Note that they're carefully dancing around the elephant in the room: As far as I know, no one has ever demonstrated that Lyme spirochetes survive a course of standard antibiotics (Emphasis mine): > Standard treatment of Lyme disease is oral antibiotics, typically doxycycline, in the early stages of the disease; but for reasons that are unclear, the antibiotics don't work for up to 20% of people with the tick-borne il…
1) it seems that "chronic lyme specialists" are physicians who realized that each patient they diagnose with "chronic lyme" is potentially a cash cow. In that they can be persuaded to pay out of pocket for regimens of IV infusions of antibiotics costing up to tens of thousands of dollars (and which make no antimicrobial sense). For years, because the "spirochete is hiding, round bodies, etc etc". The agents used also make no antimicrobial sense - when we show the med history to ID specialists and PharmD's, they just roll their eyes...
2) As a resident, we had a couple of cases roll through the door of a) temporal lobe epilepsy with mesial temporal sclerosis, b) Parkinson's disease, both pretty clear diagnoses, told by various "chronic lyme specialists" that their symptoms were due to Lyme,taken off their meds and put on strange regimens of IV ceftriaxone (at out of pocket expense) and ending up hospitalized as a result. With such severity that efforts were made to have the state board revoke the medical licenses of these practitioners.