sas5814 Posted March 25, 2022 Share Posted March 25, 2022 I may have shared this but I had an old boy come in telling me he needed his SI joints fused for his low back pain because he watched a youtube video and that what they said. OK.... not totally crazy idea so I ordered the appropriate tests and kicked that can down the road. Before leaving he says about 10 years ago he got a bug caught in his ear and it took a couple of days to get out. Now his ear itches sometimes and can I give him something for parasites? Think the bug laid eggs in there or something. Get your Ivermectin at the feed store like everyone else. Quote Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted March 25, 2022 Share Posted March 25, 2022 38 minutes ago, sas5814 said: I may have shared this but I had an old boy come in telling me he needed his SI joints fused for his low back pain because he watched a youtube video and that what they said. OK.... not totally crazy idea so I ordered the appropriate tests and kicked that can down the road. Before leaving he says about 10 years ago he got a bug caught in his ear and it took a couple of days to get out. Now his ear itches sometimes and can I give him something for parasites? Think the bug laid eggs in there or something. Get your Ivermectin at the feed store like everyone else. Try a Fabere'-Patrick maneuver on him in office and see his response, especially if symptomatic at the time. May save quite a bit of $$$. Quote Link to comment Share on other sites More sharing options...
sas5814 Posted March 25, 2022 Share Posted March 25, 2022 2 minutes ago, GetMeOuttaThisMess said: Try a Fabere'-Patrick maneuver on him in office and see his response, especially if symptomatic at the time. May save quite a bit of $$$. yea I bent him around in as many maneuvers as I could but his pain is such that it made anything real meaningful hard to assess. He was convinced so I could have removed his pelvis and showed him the SI joints and he wouldn't have believed me. One of those times on one of those days I just didn't have the energy for the fight. Quote Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted March 26, 2022 Share Posted March 26, 2022 Then I think he wins the award for SI joint injections. Hope he has a thick, leather belt to bite into. Quote Link to comment Share on other sites More sharing options...
ANESMCR Posted March 26, 2022 Share Posted March 26, 2022 (edited) On 12/13/2021 at 9:31 PM, ANESMCR said: Lady was convinced she had worms in her poo. I’ve been shown pics of feces many times (of course mostly by women), but this woman had an entire iPhone photo album, approx. 30-40 photos. She had enough to create Bristol mosaic masterpiece. Still thinks she has worms. Saw her again. She has some ID doc that’s been appeasing her delusions and treating empirically with albendazole, ivermectin despite numerous negative stool tests. I was nice enough to provide her Nitazoxanide previously (a rather harmless antiprotozoal/abx). She showed me more poo shots this time. AND video of her crap slowly sinking. She says, “see the movement?!”. She now calls these nonexistent life forms “critters” and “hard shelled nematodes”. I refused treatment and stool testing as I whole heartedly believe she has delusions of parasitosis. But I’m no psych expert. She does have MS and although neurocognitive degeneration is rare, she may have that. Definitely rectal dyssynergy. I’m just sick of looking at her poop. Edited March 26, 2022 by ANESMCR 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 26, 2022 Moderator Share Posted March 26, 2022 Tell her to stop the meth. 3 Quote Link to comment Share on other sites More sharing options...
MediMike Posted March 26, 2022 Share Posted March 26, 2022 The video of it sinking is just...epic 1 Quote Link to comment Share on other sites More sharing options...
VentiMacchiato Posted September 11, 2022 Share Posted September 11, 2022 On 3/26/2022 at 7:02 AM, ANESMCR said: Still thinks she has worms. Saw her again. She has some ID doc that’s been appeasing her delusions and treating empirically with albendazole, ivermectin despite numerous negative stool tests. I was nice enough to provide her Nitazoxanide previously (a rather harmless antiprotozoal/abx). She showed me more poo shots this time. AND video of her crap slowly sinking. She says, “see the movement?!”. She now calls these nonexistent life forms “critters” and “hard shelled nematodes”. I refused treatment and stool testing as I whole heartedly believe she has delusions of parasitosis. But I’m no psych expert. She does have MS and although neurocognitive degeneration is rare, she may have that. Definitely rectal dyssynergy. I’m just sick of looking at her poop. Well, antipsychotics supposedly have antiparasitic properties. Win-Win. Login to UTD. https://www.uptodate.com/contents/treatment-of-delusional-infestation Quote Link to comment Share on other sites More sharing options...
VentiMacchiato Posted September 11, 2022 Share Posted September 11, 2022 I had a 21 y/o wanna be PA/pre-med student who calls wanted me to order testosterone test. He says he feels his T is low. Not making it up. No I didn't. Quote Link to comment Share on other sites More sharing options...
creedxs Posted September 19, 2022 Share Posted September 19, 2022 (edited) Patient: I was just released from the ICU. I was in there for a whole week. Me: What was the reason you were in the ICU. Patient: I don't know. They never told me. Me: Hmmmmmmm Edited September 19, 2022 by creedxs Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted September 19, 2022 Moderator Share Posted September 19, 2022 4 minutes ago, creedxs said: Patient: I was just released from the ICU. I was in there for a whole week. Me: What was the reason you were in the ICU. Patient: I don't know. They never told me. Probably from being choked by the ED because he is no help at all. 4 Quote Link to comment Share on other sites More sharing options...
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