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"This pattern of drug usage may be seen in the very sick, where qualified infectious-disease physicians are desperately trying to save someone with multiple infections," he tells New Times.
"Even then, this approach is a 'Hail Mary.' To use seven antimicrobial agents to treat someone [allegedly] with Lyme disease can't be justified in any valid scientific literature . . . I cringe in horror when these [medicines] are misused without specific, well-recognized intent and planning. I was not surprised to learn that the woman became very ill during the course of this treatment."
A physician's assistant at Gilbert Mercy wrote in Alyssa's chart that "Dr. Wolff consulted with Dr. Rosdahl, who [it] turns out is actually a nurse practitioner, and Dr. Wolff was informed that this patient has Lyme disease and was actually sent here for IV hydration."
The hospital diagnosis was muscle pain, generalized fatigue, elevated-liver-function tests (because of all the drugs she was on) and "history of Lyme disease" — the latter even though Alyssa never had tested positive for it.
Alyssa was discharged from the hospital after several hours.
The next day, she and her parents met with Rosdahl and Love at the newly opened Remnant Health Center.
"The first thing Dana says to me is, 'You almost cost me my license!'" Alyssa recalls. "She was talking about me getting on the [Vancomycin] without doing the stool test first, and the ER doctor finding out about it. It definitely wasn't, 'Are you feeling any better?'"
Rosdahl says Alyssa's failure to follow her instructions before filling the Vancomycin prescription spelled the end between them.
"I would not provide any more care to Alyssa," Rosdahl says. "She did put my medical license at risk by not doing the testing as she promised. In the end, she wasn't willing to get well. When people don't take responsibility for their health, and it backfires on them, it becomes the blame game."
(Midwestern University bioethicist Greg Loeben says of the Vancomycin scenario, "It's just not responsible practice to give out a script for a dangerous drug contingent on the patient taking a test of some kind. You can't give people dangerous meds and then figure out if it's appropriate or not. It exposes the patient to significant harm.")
What actually finished things for Alyssa was a "special consent" form Rosdahl and Love demanded that she sign or face "termination" as a patient at the clinic.
Written on Remnant's letterhead, it called for Alyssa to "consent to ending my relationship with my boyfriend 'David,' as stipulated by Dr. Dana Rosdahl and Janet Love. I acknowledge it is for the greatest good of my well-being. I am aware he is a negative presence in my life and is compromising the treatment protocol."
If Alyssa violated the "contract" and communicated with David in person, by phone, or through e-mail, it would "lead to the dismissal of all of my care at Remnant Health Center."
Alyssa declined to sign the form and says she told her parents afterward, "Dana is insane, and I never want to see her again."
And she didn't.
Rosdahl's take is, "Alyssa would tell me about the relationship, and that the boyfriend didn't care if she got well. But when I confronted her on it, it didn't go well."
Dr. Loeben says the proposed boyfriend-dumping contract "was obviously used as a threat to get what they wanted — total obedience — and was totally inappropriate and manipulative."
Alyssa Goodale was weaned off the antibiotics and narcotics as time passed, and she says she started to feel a little better.
Her parents are not wealthy, and her health insurance apparently won't cover a visit to an infectious-disease specialist.
"But I've been tested for everything by this point," she says, "and no one finds anything."
She says a Mesa naturopathic physician did diagnose her at the end of last year with Epstein-Barr, a commonly diagnosed fatigue illness.
"My faith and willingness to believe a diagnosis has been demolished," she says. "I simply doubt what I hear now, and I don't really trust anyone with my body anymore."
Alyssa says she still gets sick but that the only meds she is taking are for her asthma, allergies, and continuing menstrual problems.
"But things are very, very, very slowly coming back to how it used to be a couple of years ago," she says, "which makes me happy."
Alyssa says she is getting straight As this semester at Chandler-Gilbert Community College.
One last note: Alyssa says she is still dating David, the boyfriend that Rosdahl and Love wanted her to dump.