It is very common for Lyme symptoms to recycle. You may think you are getting better and then wham, here comes another symptom.
It is amazing how stubborn some doctors can be! I have heard people say that a doctor wouldn't test them for Lyme because they looked TOO sick and Lyme just isn't that bad. Others say a patient doesn't look sick enough. I am sorry, but that is the stupidest excuse for not ordering a test I have ever heard of. That is like telling a slim woman that she can't have a pregnancy test because she doesn't look pregnant enough!
The only thing I can think is that the lyme deniers in the Northeast have been saying for years that Lyme is essentially nonexistant outside New England, the Upper midwest, and the Pacific Northwest (which they generally just ignore). I read a paper from a doc at Yale who said that any positive Lyme test in the south should be considered a false positive unless the person could show travel to a "highly endemic area" shortly before symptoms started. I think southern docs have been trained to look for a high burden of proof for Lyme. Which is a bummer for people who have it.
Any doctor who focuses on whether or not you had an engorged tick, a bulls eye rash, or travel to Connecticut is ignorant of Lyme. Find another one!
Agggh!! It makes me crazy to hear about the way you were treated.
If your doc will read Burrascano's Treatment Guidelines at ILADS.org, it will be a very good start.
The whole thing about seeing the tick: I never saw the one that got me, and my kid never saw the one that got her. They are SO tiny, like a period at the end of a sentence, not like a peppercorn. And when they are done chowing down, they just drop off, so they are easy to miss. And the circular rash? MANY of us never got one, or it could hidden on the scalp if that's where the tick was. So even if you never see a tick or get a rash, you can easily still have Lyme and its companion infections.
Be strong! Keep us posted -- we're rooting for you!
Well I went to my Pain Doctor today and they were terrible to me. They basically told me that I do not look like I have Lyme Disease which is so stupid. She said that someone with Lyme Disease looks very tired and they are really fatigued and cannot do much and have a lot of aches and pains, etc. I told her yes that fits me to a tee. She said I just do not look like I have it. I told her I am certain that I do. I told her that yes I do. I told her she did not know me 10 years ago. I told her that I was Latin Club Princess and I was in a Strawberry Padgeant and I looked a whole lot better then. But when my medical problems started escalating I went downhill fast and now I have dry skin, dry hair, pale skin, etc. She basically dismissed it and told me I need to talk to my primary care doctor about it. So I guess everyone that does not look basically like a bum on the street does not have nothing wrong with them. That is pretty much what she implied. Or the nurse that is. She said I do not look that bad. I never got to talk to my actual doctor (she was on vacation).
Therefore, I called my primary care doctor that I go to (my Internal Specialist) and spoke with his nurse and explained everything to her. She is going to talk to him and call me back tomorrow and see about getting testing and what they can do. Another thing, when I called my primary care doctor's office and spoke with the nurse she even asked me "well, have you been bitten by a tick". I told her yes and explained that a tick was embedded in me years ago and my dad burned it and pulled it out. But you know I have read about people with Lyme Disease who did not even know or remember getting bitten by a tick. I just cannot believe the reaction when I told them I am pretty sure that I think I have Lyme Disease. People are so ignorant about it. I am going to be persistant about this though. I will keep you all posted.
Thanks again to everyone. Hugs and support to all of you too. Also, I will give this website information to my doctor. He is a very good doctor so I am sure he will know what to do. He is an extremely smart doctor. He is pretty much a nerd if you know what I mean. Keeping my fingers crossed.
I hear you. These are tough times, and your courage in plowing ahead is admirable.
I think your gameplan makes sense, based on your circumstances. If your doc will read up on the more advanced thinking about Lyme, especially Burrascano's Treatment Guidelines and other information on the ILADS [dot] org website, that will give the doc the background to know what to order.
Here is the link to Burrascano's guidelines, which are written for docs, but accessible to anyone and understandable even to me with a bit of effort:
http://www.ilads.org/files/burrascano_0905.pdf
This may have been covered above, but fwiw:
The first tests usually done are called ELISA and Western blot, but they are known to be substantially inaccurate, esp. if you have been infected a long time. The better test is the expensive one from IGeneX Labs in Palo Alto CA. They are incredibly nice people (I hand-delivered my blood sample to them and was so impressed with the place: not a grand huge expensive building, but just a little place, very kindly lady up front, and I understand the docs/founders there are the same way) and maybe they have a 'compassionate' pricing program for those in financial difficulty. You could call them and ask. Just google/search for the company name and you'll find the number in Palo Alto.
It's also very possible that you have other infections the same tick may have carried, and without knowing what those are, the treatment is also unknown. A Lyme specialist could make a good guess based on your symptoms which of these co-infections to test for, and you might to bring that up with your doc. If s/he reads Burrascano, it will give some useful information there.
Let us know what you do and how it goes, okay? And think about asking about discounts or terms with the doc and labs, explaining your situation. When the economy finally turns around, you can make a contribution to them later perhaps.
Bless your heart, thinking of you --
Hugs and support your way. Stay in touch. Marell