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» LymeNet Flash » Questions and Discussion » Medical Questions » help on WB results

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Author Topic: help on WB results
bc40ton
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Results of Lyme AB IGG test shows reactive A on bands 41 and 93. No reactive bands on IGM test side. I have a pic of rash I will try to post. Feeling some fatigue, and muscle soreness. Got bitten by ticks 3 times on wood clearing job in early June and rash showed mid July. Can anyone point me in the right direction? I have been reading a lot.

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Posts: 17 | From Cape May, NJ | Registered: Nov 2011  |  IP: Logged | Report this post to a Moderator
Lymetoo
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GET to a DOCTOR ASAP!!!

Band 93 is the DNA of the Bb spirochete.

www.TreatTheBite.com

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

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bc40ton
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That's where my problem lies. On the description of the test results on the first line where it says which test was performed, Lyme AB (IGG) Western Blot the results state negative even though 2 bands of the 10 tested show reactive: bands 41kd and 93kd. None of the 3 IGM bands tested reactive. So the dr assistant said don't worry, your negative for Lyme. Should I take the results to another Dr? Thanks for your time.
Posts: 17 | From Cape May, NJ | Registered: Nov 2011  |  IP: Logged | Report this post to a Moderator
LBS
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Absolutely! You need to see an LLMD for proper treatment. I agree with Lymetoo.

--------------------
Tick Bite: March 2011
ABX Treatment: August 2011
Diagnosed: September 2011

Posts: 137 | From God's Got This! | Registered: Aug 2011  |  IP: Logged | Report this post to a Moderator
bc40ton
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After expressing my concerns, the doctor supposedly reread my results. Said IGM was for recent infections, and IGG was for past infections. IGM showed no reactive bands so they conclude I do not have Lyme. I will post my request for a LLMD in appropriate area unless I am told otherwise. Thanks for your help.
Posts: 17 | From Cape May, NJ | Registered: Nov 2011  |  IP: Logged | Report this post to a Moderator
susank
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Perhaps you should try testing with the new direct Lyme test through Advanced Lab. Services?

--------------------
Pos.Bb culture 2012
Labcorp - no bands ever
Igenex - Neg. 4 times
With overall bands:
IGM 18,28,41,66 IND: 23-25,34,39
IGG 41,58 IND: 39
Bart H IGG 40

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Lymetoo
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quote:
Originally posted by bc40ton:
Said IGM was for recent infections, and IGG was for past infections. IGM showed no reactive bands so they conclude I do not have Lyme.

-
This is not true with Lyme. Please print out and read this:

Western Blot Explanation
http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/42077

From the above link:

"With most infections, your immune system first forms IgM antibodies, then in about 2 to 4 weeks, you see IgG antibodies. In some infections, IgG antibodies may be detectable for years.

Because Borrelia burgdorferi is a chronic persistent infection that may last for decades, you would think patients with chronic symptoms would have positive IgG Western blots.

But actually, more IgM blots are positive in chronic borreliosis than IgG. Every time Borrelia burgdorferi reproduces itself, it may stimulate the immune system to form new IgM antibodies.

Some patients have both IgG and IgM blots positive. But if either the IgG or IgM blot is positive, overall it is a positive result.

Response to antibiotics is the same if either is positive, or both. Some antibodies against the borrelia are given more significance if they are IgG versus IgM, or vice versa.
" -- Dr C of MO

also... "Band 93: The DNA or genetic material of Borrelia burgdorferi."

--------------


Lyme and Coinfections Symptom List
http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/81386

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

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bc40ton
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Please bear with me. I have not gone to the doctor yet because of financial problems. My tax return is due in so I can afford to go soon. Lymetoo sent me a list of LLMDs and I have one picked out. My question is, will he be able to use my original test results as stated in my earlier post a couple months back, or will he order another test? And will the test still show the same results?
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dbpei
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The LLMD will use the past test results and listen to your history. It is great that you have that photo. Be sure and show to your LLMD. Good luck to you. I hope you get to the Lyme doc soon.
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bc40ton
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I went to the infectious disease LL Doc today and showed him the pic above and the lab results. He seemed a little confused and said the pic indeed looked like the bullseye easy of Lyme, but the test said negative. So all he could say was to take another test from a diff lab. So off to Labcorp I go, hopefully Monday. Will post results when they come in. Anyone know the price of WB tests from labcorp, without insurance. Thanks everyone.
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dbpei
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I am going to send you a private message.
Posts: 2386 | From New England | Registered: Aug 2011  |  IP: Logged | Report this post to a Moderator
Lymetoo
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YIKES. I need to PM you also. Not sure who you chose from the list.

[shake]

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

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aperture
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Please do not waste your money on Labcorp WB with no insurance. You need an Igenex WB that reports all bands. Save your money and get an appt with an LLMD. Any LL Dr who goes solely on lab results is not Lyme-literate. Lyme is a clinical diagnosis.

--------------------
aperture

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Lymetoo
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quote:
Originally posted by aperture:
Please do not waste your money on Labcorp WB with no insurance. You need an Igenex WB that reports all bands. Save your money and get an appt with an LLMD. Any LL Dr who goes solely on lab results is not Lyme-literate. Lyme is a clinical diagnosis.

-
Amen. Plus you showed him a pic of the rash??? That alone means Lyme.

A LabCorp WB MIGHT come back positive. MIGHT.

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

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bc40ton
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I appreciate everyone's concern and insight. I have the weekend to read up and listen to your suggestions. The doc was surprised to see the neg results of the tests and asked if I had taken antibiotics for any other illness which I said no. It's been since early June now. But I will try to keep going forward. Thanks all.
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Lymetoo
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A bullseye rash IS LYME. He should know that.

You have band 93:

83: This is the DNA or genetic material of Borrelia burgdorferi. It is the same thing as the 93, based upon the medical literature. But laboratories vary in assigning significance to the 83 versus the 93.

93: The DNA or genetic material of Borrelia burgdorferi.

This is from the following link:

Western Blot Explanation
http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/42077

Please take the time to read it. And don't give up. You have Lyme.

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

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bc40ton
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I was curious and looked up the lab (advanced lab services) that susank mentioned in an above post about a new Lyme test. In it they ask the question below:

� Have symptoms and/or signs of active disease at the time of blood draw.

This bothers me as I do not know if I have symptoms of active disease. What if I called the doc I went to last Friday and ask if he would start treatment based on what he saw and the questions he asked, instead of another test? What would be or should be the start of treatment? Is there a standard treatment all the docs follow? Thanks again!

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Lymetoo
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True.. you don't need another test, just a doctor who is wise enough to treat when Lyme is staring him in the face.

You don't know if you have symptoms or not?? Maybe he is reluctant to treat in the absence of symptoms?

Read here ... look for Lyme and Coinfections Symptoms...

http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/88555?

There is no standard of care, but patients just starting out are usually give 200mg of doxycycline twice a day.

You also need to be tested for coinfections. Most patients have them.

Yes, call him and ask for treatment. See what he says.

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

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bc40ton
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I did write down and tell him my symptoms, its just I am sorta getting used to them. I am going to call him though, and ask for treatment without another test. See what they say. I will keep everyone updated. Thank you all for your help.
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Lymetoo
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Good!! We'll be here!

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

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bc40ton
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Ok, went back to docs and chatted some, dropping my script for doxy off at pharmacy. Thanks to all helping me. Will post update unless all goes well. Thanks!
Posts: 17 | From Cape May, NJ | Registered: Nov 2011  |  IP: Logged | Report this post to a Moderator
Lymetoo
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YEA! Be sure to get some really good probiotics to protect your gut and to go easy on eating sugar and starches.

Probiotics:

Ultimate Flora
Theralac www.theralac.com
VSL#3
Healthy Natren
etc

Also make sure you take the doxy in the MIDDLE of a meal and do not lie down for AT LEAST 30 min after taking it.

Read here so you will be informed about your care:

http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/88555?

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

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bc40ton
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You got it. Again I appreciate everyone's help and patience.
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jackie81
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What are your symptoms and how soon after the bite did they start?
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