1. State you reside in? New Jersey
2. Inner City? Suburb? Country? Suburb
3. Do you live on a lake, by the ocean or pond? No
4. Do you have city or well water? City
5. Do you live in a heavily treed area? Yes
6. Age at onset - 45
7. Number of years affected - 3 Months
8. Any other family members affected? My girlfriend
9. Your occupation at onset? Trainer
10. Do you own pets? Cat? Dog? Other? Two Cats
11. Have/had you traveled to California, Florida or Texas? Europe? Other? Received a box of clothes from a friend in California
12. Do you/have you garden, hike, camp or spend allot of time outdoors? LOTS of hiking
13. List your activities and hobbies. Hiking
14. Have you used a public whirlpool or pool? Yes
15. Please provide your medical history (i.e.: do you or have you had any other diseases? Cancer, Lyme, Thyroid, AIDS, other?). Otherwise healthy
16. Do you smoke? No
17. Any medications you have taken or are taking? None
18. Do you drink more than 8 cups of coffee a day? No
19. As far as lesions, have you had more than 10 at a given time? No lesions.
20. What part of your body did the lesions start?
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?) Brain fog, itchy crawlies, worms (?) in nose, bites, burning skin, scratches appearing.
24. What did other doctors diagnose you with (i.e.: folleculitis? Scabies? DOP - delusional parasitosis)? No help from doctors. One derm thought I was crazy.  |