Sorry to tell you, Huddie, but Lyme "specialist" or not, he is grossly misinformed and my situation is proof positive of that.
I started 21 days' worth of 100mg 2x daily doxy ala my PCP the day after I pulled the tick out of my abdomen.
I developed a stiff neck the 2nd day on doxy that I (MUCH) later learned was a herx. When I saw my PCP one month later, she dismissed the couple of issues I'd developed after going off doxy (weird, neurological-type feeling in one toe, a 4 hr "event" of feeling like I was coming down with something and a sense of fluid retention in my lower legs.)
Once I developed a post-novacaine-type feeling in the left corner of my mouth, I decided to consult a LLMD and met him 2 months after the bite.
I was clinically diagnosed with Lyme due to the Bells Palsy he noted in me. It was so mild that neither I nor my family noticed it until I repeated at home the cheek-puffing he had me do in his office.
Clearly, IDSA treatment guidelines failed me and that is exactly what your Lyme "specialist" is following based upon what he is telling you. There is NO proof whatsoever that taking two doxy after a bite will often prevent infection.
I took abx for 5 months and my LLMD was the one who determined it was time to go off. I was scared lol However, he felt my symptoms were minimal at that point (they were but I didn't have them before the tick bite). And, he was concerned for my microbiome.
I was told to start an herbal protocol and given a choice of Buhner, Cowden or White. I chose Cowden for simplicity and followed the full protocol for almost 6 months.
I only herxed on Cowden and experienced no improvements. Thus my switch to Buhner that is bringing me to full healing.
In all honesty, I wish I followed Buhner's protocols from the beginning. They just make sense to me.
Treating these infections isn't just about
killing and that's all abx do.
To heal, we need to heal the parts of the body damaged by the infection(s), clear the toxins generated by the killing, reduce inflammation and rebuild the immune system. Herbal protocols are much more holistic and why I prefer them at this point.
Did I know any of this stuff when I got bit? No.
I'd only learned enough to know to seek treatment after the nymph deer tick bite. I'll know better if there's a next time or if a family member gets bit.
For whatever it's worth, the IDSA guidelines have been removed from the National Guideline Clearinghouse because they are not based upon scientific evidence.
The ILADS guidelines meet the criteria to be on the site and those are the ones doctors should be following.
If you are so inclined, you can read the ILADS guidelines here:
/guideline.gov/summaries/summary/49320/evidence-assessments-and-guideline-recommendations-in-lyme-disease-the-clinical-management-of-known-tick-bites-erythema-migrans-rashes-and-persistent-diseaseIt's clear your doctor isn't following the ILADS guidelines - sorry.
If you are doing well with Burbur, I see no reason why you can't do another drop later in the day and then start Pinella tomorrow.
I was able to increase both herbs quite rapidly.
Good luck!