Chronic Illness · Health and Wellbeing · Infectious Diease · Lyme Disease · Medical · Men & Womens Health · Tick Borne Illnesses

Are lone star ticks taking hold in California?

The lone star tick, notorious for spreading disease and causing a red meat allergy called alpha-gal syndrome, has long plagued the eastern United States.

Now, UC Davis researchers warn it may be edging closer to establishing itself in California.

Their study uncovered seventy-six lone star ticks reported across the state, including recent finds in the Bay Area and San Clemente. While field teams in 2024 and 2025 didn’t recover any during surveillance, climate models show coastal California offers prime conditions for the species.

Experts say the tick isn’t officially established yet, but the risk is real. With climate change and increased movement of animals and people, scientists caution that Californians should stay vigilant, check for ticks after outdoor activities, and report unusual sightings.

Click here to read the study in the journal Ticks and Tick-borne Diseases.

Melinda

Reference:

https://www.lymedisease.org/lone-star-ticks-california/

Chronic Illness · Health and Wellbeing · Lyme Disease · Men & Womens Health · Tick Borne Illnesses

A Mother’s Story: The Nightmare In The Leaf Pile

When many people see a big, beautiful pile of colorful autumn leaves, it feels like an open invitation to dive in. The scene evokes joy, nostalgia, and the simple thrill of childhood.

But for Isabel Rose, it brings up something very different. It reminds her of a moment that marked the beginning of her lifelong struggle with Lyme disease.

What others see as innocent fun, she now views with alarm.

Ticks thrive in damp, shaded environments close to the ground. Leaf piles, tall grass, and wooded edges are prime habitats for them. Children playing in these areas are at increased risk, often unaware that a single tick bite can lead to years of misery.

For Isabel, what began as a carefree childhood leap into a leaf pile became the start of a medical nightmare.

Isabel is now a writer, Lyme disease advocate, and founder of Mothers Against Lyme, a support network for families affected by congenital and pediatric Lyme. She also serves on the board of Project Lyme, a national nonprofit.

In a recent essay published on her Substack, Isabel shares the story of how a tick bite at age 8 led to decades of misdiagnosed symptoms, chronic illness, and eventually, the discovery that both she and her children had Lyme disease and co-infections.

Her experience is a powerful reminder of the importance of tick awareness. Ignoring the risks can be hazardous to yourself–and future generations.

Click here to read her raw and deeply informative essay.

Click here to learn more about Mothers Against Lyme.

TOUCHED BY LYME is written by Dorothy Kupcha Leland, President of LymeDisease.org. She is co-author of Finding Resilience: A Teen’s Journey Through Lyme Disease and of When Your Child Has Lyme Disease: A Parent’s Survival Guide. Contact her at dleland@lymedisease.org.

Melinda

Chronic Illness · Health and Wellbeing · Infectious Diease · Lyme Disease · Men & Womens Health · Tick Borne Illnesses

Do You Think Ticks Hibernate Or Die In The Winter?

One would think that freezing weather would cause ticks to hibernate or die, but you would have to think again. States that stay below freezing for most of the winter will not have a high risk but it is not impossible. Keep this in mind when raking the leaves and snow close to the ground.

The key is to know ticks are active and how to prevent tick bites. It’s easy to fend off these beasts by making a few changes. If you are walking in high grass, or have tree limbs brushing the trail, even dead leaves can be a host for ticks. Before you head out, spray exposed areas with DEET* making sure to spray the foot to above your ankles.

Put pant legs in socks so the tick can’t climb in. Wear a hikers hat with a trail that covers the back of the neck. No more falling off a tree limb right down the back of your shirt. They look for every chance they can get to attach to you, the host. The most critical step is to check your body, complete body, once home. Wash your clothes right away, don’t put them in the washing bin and let them move around your other clothes.

As someone who lives with Chronic Lyme Disease, I can say that preventing a tick bite is a hell of a lot better than getting Lyme.

Tick Expert with the Connecticut Agricultural Experiment Station says:

If you’re enjoying the warmer-than-usual winter, so are ticks. The insects do not have to go into their usual hibernation on days when the temperature exceeds 40 degrees. It used to be the people who study ticks in Connecticut got pretty bored in the winter months. Not anymore.

“We used to call it tick activity season,” explained Dr. Goudarz Molaei, a tick expert with the Connecticut Agricultural Experiment Station. “We can no longer call it tick activity season as ticks are active year-round.”

When people get bit, they send their ticks to the Agricultural Experiment Station. It used to be they would get about 50 all winter long. Now they are getting around 800.

“We receive ticks daily, and some days we receive over ten tick specimens from the public,” Molaei said.

If Connecticut no longer has a non-active tick season, chances are the surrounding states are also seeing an increase in ticks during the winter. Be safe by preparing on the front end.

DEET* or no DEET, is based on your preference. There is plenty of information for your searches.

Melinda

References:

https://www.wtnh.com/news/ticks-becoming-active-year-round-in-connecticut-due-to-warmer-winters/

Chronic Illness · Health and Wellbeing · Infectious Diease · Lyme Disease · Men & Womens Health · Tick Borne Illnesses

Kevin Jonas’ Wife Danielle Jonas Reveals Lyme Disease Diagnosis: ‘They Tried to Tell Me It Was Anxiety’

Kevin Jonas‘ wife Danielle Jonas was experiencing symptoms that her doctor first attributed to anxiety, only to be diagnosed with Lyme disease after undergoing a biopsy.

In a new interview with Parents published on Thursday, Oct. 9, Danielle, 39, opened up about her diagnosis and how it affects her daily life.

She first decided to see a doctor after noticing that her hair was shedding.

“They tried to tell me it was anxiety. Finally, I had a biopsy that showed I actually had Lyme disease,” Danielle told Parents.

Lyme disease is an illness caused by Borrelia bacteria, usually transmitted through the bite of a tick, according to Mayo Clinic. Symptoms vary but can include rash, muscle soreness, fever, fatigue, chronic pain and more.

“I also had eczema on my scalp, which was likely from the inflammation [caused by Lyme disease],” Danielle said. “The hair loss was very traumatic. I got to a point where I wanted to wear a wig.”

Eczema, a form of dermatitis, is a non-contagious skin condition that causes dry, itchy and inflamed skin, per Mayo. The chronic condition can cause irritation but flare-ups can be managed through diet, as well as ointments or creams.

To help with her hair loss, Danielle tried wearing hair extensions. These then irritated her eczema further because of the way they pulled at her scalp.

“I had to go out and do things with Kevin. I just wanted to feel like myself,” she told Parents. The couple has been married since 2009 and shares daughters Alena, 11, and Valentina, 8.

Melinda

Reference:

https://people.com/kevin-jonas-wife-danielle-jonas-reveals-lyme-disease-diagnosis-11827737

Chronic Illness · Health and Wellbeing · Infectious Diease · Lyme Disease · Medical · Men & Womens Health · Tick Borne Illnesses

Jesse Ruben’s “Monster” tells the story Lyme patients know all too well

Ten years ago, singer-songwriter Jesse Ruben was desperately ill with Lyme disease—wracked with pain, clouded by brain fog, and battling depression. In the midst of all that, he discovered that if he stayed up well past midnight, the fog would lift somewhat.

“So I’d keep myself up till 6, 7, 8 in the morning,” he recalls, “because it was the only time I had a cognitive thought.”

One morning in 2015, during one of those more lucid hours, he sang the beginning of a new song into his cell phone—and promptly forgot about it. Years later, he stumbled upon the audio file and decided to finish what he had started.

The result is Monster, a raw and powerful song that captures the pain, frustration, and mental anguish that so many Lyme patients know all too well:

“There’s something wrong here, doctor, and I don’t know what it is… 

But there’s a monster in my body and it’s living in my limbs… 

And it’s tearing through my system like a hurricane wind that won’t stop…”

First “We Can” and then he couldn’t

Before he became ill, Ruben was a rising star in the music world, with a popular song called “We Can.” It was a feel-good, upbeat tune that he wrote after running his very first marathon.

Then everything changed.

It started with flu-like symptoms that wouldn’t go away, followed by dizziness and nausea.

Doctors ran tests and told him everything looked fine. But Jesse knew something wasn’t right. He struggled to breathe and couldn’t walk up a flight of stairs. The brain fog got so bad he’d forget the lyrics to his own songs—music he’d poured his heart into.

He saw more than ten doctors. Each gave him a different answer: vitamin D deficiency, depression, chronic fatigue syndrome. None of it fit.

Eventually, Jesse found a doctor who properly diagnosed and treated him for Lyme disease, and he began to heal. He returned to music with renewed purpose—and his single This Is Why I Need You struck a chord around the world. It’s now been streamed over 70 million times across various platforms, a testament to how deeply his message resonates.

Alongside his musical comeback, Jesse became a passionate advocate for others facing Lyme disease. He co-founded Generation Lyme, a nonprofit created to combat the isolation and confusion that so many people with Lyme disease experience.

The organization hosts free Zoom gatherings for patients, parents, and supporters and also offers the Generation Lyme podcast.

And now, Jesse has finally released Monster, the song he rasped into his cell phone so long ago. Take a listen:

Monster drops as a single today and is also featured on Jesse’s new album Belong, set for release on October 10. The ten-song collection explores themes of mental health, chronic illness, long-term relationships, and the essential role of community in helping us heal and thrive.

Jesse Ruben’s journey—from misdiagnosis and despair to healing and advocacy—is a powerful reminder of what it means to keep going.

With Monster and Belong, he’s not just sharing music—he’s sharing what it feels like to fight for your health, your voice, and your place in the world. These songs speak to anyone who’s ever felt lost in their own body, and they offer something we all need: the feeling of being seen, heard, and believed.

Melinda

Reference:

https://www.lymedisease.org/jesse-rubens-monster/

Chronic Illness · Health and Wellbeing · Infectious Diease · Lyme Disease · Medical · Men & Womens Health · Tick Borne Illnesses

Lyme-infected ticks are expanding across western North Carolina

From the University of North Carolina at Greensboro:

North Carolina is experiencing a surge in Lyme disease cases, and a new surveillance study from UNC Greensboro (UNCG) reveals that the primary vector of the bacteria that cause Lyme disease, the blacklegged tick (Ixodes scapularis), has been spreading into areas previously considered low risk.

“Currently, 16 states, mostly in the Northeast, mid-Atlantic, and upper Midwest, account for 95% of the reported LD cases,” says Dr. Gideon Wasserberg, a biology professor at UNCG and one of the research project leaders.

“However, low-incidence states to the south and west, including North Carolina, have experienced an increase in the number of reported Lyme disease cases since the early 2010s.”

With funding from Centers for Disease Control, administered by the North Carolina Department of Health and Human Services, researchers from UNCG, North Carolina State University, and Appalachian State University conducted a five-year, statewide survey of blacklegged ticks and the pathogens they often carry.

Dramatic increase in density

“Our data shows a range expansion of these ticks into more counties in the Blue Ridge Mountains and the western Piedmont region and a dramatic increase in their densities in this area as a whole,” said Wasserberg. “These findings are consistent with increasing reports of human Lyme disease cases in these areas.”

Eastern Piedmont and the Coastal Plain, where blacklegged ticks and human Lyme disease cases have been historically noted, saw little change in tick density in comparison.

In the new study, ticks from the Blue Ridge Mountains were also more likely to carry Borrelia burgdorferi, the bacteria responsible for most cases of Lyme disease, compared to ticks from the Piedmont and Coastal Plain.

“Our analyses indicate that these ticks and the bacteria they carry moved into the Blue Ridge Mountains of North Carolina from southwestern Virginia over the last 10 years, travelling along the Appalachian Mountains,” says Wasserberg.

The researchers say the findings have important implications for public health.

“Enhanced surveillance, increased public awareness, and updated guidance for healthcare providers are crucial to mitigate risk.” said Dr. Reuben Garshong, the lead author of the newly published article in PLOS One. Now a research scientist at the New Jersey Department of Health, Garshong participated in much of the study as a doctoral student in Wasserberg’s lab at UNCG.

Melinda

Reference:

https://www.lymedisease.org/tick-study-north-carolina/

Chronic Illness · Health and Wellbeing · Infectious Diease · Lyme Disease · Men & Womens Health · Tick Borne Illnesses

Yolanda Hadid writes of the “unknown hell” of Bella’s Lyme battle

This week, Yolanda Hadid—once a fixture in the fashion world, now a Lyme advocate and mother to internationally acclaimed model Bella Hadid—shared a deeply personal message on Instagram that struck a chord with countless families in the Lyme community.

For those of us who’ve watched our children suffer profoundly from tick-borne illness, her words are achingly familiar.

“Watching my Bella struggle in silence has cut the deepest core of hopelessness inside me,” she wrote.

“The invisible disability of chronic neurological Lyme disease is hard to explain or understand for anyone. I try to lead by example on our Lyme journey, but my own pain cannot compare to watching my baby suffer.”

Bella Hadid was diagnosed with chronic neurological Lyme disease in 2013, a year after her mom. Since then, Bella’s health has fluctuated dramatically—even as she continues to navigate the demands of a high-profile career in international fashion. To outsiders, that juxtaposition may seem incongruous. But Yolanda’s post reminds us that suffering often hides behind polished surfaces and public success.

“There simply aren’t words big enough for the darkness, the pain, and the unknown hell you’ve lived through since your diagnosis,” Yolanda wrote. “You didn’t really live, you learned how to exist inside the jail of your own paralyzed brain.”

“The CEO of my health”

Yolanda’s message is more than a mother’s lament—it’s a call to recognize the invisible toll of chronic illness. “I am the CEO of my health,” she writes, “and after fifteen years of searching the globe, I am still determined to find a cure affordable for all.”

That phrase—CEO of my health—is one many Lyme families will recognize. It’s the role we assume when conventional medicine fails us, when insurance won’t cover treatments, and when we’re forced to choose between financial stability and the hope of healing.

Yolanda’s post also speaks to the emotional weight this disease places on families. “This disease has brought us to our knees,” she says, “but we always get back up.” That resilience is the heartbeat of the Lyme community. It’s what sustains us through disappointing lab results, unyielding symptoms, and the quiet erosion of hope.

Bella Hadid’s struggle is not unique. But her visibility gives voice to millions who suffer way outside of the spotlight. And Yolanda’s decision to speak publicly—again, after years of quiet withdrawal—offers a renewed sense of solidarity.

To Yolanda and Bella: thank you for reminding the world that chronic Lyme is real, relentless, and deserving of compassion. May we all continue to fight for better days—and for a cure that’s accessible to all.

Melinda

Reference:

https://www.lymedisease.org/yolanda-insta-bella-lyme/

Chronic Illness · Climate Change · Health and Wellbeing · Lyme Disease · Medical · Men & Womens Health · Mental Health · Tick Borne Illnesses

Resources to help figure out your next move-Critical Information For Children & Adult’s

Social media. We spread the word via FacebookTwitterInstagram and Pinterest.

Our free weekly email newsletters keep you informed on Lyme-related developments. Click here to sign up.

US National Lyme Online Support Group: Information and emotional support for people dealing with Lyme and other tick-borne diseases.

MyLymeData patient registry: This big data research project allows patients to privately pool information about their Lyme disease experiences. So far, more than 17,000 people have enrolled in the project, providing millions of data points on Lyme disease demographics, tick bites, diagnosis, symptoms, lab tests, co-infections, treatment and quality of life. Add your Lyme data to MyLymeData to help find a cure for Lyme disease.

Lyme disease posters

Children and Lyme disease

Basic info about children with Lyme disease Gestational Lyme disease LymeHope, a Canadian Lyme advocacy organization, has taken a particular interest in the issue of mother-to-fetus Lyme transmission.

LymeAid4Kids–Financial assistance for Lyme treatment for those under age 21.

Lymelight Foundation–financial assistance for Lyme treatment for children and young adults through age 25

.LivLyme Foundation–Financial grants for children with Lyme disease (under 21).

Mothers Against LymeAdvocacy and education about congenital and childhood Lyme

Video: Lyme Disease & Pregnancy: State of the Science & Opportunities for Research

Book: When Your Child Has Lyme Disease: A Parent’s Survival Guide  by Sandra Berenbaum and Dorothy Kupcha Leland.

Book: Brain Inflamed: Uncovering the Hidden Causes of Anxiety, Depression, and other Mood Disorders in Adolescents and Teens  by Dr. Kenneth Bock

.Book: Protecting Your  Child From the Child Protection System, by Beth Alison Maloney

Book: Finding Resilience: A Teen’s Journey Through Lyme Disease, by Rachel Leland and Dorothy Kupcha Leland

.Article: Healthy Mom Best Prescription for Healthy Baby (The Lyme Times) (PDF)

Wrightslaw.com–Website with information about Special Education law.

PANS/PANDAS

ASPIRE: The Alliance to Solve PANS and Immune Related Encephalopathies

New England PANS/PANDAS Association

Northwest PANDAS/PANS Network

PANDAS Network

Moleculera Labs

Three books by Beth Alison Maloney:  Saving Sammy,  Childhood Interrupted: The Complete Guide to PANDAS and PANS, and Protecting Your Child from the Child Protection system (The author of these books is the mother of a child who healed from PANDAS. She is an attorney/advocate for the recognition and treatment of PANS/PANDAS, and advises parents about legal issues related to PANS/PANDAS and other complex medical conditions.)

Parenting with PANS

Photo by Pixabay on Pexels.com

Ticks

Types of ticks

How to protect yourself from ticks

Find the repellent that’s right for you (EPA website)

Help! I’ve gotten a tick bite. Now what?

TickEncounter Resource Center—University of Rhode Island

Tick testing. There are various places to get ticks tested. Here are several: IGeneXTickCheckTicknologyTick Report

MilTICK—free tick testing and identification service available for ticks removed from Department of Defense (DoD) personnel and their dependents. 

Mast cell activation syndrome and food-related issues

MCAS, when your immune system goes haywire

The agony of mast cell activation syndrome (MCAS)

Healing from mast cell activation syndrome

What to eat when you’re allergic to everything?

Severe weather can worsen mast cell activation syndrome

Alpha-gal syndrome

There is growing evidence that certain types of tick bites can trigger alpha-gal syndrome (AGS) a life-threatening allergy to red meat and meat-related products.

Alpha-gal syndrome–symptoms, diagnosis, treatment

Tick-Borne Conditions United

Alpha-gal Information Website

Other Lyme-related symptoms & issues

Lyme carditis and heart block

Lyme disease can affect the heart in complicated ways

Lyme disease and cognitive impairments

Gastrointestinal manifestations of Lyme

Psychiatric manifestations of Lyme 

Lyme disease and hearing loss

Lyme and multiple sclerosis 

Lyme and allodynia 

Medical marijuana and Lyme disease 

The dreaded Jarisch-Herxheimer reaction

How Lyme disease can affect your vision

12 ways you can help yourself manage chronic pain  

Morgellons

The Charles E. Holman Morgellons Disease FoundationMorgellons: The legitimization of a disease (book review)Skin Deep: The Battle Over Morgellons (documentary film) 

Treating Lyme disease with disulfiram

What is disulfiram and why does it spark excitement in Lyme community?Treating psychiatric Lyme symptoms with disulfiram

Co-infections

The Lyme Times Special Issue on Co-infections (PDF)About Lyme disease co-infectionsCo-infections poster

Mold

Lyme and mold 

Survivingmold.com

Dealing with Lyme disease and mold illness at the same time

Mold Testing Guide (How to test your home for mold)

Your guide to mold in your home

Clean indoor air on a budget

Are you unknowingly ingesting toxic mold?

How to donate blood and tissue for Lyme research

Lyme Disease Biobank

Lyme and pets

Basic information about Lyme and pets

Parasite prevalence maps Educational website includes a US map down to the county level, showing where dogs have tested positive for Lyme, anaplasmosis, erhlichiosis and other diseases. Also, information about protecting your pet from tick-borne diseases.

Companion Animal Parasite Council website has comprehensive information about how to protect your pets from ticks and other parasites.

Books (Treatment, healing modalities, family life)

Brain Inflamed: Uncovering the Hidden Causes of Anxiety, Depression, and Other Mood Disorders in Adolescents and Teensby Dr. Kenneth Bock

CHRONIC: The Hidden Cause of the Autoimmune Pandemic and How to Get Healthy Againby Dr. Steven Phillips and Dana Parish

Conquering Lyme Disease: Science Bridges the Great Divide, by Brian A. Fallon, MD, and Jennifer Sotsky, MD

The Deep Places: A Memoir of Illness and Discovery, by Ross Douthat. The New York Times columnist delves into his personal years-long battle with chronic Lyme disease.

Finding Resilience: A Teen’s Journey Through Lyme Disease, by Rachel Leland and Dorothy Kupcha Leland. Based on the journal Rachel kept during the worst years of her illness, with additional insights from her mother, Dorothy.

How can I get better? An Action Plan for Treating Resistant Lyme and Chronic Disease, by Dr. Richard Horowitz

The Lyme Diet, by Dr. Nicola McFadzean. What to eat while healing from Lyme.

Recovery from Lyme Disease: The Integrative Medicine Guide to Diagnosing and Treating Tick-Borne Illnessby Dr. Daniel Kinderlehrer.

TOXIC: Heal Your Body from Mold Toxicity, Lyme Disease, Multiple Chemical Sensitivities, and Chronic Environmental Illness, by Dr. Neil Nathan.

When Your Child Has Lyme Disease: A Parent’s Survival Guide  by Sandra Berenbaum and Dorothy Kupcha Leland.

Why Can’t I Get Better? Solving the Mystery of Lyme and Chronic Disease, by Dr. Richard Horowitz.

Books (History, Policy, and Science)

Bitten: The Secret History of Lyme Disease and Biological Weapons, by Kris Newby

Cure Unknown: Inside the Lyme Epidemic, by Pamela Weintraub.

Lyme: The First Epidemic of Climate Changeby Mary Beth Pfeiffer.

Film and Video

I’m Not Crazy, I’m sick, Lyme documentary, available on various streaming services.

The Quiet Epidemic, documentary film about chronic Lyme disease, available on various streaming services.

Under Our Skin, award-winning Lyme documentary film.

Under Our Skin 2: Emergence (sequel)

The Red Ring, documentary takes a global look at Lyme disease.

Your Labs Are Normal, feature film based on real-life experiences.

Financial assistance

LymeTAP.com–Lyme Testing Access Program. Financial assistance for Lyme diagnostic testing.

Needymeds.com–Clearing house for information about various kinds of financial assistance for obtaining medication.

Lymelight Foundation–financial assistance for Lyme treatment for children and young adults through age 25.

Lyme Treatment Foundation–financial assistance for Lyme treatment. No age restrictions.

LivLyme Foundation–Financial grants for children with Lyme disease.

LymeAid4Kids—grants for young Lyme patients (up to age 21).

Partner in Lyme—grants for Lyme treatment for residents of Connecticut.

Applying for Social Security benefits for Lyme disease

Outside of the United States

ALCE Asociación de Lyme Crónico España (Spain)

Canadian Lyme Disease Foundation

LymeHope (Canada)

LYRI (Mexico)

Lyme Disease Action (UK)

LymeDiseaseUK

Lyme Disease Association of Australia

Karl McManus Foundation (Australia)

France Lyme

Tick Talk Ireland

Lyme Poland

Association Luxembourgeoise Borréliose de Lyme (Luxembourg)

Onlyme-aktion.org  (Germany)

Lymevereniging (Netherlands)

This is one of the most comprehensive articles Lyme Dieases and co-infections. When you talk to a expert on the subject matter be sure to ask for referral, it took me two doctors to find the right doctor. I can say that you General Doctor is not the right type of doctor for your treatment and surgical. YES, it’s that important. The best source for referrals for Lyme Literate Doctor is ILADS.

Melinda

REFERENCE:

TOUCHED BY LYME is written by Dorothy Kupcha Leland, LymeDisease.org’s Vice-president and Director of Communications. She is co-author of When Your Child Has Lyme Disease: A Parent’s Survival Guide. Contact her at dleland@lymedisease.org .

Chronic Illness · Chronic Pain · Health and Wellbeing · Lyme Disease · Men & Womens Health · Tick Borne Illnesses

“You mourn the life he was supposed to have”: a family’s unfolding Lyme story

Eight-year-old Ben Kuhl of Myrtle Beach, South Carolina, was once an energetic preschooler who loved exploring nature. But four years ago, a tick bite on a family hike changed all that.

At the time, doctors told his parents that as long as Ben’s tick bite did not have a bull’s-eye on it, he would be fine. But it soon became evident Ben was not fine.

According to his mother, LeeAnn, by the time he was finally diagnosed with Lyme disease, it had spread to all of his organs, including his brain.

He is only able to talk on some days, his motor functions have worsened, and he has painful inflammation throughout his body.

“You mourn the life that he was supposed to have, so you mourn the parent that you were supposed to be,” LeeAnn said.

Click to watch this report from WBTW:

https://www.wbtw.com/video/myrtle-beach-parents-strive-to-help-son-with-lyme-disease/10908489

Melinda

Chronic Illness · Chronic Pain · Health and Wellbeing · Lyme Disease · Medical · Men & Womens Health · Tick Borne Illnesses

Why single-dose doxycycline after a tick bite is bad medicine

By Dr. Daniel Cameron

What if you did everything right after a tick bite—and still ended up sick?

That’s what happened to a 37-year-old woman who followed medical advice after a hike in New York’s Hudson Valley. She removed an engorged tick and went to urgent care. The provider gave her a single pill—200 mg of doxycycline—and told her it would prevent Lyme disease.

Weeks later, she developed brain fog, crushing fatigue, and joint pain. It turned out she did have Lyme disease, and possibly other tick-borne infections too.

Her case raises important ethical questions: Are patients being told enough? Are they being protected—or falsely reassured? And are we doing right by those who follow the rules?

The promise of a single pill after a tick bite

The CDC currently recommends a single dose of doxycycline after a tick bite in certain cases. The idea is simple: take the antibiotic early, and you might prevent Lyme disease from taking hold.

But there’s a catch: this one-pill approach was based on a small study published in 2001. It mostly looked at preventing the bull’s-eye rash—not the full illness.

What’s more, the study didn’t follow people long enough to detect cases of Lyme disease that develop without a rash, or cases involving co-infections like Babesia.

What this patient wasn’t told

This woman wasn’t warned about the limits of the single-dose strategy. She wasn’t told that:

It may not prevent the whole disease—just the rash.

It doesn’t protect against other infections ticks can carry.

It only works in very specific situations (right kind of tick, right timing, right area).

If symptoms appear later, Lyme disease testing can be unreliable.

Because she believed she was protected, she waited too long to seek further care—and her test came back negative at first, adding to the confusion.

By the time she arrived at my clinic, her illness had worsened.

Why This Isn’t Just a Medical Issue—It’s an Ethical One

1. Patients Deserve Full Information (Autonomy)

She should’ve been told that the one-pill approach isn’t a guarantee. Without all the facts, she couldn’t make a truly informed choice.

2. Care Should Be Tailored, Not Just Protocol (Beneficence)

She lived in a high-risk Lyme area. The tick was attached long enough to transmit disease. She might have benefited more from a longer antibiotic course. Instead, a “one-size-fits-all” approach failed her.

3. False Reassurance Can Do Harm (Non-Maleficence)

Believing she was safe delayed her diagnosis and treatment. That delay caused more suffering—and made recovery harder.

4. The System Isn’t Fair for Everyone (Justice)

This strategy doesn’t work well for kids under 8, pregnant women, or people who don’t have easy access to care. It assumes everyone knows what kind of tick bit them—and can get treatment within 72 hours. That’s not realistic for many.

What happened when she got the right help

When she finally got to my office, we ran new tests. Her Lyme Western blot confirmed infection. She also had symptoms of Babesia, a parasite that doxycycline doesn’t treat. On top of that, she had orthostatic intolerance (POTS), which had never been linked to her tick bite before.

With a more complete treatment plan—including antibiotics and supportive care—she began to feel better. But the road was longer than it needed to be.

Bottom line: A simple solution isn’t always the right one

The idea of “just one pill” sounds great—but it can create a false sense of safety. When patients aren’t told the full story, they lose the chance to make informed decisions. And when symptoms are dismissed, the consequences can last for months or even years.

We need to do better. That means:

  • Being honest about what the single-dose approach can and can’t do.
  • Offering follow-up when patients remain unwell.
  • Considering co-infections and other risks—not just following a checklist.

Because when it comes to Lyme disease, patients deserve more than a protocol. They deserve a plan.

Dr. Daniel Cameron is a nationally recognized expert in the diagnosis and treatment of Lyme disease. He is a past president of the International Lyme and Associated Diseases Society and a co-aauthor of the ILADS Lyme treatment guidelines. This blog first appeared on his website, danielcameronmd.com. He can also be found on Facebook.

Melinda