That all said, Klinghardt is definitely right about something, applying the title of the thread: "A Look Beyond Antibiotics"
We are on the cusp of entering a post-antibiotic age, and we really do not want to enter it fully. We are staring into the abyss, though.
While longer courses of antibiotic treatment seem to help some patients with tickborne disease, not everyone's symptoms are resolved on them. They can't be the only answer even if they help some people.
The issue of persistence must be confirmed once and for all, and dealt with effectively - whether the outcome is persistent tolerant spirochetes sequestered in immune privileged sites or some patients have persistent antigens which are causing symptoms.
Even if stronger evidence supported the existence of infection with persistent spirochetes, the months and years of antibiotics people are trying would be better off replaced with shorter acting, more effective antibiotics and treatments than what patients are using now. I think most patients would also be MUCH happier if they had shorter effective courses of antibiotics and could go back to work and their lives even SOONER.
And of course, the oft-cited long term cost of long term antibiotic use is antibiotic resistance - resistance in bacteria other than Borrelia, which is already an issue in some patients now. Resistance that is a danger to humanity and society overall, and of concern to many doctors, surgeons, microbiologists, immunologists, and patients sitting in hospitals right now (MRSA, VRE, Tuberculosis, etc.).
If there aren't persistent spirochetes and there is another cause for patients' persisting symptoms, then that too should be determined and new treatment studies conducted for this cause. Otherwise, there aren't any other options other than to use pain meds (to which people can grow addicted, then they lose effectiveness due to tolerance) or drugs which make you stupid/sleep all the time (Neurontin and others) or using antibiotics for their anti-inflammatory purposes, or, if you are 100% certain you no longer have an infection and it isn't contraindicated - use of steroidal drugs (which have some pretty nasty side effects of their own, as do biologics/DMARDS - not to mention the expense).
The one thing I agree on is that we do need to find other treatments other than antibiotics for patients to help them heal and get better. I would like to see research on herbs for treatment because some may prove to be effective - but then like artemisinin used to treat malaria, we would then have to be careful that we didn't create resistance to the herbs, too.
Nature. Evolution. It's an amazing show, and we are not in charge. We are lucky to stay one step ahead.