Photo: Gary Wormser, MD, lead author of the IDSA guidelines, attributes many chronic Lyme symptoms to “the aches and pains of daily living.”
After reviewing 3,000 pages of evidence challenging advice in its 2006 Lyme disease medical guidelines, eight Infectious Diseases Society of America (IDSA) panelists voted to keep the 45-page document “as is.”
Dr. Robert Bransfield, the president of a group of community-based Lyme specialist physicians (ILADS) issued this statement in response:
“It’s a sad day for the health care system and for everyone who suffers from the Lyme disease epidemic. The IDSA’s flawed positions means patients will continue to suffer with incorrect diagnosis and improper treatment.”
"By and large, the people on the IDSA panel who made this decision are ivory tower researchers," says Bransfield. "They're not the doctors on the front lines looking into the eyes and faces of these very sick patients, performing exams and then assuming long term responsibility for dealing with patients suffering from chronic Lyme.”
Bransfield and ILADS point to a number of discrepancies and other concerns about the vote, including:
---68 out of 69 of the original 2006 recommendations under review were OK'd with unanimous votes. "How can there be such a total consensus with any scientific issue?" asked Bransfield. "It's highly suspect and beyond comprehension."
---If Lyme cannot be chronic, then why did the guideline's authors acquire 200 Lyme disease patents and receive $76 million in Federal funds to study it?
---The original guidelines are not only controversial, but written back in 2006, are considered old and out of date.
---The CDC has also advised for many years that the disease should be diagnosed on clinical grounds and not by unreliable laboratory tests. The Lyme disease tests are inaccurate 50% of the time.
---The IDSA's decision reinforces that doctors have little control when it comes to treating diseases such as Lyme. Researchers and insurance companies remain in the driver's seat of diagnosis and treatment.
In May 2008, the IDSA agreed to re-evaluate its Lyme disease guidelines as part of a settlement agreement for an antitrust investigation by the Attorney General of Connecticut, Richard Blumenthal. The crew of the documentary, UNDER OUR SKIN, covered this investigation as it unfolded, and revealed some of the evidence alluded to in Blumenthal’s investigation, including the significant conflicts of interest among the original IDSA guidelines panelists, suppression of scientific evidence by panelists, and exclusion of panel members with opposing viewpoints.
During a telephone press conference on the IDSA’s announcement of the ruling, IDSA president Richard Whitley, MD, said he thought Blumenthal had been "misguided by the [Lyme] activists” and that the antitrust suit against IDSA wasn’t “justified or warranted."
- To read the IDSA report, click here.
- To read the ILADS response, click here.
- To download a detailed history of the IDSA investigation, click here.
- To read the Attorney General’s release on the investigation, click here.
- To read UNDER OUR SKIN's Jordan Fisher-Smith's letter to the IDSA and learn what you can do, click here.

Three weeks ago, I entered a
Three weeks ago, I entered a clinic with large rash on back of leg. It was Day 2. It had grown from 1" to 4" overnite.
Site of bite was itchy, swollen but not yet a target design. Still, the nurse who saw me agreed that it was potentially a tick bite in early stages and should be treated. I expressed lyme concerns and she agreed to put me on immediate doxy for 28 days. I asked for a test to confirm and she said none were available until 8 wks into disease. And that sometimes they produce a negative result wrongly. In conclusion, she said waiting was not a good idea if it was in fact lyme and to begin taking doxy that day.
To make matters more odd, she was not able to enter 'lyme' as cause for my antibiotic treatment. Why not? What is wrong with our medical system?? She had to maneuver the computer system and simply entered arachnid bite rather than lyme. How ODD is that?? I was perplexed the entire time in the clinic office. I thought how ludicrous the entire system was surrounding lyme. This was BEFORE seeing the film 'under our skin.' Now it all makes sense to me. Corruption is at the root of the lack of treatment! That is unethical and immoral.
I continue to take my doxy for another week. I've had symptoms of fatigue, lethargy, extreme neck pain, headaches and low grade fever during first 10 days. I seem to be getting better and I pray to God that the 4 week doxy treatment plan will cure me.
I am thankful for the Lyme Doctors brave enough to take on the corrupt medical system. It is extremely UNFAIR for a disease that I may potentially have to not be covered by insurance if it decides to become chronic. Thank you for the film 'under our skin.'
I can now sympathize with all who have this dreaded disease. IT IS REAL.
Three weeks ago, I entered a
Three weeks ago, I entered a clinic with large rash on back of leg. It was Day 2. It had grown from 1" to 4" overnite.
Site of bite was itchy, swollen but not yet a target design. Still, the nurse who saw me agreed that it was potentially a tick bite in early stages and should be treated. I expressed lyme concerns and she agreed to put me on immediate doxy for 28 days. I asked for a test to confirm and she said none were available until 8 wks into disease. And that sometimes they produce a negative result wrongly. In conclusion, she said waiting was not a good idea if it was in fact lyme and to begin taking doxy that day.
To make matters more odd, she was not able to enter 'lyme' as cause for my antibiotic treatment. Why not? What is wrong with our medical system?? She had to maneuver the computer system and simply entered arachnid bite rather than lyme. How ODD is that?? I was perplexed the entire time in the clinic office. I thought how ludicrous the entire system was surrounding lyme. This was BEFORE seeing the film 'under our skin.' Now it all makes sense to me. Corruption is at the root of the lack of treatment! That is unethical and immoral.
I continue to take my doxy for another week. I've had symptoms of fatigue, lethargy, extreme neck pain, headaches and low grade fever during first 10 days. I seem to be getting better and I pray to God that the 4 week doxy treatment plan will cure me.
I am thankful for the Lyme Doctors brave enough to take on the corrupt medical system. It is extremely UNFAIR for a disease that I may potentially have to not be covered by insurance if it decides to become chronic. Thank you for the film 'under our skin.'
I can now sympathize with all who have this dreaded disease. IT IS REAL.
Never seen a bteetr post!
May God have mercy on their
I wonder how many more will
So what do we do about it?
I have had Lyme for over 18
This places Atty General
I've had a long-standing joke
One day one of these IDSA's
Persecution is happening to
During the review panel
During the review panel
Ugh my new computer is not
This absolutely makes me
On Aug 5, 1998 I came down
[...] panel keeps Lyme
What do I click to "throw
Take an ethically-challenged