Tick Bite QuickStart

Tick Bite QuickStart: A Telehealth Program by RMC
Fast-track care for tick bites—when timing matters most.

Understanding the Importance of Prompt Action

Discovering a tick bite can be unsettling. While it's natural to feel anxious, taking swift and informed action is your best defense against potential long-term complications. At RMC, our Tick Bite QuickStart Telehealth Program is designed to connect you quickly with ILADS-trained clinicians who specialize in evaluating and treating tick-borne illnesses.

When it comes to tick bites, time matters. Ticks can transmit pathogens—including the bacteria responsible for Lyme disease—within hours of attachment. And because early symptoms may be subtle or absent, it's critical not to wait until symptoms appear. That's why early intervention is central to both our philosophy and the guidelines we follow.

What To Do Immediately After a Tick Bite

Step 1: Take a Photo Before Removal

If the tick is still attached, take a clear photo. This helps with identification later and shows how deeply embedded the tick is, whether it’s engorged, and if a rash is already forming.

Step 2: Remove the Tick Properly

Use fine-point tweezers or a tick removal tool to grasp it as close to the skin as possible. Pull slowly and steadily straight upward. Avoid twisting, burning, or smothering the tick. Once removed, clean the area with soap and water, apply rubbing alcohol, and use antibiotic ointment if available.

Step 3: Save the Tick for Testing

Place the tick in a sealed plastic bag with a damp cotton ball or green leaf. Label the bag with your name, date, bite location, and estimated attachment time. Take clear photos of the tick from both sides using white paper or tape for contrast.

You can submit the tick for identification or testing at:

• TickReport.com – Paid DNA testing for pathogens - preferred option
• Michigan Department of Health & Human Services (MDHHS) – Free tick ID (availability varies)

Knowing which species bit you and which infections they carry helps us tailor your care.

The ILADS Approach: Why We Act Early and Treat Fully

In 2014, the International Lyme and Associated Diseases Society (ILADS) published guidelines outlining the best practices for managing tick bites, early Lyme disease, and persistent infection. Developed by Cameron, Johnson, and Maloney, these recommendations emphasize:

• Prompt antibiotic treatment for known tick bites, especially when a blacklegged tick (Ixodes scapularis) has been attached for 24+ hours.
• Extended treatment durations for patients with early symptoms (such as a rash or flu-like illness).
• Individualized, patient-centered care, where decisions are made based on your specific risks, preferences, and evolving clinical picture.

Reference: Cameron DJ, Johnson LB, Maloney EL. Expert Rev Anti Infect Ther. 2014;12(9):1103-1135.

As part of the RMC Tick Bite QuickStart Program, we’ve adapted these guidelines into two practical, evidence-informed protocols—designed to deliver timely care based on your unique situation.

Our Two-Tiered Protocols

Protocol 1: Preventive Care for Recent Tick Bites

If you’ve had a recent tick bite and are not yet experiencing symptoms, we may recommend:

• Doxycycline 100 mg twice daily for 7–10 days
• Alternatives such as amoxicillin or cefuroxime for those who can’t take doxycycline
• Ongoing monitoring for 30 days for emerging symptoms

This proactive approach is aligned with ILADS' guidance to avoid relying on a single-dose prophylaxis, which has been shown to be insufficient for full prevention.

Protocol 2: Comprehensive Care for Early Lyme Symptoms

If you’re already experiencing symptoms—such as fatigue, joint pain, rash, brain fog, or flu-like illness—we offer a more robust treatment plan:

• Combination antibiotic therapy targeting different bacterial forms:
  
  • Intracellular: Doxycycline or Azithromycin
  • Extracellular: Amoxicillin or Cefuroxime
  • Persister forms: Tinidazole or Metronidazole
• Treatment duration typically ranges from 4 to 6 weeks, adjusted as needed

This flexible, multi-layered approach supports your body’s healing while reducing the risk of long-term complications.

Shared Decision-Making at the Core

At RMC, we don’t believe in one-size-fits-all medicine. Our clinicians work with you to create a treatment plan that fits your symptoms, risk factors, and preferences. This personalized, collaborative model is central to the ILADS guidelines and forms the foundation of everything we do.

A Calm, Proactive Path Forward

Tick bites can bring uncertainty—but also an opportunity to act decisively and protect your future health. With the right tools, trusted guidance, and timely treatment, you can move forward with clarity and confidence.

You’ve already taken the first and most important step. We’re here to walk with you from here—clearly, compassionately, and without delay.

‍

QuickStart Appointment Details

✔ Available to Michigan residents
✔ Telehealth by phone or Zoom
✔ Streamlined 10-minute visits
✔ $90 flat rate (no insurance required)
✔ Appointments available within 24 hours, Monday–Thursday
✔ Friday–Sunday: Start with urgent care for immediate treatment if needed, then follow up with RMC for ILADS-informed care

Call us to schedule (248)289-6349. If it's after hours, leave a message and we’ll get back to you as soon as we reopen.

‍