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 hallmark rash of Lyme disease is a red, expanding rash. If there is such a rash present, this IS Lyme disease and must be treated with a full course of antibiotic therapy. (There are at least two views on how long to treat early Lyme disease, varying between 2 weeks to 6 weeks.