The 19th annual LDA/Columbia CME conference in Rhode Island October 27 & 28 was sold out and was a great success. The 22 speakers covered topics ranging from many facets of Lyme disease and other tick-borne diseases to ticks, including the new invasive longicornis. A “newly rediscovered” old antibiotic and its effects on Lyme disease was discussed by Kim Lewis from Northeastern University. Prevention was also included and the use of new technologies to potentially control ticks and disease spread. Several collaborations are already under discussion among conference participants.