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Risa B. Burns, MD; Erin E. Hartman, MS

JAMA. 2003;290:3247.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

At Internal Medicine Grand Rounds on February 14, 2002, Allen C. Steere, MD, discussed a 58-year-old man with chronic Lyme disease.¹ The patient, Mr C, described 10 years of symptoms following spending time on Martha's Vineyard, an area endemic for Lyme disease. He reported an episode of left-sided Bell's palsy and subsequently noted that he was less competent mentally and that he had developed numerous physical symptoms including neck pain, back pain, joint aches, periodic blurred vision, and periodic sweats. He was treated for Lyme disease with an initial course of tetracycline and his symptoms improved. However, his symptoms returned a few years later, and he received multiple subsequent courses of antibiotics for Lyme disease. In late 1999, due to a change in his insurance, Mr C transferred to a new primary care physician, Dr N. His new physician was not convinced . . . [Full Text of this Article]

MR C, THE PATIENT