Dr. John Lambert:

I see so many cases of under-diagnosis and misdiagnosis in all specialties, including general practitioners. People with a bullseye rash are told it is cellulitis, so getting to the GPs and training them early on in making the right diagnosis would make a significant difference in ensuring we do not have downstream these people with chronic Lyme disease who have been misdiagnosed. That would be a very important step. We do not want it simply said that those patients have been missed. They are post-infectious. We need to look at all the data rather than position papers which state opinions. There is a large number of data out there, some of which are contradictory but much of this information is very good and raises some of these issues. The best way forward would be to have an open forum looking carefully at all the science available rather than at position papers.