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Roanoke Times Story on Lyme: Lost in the Woods: Navigating the Chronic Lyme Debate
Parts 2 and 3 are out! Go Check it out and don't forget to leave your comments.
http://blogs.roanoke.com/lyme/
Diagnostic Hints & Treatment Guidelines For Lyme & Other Tick Borne Illnesses
Written by: Joseph J. Burrascano Jr., M.D.
Sixteenth Edition , Copyright October, 2008
Board Member, International Lyme and Associated Diseases Society
DISCLAIMER: The information contained in this monograph is meant for informational purposes only. The management of tick-borne illnesses in any given patient must be approached on an individual basis using the practitioner's best judgment.
WELCOME!
Welcome to the sixteenth edition of the Guidelines. Amazingly, this edition is not only the sixteenth in the series, but as the first edition appeared in 1984, this reflects twenty four years of effort!
Since the last edition, enough new information has become available to justify this revision. New insights regarding co-infections, tests and treatment regimens are included. Nearly every item has been revised, but despite great effort to condense the information, the huge amount of new information included here has resulted in more pages than ever. Information included here is based on the literature, presentations at scientific meetings, the many valuable observations noted by my colleagues, plus experience from caring for my own patients. I have tried to make this information as up-to-date as possible and as inclusive as is practical. Please use the information presented in this document as an information resource and guide. It can never replace your own experience and clinical judgment.
I once again extend my best wishes to the many Lyme patients and their caregivers whose wisdom I deeply appreciate, and a sincere thank you to my colleagues whose endless contributions have helped me shape my approach to tick borne illnesses. I hope that this new edition proves to be useful. Happy reading!
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2. WEAR LONG SLEEVES & LONG PANTS. Tuck the legs into your socks. Light-colored clothes make it easier to spot ticks.
3. STAY IN THE MIDDLE OF TRAILS. Don't brush against leaves and weeds or hike through the underbrush.
4. USE AN INSECT REPELLENT. Follow manufacturers directions.Look for ones containing 25-35% DEET.
5. CHECK FOR TICKS OFTEN. Crawling ones can be brushed off carefully.
6. PLACE CLOTHES IN A DRYER. A 1/2 hr. dryer high heat cycle will destroy ticks which might be hiding in clothing. the scalp, and behind the ears.
7. DO A THOROUGH TICK CHECK. Ticks crawl upward until they are stopped..Check legs, waistline, bra line, and armpits, and ask a family member to help check scalp, back, etc.
8. USE REPELLENTS AND CHECK YOUR PETS before they enter the house for crawling or attached ticks. 9. HUNTERS AND TRAPPERS SHOULD HANG ANIMAL CARCASSES AWAY FROM BUILDINGS. Put a bucket of bleach water under the animal to catch any ticks falling off. Wear rubber gloves when field dressing or handling meat to minimize chances for infection.


