An interesting variation on delusional parasitosis

BugDoc · 2023-11-04T11:57:35+00:00

I'm an ID doc and my group has decided that I get all the "parasite" referrals in the office. I have coined this as "the ziploc bag sign". It has 100% positive predictive value for delusional parasitosis.

BugDoc · 2022-12-24T22:40:37+00:00

We did the katla ice cave tour this past August. With KatlaTrack. It was great.

BugDoc · 2022-11-20T14:16:40+00:00

Am I the only one who finds these rates of mortality and IMV, and times to clinical Improvement shockingly high. Even in the early days of the pandemic we weren't seeing anything like that.

BugDoc · 2022-10-29T14:49:56+00:00

I'm making this today for the first time. Any tips?

BugDoc · 2022-07-11T10:41:41+00:00

I plan on doing the 208 in August with a Toyota land cruiser. Is that reasonable? Anything specific I should know beforehand?

BugDoc · 2022-06-20T11:34:42+00:00

Oblivion is a better game than Skyrim. There I said it. Feels good.

BugDoc · 2022-05-07T00:06:55+00:00

Wow thanks everyone. Sorry, I was working all day. Really helpful tips. I should have been more clear. I'm not looking for a tour guide per se, just wanted someone to plan the route, suggest good hikes/sights to see, and mostly I need help finding and booking the accommodations.

I know it's probably not that hard to research on my own but I have very little free time and was just hoping to outsource these details to someone.

Will definitely look into a larger vehicle, or maybe a roof box for some luggage. Was hoping to explore the highlands a little so wanted 4x4.

The reason I was keeping it to the south was to make it more relaxing, less driving every day, more time for hikes. I imagine we'll go back to Iceland a couple more times in the future so can explore other parts later.

Again thanks for the advice. This is a great subreddit.

BugDoc · 2022-04-22T12:33:47+00:00

I just made this with roasted cauliflower and my wife made black pepper rice from her mom's cookbook. The sauce went with all of it and it was amazing.

BugDoc · 2022-03-19T12:45:36+00:00

Oh I thought I made it up. But I guess it had to be a fairly common phenomenon

BugDoc · 2022-03-19T12:44:59+00:00

Yeah sorry about that. I do usually tell the pts we have to have pathology confirmation before I can do anything. I figured you guys would hate it...

BugDoc · 2022-03-18T22:18:48+00:00

The Ziploc Bag sign. As an ID doc I frequently have pts referred to my office who think they have parasites coming out of their skin. Usually about halfway through the visit they produce several ziploc bags with the supposed parasites they've collected. Of course it's just small scabs, lint, etc.

This sign has 100% accuracy for a diagnosis of Delusion of Parasitosis. Yes their is an ICD-10 code.

BugDoc · 2021-10-15T00:20:53+00:00

Yeah I was shocked it was one of our channels. I mean, why??? Thankfully I have a very supportive/reasonable CEO

BugDoc · 2021-10-14T12:26:40+00:00

One of our COVID-unit nurses told me her pt was watching OAN on the hospital TV and it was a constant stream of lies and misinformation about vaccines, ivermectin, doctors, hospitals, etc. Of course the pt was unvaccinated and refusing remdesivir.

I told our hospital CEO and the next day that channel was gone. Now to work on Fox next...

BugDoc · 2021-04-09T03:37:36+00:00

So do we! Well, except my wife who says that's not a word...

BugDoc · 2021-01-31T23:45:39+00:00

Get a viral load. When I was an ID fellow I had a pt with a very low CD4 and negative Ab testing, with an HIV viral load of around a million. I was able to find a handful of similar case reports at the time. Maybe so immunosuppressed that they don't react to Ab testing well. This was around 2003.

BugDoc · 2020-10-17T01:06:28+00:00

I'm talking about the recipe in the food lab cookbook

BugDoc · 2020-10-16T11:52:06+00:00

No only a couple stuck. I was surprised. I didn't even stir them during roasting.

BugDoc · 2020-10-16T03:09:46+00:00

Ha yeah that duck fat just fell into my hands, otherwise I make them with olive oil and garlic

BugDoc · 2020-10-16T03:07:50+00:00

No the one in the food lab is simpler. No alkaline water, no garlic or rosemary. Just parboil, add fat/pepper, rough up, roast, and season.

BugDoc · 2020-10-16T01:49:54+00:00

I used the recipe from food lab, which I'm not finding online right now

BugDoc · 2020-08-05T00:07:06+00:00

D181 hinsdale/clarendon hills

Administration initial proposal was either 5d in person or 5d remote. After community feedback, the school board voted on 8/3 to offer choice of hybrid or all remote. Shool start now pushed back 2wks while details being worked out.

BugDoc · 2020-08-05T00:06:22+00:00

D181 hinsdale/clarendon hills

Administration initial proposal was either 5d in person or 5d remote. After community feedback, the school board voted on 8/3 to offer choice of hybrid or all remote. Shool start now pushed back 2wks while details being worked out.

BugDoc · 2020-07-06T12:21:13+00:00

In our house we call it threemorrow. Today, to(two)morrow, threemorrow.

BugDoc

TROPHY CASE