After a couple of days of looking around, it appears this is a well-run board with a wealth of information and caring people.
So much so, I was inspired to register and also motivated to call my Dr. and schedule an appointment for a Lyme Test.
Since it is tomorrow (NO, I'm not a procrastinator, I called yesterday and they had an opening), I am wondering what test to request. I have heard and read (either here or 1 other Lyme BB) that most tests aren't not very reliable.
Thanks in advance for the advice.
Send the bloodwork to Igenex, not your local hospital or lab the doctor's office uses.
Your doctor may resist, but insist on Igenex. I think you can download a form from their site.
Look at the newbies link for information about the Western Blot and which labs to use and why.
How long has it been since you were bit? I think you can test negative if you test too soon.
http://flash.lymenet.org/ubb/Forum1/HTML/029917.html
Good luck.
Lyme tests have many false negatives and occasional false positives (for gum disease and syphilis).
But the major issue with Lyme is a misunderstanding about the testing itself.
The Lyme 'test' is an antibody test only. It will tell you whether or not you are making antibodies. Not if you are infected.
Many Dr.'s/labs will say you are negative by CDC standards if you dont have 5 positive bands. This is inaccurate. Less than 5 bands only means you cannot be included in CDC statistics (the CDC tracks a certain % of patients who make antibodies).
Dr.'s who treat Lyme on a regular basis tend to use specific labs that they can trust. Many labs are poorly run, use old kits, and dont use certified lab techs.
However, over the course of a few weeks, there were a bunch of things happening slowly such as profound fatigue, not related to how much/little sleep, weird aches and pains in feet, 1 knee, 1 or both elbows, and others, equally as weird such as 1 glass of wine creating what feels like a huge hangover the next day.
At first, I attributed to working crazy hours, extra physical work around the house, getting old, etc. until there was a week or 2 of just feeling lousy. Then suddenly, I felt great for several days.
I'll check into what labs my dr. uses.
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Haven't been here in a while. This is quite an active board. I'll have to read the info on these links. Went for blood work nearly 2 weeks ago. Have a dr. appointment later in the week to find out results. They used Quest Labs. It appears they aren't too highly regarded here. But we have to start somewhere. I took advice of this site and got blood drawn early on a Monday morning. I'm guessing the results will be negative. So, then I guess I'll press for an Igenex test. Anyone know how much that costs and is it covered by insurance? Any difficult questions, feel free to pass along. Meanwhile, haven't had any symptoms for the past 2 weeks, except for a bit of fatigue due to a couple of late nights at work and several James Bond movies on AMC
Now, order the IGeneX kit. Get your Doc to sign the authorization. March down to your local lab. Rip out your credit card and prepare to spend about $180 or so. Ask for the IgM and IgG tests. Give the collection kit to the lab and roll up your sleeve! In a week to 10 days they will fax the results to your doc. You may be highly surprised to find them radically different than Quest. They test MORE bands than Quest, plus they use 100% pure Lyme antigen -- they don't water theirs down to save money like cheap labs do. Makes a world of difference. Your insurance will hopefully reimburse you at least partially because your doctor requested it. Please do it. Otherwise you'll never know. Best of luck and keep us posted. Michelle Your insurance will hopefully reimburse you at least partially because your doctor requested it. Ditto! Agreed!! My insurance covered Igenex. ------------------ That and no symptoms. Still, the dr. was receptive to my concerns. Any opinions on that?
However, over the course of a few weeks, there were a bunch of things happening slowly such as profound fatigue, not related to how much/little sleep, weird aches and pains in feet, 1 knee, 1 or both elbows, and others, equally as weird such as 1 glass of wine creating what feels like a huge hangover the next day. The ELISA is no better than Quest labs. And I think Quest runs most ELISA's. Not worth the paper they run the results on. ------------------ They crept up slowly enough that I could explain away by attributing to extra physical activity, working overtime, getting old, and so forth. Then they disappeared over the course of less than 24 hours. Started to feel a lot better on one afternoon while at work. Slept great that night and the next and here we are. Dr. said to contact if symptoms return and document what,when, activities, weather. etc. Strange, isn't it?
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Updated 08/11/05
Posted by BostonLyme2005 on :
Hey,
I also had those symptoms at first. I would use Igenex, I am doing so soon.
DONT WAIT TO GET ON ABX!quote:
Originally posted by Cruisin97:
Thanks for the quick replies and advice. I'm not aware of when (if?) I was bit as I didn't get the rash or flu-like symptoms.
Rob
Posted by bg (Member # 46416) on :
Cruisin, more info for you.....
Here's TREEPATROL's and TINCUP'S combination newbie links.
http://flash.lymenet.org/ubb/Forum1/HTML/029917.html
http://www.lymeinfo.net/lymediseasetreatment.html
*
* LYME SYMPTOMS - http://www.lyme.org/otherdis/ld_symptoms.html
=============================================================
The WESTERN BLOT IGM & IGG blood test nos. 189 and 188, are the only accurate tests for LD. They should only be sent to these 3 USA's Lyme testing labs:
797 San Antonio Road
Palo Alto, CA 94303
1.800.832.3200.
Please see their web site: www.igenex.com for their current prices effective May 1, 2005 and
7-24-05...CALL 1ST ABOUT MEDICARE; just read today someone having troubles w/medicare paying!
see their site; they too require their own form. NO prices are listed; you must call their 800 no.
Dr. must call Bowen for their 13 pages of instructions; patient completes 5 sheets; dr. 1 page.
You pay $250 tax-deductible payment for testing (lyme, babesia, & ehrlichia), and they send you a picture of what shows up in your blood. Dr. gets the results within 24 hours after the blood is received at Bowen. They are also a 501(c)(3) lab and you can take the donation of $250 off of your taxes if you live in the US. They fax the results and then about a week later send the actual pictures to MD.
Lyme should be diagnosed clinically using medical history in addition with the Western Blot blood tests as no currently available test is definitive in ruling-in or ruling-out infection with Ld pathogens, or whether these infections are responsible for the patient's symptoms.
FYI - mine was returned to me after 6 wks. After submitting; dr./blood lab failed to show DRS. DIAGNOSIS CODE NO. on their form! It went to 7 people to be returned to me! Disgusting!
Posted by Cruisin97 (Member # 7773) on :
Thanks for the reply. 
Posted by Michelle M (Member # 7200) on :
Your Quest test will likely be negative. Mine was. Many on here had negative tests by Quest. Not worth the paper they're printed on... (In my opinion, no disrespect to your doc, who probably doesn't know any better.)
Posted by Lymetoo (Member # 743) on :
quote:
Originally posted by Michelle M:
Now, order the IGeneX kit. Get your Doc to sign the authorization. March down to your local lab. Rip out your credit card and prepare to spend about $180 or so. Ask for the IgM and IgG tests. Give the collection kit to the lab and roll up your sleeve! In a week to 10 days they will fax the results to your doc. You may be highly surprised to find them radically different than Quest. They test MORE bands than Quest, plus they use 100% pure Lyme antigen -- they don't water theirs down to save money like cheap labs do. Makes a world of difference.
Do not take anything I say as medical advice. I am not a doctor, but I DID stay at a Holiday Inn Express!
oops!
Lymetutu
Posted by Cruisin97 (Member # 7773) on :
Well, got the results of the blood work from Quest and everything is fine.
Mentioned an ELISA if I want further testing or if an symptoms recur.
Posted by Lymetoo (Member # 743) on :
quote:
Originally posted by Cruisin97:
What about these symptoms?? Gone??
Do not take anything I say as medical advice. I am not a doctor, but I DID stay at a Holiday Inn Express!
oops!
Lymetutu
Posted by Cruisin97 (Member # 7773) on :
Yes, symptoms are gone. It's been 3 weeks.