Hi, I am new to this forum and haven't been able to read as much as I would like, but I need help! My 9 y/0 son was "diagnosed" 3 years ago with PANDAS. I say that lightly because when our son started his eye blinking tic seemingly overnight I searched the internet and discovered the term PANDAS. I begged our pediatrician to treat it with antibiotics and he did test his ASO titers which were extremely elevated even though he had no clinical signs of strep. The antibiotics completely eliminated the tics but returned 2 months later which we treated again with antibiotics. My doctor was unwilling to keep treating with antibiotics and we were told that he most likely has Tourettes. He just went six months with only minor tics that only lasted a few days at a time. However, after an outbreak of strep at his school and a few day history of sore throat his tics returned. I begged our pediatrician to treat it again with antibiotics which he is currently on Amoxicillin but the tics have not subsided this time. He is completely devastated by these tics. He is increasingly withdrawing from his friends and now us as he can't stop coughing. He constantly is eating ice chip trying to stop coughing,it is so sad! He doesn't want to play baseball anymore, which he loves to do because of these tics. I e-mailed Dr. Kovacevic who said he would do a consult with us, but I want more information on him and outcomes people have had with his treatment of IVIG. When do you decide to do IVIG and does insurance pay for any of this? How much is this form of treatment? What else could we try before we look into IVIG. Please help! I am so sad by seeing my outgoing, sweet little boy hurting so bad. Thank you for any information and guidance you can give us.