more on qualified physician parasitologists
Omar O. Barriga
oobarrig at pop.service.ohio-state.edu
Wed Feb 26 19:07:44 EST 1997
In article <3313D5ED.F50 at umich.edu> Mark Siddall <msiddall at umich.edu> writes:
>From: Mark Siddall <msiddall at umich.edu>
>Subject: Re: more on qualified physician parasitologists
>Date: Wed, 26 Feb 1997 01:19:25 -0500
>Organization: Laboratory of Phylohirudinology
>Message-ID: <3313D5ED.F50 at umich.edu>
>References: <19970223011101.UAA14953 at ladder02.news.aol.com>
>Content-Type: text/plain; charset=us-ascii
>X-Mailer: Mozilla 3.01 (Win95; I)
>Xref: magnus.acs.ohio-state.edu bionet.parasitology:2117
>Just to offer my $0.02 regarding whether or not physicians are trained
>enough in parasites...
>An eternal cynic, I ran my own experiment...
>A patient (me!) presented with chronic (>2 mo) GI distress accompanied
>by intermittent diarrhea, bloating, excessive gas etc (Sorry for the
>Without solicitation, my primary care physician (not a specialist)
>immediately inquired if I had been out of the country recently. "Why
>yes," I answered, "South Africa in December with my fiancee."
>"Did she come down with anything?" he inquired. I answered in the
>affirmative "Campylobacter jejuni". "Have you seen any blood,
>yourself?" he added. "Nope" I said. "Well it can't be that, besides
>you would have been here long ago, but it does make it likely that you
>were exposed to something related to food handling."
>Then he explained to me the details of how low-grade Giardiasis matched
>my symptomology pretty well and proceded to recount even the specifics
>of what would be expected of a patient's narrative like "things just
>don't come out the same as I am used to" etc.
>He handed me specimen collection containers, one with NBF and one with
>mercuric chloride specifically labelled for ova and cyst recovery,
>prescribed metranidazole without having to look it up, counselled me on
>how ridiculously sick I would feel if I even sniffed alcohol while on
>I inquired about starting the medicaiton right away and he said "Nope,
>get the specimens together so we don't blow the diagnosis, then go on
>I then revealed that I am a parasitologist and inquired ass to why I
>wasn't to collect specimens oevr a longer period (as I thought
>appropriate for Giardia). He replied that, in fact, the diagnostics had
>gotten better of late and two sucessive days should be fine for the
>local parasite lab to make a determination.
>So... in fact, this fella, a primary care physician, was reasonably well
>versed in the symptomology, diagnostics, treatment and side-effects
>thereof, and willing to admit, too, that there are a whole host [sic] of
>things that it could be besides, but this was a reasonable and
>PS: I'm not crazy about metronidazole. Tastes awful.
Your physician was remarkably good. May the fact that you are at
Michigan have somethingto do with it? Most general practitioners I know
are pretty good, but far less familiar with giardiasis than yours.
Hope you are feeling better know,
More information about the Parasite