Urgent care tips for tick bites

Urgent care tips for tick- and vector-borne infections:

  • You can still have Lyme disease if you didn’t develop a rash. 
  • The doctor should check your whole body for rashes — even in hair, behind ears, between toes, in the groin and butt cracks…everywhere!
  • Physical exam should include checking ALL joints for synovitis.
  • Lyme disease is a diagnosis based on SYMPTOMS ONLY! 
  • No lab test is required to access adequate treatment.
  • The current Lyme test catches only 1 of 12+ strains of Lyme Borrelia, and misses all the strains of tick-borne relapsing fever Borrelia.
  • The current 2-tier model is outdated. 
  • At the very least, a Western blot should be ordered without what’s called a ‘reflex’ based on the screening test.
  • The Lyme test used in urgent care does not turn “positive” for 4-9 weeks, so:
  • The lab test used in urgent care tests your immune system reaction (antibodies). It does not test for the presence of the infective agent (antigen). 
  • If the screening test is positive for Lyme at your urgent care visit, either your bite was longer than 4 weeks ago, or this is a reactivated infection. Either way, it needs treatment.
  • A single dose of doxycycline is NOT sufficient treatment for tick borne infections.
  • Treat presumptively if symptomatic, especially in Lyme-endemic areas.
  • Test for co-infections based on incidence data for your area. Check tickreport.com for a good map.
  • I prefer to use herbs when using Rx’s to reduce bacterial resistance and reduce side-effects.
  • I also use things like vitamins E and C, fish oil or Resolvins, and enzymes to reduce thick blood seen with tick borne infections.
  • Borrelia grow slowly, so treatment needs to last a minimum of 60 days in order to be effective.
  • Don’t stop treatment until fully free of symptoms.

ps – sorry for my confusing phrasing about prescription antibiotics and herbs. I don’t always use prescription antibiotics, but when I do, I always combine with herbs.


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