05/27/2026
Finally, Rain! 🌧️
I spent my weekend pulling up English ivy from the wooded corner of my yard. The drought didn't slow them down, and the native poison ivy was equally undeterred . I try to embrace the poison ivy (figuratively).
The other uninvited guest I try to avoid? Ticks.
We tend to think of tick season as a warm-weather thing, but honestly — it's year-round here. They're thick in the vegetation right now, patiently waiting for gardeners, hikers, and even the office worker who just brushed the wrong shrub walking to their car. Next thing you know, a tick has been along for the ride -for days.
North Carolina is a hotspot for tick-borne illness, and the Piedmont sits squarely in the core zone for the lone star tick. Two conditions worth knowing about:
🔴 Ehrlichiosis causes flu-like symptoms — fever, headache, muscle aches — and cases have been climbing steadily each year. The good news is it's treatable with doxycycline. The important thing is treating it early, before it has a chance to progress to kidney, lung, or neurological complications.
🥩 Alpha-gal syndrome is a sneaky one. It's an allergy to mammalian meat also linked to the lone star tick. The tricky part is that symptoms — GI upset, hives, or even anaphylaxis — often don't hit until several hours after eating, so people rarely connect the dots.
The numbers are striking: a study of about 500 people in Johnston County found that 20% tested definitively positive for alpha-gal and 40% showed evidence of exposure — yet only 2.5% knew that they had it. It is almost certainly far more common than most people — and many professionals — realize.
So this time of year, it's worth a little prevention: long sleeves and pants when you're out in the brush, pants tucked into socks, DEET spray if appropriate and a tick check afterwards.
If you or your family develop achy joints, fever, a rash, or flu-like symptoms after time outdoors — don't wait it out. Call your P*P and mention the tick exposure.🌿
Eno River Family Wellness DPC
Durham NC
Direct Primary Care