It is really helpful to read everyone's responses - I have a son 12 yr too that has one of the most intractable difficulties with congenital lyme (just diagnosed), PANDAS, immune deficiency etc. The comment on compassion fatigue (with no cards that say that I hope your child eats today or doesn't break anything too important in the living room today) made me smile since it very much parallels our daily experience. He had been doing better and 1 day off of cleocin just broke another iPad :-) I'm looking forward to future posts on this journey .