My PA buddy thought he had the disease about 3-4 months before they figured it out, now more likely 3-4 years in his system. When he gets an outbreak he says it's like dying. His wife and dog also got it last summer but was caught soon enough that the antibiotics knocked it out for them with no outbreaks so far. Even with the Sawyer product I get them crawling on me at times. I'm gonna see if my Doc will pre-treat me with Doxycycline (spell?) prior to going this fall. We may see states finally try to do something to erradicate them as medical costs are starting to climb in many states, in fact it was just on the national news, well Fox news, which is the only news I watch!!!!!!