Its all how you phrase things. If you ask: Would you treat immune mediated encephalitis, they'll say yes. If you say, PANDAS, they'll say no. If you say, my son has a case of immune mediated encephalitis that has responded in the past to steroids and IVIG- can you perscribe these treatments, they might be more wiling to help. Try not to get so caught up on the word PANDAS. After all, the name is constantly changing. Focus on the core issue- autoimmune encephalitis.