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2torial #0512:
Learn2 Remove a Tick

Hmmm, a fellow traveler!
Ahh, the discovery of the dark bump that turns out to be an unwittingly-collected
field sample of the genus Ixodes, otherwise known as the tick. These
insects are usually found in woodlands and brush, waiting to catch
a ride to some other neck of the woods. But really, they're not
painful, nor even dangerous in most cases--you just have to be careful
to remove them slowly. (Note the dangerous exception--in some parts
of the world, certain ticks can carry Lyme disease (which can cause
severe neurological damage) during the summer months. Read on for
strategies to stay healthy in Lyme disease land...)
To see a tick is to want to remove it, but unfortunately there's
a lot of conflicting (and downright mistaken) lore about the right
way to go about the eviction process. In this 2torial, you'll get
the time-tested method generally approved of by health professionals.
It's called the "Patient Pull" approach, and it works on people
and animals. Just be gentle (and try to avoid the gross-out reaction).

First of all, avoid a panicky reaction. When you discover a tick,
fight the natural reaction to yank it immediately or rub it or swat
it. Prompt removal is important, but your primary goal is to remove
the tick in one piece, while it's still alive. And that'll require
a little preparation and patience. If you feel yourself getting
panicky, take ten slow, deep breaths (actually count them)--you'll
be in a better mindset for the task ahead.
Why the emphasis on live removal? Because if you pull too hard
or too quickly, you'll only get the body of the tick, leaving its
tiny head imbedded in the flesh (where it will almost certainly
cause an infection). What's worse, an injured or dying tick tends
to regurgitate your blood right back into your bloodstream--with
its own nasty microbes, bacteria and viruses added to the mix.
Prepare to Pull
Begin by getting as clear a view of the site of the tick as possible.
It it's nestled in hairs, lightly comb or pull them back. Have a
friend hold them down, or wet them and surround them with a towel
or other cloth.
- Wash your hands thoroughly, and sterilize the
tweezers if at all possible. If you've got rubbing alcohol you
can wipe the tweezers with it. This should disinfect them fairly
well, although it's best to follow this up with a "flaming": run
a lit match over the edges until well-heated. If you don't have
rubbing alcohol or other sterilizing solution, then just flame
the tweezers and proceed (but let them cool down first!).
If you don't have tweezers (and can't wait until you locate
a pair), then use a paper towel or other paper product. Avoid grasping
the tick with your bare hands.
Perform the "Patient Pull"

Don't hurry this step, even if you find it distasteful. Just be
patient and thorough.
Using the tweezers, grasp the tick as close to the surface of
the skin as possible. Then pull. Not enough to risk separating
the body from the head--just enough to see the skin begin to pucker
at the point of entry. Take care not the crush the tick, or even
squeeze it any more than necessary.

You're now applying sufficient pressure to convince the
tick that it's time to vacate the premises. If you can maintain
this position for anywhere from several seconds to a minute or two,
it should finally remove its grip. You don't need to rotate the
tick, although a little gentle side-to-side motion may be called
for.
Resort to Stronger Measures

If after several minutes the little creature isn't responding to
your pressure, it's time to try a little liquid persuasion.
- Place on the site, a single drop of alcohol wait a minute,
then add another drop.
Do this for ten drops (and ten minutes), and you should
sufficiently loosen the tick's hold. However, too much alcohol raises
the possibility of regurgitation, so dose sparingly.
Disinfect and dispose
Once the tick is out, inspect it to determine if it's intact.
If the head has broken off, either go deeper with the tweezers
(and don't worry about crushing the remains), or make an appointment
with a health-care provider to have the site professionally cleared
and cleaned.
- Don't simply toss the tick in the trash. They're extremely
tenacious beasts--even if you resorted to the alcohol drip, it's
probably still alive. If you're concerned about the possibility
of having contracted Lyme Disease (see Step 6) you'll want
to preserve the tick for testing: placing it in a couple of nested
zip closure-type sealing plastic bags or a small glass jar with
a tight-fitting lid will do the trick.
- If you're not going to have the tick analyzed for disease, then
make sure it's permanently departed. Place it in a couple of layers
of paper towels or tissue paper on a flat surface, then crush
it by rolling a can or jar over it repeatedly. Finally, drop it
in the toilet, to be flushed down with the next use.
Swab the site of the bite thoroughly with an antiseptic,
and try to keep it clean and dry for a while. If there's an irritation
or itching sensation, apply calamine lotion.
Live Safely in a Lyme Disease Area
Worried about Lyme disease? You don't necessarily have to be. Not
all ticks carry Lyme disease--and more importantly, tick-borne Lyme
disease appears to be limited to certain geographic areas. If you're
at all concerned, call your local hospital or municipal health department;
they'll have information about the subject specific to your area.
- If you're in an area with Lyme disease, do a very careful
inspection of your clothes and exposed body parts (and your
pets) every time you come in from a forest or a meadow.
If you'll be outdoors in tick habitats for several hours or days,
check yourself and the others in your party every two or three
hours. Wearing light clothes provides color contrast and improves
the chances of spotting a tick.
- Found it! If you find a tick in a Lyme disease area,
it's very important to avoid contact with your bare fingers during
the removal process. Do you have a pair of tweezers with you?
(Are you sure you don't? Many multi-purpose knives have a pair
tucked away in the handle.) If you don't have it, use a piece
of tissue paper or handkerchief to remove it.
Analyze it: If the tick is difficult to remove, it may have
been attached for some time. In this case, you definitely want to
save the tick for laboratory analysis. Once a disease organism is
identified in the tick's body, treating a human patient is pretty
straightforward. Although as the disease progresses in humans, it's
much more difficult to diagnose, and therefore more difficult to
treat. Take the time and get it checked out. All you need is a few
sturdy zip closure plastic bags, which are both light and easily
compacted.
-end-
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