycyline (100 mg x 2 x 21 day) from July 12 per your order.
She complained about right elbow pain - it became stronger over the past few days. She had recent neck pain and stiffness - that is now gone and replaced by sore throat. According to Mass. Gov. Dept. of Public Health, all of the above, including sore throat, could be symptoms of Lyme.
As a parent, I’m concerned with Tanya’s well being and I want to be certain she is completely cured from Lyme disease as to avoid neurological complication associated with later stages. Also, I want to be certain she is free from other tick-borne diseases.

I put some links together just in case you may find them useful. I’ll gladly e-mail you those for the ease of use.

Mass. Government / Dept of Public Health, Tick borne Disease Website
http://www.mass.gov/dph/cdc/epii/lyme/lymehp.htm
Info for Health Care Providers
http://www.mass.gov/dph/cdc/epii/lyme/lymehp.htm#materials

US Gov. Dept of Health & Human Services - Centers for Disease Control and Prevention - Division of vector-borne infectious diseases – Lyme
http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

WebMD The Magazine: Lyme Disease test
http://my.webmd.com/hw/arthritis/hw5113.asp

Lahey Clinic
http://www.lahey.org/Medical/InfectiousDiseases/LymeDisease.asp

Tufts – New England Medical Center, Division of Rheumatology
http://www.nemc.org/medicine/rheumatology/bak/lymediseaseq&a.htm


Sincerely, --[enot] 18-Jul-05

Date: 2005-07-20 05:51 pm (UTC)
From: [identity profile] cherniavska.livejournal.com
Some doctors are like that:))
We had a funny discussion with Edik's speech pathologist about emails..she is quite hesitant to use electronic means of communication, I don't have time to make calls...

Date: 2005-07-20 10:54 pm (UTC)
From: [identity profile] enot.livejournal.com
In my case, all I offered her was to send the links to official web sites with materials on tick-borne diseases - generic info FYI.
I didn't mean to use her e-mail for anything but sending her the links.

Actually, our speech therapist was good in this sense - I coordinated material exchange between our speech therapist and the student I hired to teach Yosef at childcare via e-mail. You learn to appreciate such things as you see not everyone is like this.

Date: 2005-07-20 10:58 pm (UTC)
From: [identity profile] cherniavska.livejournal.com
O, yes, I correspond with the student who I hired to work with Edik in the daycare:)) But not with the speech therapist:))
She said that she prefers personal contacts to electronic:))
I explained to her that I mainly exist in a digital environment... We laughed:))

Date: 2005-07-20 08:07 pm (UTC)
From: [identity profile] pozvonochnoe.livejournal.com
Может быть другая причина не использовать эл. почту кроме консерватизма. Весной этого года начали действовать новые правила, регламентирующие хранение и передачу конфиденциальной информации о пациентах. В частности, электронное хранение и передачу. Может статься, что некоторым врачам проще оказаться от использования е-мэйла в общении с пациентами, чем соблюдать все формальности и предосторожности, например, просить Вас подписать разрешение, посылать Вам информацию о Вас по такому-то адресу.

Date: 2005-07-20 10:43 pm (UTC)
From: [identity profile] enot.livejournal.com
Не знаю, только что пользовалась, никто меня не просил ничего подписывать ни раньше, ни сейчас.

Date: 2005-07-20 10:56 pm (UTC)
From: [identity profile] enot.livejournal.com
К тому же, это я хотела послать ей ссылки на вебсайты, потому что это невероятно трудно сделать по телефону. Мне от нее по е-мэйлу ничего не было надо.

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