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Yes the test is not definitive and false positives are a problem. Most who get bit by a tic like Sally, will get treated right away to deal with it. Testing is not needed in those cases. Antibody levels won't show up for 2 -3 weeks is how I understand it and remain elevated if the disease is still active. Clinical symptoms and history must be considered when making a diagnosis with lymes especially in cases that have on for a long time undiagnosed. In other words, don't treat just based on the test if you haven't been bitten.
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Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of July 2021 HGB 12.0, WBC 4.70/ANC 3.85, Plts 110K.
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