The CDC two tier testing protocol says to run a screening test, either an ELISA or an IFA first. Then, only if this is positive, run a Western Blot. ILADS docs say at least 30% or more of their patients are false negative on the screening test. (That was me.) Some say up to half.
A Western Blot is more useful as it shows actual antibodies present. A lab that looks for bands beyond the ones the CDC looks for is crucial, as there are several other bands that show evidence of infection that are ignored by the CDC. A simple CDC negative result by no means excludes Lyme. But lots of non-IGeneX WB results can be diagnostically useful if they show other bands.
IGeneX does a better job of finding antibodies in the first place, and then reports everything that is relevant. They show the CDC result, and then also give their own opinion on whether or not the test shows Lyme infection.
IGeneX will only run a screening test along with a WB.
Of course Lyme patients can also test false negative at IGeneX if they are just not creating enough antibodies to show up on a test.
You say above: "IGeneX does a better job of finding antibodies in the first place, and then reports everything that is relevant. They show the CDC result, and then also give their own opinion on whether or not the test shows Lyme infection."
Although IgeneX runs the W Blot/ELISA tests if requested (LabCorp also runs these tests), only IgeneX has a PCR (polymerase chain reaction) test which looks for bits of Lyme bacteria DNA and does not rely on the immune system to still be up and producing antibodies, which trail off after a while even tho the infection is still present and active.
That's the advantage of IgeneX -- a completely different kind of test, as I understand it.
Since your symptoms look like both Lyme and MS, you might consider pursuing both until you have a definitive answer on either one. It can take years to get a MS dx, so parallel paths makes sense.
There are some old posts asking about LLMDs in PA, so you might search for those and message the posters for suggestions of doctors. ILADS is a good source, but actual patient referrals are gold. (There are some docs out there who say they will treat Lyme who don't know what they are doing.) A local patient support group can also be helpful. Unless a doctor is very public about treating Lyme, we don't put their names here. Some practice quietly, as not to be harrassed by doctors who don't agree with them.
Did I already give you this link? If so, sorry for the duplicate. It talks about Lyme and coinfections and has a good symptom list. You can also google a symptom with the word Lyme and see what comes up. I found that helpful for my strange symptoms.
http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf
Another thought: are you taking magnesium (Mg) supplements? Lyme bacteria use up Mg in their rude little reproductive process, and it is easy to become depleted. Mg helps carry the electrical impulses from cell to cell in our bodies, telling muscle cells (for example) when to contract etc.
You can take Epsom salt baths, if that is soothing to you, or you can take capsules. I take capsules and it makes a huge difference in how I feel. You know how babies get all floppy after a bottle? Partly it's the full stomach and the warmth of the milk and being held by mom/dad, but also there's Mg in the milk. It's a naturally soothing mineral.
I take 400mg twice a day, for a daily total of 800 mg. I had a doc warn me not to take too much, but I was also told that if I got diarrhea, just back off on the dose a bit. I'm a real lightweight when it come to any med or beer or anything, so if I can do 800 mg/day, probably most people could too.
I read that any kind (not brand) of Mg that ends in "-ate" is most easily absorbed by the body, like citrate, orotate, aspartate, etc. I tried several varieties along the way, and the one I like best (that is, have the best effect from) is a brand called Magnesium CAO capsules, which has a blend of citrate, aspartate and orotate (C, A and O). But different people might have different reactions to what works best.
While some Lyme-related pains and aches are probably due to something other than Mg deficiency, you might give it a whirl and see if it helps. I ran out recently and before the new shipment came from the vitamin depot, I could really feel the difference ... aching and not at my best generally.
Just a thought!
What a discussion :). Thank you for responses.
Ricobord- Good suggestion about looking into LLMDs in my area. I like to know what to expect, so that seems like the next logical thing to do. I'll check out the link as well.
JackieCalifornia- I hadn't thought about the magnesium yet but it makes sense. Cardiac patients often take magnesium supplements after surgery to help their hearts electrical rhythm.
I was just about to sign off for the night, and am too sleepy to go back up and re-read to see if this was mentioned or not, but if you follow the two-track method (pursuing Lyme and MS at the same time), be aware that the treatment for MS is steroids, which suppress your immune system, while Lyme is a bacterial infection, which needs your immune system up and fighting.
It has happened (so people have posted here) that they were misdiagnosed with MS when they really had Lyme, but before that mistake was figured out, they got treated with steroids (a common treatment for MS), which just digs the hole deeper by shutting down your immune system in the face of Lyme (and often other bacterial co-infections.)
On that cheery note -- good night all!