A Teaching Hospital
Johns Hopkins is also a teaching hospital and consultations, assessments, and treatments may be attended by Residents, Fellows, and Physicians-in-training. The majority of patients will have a thorough assessment involving blood and urine analysis, along with additional X-Rays and other diagnostic procedures so patients should expect to be at the clinic for two hours or more. Patients may be referred back to their physician following assessment at Johns Hopkins, or they may be referred to an outpatient clinic for treatment after discussion of their case. Some patients may be asked to return to the Arthritis Center for further evaluation or treatment. The medical record produced by Johns Hopkins staff can take days or even two weeks to prepare and will be provided to the patients’ primary care physician when ready.
Can Johns Hopkins Help in Chronic Lyme Cases?
Information published by Johns Hopkins does make mention of chronic Lyme disease, although they equate this with post-Lyme disease syndrome (PLDS). The symptoms of this condition, according to Johns Hopkins, are persistent musculoskeletal and peripheral nerve pain, memory impairment, and fatigue. The syndrome would only likely be diagnosed in patients who had already undergone treatment for Lyme disease and were now seronegative for Lyme but for whom treatment failed to prevent the infection causing permanent tissue damage or disruption to bodily systems. Johns Hopkins admit that Lyme disease is difficult to diagnose, may imitate other diseases, and that the Lyme disease rash does not occur in all cases (they give the figure of around 20% where no rash is observed). Patients who have multisystem issues and symptoms may find this hospital very helpful in viewing their condition as a whole rather than piecemeal and could find the answers that have been eluding them with other specialised physicians at different centers. However, whilst recognizing the difficulties involved in diagnosing Lyme disease, Johns Hopkins, similarly to the Mayo Clinic, does not appear a popular choice with patients experiencing ongoing suffering with the condition.