I was at a symposium today at Massachusetts General Hospital where numerous top US based Lyme researchers presented.
There is substantial research going on and existing testing does not adequately capture the different phases of Lyme and associated diseases.
Borrellia burgdorferi (Bb) infection does not elicit the "normal" immune response where IgM (I now know there are two different kinds of IgM) is the first to respond with IgG response following. You'll want to follow Nicole Baumgarth, DVM, PhD going forward regarding immune response. She indicated the to date, researchers have yet to identify a "T cell epitope" that could be utilized for better Lyme testing.
Other presenters discussed Biofilms (Eva Sapi, PhD), Lyme persistence despite antibiotic treatment (Monica Embers, PhD), utilization of nanotechnology to improve testing (sensor technology/Mitchell Lerner, PhD), and Neuropsychology (Brian Fallon, MD, MPH, Leo Shea, PhD).
While many want to avoid the "psych" issues, examples were provided of extreme psychiatric conditions where treatment for Lyme resolved the "psych" issues. Emphasis was placed on the patient and acknowledging a biologic basis yet dealing with the emotional issues was still encouraged by the two psych physicians.
So much more to come.... I'm so glad I was able to attend.