Posted 4/12/2017 4:03 PM (GMT 0)
Hi Chuck -
Not much more to add except that in all my research I have never seen an official statement or case of a bulls-eye rash NOT indicating infection of Borrelia.
Even in the antiquated research and resulting overly-restrictive definition of what constitutes Lyme, the Infectious Diseases Society of America (IDSA)'s treating guidelines, the presence of an erythema migrans (EM or bull's-eye) rash is proof enough to warrant treatment (w/out confirming tests).
Any MD worth his/her salt should treat on that basis, alone. If not, you need to find a more qualified professional - they are out there.
Also, the CDC's two-tiered testing methodology (which includes the Western Blot) was specifically developed for surveillance purposes of disease trends, not for diagnostic purposes, which is one of the many reasons it is 50% accurate, at best, for diagnosis.
For this and a few other reasons the CDC has officially stated (and their statement also shows up on the test results) that the tests, alone, are not to be used for Lyme diagnosis, which should be a clinical determination to take into consideration exposure, access, history and symptomology.
Any Lyme specialist should be able to clinically diagnose you and treat you on this basis. If not, they are not a good partner for you. Fire them and find someone better.
-p