We are in a similar situation, about four months ago the initial episode. No IVIG, but our daughter is doing pretty well (though not 100%) after trying several different antibiotics. I feel like we just kept spinning the wheel of antibiotics and finally landed on the right one for whatever triggered it this time. I was wondering how you developed your response to flares plan. Do you see a PANDAS specialist, or was it trial and error? We have seen several different types of doctors in our area, but if it happens again, I don't think we would be much better off in getting the right treatment than the first time it happened. We are debating if it would be useful to see a PANDAS specialist now that she is better, or whether all the testing they do needs to be done during the flare. Just wondering how people know how to respond and are able to get the drugs they need quickly after the first episode.