Hi Pocono Lyme,Welcome to Lymenet. We're very glad to help you find answers so you can get your life back.
Sorry you've been having such a rough
time with no real answers yet. You have really been through a lot.
You've started a whole new life since getting married so I know you want to get well fast.
You mentioned an infected tooth. My LLMD told me that Lyme Disease can very well infect root canaled teeth.
Generally speaking, Lyme travels to the weakest part of your body & sets up residence.
Lyme disease can do anything it wants and that's why it's called the great imitator.
You may already know from your research that the Lyme diagnosis is based on symptoms.
There is no test that will diagnose Lyme 100% of the time.
If you happened to have had a Bulls eye rash, then that is the diagnostic sign for Lyme Disease-----You have Lyme Disease.
However, a physician has to verify the rash & record this in your medical record.
If you later develop a Bulls eye rash, take a picture of it & keep it forever.
Most folks don't ever have a rash or don't remember one, but you can still have Lyme Disease.
It sounds like you had a positive ELISA test for Lyme, but Lyme Literate Medical Doctors (LLMD) don't rely on that test.
LLMDs will only use testing to back up a clinical diagnosis. Again, the diagnosis is made after a history is taken & a physical examination is performed.
Many LLMDs order Western Blots from IGENEX Labs in California. IGENEX will provide you with the necessary paper work & medical codes so you can file for reimbursement from your insurance.
Even if the Western Blot test is negative, you can still have a raging Lyme infection.
It depends on your LLMD, but some give 14 days of antibiotics prior to IGENEX testing & some do not.
Lyme is a deep tissue infection & some believe the antibiotics will elicit a positive test.
There are many reasons for a negative Western Blot. Your body may have already formed immune complexes to the Lyme bacteria.
If that is the case, then there are no free Lyme specific antibodies that show up in the blood.
Some of the sickest patients have negative Western Blot tests.
Lyme testing is complex, but even testing at IGENEX you can still get a test with no Lyme specific bands--a negative test.
The LLMD will understand this.
He will also want to check you for symptoms of tick born co-infections such as Babesia, Erlichiosis and Bartonella.
Sooner or later these must be addressed as many have silent co-infections. Many of the symptoms overlap with Lyme-----so it's very hard to distinguish between them.
Only an LLMD can tell you for sure if you have Lyme.
Here is a Lymenet link provided by Tincup that will make learning about Lyme a bit easier:
http://flash.lymenet.org/ubb/Forum1/HTML/009342.html
I believe there is a section in that link that explains Lyme tests in more detail.
We've all learned firsthand how important it is to get to the root cause of our symptoms.
I saw that you posted in Seeking a Doctor for an LLMD near you.
If you indeed have Lyme, finding that doctor is the most important thing you can do to preserve your future.
Please, let us know if you still can't locate an LLMD.
Try not to worry about the Lab tests. Once you see your new LLMD, you'll be able to get the answers you've deserved to have for over 2 years now.
Let us know how you're doing.
Best wishes,
Jan