Thanks Shirley, this is helpful information. What was established is that there are two or more pathogenic microbes involved in Roy’s infection. As is the case with polymicrobial infections in the mouth, biofilm is the “gunk” making the infection persistent. Obviously, surgical removal of Roy’s tonsils was not “curative” even though that’s the way it was explained to Roy by the doctor and the NP.

The latest update: Roy is working part-time and cannot work more hours due to fatigue and headaches. The ENT has referred him to a doctor specializing in CFIDS.