I don't know anything about
working with the vocational rehab, sorry. I do however know about
chronic infections with RMSF. I have that as well, and there is very little information on this subject - even among the tick-borne infection research. Almost like it didn't even exist! Every so often I have to do a bunch more looking, as I do hope to find some info at some point.
Is it possible that you were diagnosed with a petechial rash?
www.umm.edu/imagepages/2934.htm