I live in Texas and I was lucky/smart enough to tell my PCP to piss off and walk into an urgent care where a nurse who was born in Maryland immediately diagnosed me and gave me antibiotics. If you get a tick bite do not ignore this. It will fuck up your life if you do. It’s insane your doctor didn’t just proactively prescribe antibiotics. The long term effects of Lyme disease are bad enough that it is absolutely something that is worth giving antibiotics for even if you aren’t 100% sure.
The incident has made me have a pretty strong skepticism of whatever doctors say. I now know that you, and only you, are responsible for your own medical care unfortunately. It is insufficient to trust someone simply because they have the letters MD after their name