'Lyme
encephalopathy has been defined in the medical literature as a "mild
confusional state" characterized by subtle disturbances in memory, mood,
and sleep.1'3 To patients with this syndrome, however, this mild
confusional state has a disabling impact on all aspects of daily life:
from the ability to maintain full-time employment, relationships, and
independence, to the simple capacity for task performance, household
maintenance, and the rudimentary abilities to plan, schedule, and
organize. For many patients, the simplest activities become difficult,
time consuming, or completely impossible to perform.` Other patients are
unable to work or attend school for months to years, leading severely
curtailed lifestyles and a significantly diminished quality of life.'
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