hi Utahgal-
Just tell your llmd what you have been telling us. That you are confused if your symptoms are even lyme. That so far the treatment is not working. That youhave heard of rifampin for bartonella and do they think you need that and have bartonella? Just tell them what you really feel and they will help you out. And really, the only reason the rifampin herx was hard for me was because it actually was working to bring up and then bring out whatever it was. Don't be too scared of the rifampin- it is better than not treating! And it eases up pretty quickly.
Your llmd will help you- and as I said- if you feel that the ND you are seeing isn't as good as you hope ( even though I think they are very good) just make your next month appointment with the main dr- and they will fix you up.
Sometimes it helps to write down your list of concerns before the appointment so you can make sure you remember them all.