In the lower right third of the envelope, write the name of the person you are sending the letter to. Write the company name on the line below that (if there is a company name). Write the street address on the line below the company name. Write the town, state, and zip code on the line below that.
This means that keeping the dog on the antibiotics long enough is critical. If a dogs starts to look better after a few days, do NOT take it off the drugs! An antibiotic regime should last at least 7 days, and 12 days is better in most cases. The general rule of thumb is give the dog antibiotics for at least three days longer than it looks like there is a problem.
In endemic areas (including Massachusetts), annual screening tests for Lyme disease are recommended. If your dog does develop clinical illness from Lyme disease, the most common signs are lameness, fever, lethargy, and enlarged lymph nodes. Clinical illness is expected 2-5 months after infection. The majority of dogs respond very well to antibiotic treatment with Doxycycline or Amoxicillin.