I would like to see included in the framework the literature from Dr. Samuel Donta, for example, that addresses cohorts of patients who have received longer duration treatments with oral antibiotic therapies with outcomes that have been really quite satisfactory. This is not addressed in the framework.
I accept what Dr. Njoo is saying, that the framework doesn't specifically address treatment guidelines. Whether it should address treatment guidelines is a different question. I think it should, but I accept that he is telling us that it doesn't.
There is an abundance of literature. I have a personal library of well over 1,000 reference papers on Lyme disease that address various aspects of the disease that are not covered in various ways by the IDSA approach to Lyme disease and are certainly not addressed by the framework document in front of you.