Frequently Asked Questions.

  • There are many reasons people may choose to consult with The Lyme Disease Expert.

    These include:

    1. Lyme disease in some cases is a complicated diagnosis and many physicians are not up-to-date with the proper diagnoses, testing, and treatments - These individuals may benefit from meeting with the Lyme disease expert.

    2. Many physicians don't have the time to fully discuss the implications of Lyme disease, its consequences and answer all of an individual’s questions. These individuals may benefit from meeting with the Lyme Disease Expert.

    3. Many individuals don't feel better after treatment for Lyme disease. These individuals may benefit from meeting with the Lyme Disease Expert.

    4. Many individuals are misdiagnosed as having Lyme disease when they actually don't have it. These individuals may benefit from meeting with the Lyme Disease Expert.

    5. Some individuals have Lyme disease and were told they don't. These individuals may benefit from meeting with the Lyme Disease Expert.

    6. Unfortunately, there are medical providers who call themselves "Lyme disease experts" and pretend a level of knowledge that they may not have. Individuals who have seen these practitioners have often been misled; they too may benefit from meeting with the Lyme Disease Expert.

    7. Sadly, there are practitioners who take advantage of individuals and charge tens of thousands of dollars for their services and unproven treatments. Individuals who have been victimized by these providers may benefit from meeting with the Lyme Disease Expert.

    8. Lyme disease testing is not straightforward; many providers do not understand the intricacies of what Lyme disease laboratory tests mean - IgG, IgM, western blots, etc; some send individuals for non-FDA-approved Lyme disease tests that may provide questionable or misleading results. Individuals who have been treated by these providers may benefit from meeting with the Lyme Disease Expert.

    9. Finally, there are other tick-borne infections called co-infections that can be transmitted by the same tick that carries Lyme disease. These individuals may benefit from meeting with the Lyme Disease Expert.

  • There is a huge amount of information on the Internet about Lyme disease from many reliable sources and a huge amount of misinformation from unreliable sources. The information available may be very helpful or very misleading depending on its source. The information on the internet is also very generic and has to be interpreted with the individual in mind, considering their symptoms and their test results; the internet does not do that for you. Having evaluated over 2,200 potential Lyme disease cases and other tick-borne infections, the Lyme Disease Expert will personalize his evaluation for you. These individuals may benefit from meeting with the Lyme Disease Expert.

  • Since there is no doctor-patient relationship being established, The Lyme Disease Expert does not accept insurance.

    The Lyme Disease Expert's services are not medical treatment. The Lyme Disease Expert provides objective review services, including advice, interpretation, discussion, explanation, and education. THE LYME DISEASE EXPERT IS NOT AND DOES NOT BECOME YOUR DOCTOR; HE DOES NOT ORDER LAB TESTS FOR YOU; HE DOES NOT PRESCRIBE TREATMENTS FOR YOU. Dr. Luger will discuss his thoughts with you and send you a summary of his review for you to discuss with your primary care provider.

  • An introductory video call is not required - some clients may decide to skip this step and set up a full evaluation – but is available to those who want to learn more before they engage in the process. Dr. Luger will introduce himself, learn about you, your concerns, and expectations for a full visit. If he feels he can be of help to you and you feel comfortable with his approach, he will set up a time for a full evaluation.

  • During this full evaluation, Dr. Luger will:

    • Review your Lyme disease history form.

    • Delve into your history and symptoms.

    • Review your laboratory results.

      • Were they performed through a reputable lab?

      • Were the correct tests performed

      • Do the results correspond to the stage of Lyme disease that you may have?

      • Were they interpreted correctly by the ordering provider?

      • Did they perform both IgM and IgG antibody levels?

      • Did they explain what IgM and IgG antibodies are and what they mean?

      • Did they perform a western blot and explain what the western blot results mean?

    • Review your treatments.

      • What antibiotics were you prescribed?

      • How long were you treated?

      • Did you have a Herxheimer reaction?

      • If you had neurologic symptoms, were you properly evaluated?

      • Did you have an MRI of the brain?

      • Did you have a spinal fluid analysis?

      • Did you have an evaluation by a neuropsychologist?

    • Review any pictures of the Lyme disease tick or Lyme disease rash you may have had.

    • Discuss any symptoms of possible co-infections.

    • Issue you a brief report of his findings and conclusions for you to discuss with your primary care provider.

    • Answer all questions!

  • Yes, I remain available for follow-up discussions with my clients as questions may come up.