1. State you reside in southern florida
2. Inner City? Suburb? Country? City
3. Do you live on a lake, by the ocean or pond? by an ocean, driving distance
4. Do you have city or well water? i do not know
5. Do you live in a heavily treed area? no
6. Age at onset 29
7. Number of years affected 4 months
8. Any other family members affected? i do not know
9. Your occupation at onset? Social worker
10. Do you own pets? Cat? Dog? Other? no
11. Have/had you traveled to California, Florida or Texas? Europe? Other? live in florida
12. Do you/have you garden, hike, camp or spend allot of time outdoors? no
13. List your activities and hobbies. watching tv, shopping, collecting/readong coic books
14. Have you used a public whirlpool or pool? maybe 20 years ago
15. Please provide your medical history (i.e.: do you or have you had any other diseases? Cancer, Lyme, Thyroid, AIDS, other?). I had ulcerative colitis for 11 years, anema, Mersa staph infection this uear, surgery this year
16. Do you smoke?mo
17. Any medications you have taken or are taking? this year i have taken permitherin(scabies) lice treatment, acyclovair, cipro, vancomycin, benadryl, melcizine, demerol, percacet, heprun, and more i can not think of
18. Do you drink more than 8 cups of coffee a day? no, but i used to driink alot of soda and tea
19. As far as lesions, have you had more than 10 at a given time? self inflicted, yes; but not now
20. What part of your body did the lesions start? waist
21. Is there any area that they are most prevalent? If so, where?
22. Is one side of your body/face more affected than the other (i.e.: left vs. right)?
23. Please list your current symptoms (brain fog? vision disturbances? fatigue? nausea? weight loss/gain etc?) formication (did have fatigue, joint pain, intense itching, self inflicted itching, pain in bladder>
24. What did other doctors diagnose you with (i.e.: folleculitis? Scabies? DOP - delusional parasitosis)?Scabies, pesticide poisioning, stap infection <actual di have one> pouchitis <have a j-pouch instead of a normal colon>