Why Half of Lyme Disease Tests Are Wrong

Aaron Hartman, MD presents a short YouTube mini-episode about "mystery illnesses," multisystem conditions that are often misdiagnosed. He lists five major categories (chronic/post Lyme syndrome, mold-related illness/CIRS, dysautonomia, mast cell activation syndrome, and autoimmune diseases) and in this episode focuses on chronic Lyme: symptoms (migratory joint pain, neurological symptoms, brain fog, gut issues, possible autoimmune sequelae), and major diagnostic challenges — notably that standard CDC-recommended IgG screening misses many cases and that more sensitive tests (named specialty labs) exist but are often not covered by insurance.
Questions this video answers
September 25, 2025
About half (50%) of people with Lyme disease have a negative first screening test, per the speaker's statement about CDC guidance.
Igenics, Ababyn Labs, Galaxy Labs.
The speaker states there are more new cases of Lyme disease each year in the U.S. than breast cancer.
Chapters
Mystery illnesses are on the rise. What are these and what am I even talking about? Mystery illnesses are those kind of illnesses that no one can quite figure out. You go to multiple doctors or specialists and they don't quite know what's going on. Now historically these have been around for quite some time. Actually. The original great imitators was the old term we used to use for them originally was syphilis. Back in the day you could get it in your 20s, early 30s and not have symptoms for decades. And when you had symptoms, they're weird. Joint aches and pains, cognitive issues. But it could turn into heart issues, it could turn into heart failure, it could turn into dementia, lots of strange things. Tuberculosis or consumption, another mystery illness. Consumption was a term when you basically like almost just kind of withered away, your body consumed itself. That was a chronic infection actually of tuberculosis. And we knew what these things were. They had like a recognition of them. It wasn't until, you know, modern times, with antibiotics we've been able to eliminate these and we have a whole host of new mystery illnesses that are being overlooked. But the nuance is these are multi system, multi symptom illnesses. What I mean by that is they involve different body parts, you know, brain, brain fog, confusion, cardiovascular, shortness of breath, blood pressure issues, gut issues, energy levels, aches and pains. A whole lot of different things are included in these mystery illnesses. So I want to just talk briefly, do these little short 10 minute mini episodes and talk about some of the, the big mystery illnesses, do an overview here, talk about what they are and actually give you some information that can be helpful to figure out if you or a loved one are dealing with us and how to approach those. If this information is helpful, please like share, subscribe this is something that patients have put forward to us and asks about and I want to, I want to share about that. There's several big mystery illnesses that are multi symptom, multi system look kind of weird and they all look about 80% the same, which makes it confusing. So what am I talking about? There's your chronic Lyme disease or post Lyme syndrome. There's your mold related illness or chronic inflammatory response syndrome. There's dysautonomia, which is a neurological condition. There's mast cell activation syndrome and then autoimmune issues in general or autoimmune diseases in general. These are five of the mystery illnesses that we're dealing with in our culture, in our country today. So I'm going to walk through these five or five different, these 10 minute talks to give you some information about these so you can kind of know what we're talking about. The first one I want to talk about is chronic Lyme disease or post Lyme syndrome. It's interesting because Lyme disease is actually a spirochete which is a similar shape. It's spirochetes describes the shape of the infection particle intracellular organism is what syphilis is actually. So that's kind of interesting that the modern day great imitator actually is in a similar family as the old day syphilis. And it can be treated with antibiotics, but it's a little difficult to cure with simple antibiotics if it's been around for a while now. So what are some of the symptoms of chronic Lyme disease? It can be joint aches and pains, migrating pain, neurological symptoms. You can have brain fog, headaches, nerve pain. It can result in autoimmune issues. Getting chronic infection can give you autoimmune issues. So you can see these can combine with the autoimmune as one of the great imitators. Gut problems, gut issues, a whole host of other symptoms. And now all of a sudden you can kind of appreciate how this can look like many different things and be quite unusual. So how do you diagnose this particular chronic infection? This is where it gets a little interesting because the current CDC guidelines recommend it's just a regular igg test, a blot type test. And the issue with that is that according to the cdc, half of all people who have Lyme disease, their first screening test is negative. That makes it a horrible screening test. So then you go on to a western blot if you have suspicion, which is a next level testing. The thing about western blot is the typical standard lab Western Blot Test 1, it's not as sensitive. It takes a stronger signal to become positive, which many people with dysfunctional immune systems don't have. The second thing is two of the bands in the testing have been removed. Because if some of you may remember, there was a actually a lab disease vaccine years ago. And that's been actually when that came out, they removed those particular bands from the Lyme testing. And so all of a sudden now we've lost the ability to have as accurate testing. Now there are better tests like Igenics, Ababyn Labs, Galaxy Labs. These are places that use higher TEC technology, higher resolution test for more parts of more parts of the actual organism. But unfortunately insurance does not cover those. So for the mass population, most people were limited to the standard, you know, insurance covered labs which the initial screen will miss 50% of people that have it. And then the other testing gets kind of tricky because you have one band versus five bands and gets a little. Almost requires you to have, like, a certain skill set on being able to figure out what symptoms go with it and then each. Since certain bands are actually more specific. Another one, so like 41, for example, you can see in people with a positive ANA or early lupus or Epstein Barr herpes reactivation. So it's not specific for Lyme. And other bands, like a 58 or 23, can be more specific for Lyme. So. So Lyme disease is one of the great imitators. So if you're having like an atypical presentation, you've been to multiple people. Have you been checked for Lyme disease? Is the first question. The second question, they say, yes. What test did you have? Do you get a western blot that put all these bands out there? Or did you get a simple antibody test that said negative or positive for Lyme? If I just said negative and they didn't move on, then you didn't get the best test. You should get so kind of curious. How many people out there have experienced issues with their diagnosis, being overlooked, being missed, and later found to be Lyme? It's a lot of people. According to the center of Disease Disease Controlled, every year there are more new cases of Lyme disease in our country than breast cancer. So this is obviously a big thing and something we should have on the radar and we should be aware of more advanced testing and things to think about. So that's one of the five. Next time around, we'll talk about the next of the mystery illnesses and some nuances about them. Take care. We'll talk to you soon.
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