I've never been able to keep a journal, but it is a wonderful tool that has the potential to really help both you and your doctor! There are some sites online that offer tools to keep a journal - for those who wish to keep one. I don't want it to appear that I support one or the other, so I won't be including a link, but it's easy enough to find one, thanks to Google! Just type in Lyme journal.
As for the question as to who should be on IV meds and who shouldn't - it's been left up to the LLMD for a long time, which can be a mistake for someone who would definitely improve with that approach who is unfortunately seeing a LLMD who is just flat against the use of IV therapy.
I came across a wonderful site that publishes scientific papers - Dove Press - and it has free access!! Anyway, while there, I came across a paper that Dr. Ralph Striker was involved with titled "Benefit of intravenous antibiotic therapy in patients referred for treatment of neurologic Lyme disease".
If you have Neuro Lyme, then I would suggest you look at this site. They also have a video of the abstract so that you don't have to count on being able to read what's written!!! If this is something that you believe fits you - then I would suggest that you print out the abstract (1 page) and take it to your doctor.
www.dovepress.com/benefit-of-intravenous-antibiotic-therapy-in-patients-referred-for-tre-peer-reviewed-article-IJGM