He definitely needs a western blot! It is highly likely that he is NOT Infected and his PA apparently has read the CDC guidelines that says anyone with an index value of 1.1 to 3.0 needs a good confirmatory test and western blot is the best. The change between the two test results has no meaning at all.
He can work with me to get the blot or his own health care provider, but his PA doesn’t seem to understand issues about herpes so that might not work.
Terri