Elizabeth L. Maloney, MD Publishes on Reducing the Burden of Lyme Disease
Elizabeth L. Maloney, MD, President of the Partnership for Tick-Borne Diseases Education and Family Medicine Physician in Wyoming, MN published a paper titled “Reducing the Burden of Lyme Disease” in Minnesota Family Physician. It includes discussion of tick bite management, early treatment, and shared decision-making.
In the article, Dr. Maloney highlights the expensive cost of Lyme disease, stating that, “Nationwide, the annual direct medical costs could reach 1.3 billion dollars” and calls attention to the disadvantages in research the illness has suffered, as well as clinical trial evidence that is “generally scant and/or of low quality”.
The author advises that, “Blacklegged tick bites acquired in Minnesota carry a significant risk of Lyme disease,” and offers guidance for making decisions regarding antibiotic prophylaxis of asymptomatic bites.
Maloney stresses the importance of early treatment and writes,
“Early Lyme disease, when promptly diagnosed and appropriately treated with antibiotics, is curable.” Above all, she states, “the risks and benefits of all options should be discussed with patients in the setting of shared decision-making in order to arrive at a therapeutic plan that fits both the clinical circumstances and the patient’s goals and values.”
(See top link for full article)
Early treatment is imperative; however, doctors still take a “wait and see” approach after patients get bitten by a tick. This approach is maiming thousands of people and needs to change. ILADS recommends 20 days of doxycycline for an acute tick bite, but it’s important to keep track of any symptoms as many coinfections will not be covered under that particular mono-therapy. Also, remember that testing is wrong half the time.
For a great resource:
https://madisonarealymesupportgroup.com/2020/04/21/help-i-got-bit-by-a-tick-what-do-i-do/ (Put this somewhere safe so you can access it if you need to)
This is what appropriate Lyme disease treatment looks like: https://madisonarealymesupportgroup.com/2016/02/13/lyme-disease-treatment/