I simply can't thank you enough for stepping up like this! You are a very special doctor - many just choose to be an ostrich.
Here is some information that may help you:
An IgM result means that you have an active infection. It once was thought to mean an 'early' infection, but has since been revised. IgG means that the infection is at a later stage.
The more +'s you have beside a number, the stronger the reaction.
IND means indeterminate - not negative, but not quite strong enough to be "fully positive". But it means that you reacted on those bands and should be considered, especially when they are Lyme specific bands.
A "Lyme specific band" means specific for Borrelia Burgdorferi, sensu stricto - Lyme disease in the strictest sense. There are only
two on the over 300 known strains of Lyme that is considered Bb, ss. Borrelia burgdorferi and Borrelia mayonii. Nothing else will turn a Lyme specific band positive other than Lyme disease - - even though there are over 100 different strains of Borrelia in the US that cause human illness.
Bands 18 & 41 (whether in IgM or IgG) are indicative of the tail of the bacteria, which can cross react with other Spirochetal bacteria such as Relapsing Fever, Pintas and Yaws, and Syphilis.
Band 31 has suddenly started to be controversial, but I really don't understand why. Any time someone says that it's not Lyme specific, they report that someone else told them this. There are quite a few PubMed articles that support it being a Lyme specific band though:
www.ncbi.nlm.nih.gov/pubmed/1520966www.ncbi.nlm.nih.gov/pubmed/9440203www.ncbi.nlm.nih.gov/pubmed/8406878www.ncbi.nlm.nih.gov/pubmed/8005219www.ncbi.nlm.nih.gov/pubmed/10030131And more references can be found here:
www.reocities.com/HotSprings/Oasis/6455/western-blot.txt I prefer to use the above site, although it's a bit confusing at first, because it lists corresponding PubMed articles, so I don't have to look it all up myself - bonus! LOL!
According to that site, the following bands are Lyme specific and if anyone has even one of these bands show up, they have been exposed to the Lyme bacteria and if they have symptoms, they need to be treated, or they will only continue to get worse:
22, 25, 28, 31, 34, 37, 39, 83 & 93
The research is continuing, and things can always change, but at this point this is the most accurate information I can find.