Well, hard to know what to say to that...that hasn't already been said innumerable times, previously.To your point, I don't think there is a definitive answer at this time that is possible, especially in disseminated or late-stages of the disease, as it varies case by case (strain(s), co-infections, severity/type of symptoms/damage, immune dysfunction, genetics).
There is considerable evidence that suggests that the causative organisms are eradicated by short term courses of antibiotics.
That is NOT to say, however, that every single Bb is killed, or that the symptoms that arose during the initial infection will not persist for months or even years or decades.
But treating continuing symptoms as if they are products of ongoing infection simply lacks supportive evidence.
And repeating anonymous, speculative comments to an online blog as if that somehow constitutes...well, anything at all...is just...
That's why I have a problem with setting something like that in stone, or having guidelines that are followed without flexibility or question on this issue.
Okay...again...repeating for the (lost track of how many times)...you need to understand that this actually means what it says...regardless of the opinions of some "science writers" or any other "activists":
http://cid.oxfordjournals.org/content/43/9/1089.fullThese guidelines were developed and issued on behalf of the Infectious Diseases Society of America.
It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. The Infectious Diseases Society of America considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.