We are going through the similar hoops... have a great family doctor who admits he knows nothing about PANDAS, but is willing to humour me with as many swabs, antibiotics and bloodwork reqs as I want. Son is ticcing badly right now, waiting on a swab from Tuesday, but ticcing has been going on for months, inspite of 3 rounds of antibiotics- 2 of which our whole family went on. Have not found a doctor in Southern Ontario who deals with PANDAS, but went to Sick Kids recently and met with Dr Arnold, who is a pyschiatrist focussing on OCD. He wrote an article that I found online about OCD and PANDAS(not our son's biggest issue with PANDAS- mostly ticcing and anxiety) and so I had my family doctor refer us to him. Dr Arnold did a full pyschiatric evaluation ( "you have a normal healthy kid--it is not PANDAS, but likely a ticcing disorder associated with STREP" I am not sure what the difference is!! ) and referred us to a Habit Reversal Therapist to deal with the ticcing. After first visit, impressed, but need to wait to see results.
Have been to a neurologist as well, who says as well that it is not PANDAS, but likely a ticcing disorder associated with STREP.
I don't really care what they call it. It is happening, he is sick and there seems to be no guidelines to follow. Very frustrating. I just read on the forum that dental checkups can cause flareups as well! Yikes!