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In spite of scrutiny by the North Carolina State Medical Board, Jemsek remained a prominent LLMD, with an office in Washington, D.C.
(144.) LLMD advocates claimed that at least 50 such cases had been brought prior to 2000.
(159.) The California LLMD provision does not specifically describe protected treatments.
2011), a Connecticut LLMD appealed a state medical board order that found Jones had diagnosed Lyme disease in two minors and prescribed antibiotics to them, all without adequate physical examination of the patients.
(214.) See, e.g., Open Letter, supra note 136 (arguing "[the LLMD protection law] will enable very ill [Connecticut] residents to choose treatment options that best meet their needs while the medical community works to find consensus on LD treatment guidelines" and citing a report indicating that "evidence [used to repudiate long-term antibiotic therapy] is too heterogeneous to make strong recommendations").
By enacting laws that protect and legitimize repudiated treatments, state legislatures have responded to a movement of non-standard "Lyme literate medical doctors" (LLMDs) (19)--a movement that has been described as an "antiscience" and "parallel universe of pseudoscientific practitioners" by mainstream practitioners.
(63) Such negative perceptions of mainstream physicians are advanced by self-styled "Lyme-literate MDs" (LLMDs), (64) who advance the notion, in contradiction of the scientific evidence, that many Lyme infections persist beyond the recommended antibiotic regimen, which lasts less than one month.
(71) From the perspective of LLMDs and their patients, on the other hand, the recommendation for limited antibiotic use articulated by the mainstream Lyme disease CPG72 amounts to nothing short of medical rationing, cloaked in the guise of evidence and expertise.
For purposes of this discussion, the disagreements between the mainstream guidelines and the competing recommendation from the major association of LLMDs (75) may be simplified into two categories.
LLMDs, represented by their own professional association, ILADS, portray mainstream doctors and researchers as having ignored long-term, "persistent" or "chronic" cases of Lyme disease.
The most ambitious legal goal of LLMDs and their advocates is the enactment of statutory protections for physicians who diagnose and treat Lyme disease in contradiction to the mainstream clinical guidelines.
(2) concerns among LLMDs and their advocates that state medical boards would discipline physicians who prescribed antibiotic regimens recommended against in the IDSA guidelines.
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