*Practice update COVID-19
I want to start by thanking our patients for their loyalty to our small dermatology practice. We want to assure all of our patients that our office is open and that we have instituted multiple measures to assure your health and safety.
Over two weeks ago, we took extreme measures for disinfecting the exam rooms, the front office, and waiting room. We have eliminated the sign in sheet at the front desk. We are asking all of our patients and vendors to wash their hands or use hand sanitizer on entering and leaving the office. Of course, we have stopped shaking hands and giving hugs. All of our medical personnel are using disposable gloves when touching patients. Thankfully, our practice is small, so patients are never closer than 6 feet from each other in the waiting room.
As a further effort to meet the needs of our patients, we will be implementing a telemedicine option for our patients. We are working diligently to set up a HIPAA compliant platform for this type of service. Unfortunately, not all dermatologic conditions can be treated via telemedicine. If you think you might have a condition that could be treated via telemedicine and are interested in this service for a future appointment, please contact the practice at 208-287-5525 to be put on an interest list.
We thank you for your patronage of our practice and are confident that the resilience of our community will help us limit the impact of this global health crisis. Your health and well-being is our utmost concern.
Lindie Borton, M.D.
Our team of professionals and staff believe that informed patients are better equipped to make decisions regarding their health and well-being. For your personal use, we have created an extensive patient library covering an array of educational topics, which can be found on the side of each page. Browse through these diagnoses and treatments to learn more about topics of interest to you.
As always, you can contact our office to answer any questions or concerns.
Rocky Mountain Spotted Fever is a bacterial infection transmitted by ticks. It is relatively rare, but can cause serious damage to the heart, lungs and brain. The difficulty lies in diagnosis because many people are unaware that they've been bitten by a tick. Three types of ticks transmit the Rickettsia rickettsii bacteria:
- Dog ticks, usually in the Eastern part of the country,
- Wood ticks, usually in the Rocky Mountain states, and
- Lone star ticks, usually on the West coast.
Rocky Mountain Spotted Fever is characterized by a rash that begins as small red spots or blotches on the wrists, ankles, palms or soles of the feet. It spreads up the arms and legs to the trunk of the body. These symptoms take between one and two weeks to appear following a tick bite. The rash is often accompanied by fever, chills, muscle ache, red eyes, light sensitivity, excessive thirst, loss of appetite, diarrhea, nausea, vomiting and/or fatigue. While there are lab tests your doctor can use to diagnose the disease, they take time to complete, so you may be placed on a course of antibiotic treatment right away.
The best way to prevent Rocky Mountain Spotted Fever is to avoid tick-infested areas. If you spend any time in areas with woods, tall grasses or shrubs, wear long sleeves and pants. Tuck pants legs into socks. Wear closed shoes, not sandals. Do a visual check of each member of your family upon returning home. And don't forget to check your dog for ticks (if applicable).
If you do find a tick, don't panic. Use tweezers to disengage the tick from the skin. Grab the tick by the head or mouthparts as close as possible to where the bite has entered the skin. Pull firmly and steadily away from the skin until the tick disengages. Clean the bite wound with disinfectant and monitor the bite mark for other symptoms. You can place the tick in a jar or plastic bag and take it to your dermatologist for examination. Because less than one percent of tick bites transmit this bacteria, antibiotics are not generally prescribed unless there are other symptoms present.