Malpractice. The delivery of substandard care or services by a lawyer, doctor, dentist, accountant, or other professional. Generally, malpractice occurs when a professional fails to provide the quality of care that should reasonably be expected in the circumstances, with the result that a patient or client is harmed.
An UpToDate review on Nervous system Lyme disease (Halperin, 2011) states that [s]ince Lyme encephalomyelitis is so rare, MRI of the brain and spine is only rarely abnormal in Lyme disease. When present, encephalomyelitis is evident on MRI as areas of increased signal on T2 and FLAIR sequences.
The first sign of Lyme disease is usually a rash around the site of the tick bite. It may be warm or itchy. In many cases, the patient may not even notice the rash. Over the next three to thirty days, the rash expands. The center of the rash may clear up, forming a bull's-eye pattern.