Treatment Regulations (Choosing the treatment)

The BCA-clinic wishes to help all patients suffering from Lyme disease and co-infections, so it is important to distinguish which form of treatment each patient can receive, according to legal regulations.

 

Patients that we are responsible for (Patients who receive treatment in the BCA-clinic)

As long as a patient has the treatment in the Augsburg day clinic (as a rule min. 3 weeks until max. 8 weeks) and received the required medication from the BCA-clinic and the Medical Practice Dr. Nicolaus, all controlled examinations during the antibiotic treatment must also take place in the clinic. Examinations such as blood tests (blood count, livervalues, creatinin and electrolytes), ECG and ultrasound of the stomach organs are necessary to reduce the potential complications of a long-term treatment and to isolate any early side effects and problems. These examinations are very regular in the beginning and then change to monthly slots later on, according to the requirements of the therapy (see therapy protocol).  Patients are prescribed the required medication, which can be collected at home or in the German international pharmacy.

 

Patients that the GP is responsible for (patients who carry out the treatment at home with their GP)

These patients receive a treatment protocol and carry out the therapy independently with their GP. For this, the GP is required to prescribe the recommended medication, to regularly carry out the general examinations (lab-checks and ECG) and to accompany the patient.  The gerneral examinations are necessary for the safety of the patient and the therapy. The GP is fully responsible for the course of the treatment.  The BCA-clinic offers a consulting service to treating physicians.

The specific laboratory tests (EliSpot, CD 57- NK- Zellen) should be completed in the BCA-clinic to provide a better comparability.

 

Patients that choose the naturopathic option

Patients who do not wish to or are unable to carry out an antibiotic treatment (i.e. because of intolerances, allergy or bad blood results) can receive alternative naturopathic treatment schemes from us. Our specialised doctors, pharmacists and cooperation partners have developed these schemes.

Specific laboratory tests (EliSpot, CD 57 NK cells) are only required every 4-6 months.  If needed, patients can obtain the naturopathic medication from the Medical Practice Dr. Nicolaus.

This alternative can also be used if there is no support from a GP or specialist at home. In this case, neither the BCA-clinic nor the Privatpraxis Dr. Nicolaus can prescribe antibiotics as the necessary control examinations cannot be carried out and the national medical law prohibits uncontrolled antibiotic treatments.

However, we can help these patients with naturopathic protocols.  There are fewer consultations, the risks are very low and we have seen also a very encouraging recovery rate in patients who choose this option.

Even the naturopathic treatment can be started in the BCA-clinic (Compact Treatment Program) with an special scheme in Augsburg.

 

Patients who begin the antibiotic therapy in the BCA-clinic and continue with a GP at home

It is possible to start the antibiotic therapy in the BCA-clinic and continue with the patient’s GP at home. The most patients choose these option. For this, the GP is required to prescribe the recommended medication, to regularly carry out the general examinations (lab-checks and ECG) and to accompany the patient.  The GP is totally responsible for the course of the treatment. The BCA-clinic offers a consulting service for treating physicians.

The BCA-clinic can prescribe antibiotics for the course of the treatment, provided that we receive regular the results of the general examinations (lab-checks and ECG).

The specific laboratory tests (EliSpot, CD 57- NK- Zellen) should be completed in the BCA-clinic to provide a better comparability.