My dear....every Duck on the East Coast will say they are an expert on Lyme.
ID-iots are in the same class as Rhumatologist's.....they quack loader than heck.
Please....only see LLMD's that belong ewihter ti ILADS or are referred to you by a Lyment member.
It will save you a LOT of heart ache.
Trout 
PS......your symptoms sound like a bunch of Lymies I know...my muscles twitched EVERYWHERE.....duh.
Sorry for the strong language, but don't these "doctors" have any inclination to stay up on their "specialty"?
Recently I had a follow up with my Neurologist. Hadn't seen him in two years--since before my Lyme diagnosis.
He said Lyme doesn't happen in California and that despite three docs confirming my Lyme, I should see an ID.
Give me a break! If he'd check with the State Health Dept., he would see that infected ticks have been found in an overwhelming majority of California's counties.
Hang in there Stephanie.
This so called Lyme specialist is a quacking DUCK!
Muscle twitches are symptomatic of Lyme and there are no rules about how long the pain lasts.
You need to find a REAL LLMD!
SC
[This message has been edited by SC (edited 24 July 2004).]
I had muscle twitching (which has gone away since Lyme treatment), I still have sharp migratory joint pain that sometimes lasts for seconds, only to move to another joint and "stab" me there.
The pain comes and goes and moves around. But has gotten significantly better with treatment.
Your ID doctor sounds alot like the first one I saw... Please find a good LLMD, it will the best thing you ever do for yourself.
In my case, it could have been Lyme, Babesiosis, or Bartonella.
Since treatment for all three, it hasn't been a problem.
I have no idea who the ID dr was that you consulted.
Just want to make a general statement.
If a dr is said to "specialize in Lyme disease" -
don't assume it's definitely true.
There are very few "really, truly" Lyme Literate Med Drs (LLMDs) around.
Go to Seeking a Dr here on LymeNet.
Ask about LLMDs & put your location in the title.
Names are not given on LymeNet unless drs have given permission, but info will be e-mailed to you.
If your dr's name is recommended, especially by more than one person, then that's good.
If no one recommends him/her, then strongly consider finding a LLMD.
On the left, click 'Support Groups'.
Contact groups in your state & surrounding states. They have lots of valuable info they will share.
Go to www.ilads.org/burrascano_1102.htm
"Diag Hints & Treatment Guidelines..."
32 pages of excellent info by one of the very best LLMDs!!
Print a copy to keep for easy reference.
page 9: Symptoms Checklist
#21. Twitching of the face or other muscles
(This comes from good authority.)
The secret to successful diagnosis & treatment is being evaluated by a LLMD.
If the problem is not a result of Tick-Borne Diseases (TBDs), they'll tell you.
I had an EMG test (electrical testing of the muscles) years ago. I thought finally, after 5 years someone cares enough to document this neck spasm/weakness & facial muscle weakness causing awful pain.
Nope. They said the very abnormal numbers on the EMG test were a result of an "artifact" of the machine. (i.e. something quirky)
Why? Because obviously the extreme abnormal test results/numbers couldn't be right they said. Yes, they said there was definitely something wrong, but they couldn't tell what it was.
If the test results were just an "artifact", then the validity of the entire test was in question. A true scientist would insist on redoing the test on a different machine.
That's when they pretty much just scooted me out the door rather quickly. "Gee, we've never seen this before!"
Actually, there were 3 residents from the medical school in Dallas & each one tried to work the machine. When they saw the machine was giving them strange results, they told each other-----you're doing something wrong here & then the other one would grab the controls.
So in essence, I got shocked three times, once by each resident & no results. Gee, that was shocking!
Just trying to reassure you ------you're not alone out there in "artifact" world. LOL
Take Care,
Jan
I'd also like to mention that all these drugs we take (myself included) have many known and unknown interactions with the body and with other medications and supplements. Everything isn't always Lyme.
Stephanie, I'm not saying your twitching and migratory pain aren't Lyme-related because they probably are.
STOP!!! 
Is your Neuro a Lyme Doctor?
If he is..then he would know the efficacy rates of spinal tap tests for Lyme only fall into the 7% effective rate for people that are known to have Lyme.
That's right! 
It only catches 7 out of 100 cases.
Not very reliable if you ask me.
The side effects and possible.....problems can cause terrible headeachs etc...why would a knowledgeable doctor put anyone thru that test.
STOP THE PRESSES!!!!!!!!!!!!!
No SPINAL>
'nuf said.
Trout
I have muscle twitches and migratory joint pain as well. Your Dr. is an idiot..........those are definately Lyme symptoms. Please listen to folks on this board and go to an LLMD right away.....these other docs are only prolonging your pain.
Peace,
robi
There's a very recent post, just read it the morning, that mentions ticks and many responses relating the same.
Oh and migratory pain is a VERY COMMON SYMPTOM of Lyme Disease. Those docs who saw you know nothing about LD if they told you that. Believe me.
Count me in on a person who has a CDC positive Western Blot and a NEGATIVE SPINAL.
Skip the pain and suffering that can and many times does occur...muchless the money you'll save, and DO NOT get a spinal.
What you do need is to read more and arm yourself against the complicated disease. Don't just read your own posts, but read as many as you can. Start with the On-Line Library on the menu in the upper left or this page. It will be only then that you will be able to fight this disease with all you got.
Right now you have nothing, sorry. But, you need to see a real LLMD and one who come with recommendations from someone who have great experience with him. Not just a duck who says he knows about LD...that is NOT an LLMD and the vast majority, I'd say somewhere between 95%+ of the ID docs do not know anything about this disease other than what they were told in a sentence or two in Med School.
They were told that LD is cured with a simple course of about 2 weeks of antibiotics. If that were true, then you wouldn't be here now would you. NO, of course not.
It's your life and only you can take charge of it and find a real LLMD to treat you.
Rosemary
Didn't mean to sound too harsh, but, action on your part in necessary if you plan to ever get well.
I have to take issue (yet again) with those on this forum who generalize about ALL Infectious Disease Drs. being ducks. It is statements like that which will disourage many who need help and can find it in a Lyme Literate ID MD who takes insurance, has a knowledgeable staff that can check your blood religiously and, will see you when you need to be seen.
I was taken aback by the local so-called LLMDs in the Northeast who could not see me for months and wanted cash upfront. I was especially horrified to learn that some have absolutely no background in any infectious disease treatment. There are some who are very good and treat aggressively. Where did they get their knowledge from??? ILADS & like organizations & seeing patients' progress - the same places my ID gets it from.
So, please stop discouraging folks by making generalizations about ALL Infectious Disease MDs. I would still be lying in bed, waiting for an appointment and insurance approval with the a local LLMD, if it were not for my ID MD. Some are very Lyme Literate.
Sorry for the tyrade but these generalizations get me P.O.ed.
Bc
I did make a generalization about ID's which is probably not fair. In my experience with ID docs and many people on this forums experience with them, the vast majority of ID docs are not properly equiped to treat Lyme. If you find one you like and he is treating you properly and you are improving great stick with it. But Stephanie definitely needs to switch doctors, any doctor who makes those claims about Lyme doesn't know squat about it.
NO, not ALL ID doctors are ducks. But, like duke said, most are. And, we are speaking from experience of reading over and over and over again and again and again of horror stories of undiagnosed LD patients having beeen given the ole heve-ho from these ID doctors.
Just go over to General and do a search for the extra long post on something like "How may doctors have you seen?" (before getting a dx of LD). You'll see post after post where the ID doctors missed the LD dx and many who had positive Elizas and WBs and they STILL would not believe that it was LD.
If you have a doctor, ID or not, that treats you they way you want and are comfortable with him/her, then by all means continue to see him/her.
If you cannot find that post, just post back here and I'll try and find it for you.
We were just speaking from experience, much experience of reading thousands of posts over several years to have come to that conclusion. I, too, was seen by an ID doc who couldn't believe that I had LD, even with a +WB staring him in the face.
Rosemary
Sorry, Stephanie, for getting off the title subject.
Could you rule out the Flu by saying someone didnt have a 101.375694873degrees??
Silly.
[This message has been edited by lymie tony z (edited 25 July 2004).]
WELCOME To LYMENET
Heres more goody's A typical response to newcomers.
Hi and WELCOME get a LLMD or at least Dr that is willing to learn about lyme . Borrelia Burgdorferi is a clinical diagnosis, based on symptoms and on your response to treatment. Good Luck bumpy road ahead
Post for a LLMD in Seeking a Doctor. Ps remember Iam not a Dr, just a fellow sufferer.
How to Search http://flash.lymenet.org/ubb/Forum5/HTML/000464.html Danq
LymeNet Links for new members http://flash.lymenet.org/ubb/Forum1/HTML/009342.html http://www.lymediseaseaudio.com/
Dr. Joseph J. Burrascano's Guidelines http://www.ilads.org/burrascano_1102.htm http://www.cdc.gov/ncidod/dvbid/lyme/diagnosis.htm http://www.lymeinfo.net/LDSymptoms.pdf
Rose's 15 Facts for Newcomers http://flash.lymenet.org/ubb/Forum1/HTML/011977.html
Making the most of your LLMD visit. http://flash.lymenet.org/ubb/Forum1/HTML/020605.html
Camp A and Camp B http://flash.lymenet.org/ubb/Forum1/HTML/021395.html
2ndVersion Camp A Camp B http://flash.lymenet.org/ubb/Forum1/HTML/021395.html http://flash.lymenet.org/ubb/Forum1/HTML/024963.html
Something to share with friends and family members http://flash.lymenet.org/ubb/Forum3/HTML/008886.html http://flash.lymenet.org/ubb/Forum1/HTML/022767.html
Western Blot Info http://www.geocities.com/HotSprings/Oasis/6455/western-blot.txt http://flash.lymenet.org/ubb/Forum1/HTML/022767.html http://www.igenex.com/lymeset2.htm http://www.sonic.net/~melissk/wb.html
Drug interactions etc. http://www.drugdigest.org/DD/Home http://www.amwa-doc.org/publications/wchb/FILE039.html http://www.tiscali.co.uk/reference/encyclopaedia/familyhealth/dict/pages/h/22.html
Newbie's Lingo http://flash.lymenet.org/ubb/Forum1/HTML/002828.html
Rashes http://www.lyme.org/gallery/rashes.html
Labs http://www.mdlab.com/ http://www.igenex.com/
Co-infections Thanx M http://flash.lymenet.org/ubb/Forum1/HTML/021366.html
Herxing http://flash.lymenet.org/ubb/Forum1/HTML/000638.html http://flash.lymenet.org/ubb/Forum1/HTML/014359.html http://www.jemsekclinic.com/lyme4.php#sect11
Check Diet Link http://atkins.com/
Sexually Transmitted ??? http://flash.lymenet.org/ubb/Forum1/HTML/017501.html http://flash.lymenet.org/ubb/Forum1/HTML/023077.html http://www.ktvu.com/video/3547022/detail.html
Good Site http://www.canlyme.com/
FDA http://www.fda.gov/medbull/summer99/Lyme.html
CDC http://www.cdc.gov/ncidod/dvbid/lyme/diagnosis.htm
Legal http://www.josephromanolaw.com/english/book.html
No you don't always see a bite and if there's no bullseye the only way your going to be able to tell is (symptoms) and (((Maybe))) WB or lyme dot blot 3 day urine banged with abx's to free your antigens up for the test.
See this ( . )thats the size of the larva stage tick...
Next nymph size... ( * )
Next is adult ( o ) to ( 0 )
Pretty small????? HUH
Marnies......... http://flash.lymenet.org/ubb/Forum1/HTML/025469.html http://flash.lymenet.org/ubb/Forum1/HTML/025464.html
Help with meds. http://www.freemedicineprogram.com/
Just in case I never gave this too you 
[This message has been edited by treepatrol (edited 26 July 2004).]