I know its been a long time since my last post.
You are not interested in the reasons, which are many, but not worthy of discussion here. Anyway, I was moved to post this short note about lyme disease, since I know that many of you are interested.
Yesterday, the Commissioner of Health, Dr. Karen Remley, sent the attached letter to all clinicians in the Commonwealth.
It details the southerly and westward movement of Lyme disease over recent years, and reminds clinicians to be on the lookout for lyme and other tick-borne illnesses such as Erlichia, Rocky Mountain Spotted Fever, and anaplasmosis, as the weather warms, and ticks become more active, and humans spend more time in tick habitats.
If you are a clinician, please review the indications for diagnosis and treatment of tick-borne diseases in your patient population; if you are a lay person, or a parent, take care to do what you can to prevent yourself or your child from developing a tick-borne disease.
If you have found a tick embedded on the skin, remove it carefully, look for an area of redness (painless) surrounding it, and call your healthcare provider. DO NOT PANIC! but do seek evaluation if you or your child develops a febrile illness following known or suspected tick exposure.
Please leave your comments and questions, and I will do my best to write another post SOON.