How is Lyme viewed in the medical community?

There are two controversies surrounding Lyme – the first is testing and the second is treatment.
With regards to testing, it is important that the diagnosis is made clinically when possible, especially if there is a classic skin lesion. In the 20% of people who do not have the classic rash, testing can be done based on symptoms and known tick exposure. Testing should be antibody testing and not culture for the bacteria.