LymeCareNow is medical practice dealing exclusively in treating tick-bites and managing their aftermath.

I began LymeCareNow when myriads of friends and family, bitten by ticks, had nowhere to turn for timely and educated care.

I myself contracted Lyme disease over 20 years ago, and was undiagnosed and misdiagnosed for over 15 years. Only then did I get the correct treatment, which changed my life. This situation has made me acutely aware of the importance of inspection, detection, diagnosis and treatment when there is a chance of having been bitten by a tick.


Here's what the CDC says:

Lyme disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected blacklegged ticks. Typical symptoms include fever, headache, fatigue, and a characteristic skin rash called erythema migrans. If left untreated, infection can spread to joints, the heart, and the nervous system. Lyme disease is diagnosed based on symptoms, physical findings (e.g., rash), and the possibility of exposure to infected ticks; laboratory testing is helpful if used correctly and performed with validated methods. Most cases of Lyme disease can be treated successfully with a few weeks of antibiotics. 

Borrelia miyamotoi infection has recently been described as a cause of illness in the U.S. It is transmitted by the blacklegged tick (Ixodesscapularis) and has a range similar to that of Lyme disease.  This is the bacteria which primarily causes Lyme in Europe, and our Western Blot does not test for it.   It can be an aggressive illness.

Most humans are infected through the bites of immature ticks called nymphs. Nymphs are tiny (less than 2 mm) and difficult to see; they feed mostly during the spring and summer months. But with the warming of the climate, nymphs are being found active during a longer season.  Adult ticks can also transmit Lyme disease bacteria, but they are much larger so, luckily, you are more likely to discover and remove them. Adult Ixodes ticks are most active during the cooler months of the year.

American dog ticks can carry the bacterium that causes Rocky Mountain spotted fever. Dog ticks are reddish-brown and larger than deer ticks. Deer and dog ticks are most active during the spring, early summer and fall.

The Lone Star tick is a tick which is primarily in the South and Southwest, but is being seen with greater and greater frequency in the Northeast.  It is said to not carry Lyme, but instead to carry STARI (Southern tick-associated rash illness) which is transmitted via bites from the lone star found in the southeastern and eastern U.S.  The Lone Star is a particularly aggressive biter, and STARI is thought to be caused by the bacterium Borrelia lonestari. Its symptoms are similar to Lyme, caused by Borrelia Burgdorfia.

There are other tick-borne diseases - taken from the CDC site for information purpose:

Where are infected ticks found in the United States?

Services Provided

Because I am not attempting to be your primary care physician or your psychiatrist, your first visit will be much like a visit to an urgent care facility. I will take a brief history and examine you for things which are pertinent to the reason for your visit.

  1. If you have kept the tick and brought it with you, I will give you information on reliable labs you can send it for testing.
  2. I will explain the various protocols for treatment and, together, we will select the appropriate protocol for you.
  3. Because antibiotics can clear some of the good bacteria from your digestive tract (your "biome"), I will also make recommendations for maintaining the health of your biome with specific probiotics and dietary changes.
  4. When you complete your treatment (which will be approximately one month after your exposure), I will discuss with you the possibility of ordering antibody tests looking for co-infections. We will talk about the usefulness of the Lyme test at this point, as well as tests for co-infections.
  5. Depending on what we find, I will either treat you, send you home to continue in health with proper vigilance, or refer you to another Lyme literate physician.
  6. There is a need for education with Lyme disease, its prevention, and its co-infections. I will be happy to provide the information you need. You will also find many useful links on the Links page of this website.

What Do I Do Now?

  • If you find a tick on your body and have not already done so, remove the tick properly as shown on the "about Lyme" page.
  • Call or email me and I will see you as promptly as possible.
  • Avoid another tick bite by treating your yard and outdoor clothes as described on this site.
  • Educate yourself. Knowledge about Lyme and co-infections is growing daily, and we are learning new things all the time. Check my Links page which will keep you abreast.
  • Subscribe to my mailing list here for useful updates and come back often to check my blog entries on topics of current interest.
  • Stay safe and healthy!

My goal is to see you the same day or next if you get bitten by a tick.

-Dr. Jane Marke


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Lyme Care Now

Jane Marke, MD

37 West 20 Street,

New York, NY 10011

Ph./Fax/Text: (212) 228-2332

Union Square or 8th St. Subway stop: N, Q, R, 4, 5, 6

Dr. Marke is devoted to preventing Lyme disease by treating high-risk tick bites immediately TREAT THE BITE... NOW!