"Evidence-based practice is the integration of
clinical expertise, patient values, and the best
research evidence into the decision making
process for patient care. Clinical expertise refers
to the clinician's cumulated experience, education
and clinical skills. The patient brings to the
encounter his or her own personal and unique
concerns, expectations, and values."
Dr. David Sackett, EBP Pioneer

Accredited Physician Seminars
Date to be announced
Understanding Lyme Disease

Accredited Nurse Seminars
Date to be announced
Lyme Disease Update for Nurses
in the Wisconsin Medical Journal
The Management of Ixodes scapularis Bites in the Upper
Follow these instructions to print a copy
-there is a pdf logo at the bottom.  
-click on it and up pops all the pages in that month's journal.  
-select pages 32-35 and page 39(quiz)
-hit download and you'll be given the 5 pages in pdf form
Make sure you bring a copy to your doctor if you need to be
seen for a tick bite


What Every Primary Care Physician Should Know about Lyme
- read more

Symptoms of Lyme disease - click here

The Need for Clinical Judgment in the Diagnosis and
Treatment of Lyme Disease
- read more

Dr. Brian Fallon Neuropsychiatric Lyme Disease- read more

Optic Neuropathy - Involvement of the optic nerve, either
because of inflammation or increase intracranial pressure is a
manisfestation of Lyme disease -
read more


Serologic Testing in Lyme Disease- by Betty Maloney, MD
read more

Lyme Disease Test Kits: Potential for Misdiagnosis-
read more

CDC: Caution Regarding Testing for LD- read more

Lyme Disease Guidlines Controversy:

National Guidelines Clearinghouse - read more

The 2006 IDSA Lyme disease guidlines were the subject of
an anti-trust investigation by the CT Attorney General.  To
settle the lawsuit, the IDSA agreed to have a new,
independent panel review the guidlines and the
recommendations regarding the diagnosis and management
of Lyme disease.  As part of that process, interested parties
could send written submissions to the panel for its
consideration.  The following were submitted:

Dr. Betty Maloney is the medical advisor for Minnesota Lyme
Action Support Group. In that role, her goal is to provide
accurate scientific information regarding tick-borne diseases
to the medical community and the lay public. Dr. Maloney is a
family physician from Wyoming, MN. She graduated from the
University of MN Medical School and completed her residency
in family medicine at the University. She is a member of the
American Academy of Family Practice, the Minnesota
Academy of Family Practice and the International Lyme and
Associated Diseases Society (ILADS).  Based on her review
of the literature,
she’s developed individual continuing medical education
courses on Lyme disease for nurses, chiropractors and
physicians. Dr. Maloney wrote several challenges to the 2006
IDSA guidelines on behalf of ILADS.  Her paper, “The Need
for Clinical Judgment in the Diagnosis and Treatment of Lyme
Disease” was published in the Journal of the American
Association of Physicians and Surgeons in September, 2009.

Challenge to the Recommendation Restricting the Use of
Clinical Judgment by Elizabeth Maloney, M.D.

Challenge to the Recommendation on the Prophylaxis of
Lyme Disease by Elizabeth Maloney, M.D.

Challenge to the Recommendation Restricting Specific
Therapeutic Options in the Treatment of Lyme Disease by
Elizabeth Maloney, M.D.

Challenge to the Recommendation Limiting the Duration of
Treatment for Late Neurologic Lyme Disease
by Elizabeth Maloney, M.D.

Challenge to Recommendation Requiring Diagnostic Test
Confirmation of Lyme Disease
by Raphael Stricker, M.D.

Challenge to the Recommendation Regarding Post-
treatment Lyme Disease Symptoms
by Elizabelth Maloney, M.D.

Active Infection: Clinical Definitions and Evidence of
Persistence -
read more

LD treatment recommendations by David Volkman, Ph.D., M.
read more

Challenge to IDSA Recommendations for Late Neurologic
Lyme Disease Treatment and Post Lyme Syndrome by
Delong, Liu, Blossom

Challenge to Arthritis Recommendation by Zackrison

Challenge to Post-Lyme Syndrome by Green

Challenge to Implausibility of persistent B. burgdorferi
infection by Stricker

Challenge to Late Neurologic and Post-Lyme Syndrome by

Epidemiologic Assessment of IDSA Guidlines by Cameron

Lyme Basics read more

Anaplasmosis rivals Lyme disease as record numbers
of Minnesotans become ill from tick-borne diseases in
MN Dept. of Health

Changing Epidemiology of Ixodes scapularis–Borne
Diseases in Minnesota -
read more

Wisconsin and Minnesota Alert - read more

Large numbers of Minnesota ticks carry disease
read more    

News Release July 2009 - Two more diseases from
ticks found in Minnesota  
read more

Reported case meeting the surveillance case
definition for
1,065 confirmed Lyme disease cases
Anaplasmosis: 317 anaplasmosis cases
Babesiosis: 31 babesiosis cases

Reported case meeting the surveillance case
definition for 2008:
WNV: 10 cases (an extraordinarily low year)
Lyme: 1,043 (provisional)
Anaplasmosis: 278 (provisional)
Babesiosis: 28 (provisional)

Click on table below to view

Prevalence of Lyme Arthritis - click here
Minnesota Lyme Association
Advancing awareness through support and education
Minnesota Lyme Association is a 501(3)c nonprofit organization.