Helping to bump back up:
well, I'm not pcpc and I'm not a Dr, but I've been reading and researching everything I can find on this disease. Everything I have read states that a bull's eye rash diagnoses Lyme. ie; nothing else causes a bull's eye rash, only Lyme. In the case of a bull's eye rash, treatment should begin and no lab tests are needed. Bull's eye rash MEANS a person has been infected w/ Lyme.
Band 41 indicates flagellin protein of all spirochetes; this is usually the first to appear after a Bb infection and is specific for all Borrellia. So my understanding is that only a spirochete infection would show on this band. For example, syphillis. So, given the rash and band 41, I believe you need expert help.
Anyone here please feel free to correct me if I am wrong.