yes it is a catch 22 . I did get a referral to the tropical disease clinic but the clinic denied me as my result was not from a lab in Canada -as well as one of the specialists there I had seen several weeks ago in his private walk in and he told me I was delusional like many of his patients. I was insulted so told him to fo and left.OOps now he has the power to deny me treatment. Still not sorry I said that to him though I went back to the Gp who referred me. He is aware I am being treated for two of the four and never had any treatment for trich or toxo. My immune system is compromised at this point.He has written a req for a toxo blood test and once again stool and ova - I will only be putting in obvious worms no stool just to freak them out at the lab. He also added a test for lyme - I am pretty sure I do not have lyme as I do not go hiking in the woods but he insisted. Also wrote a a req for more Ct scans as the first one was only head not nasal or throat or chest to rule out the possibility of cysts.The ladies at the lab said they have had several patients with lyme complain that the were told they were crazy by their MD. So I have tested positive but denied treatment by the TDC and now need to ask my ND to follow up on the denial - he will need to ask the Gi and Ent`s to get involved as the TDC does not recognize the treatment from a naturopath- not a real doctor- heard that three times today! as well as continue treatment with him.I need a drink!