Hi all, I know I was missed :) Erin you really have to find an LLMD. Most Dr's don't like to listen to anything that has to due with 'Lyme Disease'
As my new physician put it... Lyme disease is an 'antiquated disease that our immune systems should be prone to fight.' Of course he is one that really considers Lyme to be a HOSTILE and progressive disease.
I have had all your symptoms and then some. All my Lyme testing came back negative, that doesn't mean I don't have it. It just means that we are looking for a different diagnosis now.
I am one of the lucky ones, My Dr knows and understands Lyme (took me writing letters to every doctor in and around my area to find one who was willing to work with me/take my case). He has also managed to form a diagnostic team for me. I know the answer will be found.
For you...You really need to find an LLMD. There are some great ppl on here that will probably be willing to help you.
You live in a lyme endemic state which the neurologist should be aware of. I have had just about every symptom you mentioned and have repeatedly tested negative for MS. I would see someone who specializes in lyme for an evaluation.
PS-and you may have already heard this, I would suggest seeking out an LLMD who is a ILADS member. "LLMD" is really a patient-defined term, it does not reflect formal training or certification. It's not fail-safe, but at least ILADS membership offers some sort of check.
If possible, also seek patient reviews. The Lyme community is pretty active in keeping tabs on docs, you just have to dig around a bit as no one wants to post details openly.
Thank you agian for your insight! I got my notebook out and am writing whatever i can learn so i can be prepared.. My appointment is this Tuesday coming up and I registered to one of those website i was told about on here to find a LLMD in pittsburgh...I tryd google and everything else but i do see now how they really do keep a low profile. So hoping to here back from one of them soon. I'm going to go into this appointment hoping they are nice and demand the tests and that they go through Igenex if possible. Thank you all so much for the support and i'll let you know how it goes!
Well, there are two major organizations that post guidelines for the treatment of Lyme Disease. the Infections Disease Society of America (IDSA) has their guidelines, and the International Lyme and Associated Diseases Society (ILADS) has their own. From diagnosis, to treatment, the guidelines are very different. The guidelines the CDC (Center of Disease Control) supports is that of the IDSA.
Most doctors that treat based on ILADS guidelines hide under the radar and usually can't take insurance as insurance companies simply won't pay them. Doctors also fear of losing their license if they treat under guidelines that the CDC (government) and insurance companies don't endorse. A few states (such as Connecticut, Rhode Island, and California) have passed bills to protect physicians that use different guidelines to treat Lyme Disease.
That being said, since this doctor takes insurance and is probably a standard Infectious Disease Doctor, I think it's fair to say he/she may downplay the probability of you having Lyme Disease. If they suspect Lyme Disease, they will probably give you 28 days of doxycycline at the most. If they give you antibiotics with little to no success, they may try to tell you that you may have post-Lyme Syndrome. They consider this an autoimmune disorder, and it goes untreated. The current IDSA guidelines state that "There is no well‐accepted definition of post–Lyme disease syndrome." In other words, under the current guidelines, we really don't understand the disease very well.
Based on your symptoms, location, and tickbite, there are many ILADS doctors that will treat you even if you test serologically negative. It's a good idea to rule out other pathological causes of your symptoms, but if nothing is found, I would definitely seek an LLMD. Even if the ID doctor treats you, I highly doubt that 28 days or less of doxycycline will do anything for you considering how long you have been symptomatic. I think many others here will agree.
Thank You all soo much for your replys! I woke up this morning thinking i might just be crazy questiong doctors! But now i see there are many that went through what i am and many doctors who arent so nice!....I have some hope today but still understand it could stay at probable ms...but now got the knowledge for the test to back up what im going to insist to get and get a LLMD.
You asked the evidence i have...only one mri scan that showed 2 lesions not sure where and thats it and the symptoms
I was only diagnosed in july 14th of 09 and have relapsed a total of 3 i said 2 before meant 3 ...my last to was sept 5th lasted a week...then oct 3rd lasted a month.....but since it wasnt exactly 30 some days apart the doc said its not considered 2 replases wich would of gave me a definate diagnosies.
new update : my mom just walked in the door and told me she got and infectious disease doctor since thats all me insurance covers will that be good for now? or should i go for the llmd?
Hi and sorry that you are in this mess. MS and Lyme disease can be difficult to distinguish, and I was caught in that conundrum for a time. I overall agree with your partitioning of symptoms into what could be MS versus what seems unlikely for MS, and you understand that all of the above could be Lyme, and you also understand that a lot of doctors know very little about Lyme, so you arrive here as an advanced beginner!
If you haven't done so already, get your hands on the book "Cure Unknown" (P. Weintraub, $10 paperback recently came out or try library) and the film "Under Our Skin" (can be purchased online, can also watch a lot of clips for free on their site), and bookmark the website for ILADS (http://www.ilads.org/).
I can very much so relate to your situation. I didn't get to "probable MS," I was caught in the "wait and see, we'll repeat your MRI every 6 months" boat. I was also told by every doctor I saw (which included 4 neuros, a rhuemy, and about a dozen office visits to my PCP in 2008) that I 100% did NOT have Lyme. I repeatedly tested negative for it on ELISA, and also my spinal fluid was negative.
What evidence of MS do you have? MS and Lyme can both be difficult to dx, and they can both cause some of the same test results. I had some MRI lesions, but my LP was clear. Lyme can cause white matter brain lesions that can look like those associated with MS. The pattern of the location can be different, and with Lyme, the lesions are less likely to enhance. I had non-enhancing lesions and while a few were in locations consistent with MS, the rest were "non-specific." When I began to have obvious joint involvement (not long after a steroid treatment), I knew it couldn't be a neurological condition and that's when I finally sought out an LLMD. I was skeptical, but figured why not try, since at least Lyme is treatable!
Like you, none of my docs took my concerns about Lyme seriously, and that is unfortunately a common experience in the Lyme community. I had to seek out a so-called LLMD. Advice for how to conduct such a search can be found here:
http://www.chroniclymedisease.com/llmd-referrals
some of my first lyme symptoms was - very stiff neck and rib/chest pain [costochondritis] - joints cracking/clicking where I had never had this before - this all followed a 'tick-bite'.
I am not medically qualified - but I would say - you have lyme disease - if I were you I would find an LLMD. - A.S.A.P. - as 'kday' points out - lyme testing - especially the 'ELISA' test is unreliable.
It is hard sometimes when you feel so horrible to have to fight to get help but most of us here have been in your situation and I am pretty sure - after exhaustive tests - pig-headed doctors - etc,etc, - most of us found the best help from an LLMD.
keep us posted - will be thinking of you
Gorbs x
I also forgot to mention you can find an LLMD (Lyme-Literate Medical Doctor) through Lymenet dot org.
If you click on Flash Discussion, and make a post under Seeking a Dr, there will be people there to help you find a doctor. I would avoid asking your current doctor for a referral, as they probably wouldn't know, and would probably tell you that you don't need to see an LLMD. It's a strange world we live in.
Correction to my post above:
"Lyme-aware physicians argue that labs such as Quest/LabCorp have too many false negatives."
I've literally had all your symptoms at some point (but no MS) -- that includes the chest pain, the pelvic pain, the neck pain, the back pain, the rib pain, headaches, etc.
I tested CDC+ Western Blot and IFA+ through Igenex labs. I haven't had a western blot through a LabCorp or Quest, but many here complain they aren't good.
If your doctor ONLY gave you a ELISA test, demand a Western Blot. My ELISA was completely negative. Igenex labs of California specializes in Lyme testing, but they don't take insurance. Most lyme-aware physicians suggest testing through Igenex. Doctors who don't specialize in Lyme or don't believe that it is prevalent may not have heard of Igenex, or they may say their tests have too many false positives. Lyme-aware physicians argue that labs such as Quest/LabCorp have too many false positives. The battle goes on.
So, if you remember a tick (especially at the time you got sick), I would say there is a huge probability that you have Lyme disease. Even if you didn't remember a tick, based on your symptoms, I would still suspect Lyme disease. And, as you may already know, Lyme can cause MS, and MS patients can recover from Lyme treatment. You also live in a HIGH RISK state for Lyme disease. Out of all places, I would think doctors in states like PA would would recognize the threat of Lyme Disease. It's quite sad actually.
Disclaimer: I can't diagnose or treat you, but if you have Lyme, most doctors can't either. I would seek a Lyme Literate Doctor as soon as possible.
Also I was wondering if anyone can tell me how to go about getting this test done? and what they are called? should i get the test that the co efficients? i think they are called done also?