In my research for her paniculitis problem, it was said that she could try Epsom salt baths. I feel this has reduced her nodules down to being pain manageable with her pain patch and break through pain meds as she needs them. Also as her doctor is now treating her Babesia, we feel she is starting to make some improvement toward regularity. But we need to take one disease at a time. This lady you talk of I believe needs a lyme literate doctor, as there are only a # of them in the Massachusetts area. If you do not find one, May I suggest calling the national Lyme assoc. Lyme disease is called the great imitator for a reason. If you are interested in more about tick related issues. You can go to my website at www.throughchallenge.com. Thank you if you read this far. If you didn't you won't mind me saying you are in the wrong profession. Thank you and have a good day.