So, as part of my preperations I am thinking about what tests I want performed. I will of course take KDMs advise and cost may well mean I have to rationalize my list a bit more than I would like, but I have creating three lists to start off the process. The first list is of tests that I know I probably will ask for, though I may need some help from you guys on what specific tests to ask for.
The second list is of tests that I dont know much about but which might be worth getting, but again I could do with some input from forum members.
And the third list is of tests that I have heard about related to ME but which I probably dont think will be beneficial - but I am open to being convinced otherwise. And, I'd also be interested to hear of any other tests that people think I should get that arent on any of my lists!
Probable Tests
1. EBV (HHV4)
- Igg (think I’ve already had this and positive, need to check)
- Igm
2. HHV6 (if not had already and negative - need to check my existing results)
- Igg
- Igm
3. CMV (if not had already ruled out, need to check)
- Igg (probably don’t have it, so no point in running other tests unless this comes back positive)
4. Lymphocyte Subsets (T-cells including CD8+, B-cells, NK-cells)
5. NK Cell activation (PERFORIN EXPRESSION ASSAY)
6. NK Cell Subset
7. Stool test
8. Bartonella
9. Lyme (Borrelia burgdorferi). I’ve already had a basic NHS test, but would like something a bit more definitive.
Tests that might be worth getting but which I don’t know much about:
1. Enteroviruses (Echoviruses, Coxsackie A, B and Cpn). Maybe these would be worth testing but I don’t know much about them.
2. Anaplasma phagocytophila (maybe this would be worth testing but I'm not sure)
3. Chlamydia pneumonia, CHLAMYDIA TRACHOMATIS (maybe worth testing but I don’t know much about them)
Tests I Probably Won’t have
1. ELASTASE EXPRESSION ASSAY (inflammation)
2. Ribonuclease L (RNase L) cleavage assay
3. Soluble CD14 (interesting perhaps, most useful if you have Lyme, but also a marker for Crohns, so interesting for me as mum had it, not that I suspect I have it)
4. HHV7 - I don’t know much about it but understand it can perhaps reactivate EBV and HHV6 – it is apparently very common, but tests are relatively new and reliability is not yet proven.
5. TOTAL ANTIOXIDANT CAPACITY
6. Parvovirus B19
7. HSV 1 (probably have it, but not sure that knowing will give me any benefit)
8. Babesia microti (If I had this, wouldn’t I already know or at least suspect?)
9. Mycoplasma Pneumoniae (again, wouldn’t I have had symptoms?)
10. Mycoplasma Hominis
11. Anti-streptolysin O for streptolysin O
12. Rickettsia, Bartonella, other Borrelia species, and Ehrlichia chaffeensis
13. Ehrlichia chaffeensis (is it only transmitted by Amblyomma americanum ticks that occur, presumably, only in the US?)