The elispot is actually a good test. I can't recall what bands you had on the western blot to know if they were lyme specific. If he's paying for the test, I'd do it.
CD 57 is not really specific to lyme. Other things can lower it.
I think both CD 57 and Elispot are a "joke" and just about
every test that relies on immune response rather than actual bacteria, specifically in the case of Lyme Disease, is a "joke". Under the microscope there are spirochetes in my blood and since i was tested for other spirochetal infections like syphilis and helicobacter pylori, i conclude that it is lyme.
This is not a hard thing to do, it just took some basic effort. I did that, and since she doesn't (the ID doctor) see any immune response to borrelia, there's no borrelia. I also don't have inflammation, if we base it on C reactive protein response, bu there still are IL-1, IL-6, NF kB markers i was never tested and i'm sure my ID doctor doesn't even know those exist at all. What a joke of a medical system.
The funny thing, my ID doctor could see the spirochetes in my blood through the video i received and she said since its only 1 or 2 spirochetes, then it is not Lyme, since in the case of Lyme it would be hundreds of spirochetes. That is one of the "top" ID doctor in my country.