Sunday, July 24, 2005

I see odd things everyday.

He was an elderly man sitting in his clinic gown with his legs crossed -shoes and socks still on.  What was striking however, was the shimmery pink nail polish in patches on his face. "What doctor referred you to our dermatology clinic?" I asked.  "Aww, no one. I came on my own"  (always a bad sign - if no other doctor is worried about what ever his complaint would be).  "Well then, what's your concern?" He then enters into his story :

"There are these things, maybe like bugs, inside me that lay eggs.  Then in 24 to 36 hours they hatch and come out and crawl all over my face"  I am trying to keep a straight face as I ask, "How many of these things are we talking about?"  "Millions"  "Wow, and what do they look like?"  He scrunches his head to decide how to tell me, hesitates then says "You can't really see them with the naked eye, only with a magnifying glass or microscope"  I am now envisioning this old man in an overstuffed arm chair in his home peering at his arm with a magnifying glass. He continues "I guess they are kind of clear with a brown head" He actually starts drawing something on paper that looks like a cigarette.  "like this, I try to catch em as they burrow into my knuckles" He starts picking at his knuckles as he complains, "the worst tho is I can't sleep, I can feel them crawling all over my face all night."   The poor man had changed all of his sheets and clothes over and over again. He'd fumigated his house. These creatures didn't itch or actually bite him, just crawled and burrowed. "And the nail polish?" I quipped staring at his face which looked like a 3 year old had played make-up with him. "Oh that's too keep them inside, keep them from coming out and crawling. A friend told me it'd help."  

He actually had something dermatologists see often. It's called delusions of parasitosis. As is typical the "bugs" started crawling around 2 weeks after his wife died.  It's often connected to depression.  Interesting way for depression to manifest itself huh? I get spooked just when a hair brushes over me and I think it's a bug- I'll swat my arm or leg and scream.  Can you imagine literally feeling the sensation of hundreds of bugs moving all over your face and arms.  And more alarming, not being able to see them?  I guess I might try putting pink shiny nail polish on me face too : )


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