Our standard

Traceable to
the source.

Every decision this platform makes follows a written rule, and every rule traces to a published guideline. Nothing is improvised, and nothing is auto-prescribed — a licensed physician confirms each eligible case before a prescription is ever sent.

Dr. Adam Kawalek

The physician

Dr. Adam Kawalek

Board-certified in Internal Medicine — American Board of Internal Medicine. Trained at Brown, Mount Sinai and Johns Hopkins. He reads every case personally.

The method

The decision pathway.

The same deterministic logic runs on every case — a physician reads the result and confirms it. It is written to be read, argued with, and checked against the literature.

RED FLAGSA tick biteEmergency red-flag screenIn-person care nowWhat happened?Bitten,no symptomsA classicbull’s-eyeSymptoms ora food reactionFour IDSA gatesOne dose ofdoxycyclineDoxycycline,10 daysEducate+ refer
Figure 1. Post-exposure prophylaxis is offered only when all four gates are met — an Ixodes (deer / blacklegged) tick, attached ≥ 36 hours, removed within 72 hours, in an endemic state — in an asymptomatic patient with no contraindication. A licensed physician confirms every eligible case before any prescription is transmitted. Gates per IDSA/AAN/ACR 2020 (Rec. 3); single-dose efficacy per Nadelman et al., NEJM 2001.

The evidence base

What we build on.

The guidelines and trials the engine cites, in full. Adam Kawalek’s condition for sign-off was a single line: evidence-based, and referenceable.

  1. 01IDSA/AAN/ACR 2020 Lyme Disease Guidelines. Lantos PM, et al. Clin Infect Dis. 2021;72(1):e1-e48. Read the source →
  2. 02Single-dose doxycycline post-exposure prophylaxis (RCT). Nadelman RB, et al. N Engl J Med. 2001;345(2):79-84. Read the source →
  3. 03CDC — Lyme disease (EM treatment, PEP, testing). CDC Lyme Disease clinical guidance. Read the source →
  4. 04CDC — Babesiosis. CDC Babesiosis clinical guidance. Read the source →
  5. 05CDC — Alpha-gal syndrome. CDC Alpha-gal Syndrome clinical guidance. Read the source →
  6. 06Doxycycline prescribing information — interactions, warnings, contraindications. Doxycycline (US) Prescribing Information, DailyMed/FDA. Read the source →

In practice

Four commitments behind every case.

A named physician

Dr. Kawalek reads every case personally — never an anonymous panel, never an algorithm alone.

Nothing auto-prescribed

The engine can recommend, but it can never issue. A physician confirms before any prescription is sent.

Cited on the record

Every recommendation carries the guideline it came from, attached to the case a physician reviews.

In-scope on purpose

Prevention and early Lyme only. Chronic and complex disease is referred out, not stretched to fit.

Bitten recently? The clock matters more than the worry.

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