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second test results!!!!

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Lyme Disease
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justme1012
Regular Member
Joined : Nov 2010
Posts : 20
Posted 1/5/2011 7:19 AM (GMT -8)
Hi everyone......i just recevied my second set of results from lyme test, this time it was neg..... confused   sometimes just want to scream....i guess i dont really understand this disease as good as i thought.... so if you get + from one result and - from another what does that mean.... my B-12 level is up, and i only have to take that shot once a month now, finished my 30 days of antibotics, but i was only on them for 1 week when they took my last blood work, my Doc told me that i still have it, and that i prob. have had it along time, and it was in one of its flare ups when i was tested the first time, she also said that my immune system is compromised, and by the blood work that she knows i have some iflamatory issues going on... shocked   geeeeee......she did give me fiorocet for the tension headachs and a little better muscle relaxer........i think i want someone to tell me yes you have this or this and this is how your life will prob. be..... hate playing a waiting game......see how you feel now, if you feel worse we will do this.... just tell me will i have to deal with this my whole life, it seems like forever now.... but one day at a time i know......

 

would love to get some feed back....

 

Thanks,

Anita

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Cat111
Veteran Member
Joined : Nov 2010
Posts : 571
Posted 1/5/2011 7:44 AM (GMT -8)
I too received a negative second test result that followed one that was indeterminate. (Elisa+ Western blot).

As a result, my PCP who is Lyme 'friendly' and NOT an LLMD.....told me I DON'T HAVE LYME !!!

He then suggested I stop taking Doxy.....and see how I feel.

BAM! Big relapse --- return of ALL symptoms plus new ones that are worse than the ones I inititally had.

I too posted many times here--- saying that it's soooooooo frustrating to not get a positive answer. Do I have a TBD or NOT !!!?

But my new LLMD (who I say for the first time yesterday) is treating my symptoms now and is not relying on any blood test as my previous round of doctors have.

The right doctor--- a true LLMD--- is crucial IMO....and IMO, blood tests results just keep you in the waiting game, one that could take forever .......as you suffer.

I understand what you are going through!!!
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achievinggrace
Veteran Member
Joined : Nov 2009
Posts : 3266
Posted 1/5/2011 7:50 AM (GMT -8)
Why is anyone being tested multiple times? The test only shows if you have antibodies present. As the disease suppresses your immune system, you don't produce the antibodies.

The CDC says lyme disease should be diagnosed clinically, the tests are very little indicator of whether you have the disease or not.
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Traveler
Elite Member
Joined : May 2007
Posts : 36542
Posted 1/5/2011 8:00 AM (GMT -8)
I agree with Achievinggrace here. The media & the un-informed have spread a lot of dis-information on this.

Here is the link to the CdC's webpage for Lyme Disease;
www.cdc.gov/ncidod/dvbid/lyme/
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justme1012
Regular Member
Joined : Nov 2010
Posts : 20
Posted 1/5/2011 8:20 AM (GMT -8)
Thanks everyone.... there is one doctor and 2 PA's at the place i go and it seems like everyone has a different, she said i still have Lyme, its just not showing up, on the blood work this time....that the one round of antibotics must have worked, i dont know.... drives me crazy..... there is no LLMD doctor that is close here, and even if there was i am not sure i could afford to go...
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chicksinger
Regular Member
Joined : Jan 2011
Posts : 56
Posted 1/5/2011 4:52 PM (GMT -8)
Quoting Achievinggrace: "Why is anyone being tested multiple times? The test only shows if you have antibodies present. As the disease suppresses your immune system, you don't produce the antibodies." My husband's first test was positive, and I am assuming (since I don't have the paperwork...but will get it) that it was the ELISA test. He only went this Monday for the Western Blot, before starting antibiotics. The positive "diagnosis" via the blood test made me feel it was for certain a true lyme diagnosis, and the Western Blot 2nd testing was standard. I get the feeling his reg. doc. would have dismissed him if the first test didn't come back positive, and now what if the Western Blot returns negative? He had the blood drawn by LabCorp. OMG, this really is a confusing disease. Yikes.
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justme1012
Regular Member
Joined : Nov 2010
Posts : 20
Posted 1/6/2011 4:08 AM (GMT -8)
Chicksinger this is a very confusing disease, the people on the forum help me understand it a little better, i think the thing that we all are lacking is good supporting doctors that will accept insurance, the problem where i live, and from what i understand the medical board run one of the best doctors for lyme out of the state, and now all the doctors around here are afraid to even say......YES you have Lyme Disease..... I have read stories to where people are being truned away, just for saying they have Lyme Disease.......in NC i think we have the state mandating what our doctors will treat......which is sad, the state and insurance are making choices for us, not our doctors....
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Traveler
Elite Member
Joined : May 2007
Posts : 36542
Posted 1/6/2011 6:19 AM (GMT -8)
HI Justme!
What did your doc mean by this?

you "... still have Lyme, its just not showing up, on the blood work this time....that the one round of antibotics must have worked"

How did this work? Does she think you are cured?

BTW, I am in the same situation as you are about not having a LLMD anywhere in my state (Ark.). To get to one for treatment I to make it back home again - it would take me a minimum of 10 hours on the road!!!

That much traveling would most likely put me back in bed until the next appt.!! I know what will happen, because I went through that 3 years ago. Which is also when I discovered just how afraid of the word Lyme Disease the docs around here are!

I was turned away from 6 different docs when I had to come home because I had gotten too ill to be on the road with hubby !!! All I was looking for was a gp to handle some basics & no one wanted to "take on a case with such

complexities, and controversies" - Boy, oh boy!!! Thems was some fightin' words then!!!! Fortunately I ended up seeing a doc who was just starting his own private practice & he ended up being a good gp for me.
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justme1012
Regular Member
Joined : Nov 2010
Posts : 20
Posted 1/6/2011 6:41 AM (GMT -8)
traveler: I dont think she thinks i am cured, just that the antibotics seem to be working, but from what i have heard, sometimes when you do 30 days on then dont do anymore your symptons can come back and possibly even worse....i have to go back in a month and see where i stand at that time, she said if i start feeling bad agin before the month is up then to come back.....lol i feel like a yo yo..... knowing that i will prob. be feeling bad again soon, or afraid that i know that from now on i wont know from one day to the next that i could end up not able to work, and just all the mystery that comes along with this diesase.... it sure does keep your mind and emotions working.....if you feel bad one day you wonder if you have a BUG (bad choice of words i know) or if it is disease kicking in again.........
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Traveler
Elite Member
Joined : May 2007
Posts : 36542
Posted 1/6/2011 6:45 AM (GMT -8)
Chicksinger,
Your words here;
"The positive "diagnosis" via the blood test made me feel it was for certain a true lyme diagnosis, and the Western Blot 2nd testing was standard."

describes an belief what we really need to change, in my opinion. The tests are just not reliable enough at detecting the positive results - mainly because we don't have any tests yet for the all of the different strains of Lyme,

much less reliable tests for all of the different strains of Bartonella, Babesia or any other co-infection - and that doesn't even begin to address the fact of faulty evaluation of test results because of either ignorance or pressure from peers.

Please don't mis-understand me though - I wanted - needed- to have that blood test that said I was positive as well!! The only problem I encountered was that I had to be on abx for a full 12 months before I could test positive for any tick-borne infection!

The other thing is that this doesn't even begin to take into consideration is the fact that Lyme - in two of the three forms it takes on -can literally hide in a person's body so very well, that that same person's body won't even recognize it as some thing foreign!!

Anyway, IMHO - These are attitudes that we need to change!! Even our own docs don't have a clue as to what the CDC even says about Lyme & it's diagnosis!!

I believe it is one of the small things that we, collectively can help change - but first we need to be sure we have our info straight, so that we don't compound the problems already there.

Okay - I'm done now blush - I'll be climbing down off of that proverbial soapbox now.... sorry, this was not 'aimed' at anyone here on HW! smilewinkgrin
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Traveler
Elite Member
Joined : May 2007
Posts : 36542
Posted 1/6/2011 7:00 AM (GMT -8)
Justme,
Thank you for clearing that up, boy I sure misunderstood what you were saying!!

I do believe that once a person experiences this disease, goes through whatever length & type of treatment that it takes for them to either be in remission or to actually be cured - we will at that point in time be so familiar

with what it feels like to have a tick-borne infection, that when we do get another one, we will know much sooner than most blood tests will work!

All we need is to have a good doc on hand that trusts our judgment about it! At least that's the way it was for me the last year & a half!

Just my 2 cents...
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/7/2011 2:15 PM (GMT -8)

ex_hacker202 said...
It appears that there's a bit of confusion and/or misinformation in several threads here:

1) In one thread someone suspected that they had infected their partner with Lyme from sexual activity, another person stated "that makes sense because lyme is a spirochette similar to syphilis" - however, the link posted in this very thread:

http://www.cdc.gov/ncidod/dvbid/lyme/ld_transmission.htm

states categorically that "There is no evidence that Lyme disease is transmitted from person-to-person. For example, a person cannot get infected from touching, kissing or having sex with a person who has Lyme disease." Breastfeeding or becoming pregnant while having an active infection is a different story however.

Dear ex-hacker,

The idea of sexual transmission between humans is neither "confusion" nor "misinformation". We actually are very aware of what the so-called "experts" like the IDSA and the CDC (and even some LLMDs) say about sexual transmission of Lyme disease. They say it is not possible.

I disagree with them. As a scientist with a Ph.D., albeit in a different field, I think that they need to do A LOT more research on this topic. Just yesterday I was reading online about a 1986 study in which laboratory mice infected with Lyme were put into a group of mice that were healthy. The end result? All showed positive for Lyme within 42 days. No ticks were involved.

In addition, there was a study in 2001 that had the following (shocking) result: Dr. Gregory Bach presented a paper at the International Scientific Conference on Lyme Disease showing that in 42 tested Lyme borreliosis patients, 14 had DNA evidence of Bb in semen or vaginal fluids.

See www.lymediseaseresource.com/wordpress/lyme-disease-on-the-rise-sexual-transmission/

FYI, around here we don't take everything said by the CDC or the IDSA as gospel. In fact, if the CDC and/or the IDSA have made a statement about Lyme, it is generally suspect.

good luck to you,
JoAnn
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/7/2011 2:19 PM (GMT -8)
Dear Anita,

Here is the same explanation I just posted for someone else who had a positive test then a negative one a few weeks or months later:

As you probably know, the ELISA and Western Blot tests do not test for the bacteria itself. They only test for the presence of antibodies to the bacteria.

There are many reasons why these tests are inadequate/just plain BAD tests! One of the biggest problems is that they assume that everyone's body will produce the SAME antibodies at ALL times no matter what. This is absolutely not true!

The blood tests won't always find the "right" antibodies or enough of the "right" antibodies, because everyone's body is different and reacts differently to illness and the responses also change over time.

Here are three reasons I can think of off the top of my head why a Lyme test could be positive one time and negative the next:

1. Even if your body IS producing the "right" Lyme antibodies, they may all be busy doing their jobs, which means they are "attached" to the antigens, i.e., the various surface proteins of the Lyme bacteria. When the antibodies cling to and attack the different parts of the Lyme spirochetes they form "complexes". The blood tests can only detect the antibodies that are free-floating in your blood, they won't see the ones in complexes. So the free-floating antibodies detected the first time by your positive test may all be in complexes now, which explains the negative test.

2. Your immune system may be too weakened to make the antibodies right now. Even if it was making them a few weeks or months ago, it may not be able to make them now because Lyme suppresses the immune system.

3. If you have Bartonella in addition to Lyme, Bart is actually able to go in and "turn off" the immune system's ability to make antibodies to itself AND to Lyme! That's why so many people who actually have Bart test negative for it. It's possible that in the interval between your two tests the Bartonella actually altered your immune system and caused the second test to be negative.

Good luck with everything....try not to stress too much over this! A good LLMD understands why tests can change from positive to negative. Please see an LLMD ASAP if you are not already seeing one!

Take care,
JoAnn
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/7/2011 4:25 PM (GMT -8)
@ex_hacker

Well, I certainly hope that you never have an experience in your family with a spouse or partner who ends up testing positive for Lyme as my husband has. I am now FIRMLY convinced that Lyme is more similar to syphilis than it is different; I'm now quite sure it can be sexually transmitted and I'm positive that future studies (which will hopefully meet your high standards!) will prove me correct. I suppose we have to agree to disagree on this topic.

As to the Bartonella reference, I've seen this info in more than one place, but here is one of the websites that mention it: www.lymediseaseresource.com/wordpress/why-lyme-treatments-fail-part-1/

P.S. Do you mean Frank "Cepi" Cepollina? I don't actually know him. The other things are all Hubble (or NICMOS?) system parts? I'm not an engineer though, I'm an astronomer. And I haven't ever written any proposals to use the Hubble, I actually work for a different NASA Great Observatory. smilewinkgrin
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/8/2011 9:03 AM (GMT -8)
ex_hacker, sorry to have sounded snippy. You're right, of course, to verify sources and make sure that there is a scientific study behind everything. I didn't realize that ONLY Schaller had said that about Bart. Thanks for your clarification on that.

As to which telescopes I use, yes, I've used many of the great ground-based telescopes including some of those on Mauna Kea and Palomar. But I guess you don't realize that (a) there were 4 NASA Great Observatories: Compton, Hubble, Chandra, and Spitzer, (b) three of them are currently flying and collecting data: Hubble, Chandra, and Spitzer. I work for Spitzer.

www.nasa.gov/audience/forstudents/postsecondary/features/F_NASA_Great_Observatories_PS.html
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/8/2011 9:17 AM (GMT -8)
By the way, I found another web site that refers to the "immunosuppressive" effects of Bartonella, although it IS a veterinary site and they are talking about dogs.

www.vet.uga.edu/vpp/clerk/hopkins/index.php

They go into some detail about exactly how Bartonella alters the immune system response.

So maybe Schaller's right?
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/8/2011 10:01 AM (GMT -8)
@ex_hacker, I think you perhaps you should create a separate, informative post on the Western Blot blood versus synovial fluid issue. Although I was tested with a Western Blot on blood (IGeneX positive) and spinal fluid (negative). But draining a swollen knee is very different from a spinal tap.
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nasalady
Veteran Member
Joined : Sep 2009
Posts : 1176
Posted 1/8/2011 10:17 AM (GMT -8)

ex_hacker202 said...

As far as telescopes, I knew that there were a couple smaller dedicated wavelength sats up there, but I woke up with a headache and couldn't be arsed to find out which ones they were ;-) Chandra should have come to mind, it's relatively new, eh? My first thoughts were that you were using telescopes at Mauna Kea or Palo Alto, I guessed right on one at least!

Check out the Spitzer website, it may be smaller than Hubble but it's done great things!

www.spitzer.caltech.edu

ex_hacker202 said...
I had the pleasure of visiting the Big Island in the summer of 2002 with a few fellow engineers on my company's dime (a boondoggle) for our work on the NCS, the cooling system that restored NICMOS to service after SM3B. Official reason was to attend a scientific conference at Waikoloa (I forget the conf. name), we attended a few presentations but spent most of our days playing golf and exploring the island :-) Two of the guys took the hike up to see the telescope one day while the other two of us hiked around Mauna Loa, then we all met up down at Kilauea to check out the active lava flow - spectacular!

*Sigh*....those were the good old days.....

I know what you mean....I will probably never be able to go up Mauna Kea again. :(
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