What We Do

At TickWiseMV, we provide:

An evidence-based, science-driven approach to the diagnosis and treatment of tickborne illnesses via telemedicine or house-call
Collaborative, unrushed dialogue between patient and clinician to ensure you feel seen and heard, that your needs are met and questions answered
Supporting our patients as they navigate the often complex and emotionally and physically taxing toll tickborne illnesses can have on our lives

Why We Do It

Ticks and tickborne illness are a year-round issue on Martha's Vineyard
Ticks and tickborne illness can have both significant physical and emotional impacts on those affected
It can be difficult to find or to access medical care for ticks and tickborne illness locally if you don't have a PCP, if appointments aren't available at local clinics, and if you want / need to be seen outside of normal medical office business hours without going to an emergency department
Traditional medical appointments are often not long enough to address each individual's questions and concerns

Services We Offer

Whether you've:

had a tick bite and need prophylactic doxycycline
worry you have symptoms of tickborne infection or Alpha-Gal Syndrome and may need testing
need help interpreting test results
need a prescription for treatment
want to know how to prevent tick bites, or
just want some basic tick education we've got you covered

We Provide In-Home or Telemedicine Visits For:

Tick checks
Tick removal
Evaluation of potential tick bite related rashes
Prescriptions for single-dose doxycycline to prevent Lyme disease after Deer Tick bites
Prescriptions for 5% Permethrin cream to treat Lone Star "tick bombs"
Evaluation of symptoms concerning for tickborne illnesses and that might indicate a need for testing
Diagnostic testing and treatment for tickborne illnesses including Alpha-Gal Syndrome
Management of tick bite sites (itching, pain, infection)
Referrals for nuanced specialty care including allergists, immunologists, or nutritionists when warranted
General education on:
- tick bite prevention
- strategies to reduce ticks in your own backyard
- where to turn for additional accurate, science and data-based information
- when to seek emergency medical care
- managing Alpha-Gal Syndrome including personalized dietary recommendations and when to retest
- what ticks to worry about locally, the diseases they carry, and symptoms of tickborne illness

We are available for telemedicine visits or in-home visits at a time that works for you and your family, including evening and weekend hours.

Want to learn more? We offer lectures and can moderate round table discussions for clinicians and the public on:

local tickborne illnesses, including symptoms, current diagnostic and treatment protocols
ongoing research / vaccine studies
environmental approaches to reducing ticks and tickborne illnesses
current public health and other collaborative efforts to mitigate these illnesses
general Q&A sessions on ticks and tickborne illness

Request Consultation

Who We Are

Aubrey Stimola Ryan
PA-C, CTropMed, ASTMH-C

Founder, Medical Director, Clinician

Our expert medical team combines years of specialized clinical experience in tickborne illness, emergency medicine

and allergy and has a deep commitment to research-based patient care.

Edward Caldwell, MD

Managing Member, Supervising MD, Consultant

More About Us

Supervising MD, Tickborne Disease Specialist

Peter Rabinowitz, MD, MPH

Disclaimers:

We do not provide and are not a substitute for routine primary care
We are not an urgent care clinic
We do not prescribe controlled substances
We are not currently accepting insurance
If you having a medical emergency, please call 911 or go directly to your local ER

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Providing expert, science-based diagnosis, treatment & education on all aspects of tickborne illness—including Alpha-Gal Syndrome—on Martha's Vineyard and Nantucket

Art by Alan Claude

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What We Do

Why We Do It

Ticks and tickborne illness are a year-round issue on Martha's Vineyard

Ticks and tickborne illness can have both significant physical and emotional impacts on those affected

It can be difficult to find or to access medical care for ticks and tickborne illness locally if you don't have a PCP, if appointments aren't available at local clinics, and if you want / need to be seen outside of normal medical office business hours without going to an emergency department

Traditional medical appointments are often not long enough to address each individual's questions and concerns

Services We Offer

Who We Are

Aubrey Stimola Ryan
PA-C, CTropMed, ASTMH-C

Edward Caldwell, MD

Peter Rabinowitz, MD, MPH

Disclaimers:

What We Do

Why We Do It

Ticks and tickborne illness are a year-round issue on Martha's Vineyard

Ticks and tickborne illness can have both significant physical and emotional impacts on those affected

It can be difficult to find or to access medical care for ticks and tickborne illness locally if you don't have a PCP, if appointments aren't available at local clinics, and if you want / need to be seen outside of normal medical office business hours without going to an emergency department

Traditional medical appointments are often not long enough to address each individual's questions and concerns

Services We Offer

Who We Are

Aubrey Stimola Ryan PA-C, CTropMed, ASTMH-C

Edward Caldwell, MD

Peter Rabinowitz, MD, MPH

Disclaimers:

Aubrey Stimola Ryan
PA-C, CTropMed, ASTMH-C