The odds of anyone in Oregon getting lyme disease is very low.  Also there is a problem with shady labs such as IgeneX being used as justifications for a lyme misdiagnosis, often by predator doctors who have beliefs that are contrary to well-established science.  Lyme disease is curable, even at a later state.  Any treatment other than NSAIDS would be questionable, given that the infection has been wiped out and that there are no approved treatments for Post Treatment Lyme Disease Syndrome.