October 30, 2007
Re: Mary Jane
To Whom It May Concern:
Ms. Jane has been a patient at Lyme Resource Medical P.C. since April 2006, when she presented with symptoms including numbness and tingling, fatigue, pain and a feeling of heaviness in her body. She had been symptomatic for approximately 5 years.
Laboratory test results on August 1, 2007, showed a low CD57 count of 30, representing suppressed immune function—a common finding among chronic Lyme patients. A SPECT scan of the brain done on August 16, 2007, revealed decreased perfusion in the posterior left parietal lobe, as well as the suggestion of decreased activity in both temporal lobes. Lyme disease could not be excluded as the etiology of these deficits.
Please find copies of test results enclosed.
Due to the duration and chronic nature of her symptoms, a course of extended intravenous antibiotic therapy is medically necessary for Ms. Jane.
Therefore, we recommend the following protocol:
- – Insertion of a PICC line
- – IV Rocephin 2 g daily, 5 days on/2 days off for a minimum of 6 weeks
- – Weekly dressing change
- – Weekly blood draw—CBC with differential, CMP
Please contact our office if you have any further questions.
Bernard D. Raxlen, MD Carolyn B. Welcome, PA-C