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» LymeNet Flash » Questions and Discussion » Medical Questions » Western Blot Test results questions

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Author Topic: Western Blot Test results questions
drob1956
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Below are a few numbers from my test results. I've never had a rash or any OBVIOUS symptoms. If you cam relate to these numbers and what they mean or don't mean, please post.

Lyme IgG/IgM 1.5H
EIA Positive

p93 present
p58 present
p41 present
p39 present
p18 present
Lyme IgG WB Interp. Positive

Lyme Ab IgM by WB:
p41 Absent
p39 Absent
p23 Absent
Lyme IgM WB Interp Negative

[ 18. December 2006, 09:07 PM: Message edited by: drob1956 ]

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Thanks

Dave

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SForsgren
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Seems pretty clear that the test is positive. Next steps would be to run co-infection panels and do a CD57 in my opinion.

--------------------
Be well,
Scott

Posts: 4617 | From San Jose, CA | Registered: Jul 2005  |  IP: Logged | Report this post to a Moderator
drob1956
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Let me ask the question differently. What do these results tell me? I don't understand what the different bands represent. My Dr Explained that I do not show signs of a recent infection. He said that I was infected sometime in the past. I'm already taking antiotics for the next 4 weeks.

Are there any follow up tests other than another Blot test? If so, what are they, and can you explain what the tests look for?

Thanks!

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Thanks

Dave

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NP40
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Here ya' go Dave. Click the link, it'll explain a lot.
http://flash.lymenet.org/ubb/Forum1/HTML/022767.html

Posts: 1632 | From Northern Wisconsin | Registered: Jan 2005  |  IP: Logged | Report this post to a Moderator
SForsgren
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You cannot tell recent vs. old infection from a Western Blot for Lyme. If your doctor is suggesting that, he is probably not that familiar with Lyme disease.

If you have symptoms, I would pursue working with a doctor that treats Lyme. 4 weeks of ABX likely won't touch a longstanding infection.

--------------------
Be well,
Scott

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timaca
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why did you get a test in the first place if you had no rash or obvious symptoms?

Timaca

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david1097
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Your Dr is using the classical model for IgG and IgM. IgM is an indicator of recent infection. IgG kicks in weeks to months later and for many diseases stays with you for life. This is how vacines work.

With Lyme it is a bit different story due to the complex immune interaction of the bacteria. IgM can go positive after intial infection and the IgG can fluctuate. In either case you are CDC positive but lacking any symptoms you would be considered as a possible case (Blood test, no onvert symtoms alone is rated 4 out 10) >7 is a definate diagnosis.

Also note that the body CAN NOT CLEAR THE INFECTION ON ITS OWN. This has been shown many times clinically and is fact with animal tests.

The bottom line is that 4 weeks might be enough then again it might not be. If the Dr insists you stop after 4 weeks, make sure that he agrees that if the symtoms start to show up again that he continue treatment.

For the 4 weeks he may be refereing to IDSA which says 4 weeks is all you need. If you read what they say carefully, what they say is the MOST OF THE TIME 4 weeks is enough. A statement that could very well be true at least for some ... at least for the time being.

The damn disease has a bad habit of re-appearing after an apparent cure so you have to monitor for re-occurance. It is important to note that the IDSA are guidelines NOT INSTRUCTIONS and that once you have relapsed more than once YOU ARE OFF THEIR CHARTS as you fall into their RARE category, in essence your Dr is on his own if that occurs. Because of this make sure that EVERYTHING is properly documented BY YOUR Dr., recovery, relapse, symptoms description etc. It is very important to not fall into the "subjective" syptoms trap set by the IDSA.

If you relapse and you don;t exhibit "subjective" symtoms then you are a true relapse and more treatment is needed but more importantly re-retreatment no matter how many times will not be subject to questioning, or at least should not be.

Why did you get tested if there are no symptoms?

Also

Take a look at the Igenex website www.igenex.com, there a paper is posted that describes the odd Ig response.

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Lymetoo
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Here's an updated version of the above link. Dr C has an update, and others have contributed important information below that.

read it all!! [Smile]

Western Blot explanation:
http://tinyurl.com/ffn3x

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--Lymetutu--
Opinions, not medical advice!

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Lymetoo
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quote:
Originally posted by drob1956:
I've never had a rash or any OBVIOUS symptoms.

What are the "non-obvious" symptoms?

Lyme Disease Symptoms List
1. Unexplained fevers, sweats, chills, or flushing
2. Unexplained weight change--loss or gain
3. Fatigue, tiredness, poor stamina
4. Unexplained hair loss
5. Swollen glands: list areas____
6. Sore throat
7. Testicular pain/pelvic pain
8. Unexplained menstrual irregularity
9. Unexplained milk production: breast pain
10.Irritable bladder or bladder dysfunction
11.Sexual dysfunction or loss of libido
12.Upset stomach
13.Change in bowel function-constipation, diarrhea
14.Chest pain or rib soreness
15.Shortness of breath, cough
16.Heart palpitations, pulse skips, heart block
17.Any history of a heart murmur or valve prolapse?
18.Joint pain or swelling: list joints_____________
19.Stiffness of the joints, neck, or back
20.Muscle pain or cramps
21.Twitching of the face or other muscles
22.Headache
23.Neck creeks and cracks, neck stiffness, neck pain
24.Tingling, numbness, burning or stabbing sensations, shooting pains
25.Facial paralysis (Bell's Palsy)
26.Eyes/Vision: double, blurry, increased floaters, light sensitivity
27.Ears/Hearing: buzzing, ringing, ear pain, sound sensitivity
28.lncreased motion sickness, vertigo, poor balance
29.Lightheadedness, wooziness
30.Tremor
31.Confusion, difficulty in thinking
32.Diffculty with concentration, reading
33.Forgetfuiness, poor short term memory
34.Disorientation: getting lost, going to wrong places
35.Difficulty with speech or writing
36.Mood swings, irritability, depression
37.Disturbed sleep-too much, too little, early awakening
38.Exaggerated symptoms or worse hangover from alcohol

--------------------
--Lymetutu--
Opinions, not medical advice!

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drob1956
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Thanks for the replies!

I asked for a test because a recent tick bite had me worried. I pulled it off, but had no rash. I am in the woods from September until January bowhunting and I am exposed to ticks. I also cut myself a few times over the years while field dressing deer. Since I needed an updated tetanus shot, I asked the Doc if I should also get a Lymes test. He said yes due to my high exposure over the years. Looking at the symptom list with hind-sight, I think I've seen the following:

Lyme Disease Symptoms List
1. Unexplained sweats,
2. Fatigue, tiredness, poor stamina
4. Change in bowel function-constipation,
14. Any history of a heart murmur or valve prolapse?
18.Joint pain or swelling: list joints_____________
19.Stiffness of the joints, neck, or back
20.Muscle pain or cramps
21.Twitching of the face or other muscles
23.Neck creeks and cracks, neck stiffness, neck pain
27.Ears/Hearing: buzzing, ringing,

However, since this is such a broad list, I can't say when each of these symptoms appeared. The twitching in my jaw muscle is more like a muscle spasm that interupts speech briefly--that's a new one in the last year.

Thanks

Dave

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Thanks

Dave

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drob1956
Junior Member
Member # 10692

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has anyone experienced spasms or jerks in their mouth while speaking? If so , do you attribute it to Lymes?

--------------------
Thanks

Dave

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drob1956
Junior Member
Member # 10692

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I'm getting down to a little more than a week left on the antibiotics. Besides these 3: babesia, erlichiosis, and bartonella, what else should I ask to be on the blood test request when I go back for the follow up? I just want to make sure I have everything done that's possible on the follow up blodd work to see if there are any issues that did not show up , or might not show up in the next WB test.

Thanks

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Thanks

Dave

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Michelle M
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Member # 7200

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Hi Drob. You've gotten great advice.

Call up IGeneX and ask them what co-infection panel to consider, dependent on your geographical area. They'll steer you to the right one, and package it up and send it to your doorstep. Check out their website by the same name.

One other thing that worries me with a non-lyme literate doc. Their tendency is to give too little antibiotic for not long enough. You need a minimum of 400 mg of Doxycycline a day to be bacteriocidal -- lesser doses are bacteriostatic (i.e., they inhibit the reproduction of the spirochetes but do not kill them).

You'd think doctors would know this, but DO they? Nope.

Another good reason to find an LLMD.

The twitching you speak of could be muscular or it could mean cranial nerve involvement - i.e., disseminated lyme. You REALLY do not want that. An LLMD can clinically evaluate you and knows what to be on the lookout for in ways a regular doc has no clue about.

Good luck. Don't be a stranger!

Michelle

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