(She started off with "Did you see a tick?" and I started laughing. This is a new NP, only been seeing her for about six months after my old one left the practice. She is learning, though.)
After a brief discussion of my life with tick-kind, she snorted and canceled the titers. "All that will tell us is whether you've been exposed to Lyme or Rocky Mountain Spotted Fever at some point in your life. And I can pretty much guarantee you have been, with that history, so that's not going to tell us anything new--and even if it came back negative, I'd STILL put you on Doxycycline. We'll save you money, time and blood and just assume the tick gave you SOMETHING."
Which I am inclined to agree with. There are so many different tick diseases out there--I'm not presenting as either of the two big ones, but they keep finding exciting new varieties--so I get the mega-antibiotic run to blast it all out of my system.
Fortunately I feel fine, and apparently the new diet has dropped off about five pounds, which is awesome and unexpected. (It might be technically more, since the last time I was in, I hadn't eaten in three days owing to norovirus, and I had a big breakfast before I went in today. I don't actually keep a scale at home because it just makes me unhappy, so I haven't been tracking it, but good to know that it's getting results!)
Anyway, I get three weeks of juggling dairy and antibiotics, which is always a delight. But at least I do not appear to be dying at this exact moment.