Guest guest Posted September 30, 2008 Report Share Posted September 30, 2008 wow!You never know what will walk in the door! So if I wasn't a loner and had been practicing with some of you folks, could you have told me that I was going to encounter a botfly larva before I cut into a patient who had traveled to the Amazon a couple of months ago? I didn't realize I'd need tropical medicine in NC, but it would have been a good one to have looked up before encountering in person.... Haresch -- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2008 Report Share Posted September 30, 2008 Wow, you are too cool. Sharon Sharon McCoy , M.D. Renaissance Family Medicine The Rebirth of Personal Healthcare www.SharonMD.com Phone Fax (949) 281-2197 If you received this message in error, please notify me and then delete. EMail may not be entirely confidential. From: [mailto: ] On Behalf Of Haresch Sent: Tuesday, September 30, 2008 5:38 AM To: Subject: Botflies, oh my So if I wasn't a loner and had been practicing with some of you folks, could you have told me that I was going to encounter a botfly larva before I cut into a patient who had traveled to the Amazon a couple of months ago? I didn't realize I'd need tropical medicine in NC, but it would have been a good one to have looked up before encountering in person.... Haresch Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2008 Report Share Posted October 1, 2008 Hi, from Drain Oregon. You don't need to go to the Amazon to get bot flies. All you have to do is sit still around the animals who attract them. The chubby pop-bottle shaped larvae grow under the skin and act like a boil, eating the serum made by their irritating spiney skin. The difference is, when you look at the seeping wound in the center of the boil, you can see their little moving mouth parts, wiggling gently around. That is the key: don't squish them out. Some few people will develop allergies to the larvae protein and will go into anaphylactic shock when you squish them. You anesthetize the area locally, gently open the lump with a scalpal cutting from just next to the moving mouth part through the wall of the boil, and remove the larvae whole. Then you debride and curette the infected area more vigorously with your half circle curette and remove all the nasty tissue. Heal by secondary intention. I used to take these out of dogs and cats several times a year in the midwest. Only one taken out of a human teen living on a ranch. Probably fell asleep under the haystack. Joanne Holland DVM/MD Subject: Botflies, oh myTo: Date: Tuesday, September 30, 2008, 5:38 AM So if I wasn't a loner and had been practicing with some of you folks,could you have told me that I was going to encounter a botfly larvabefore I cut into a patient who had traveled to the Amazon a couple ofmonths ago? I didn't realize I'd need tropical medicine in NC, but itwould have been a good one to have looked up before encountering inperson.... Haresch Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2008 Report Share Posted October 1, 2008 Joann I admire you i really do But that is gross I see moving mouth parts, man, i am outta there. > Hi, from Drain Oregon. > > You don't need to go to the Amazon to get bot flies. All you have to > do is sit still around the animals who attract them. The chubby pop-bottle > shaped larvae grow under the skin and act like a boil, eating the serum made > by their irritating spiney skin. The difference is, when you look at the > seeping wound in the center of the boil, you can see their little moving > mouth parts, wiggling gently around. That is the key: don't squish them > out. Some few people will develop allergies to the larvae protein and will > go into anaphylactic shock when you squish them. You anesthetize the area > locally, gently open the lump with a scalpal cutting from just next to the > moving mouth part through the wall of the boil, and remove the larvae > whole. Then you debride and curette the infected area more vigorously with > your half circle curette and remove all the nasty tissue. Heal by > secondary intention. > I used to take these out of dogs and cats several times a year in the > midwest. Only one taken out of a human teen living on a ranch. Probably > fell asleep under the haystack. > > Joanne Holland DVM/MD > > > > > > Subject: Botflies, oh my > To: > Date: Tuesday, September 30, 2008, 5:38 AM > > > > > > > So if I wasn't a loner and had been practicing with some of you folks, > could you have told me that I was going to encounter a botfly larva > before I cut into a patient who had traveled to the Amazon a couple of > months ago? I didn't realize I'd need tropical medicine in NC, but it > would have been a good one to have looked up before encountering in > person.... > > Haresch > > > > > > > > > > > > > > > > > -- If you are a patient please allow up to 12 hours for a reply by email/ please note the new email address. Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 I'm no Joanne either. The patient had a nightmare the night before about things crawling out of her head. I not only took her bug, I took her nightmares on myself, too.... does it help that I read that the mouth parts are actually pointing in? What you can sometimes see are really the breathing parts. > > Joann > I admire you i really do > But that is gross > > I see moving mouth parts, man, i am outta there. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 http://www.youtube.com/watch?v=23eimVLAQ2chttp://www.google.com/search?q=botfly+removal & sourceid=navclient-ff & ie=UTF-8 & rlz=1B3GGGL_enUS227US240 & aq=t -- Pedro Ballester, M.D.Warren, OH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 oh yeah sure that helps sooo much... Pedro- I am not watching that .whatever it is.aughI have never even had to look in a n ear and see a (magnified)bug looking at meick... I'm no Joanne either. The patient had a nightmare the night before about things crawling out of her head. I not only took her bug, I took her nightmares on myself, too.... does it help that I read that the mouth parts are actually pointing in? What you can sometimes see are really the breathing parts. > > Joann > I admire you i really do > But that is gross > > I see moving mouth parts, man, i am outta there. -- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 oh yeah sure that helps sooo much... Pedro- I am not watching that .whatever it is.aughI have never even had to look in a n ear and see a (magnified)bug looking at meick... I'm no Joanne either. The patient had a nightmare the night before about things crawling out of her head. I not only took her bug, I took her nightmares on myself, too.... does it help that I read that the mouth parts are actually pointing in? What you can sometimes see are really the breathing parts. > > Joann > I admire you i really do > But that is gross > > I see moving mouth parts, man, i am outta there. -- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Did you take a video ? Can you post it on youtube so I can watch it during my dinner tonight? > Hi, from Drain Oregon. > > You don't need to go to the Amazon to get bot flies. All you have to > do is sit still around the animals who attract them. The chubby pop-bottle > shaped larvae grow under the skin and act like a boil, eating the serum made > by their irritating spiney skin. The difference is, when you look at the > seeping wound in the center of the boil, you can see their little moving > mouth parts, wiggling gently around. That is the key: don't squish them > out. Some few people will develop allergies to the larvae protein and will > go into anaphylactic shock when you squish them. You anesthetize the area > locally, gently open the lump with a scalpal cutting from just next to the > moving mouth part through the wall of the boil, and remove the larvae > whole. Then you debride and curette the infected area more vigorously with > your half circle curette and remove all the nasty tissue. Heal by > secondary intention. > I used to take these out of dogs and cats several times a year in the > midwest. Only one taken out of a human teen living on a ranch. Probably > fell asleep under the haystack. > > Joanne Holland DVM/MD > > > > > Subject: Botflies, oh my > To: > Date: Tuesday, September 30, 2008, 5:38 AM > > So if I wasn't a loner and had been practicing with some of you folks, > could you have told me that I was going to encounter a botfly larva > before I cut into a patient who had traveled to the Amazon a couple of > months ago? I didn't realize I'd need tropical medicine in NC, but it > would have been a good one to have looked up before encountering in > person.... > > Haresch > > > -- Graham Chiu http://www.synapsedirect.com Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
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