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tick bite prevention is paramount and we can do something about that theyre real vectors of disease prevention inspection critically important my name is Ralf Cipriani Im a board certified infectious diseases specialist practicing at Glanville medical concierge care and Im also on staff at Greenwich Hospital and Stanford Hospital in Connecticut a common scenario that I encounter in my practice is the calls will often involve what do we do now the tick needs to be embedded on a person for 36 to 48 hours if you do happen to see the tick and remove it it really needs to be engorged with blood be aware over the ensuing weeks for fevers for chills for aches for extreme fatigue and keeping an eye on the site where the bite was to look for an expanding red rash now there are many people that really dont want to have to live with that nervousness about you know any any fee any aches and pains at all or what if I dont treat now well will my son or daughter have Lyme for the rest of their l