Most LLMD's look more at symptoms and history than the WB, because of the lousy accuracy of the tests. However, even the presence of 1 Lyme-specific band on IgG OR IgM is significant and should at least be looked at by an LLMD or LLND in my opinion. Band 41 is not Lyme-specific, but is often the first and only band that people with Lyme show positive because their immune system is so beaten back by this disease.
The "bottom line" is to treat the patient, not the test results, and see what happens. If medications don't work, try herbal treatments and/or homeopathy and/or chinese medicine and/or acupuncture etc.... in other words, don't give up looking for something that improves your health.
This is just my very humble opinion...
Chronic Lyme Disease, Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, Pancytopenia, chronic malabsorption/malnutrition, etc.; G-Tube; Currently TPN-dependent.
Meds: Zofran, Pulmicort, Heparin (to flush PICC line), Claritin, Colloidal Silver (used topically), IV Milk Thistle, probiotics.