A Possible Case of Lyme Disease

 A woman is referred by her primary care physician to a neurologist for evaluation of possible Lyme disease. She is experiencing a rash, fever, weakness, muscle pain, migraine headaches, and low oxygen levels, and hopes to return to work as soon as possible.

The neurologist explains that Lyme disease and possible co-infections, such as Borrelia burgdorferi and Bartonella, may delay her recovery. The physician also discusses the possibility of Epstein-Barr virus reactivation, which can lead to chronic fatigue syndrome.

The patient becomes overwhelmed by the medical information. The interpreter respectfully asks the neurologist to use simpler language, and although the physician briefly does so, they later return to more technical terminology.

The role-play ends with plans for a blood test to confirm whether the patient has Lyme disease.