Do you provide empiric doxycycline for Lyme Disease to asymptomatic patients after a tick bite who haven't developed Erythema migrans or are not sure it was an Ixodes tick?   

I would base post-exposure prophylaxis upon local prevalence (unless the patient has a recent notable travel history). For example, Lyme disease is very rare in California due to the Ixodes tick's intermediate host being the Western Fence Lizard (long story short, something in their blood kills the ...

I practice in Jersey, Soprano's country or county to be more accurate. Yes, I have eaten at the famed Vesuvius restaurant and been to Holsten’s many times. BTW, the restaurant has been closed for years and never looked like the one on the show. I grew up here as well. Deer simply were not here...