Rex G. Carr, MD FAAPMR
Rehabilitation Medicine
45 Lyme Road Ste 102
Hanover, NH 03755-1220
Fax 603-643-5264
Disclaimer: The information on this website is ONLY to be used at the recommendation of your treating clinician.
It is for informational purposes ONLY.

A good thing to read first: The Controversy(ies) over the Diagnosis and Treatment of "Lyme" Disease

1. A Protocol for the Assessment, Diagnosis, and Treatment of Patients with Chronic Pain and Fatigue with Myofascial Pain or Fibromyalgia by Rex G. Carr, MD. This has Served me Well for over 30 Years.

2. The Assement and Treatment of Lyme and Lyme-Like Infections by Rex G. Carr, MD as adapted from Sam Donta, MD's protocol.

3. Bland diet (foods to avoid) in order to reduce heartburn/gerd and gastritis symptoms by Rex G. Carr, MD.

4. Advanced Topics In Lyme Disease: Diagnostic Hints And Treatment Guidelines For Lyme And Other Tick Borne Illnesses by Joseph J. Burrascano Jr., M.D. A Popular Reference. I use the Symptom Check List. Take a Look!

5. A Low Carbohydrate Diet designed to reduce yeast and it's effects by Rex G. Carr, MD (The Low Yeast Diet) DO NOT do this without specific instructions from your clinician!

6. Recipes using foods that are part of the "Low Yeast Diet"

7. Lyme Disease and Tick Borne Infections, Causes and Physical and Neuropsychological Effects in Children by Hamlin and Kliman

8. Tick Borne Illness, Prevention Steps that School Personnel can Take.

9. A List Of Blood Tests Used To Assess Individuals With Chronic Pain Or Chronic Fatigue.
Almost Everyone Gets These Done.

10. A Brochure on Lyme Disease, for the Public, from the CDC
New for 2019. It suggests that a repeat course of antibiotics may be needed.

11. The Website for the Lyme Disease Association (LDA)

12. The Website for the International Lyme and Associated Disease Society (ILADS)

13. An ILADS Brochure on What Primary Clinicians Should Know About Lyme Disease

14. An ILADS Brochure for What Psychiatrists Should Know About Lyme Disease

15. The CDC Website for the Public on Lyme Disease
Don't forget to read the part about avoiding Ticks!

16. A 12 page List of Research Article References Supporting Continued Lyme Infection in Humans, Even Though They Had Typical Antibiotic Treatment

17. An Article Showing Research, which is Often Quoted as Showing no Benefit from Long Term Antibiotics, Actually Shows That There IS Benefit from Repeat Antibiotic Treatment.

18. An Article Discussing Getting Lyme Disease From a Tick That Had Been Attached For Only a Short Period Of Time.

19. ILADS Guidelines 2014 Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease Expert Rev. Anti Infect. Ther. Early online, 1-33 (2014)

20. An Article by Sam Donta, MD Discussing Issues with the Diagnosis and Treatment of Lyme Disease

21. An Article on the Best Ways to Prevent Lyme Disease
I recommend permethrin on all clothes and at least 30% DEET on the skin. Frequent tick checks whenever someone has been outside, and proper repellant for the animals PLUS frequent tick checks whenever they come indoors. Animals can bring them in and then get on you. Check your children when they get home from school.
A dryer on High Heat will kill ticks. Put the clothes right into the dryer.

Also see: AND

22. The State of New Hampshire Health Departments's Guidelines on the Diagnosis and Treatment of Lyme Disease and other Tick-Borne Diseases

23. The Management of Deer Tick Bites. An article from the Midwest by Elizabeth Maloney, MD

Also see:

24. Problems with using the PCR for the diagnosis of Lyme Disease, by Nolte.
PCR has False Positives and Negatives

25. How Yeast is a factor in Treating Lyme Disease

26. The problems with using Vitamins, Minerals, Supplements, and Herbs in a person that has a Lyme or Lyme-Like Infection

27. New Websites to help clinicians begin to understand how to help their patients more effectively

See: AND

28. What is a Jarisch-Herxheimer Reaction?

29. The Controversy (ies) over the Diagnosis and Treatment of "Lyme Disease".

30. A Reappraisal of the U.S. Clinical Trials of Post-Treatment Lyme Disease Syndrome More Antibiotics do Help.

31. Lyme and other Tick-borne Diseases Health Advisory from the Vermont Department of Health, June 2014
For 2019, I was unable to find any alerts. Here is the address to their Website on Tickborne Illness in Vermont.

32. Vermont Law on the Treatment of patients with Lyme Disease

33. New Hampshire Law on the Treatment of patients with Lyme Disease

34. Vermont Medical Board Policy on the use of long term Antibiotics for the Treatment of "Lyme Disease" 2014

35. New Hampshire Medical Board Website Page on the Treatment of patients with "Lyme Disease" 2019

36. Connecticut Handbook on Tick Management 2014

37. CDC Reference Manual for Health Care Providers Tickborne Diseases of the United States

38. The Clinical Assessment, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis: Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA Guidelines)

39. ILADS Brochure, Top Ten Tips to Prevent Chronic Lyme Disease

40. How to find a clinician with an intererest in the evaluation and treatment of patients that might have "Lyme Disease".

41.. Dr. Donta's Guidelines to the Diagnosis and Treatment of Lyme Disease

42. Article Comparing Four Western Blots that Test for Lyme Disease

43. A website outlining the basics of Clinical Diagnosis and Treatment:

44. A website outlining the basic observations that need to be taken into account in order to understand patients with chronic pain and fatigue and the use of antibiotics: