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Medical Diagnostic Laboratories, L.L.C.Institute of Vector-Borne Diseases

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CDC Estimates 300,000 cases of Lyme disease per year

• CDC & Alternative Interpretation criteria• Detection of Lyme disease and other vector-borne diseases by DNA-based Polymerase

Chain Reaction (PCR) and serology• C6 Peptide ELISA testing for Borrelia burgdorferi• Detailed results with interpretation guide with every comprehensive report• PhD’s available for testing and result consultations • MDL files all insurances including Medicare, Medicaid, PPOs and HMOs• Patient friendly pricing for non-insured patients• Test additions available up to 30 days after collection• No refrigeration required before or after collection• 5-10 day turnaround time

Did You Know?

• Vector-borne diseases have more than tripled in the US in recent years

• Lyme disease accounts for 82% of all tick-borne illnesses; however, Rickettsiosis, Babesiosis, Anaplasmosis & Ehrlichiosis have also increased

For more information please contact:

Medical Diagnostic Laboratories (MDL)

Lyme/Vector-Borne Disease Specialty Laboratory since 1997

Symptoms Severity FrequencySkin issues Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Spotted rash over large area EM rash in a discrete circle Linear red streaksSwollen glands Yes No Mild Moderate Severe Occasional Often ConstantSore throat Yes No Mild Moderate Severe Occasional Often ConstantFever Yes No Mild Moderate Severe Occasional Often ConstantJoint pain Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Fingers/Toes Ankles/Wrists Knees/Elbows Hips/ShouldersJoint swelling Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Fingers/Toes Ankles/Wrists Knees/Elbows Hips/ShouldersMuscle complaints Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Pain Cramps Stiffness Weakness TwitchingCognitive difficulties Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Thinking Concentrating Forgetfulness Speech errorsMood difficulties Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Mood swings Irritability Depression Anxiety Panic AttacksPsychosis Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Hallucinations Delusions Paranoia BipolarNeurological issues Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Tremors Seizures Headaches Dizziness Off balance Light headedEye/vision difficulties Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Sensitivity to light Double vision Blurry vision FloatersEar/hearing difficulties Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Sensitivity to sound Ear pain Buzzing Ringing Decreased hearingNerve issues Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Tingling Numbness Burning Stabbing Shooting painFacial paralysis/Bells Palsy Yes No Mild Moderate Severe Occasional Often ConstantDental pain Yes No Mild Moderate Severe Occasional Often ConstantNeck pain/stiffness Yes No Mild Moderate Severe Occasional Often ConstantFatigue, poor stamina Yes No Mild Moderate Severe Occasional Often ConstantSleep difficulties Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Insomnia Broken sleep Early waking Excessive sleepingUnexplained weight gain or loss Yes No Mild Moderate Severe Occasional Often ConstantUnexplained hair loss Yes No Mild Moderate Severe Occasional Often ConstantPain in genital area Yes No Mild Moderate Severe Occasional Often ConstantMenstrual irregularities Yes No Mild Moderate Severe Occasional Often ConstantUnusual milk production or breast pain

Yes No Mild Moderate Severe Occasional Often Constant

Irritable bladder/dysfunction Yes No Mild Moderate Severe Occasional Often ConstantErectile dysfunction or loss of sex drive

Yes No Mild Moderate Severe Occasional Often Constant

Digestive difficulties Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Nausea Heartburn Stomach Pain Constipation Diarrhea CrampingCardiac Issues Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Heart murmur Valve prolapse Palpitations or skips “Heart Block” on EKGChest issues Yes No Mild Moderate Severe Occasional Often Constant If yes, select all that apply: Chest wall pain Sore ribs Breathlessnes Chronic Cough Head congestion Yes No Mild Moderate Severe Occasional Often ConstantNight sweats Yes No Mild Moderate Severe Occasional Often Constant

Tick-Borne Disease Patient Symptom ChecklistComplete the checklist below based on your current symptoms. Bring the completed checklist to your next appointment for discussion with your physician. History of tick bite? Yes No If so, when:

Adapted from: Advanced Topics in Lyme Disease, Fifteenth Edition September, 2005. Diagnostic Hints and Treatment Guidelines For Lyme And Other Tick Borne Illnesses By Joseph J. Burrascano Jr., M.D. Copyright, September, 2005.