Nervous Laughter Podcast

Episode 120: Baguettes and Cigarettes

Episode Summary

We’re talking a little Folie à Deux

Episode Notes

We’re talking a little Folie à Deux

https://journals.lww.com/ejdv/fulltext/2017/37020/delusion_of_parasitosis_with_folie___deux.9.aspx

https://casefilepodcast.com/case-17-the-eriksson-twins/

Motorway Cops Episode: https://www.youtube.com/watch?v=H8g37tXM7VE

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2919794/

https://en.wikipedia.org/wiki/Folie_%C3%A0_deux

https://onlinelibrary.wiley.com/doi/10.1155/2022/8811140

Write us some of your cringe stories at [nervouslaughterpodcast@gmail.com](mailto:nervouslaughterpodcast@gmail.com)

The socials: [Instagram](https://www.instagram.com/nervouslaughterpodcast) | [Facebook](https://www.facebook.com/NervousLaughterPodcast) | [Twitter](https://twitter.com/NervouslaughPod)

Episode Transcription

Speaker 1  0:00  

I went to Half Price Books with my sister, and she really likes board games and stuff like that, so she picked out of the game, and we brought it back to my house, and we were gonna play it, even though it needed more players than just us, but we were gonna make it work. Yeah. So we played it. It was fun. It was the awkward family photos. They have a game. Oh, okay, so that was fun, but we're going to put it up, and it's a big board that folds into four and so she's folding it, and I'm like, no, no, I can't explain how we need to fold it. But like, I can see it in my mind, so like, can I try and do it? And I folded it, I just snapped it in half. And I just fucking break it. Fucking break it. You're doing it wrong.snap

 

Speaker 1  1:15  

Yeah, that's what happened. Luckily, she laughed too. We like cracked up forever, but yeah, we do it,

 

Unknown Speaker  1:25  

and that's how we do it.

 

Speaker 1  1:26  

That's how we do it. Nervous laughter podcast,

 

Unknown Speaker  1:30  

I'm Jamie.

 

Speaker 1  1:31  

I'm Alyssa. I'll fucking break your shit in half. I don't care.

 

Unknown Speaker  1:35  

We both tend to do that just by mistake.

 

Speaker 1  1:38  

Yeah, after I did it. I thought about you. I'm like, this is something Jamie would do too.

 

Unknown Speaker  1:46  

Thank you for thinking of me,

 

Speaker 2  1:50  

speaking of snapping, I guess today, yes, I don't know why I'm doing that with my mouth.

 

Speaker 2  2:07  

But, you know, sometimes people snap, oh, mentally a little bit. I'm on the I'm on the edge.

 

Unknown Speaker  2:16  

I'm feeling close. Yeah, Alyssa, inch

 

Unknown Speaker  2:18  

in there. She's like, mouth flush, cups away.

 

Speaker 1  2:25  

We're doing the podcast. I'm happy now. Yeah, we're good.

 

Speaker 2  2:32  

And sometimes when people snap, they have a partner, but joins in also. Snaps today, we're talking about fully Adieu, not the new Joker movie, silly gooses, not the old Fallout boy

 

Speaker 1  2:49  

album. Oh, I didn't realize that was a fallout boy album.

 

Unknown Speaker  2:53  

You're not hardcore.

 

Speaker 2  2:56  

Alyssa, anyway, um, so for those of you who may not know falia, do the National Library of Medicine defines it as, quote, an identical or similar mental disorder affecting two or more individuals, usually the members of a close family. Wikipedia mentions it's commonly referred to as a shared psychosis and shared delusion disorder. And I like the description from the beginning of this paper I found called Share psychotic disorder in old age syndrome of Fauci Adieu, written by Q scoffer and M ashama. That's what. That's exactly how I want to read it. Shyamalan, I added just a few things kind of throughout this quote, but I'll try to make it obvious. I just I like the way he described it. It sounds nice and

 

Unknown Speaker  4:04  

fancy and correct. So

 

Speaker 2  4:07  

shared psychotic disorder is a relatively rare condition, and I added this ranging from 1.7 to 2.6% of psychiatric hospital admissions and maybe under diagnosed. Oh, so that was interesting, first described by the Segway and follow Paulette. We,

 

Speaker 1  4:34  

we our little Frenchman. This is all like friendship, I'm assuming. Yeah, okay, yeah, I can talk ship and like, talk about baguettes, mustaches and berets and stuff.

 

Speaker 2  4:47  

They were just smoking their cigarettes, discussing

 

Unknown Speaker  4:55  

mine. So great.

 

Unknown Speaker  4:59  

I. Gonna be the one with a fucked up accent?

 

Speaker 2  5:03  

Yeah, I'm surprised. My camera, I've been trying to do a British accent off and on like all month, and it's just not working.

 

Unknown Speaker  5:14  

So those two French men

 

Speaker 2  5:20  

in uh, they just, you know, made, they made this description of it in 1877 um, so they, who they named the syndrome fully Adieu, or F, A, D, it's just a fad. Um, this disorder is characterized by the transference of delusional ideas from one individual to another. The classic presentation involves a primary or an inducer who suffers from a psychotic disorder who then influences another person. So that's the secondary or the induced with a specific delusion. In most cases, two people are involved, but some cases of larger groups, like families, have been described and named fali a family.

 

Speaker 1  6:19  

When you're talking about the one person being the inducer. It made me think of our friend Lauren said she say that she has a powerful uterus because she's able to like influence other people's menstrual cycles and like make them sink to

 

Speaker 2  6:41  

like, never failed. Like every time we started an improv class, they would just sync up, and then I started a sketch comedy writing class with her, and my fucking period synced up to hers. I was like, damn it, boy,

 

Speaker 1  6:54  

yeah, I'm like, since I'm gonna be seeing her more too, I'm sure

 

Unknown Speaker  6:59  

her strong uterus will overtake mine. She should be proud of that thing.

 

Unknown Speaker  7:06  

Yeah.

 

Speaker 2  7:12  

The so, to continue the this long quote that I'm reading, shared psychotic disorder may result in severe psychotic symptoms and complete social withdrawal. The original syndrome described by

 

Unknown Speaker  7:27  

Alyssa,

 

Speaker 2  7:31  

was defined under the following circumstances. The primary which I added, also known as Foley simulanti, was more intelligent and exhibited dominant behavior over with a secondary uh, which I added, is also referred to as the Fauci impulse,

 

Unknown Speaker  7:50  

oh, uh.

 

Speaker 2  7:54  

Both patients had lived in close association and social isolation, and the delusions were non bizarre. It is also accepted, per the description, that the primary presents an underlying mental illness, whereas the secondary is considered to be mentally sound before the transference of delusional ideas, whoa, and these ideas regress rapidly after the physical separation of the two subjects, which is considered to be an important aspect of the treatment, powerful uteruses, yeah, yeah, as soon as she Lauren, yeah, my my shit will get back, like, on my own cycle, and I'm like, okay,

 

Unknown Speaker  8:40  

yeah, I, I,

 

Speaker 2  8:43  

I would hate to have to explain this, like weird cycles to my gynecologist, like one day, like, what happened? It's like, well, there's this girl that I have

 

Speaker 1  8:55  

a platonic friendship with, but just somehow so strong.

 

Speaker 2  9:06  

Oh, Damon, I didn't add this, but Wikipedia says some stuff about how it was, like, added to a psychiatric book, saying, like, one year, then like removed from it the next year, and then like, added back under a different name another year. But I didn't get, like, I didn't write any of the information down or read it into it, but I made a note to add it, so I figured I'd mention it. Um, the So, yeah, if you're interested in that, just go look on Wikipedia. It's there. Um, the first reported case of Fauci adu was a married couple. They're both 34 years old. Their shared delusion was that people were entering their house and spreading, quote, dust and Frida, which is how you can tell. It's like, really old, yeah,

 

Unknown Speaker  9:55  

as

 

Unknown Speaker  9:59  

well. Is wearing their shoes.

 

Unknown Speaker  10:02  

So just

 

Speaker 2  10:04  

kind of innocent kind of things, I guess,

 

Speaker 1  10:07  

like wearing their shoes in the house or just wearing each other's, or does it?

 

Speaker 2  10:12  

I think just like wearing like their the 34 year old people, shoes around, like, the house or something, I couldn't, it was hard to find, like, more information on it. And so I don't know if, if they, like, thought the shoes were in a different place and they should have been, or anything like that. But, yeah, that case was kind of hard to find information on. I don't know if it was just because it was really old or or what,

 

Speaker 1  10:41  

how you say long time ago,

 

Unknown Speaker  10:45  

how you say ancient,

 

Unknown Speaker  10:49  

like, almost the cheese.

 

Speaker 2  10:54  

So for this episode, I'm just going to talk about, like, one kind of smaller case that I had actually never heard before. I just came across it when I was trying to find some interesting stories for this episode. And then the next episode, I'm going to go over a more like well known case. I know you're familiar with this one, Alyssa. It's Ursula and Sabina Erickson. It's the twins on the BBC show. So yeah, let me get into this story. So this one is from the Egyptian Journal of Dermatology in burner urology, and I'm just going to read it just from the journal, because I was like, Well, maybe you can summarize this, but it's kind of just like me those memes. That's like when your teacher tells you to not copy the homework, and yeah, it's kind of felt like that, how you

 

Speaker 1  11:58  

say complicated to do you to

 

Unknown Speaker  12:03  

do American lazy bag it

 

Unknown Speaker  12:16  

also, I think, put a lose. Angel fake.

 

Unknown Speaker  12:26  

So the introduction to this is,

 

Speaker 2  12:30  

so this is, you're gonna love this. I'll just say these first words and let me know what you just give me your initial thoughts, okay, delusion of parasitosis.

 

Unknown Speaker  12:44  

Parasites, what do you think?

 

Unknown Speaker  12:48  

RFK,

 

Speaker 2  12:52  

no, unfortunately, not. But, um, I never heard of like delusion of parasites before. It totally makes sense. Um, I felt like you would think that sounded so sick,

 

Unknown Speaker  13:06  

it so terrifying.

 

Speaker 1  13:07  

It does so that people thought there were parasites in them, or like the disease, or were they saying the disease was caused by parasites?

 

Speaker 2  13:16  

So they thought that they had so I'm gonna read all the details about it, but in short, they had a, since there's also this was a fully a do episode. It was a shared delusion of parasites, like so, delusion of parasites. Dop, also known as Ekbom syndrome, is a primary psychiatric disorder and is one of the most common presentations of monosymptomatic, hypochondrial psychosis, yes, characterized by an unshaken belief of having been infested by a parasite. Oh no. Oh god, I just hate thinking about it. Yeah, patients prefer to consult a dermatologist because of this idea of insects on the skin, and often visit numerous dermatologists to find the cure and often refuse psychiatric advice or help fully do or shared psychotic disorder is a rare presentation of DOP in which the patient's belief is shared by other family members. Also, we present a case of DOP in a 63 year old female patient who presented with complaints of insects crawling over her body and over her one year old granddaughter, which was also which was shared by her son as well. And this is granddaughter, is the son's daughter, so obviously he's like older. Um, so here's the case report, um, 63 year old female patient presented to us with complaints of itching and insects crawling over her body for at least one year. Ah, makes my back like cringe. I can't help it. It's just like, time. Yeah. The patient could not acquire any relief of her symptoms despite numerous sprays of pesticides in her house.

 

Unknown Speaker  15:30  

Oh God, no, yeah, who

 

Speaker 2  15:31  

knows how much like how that might affect with her too.

 

Unknown Speaker  15:35  

Probably,

 

Unknown Speaker  15:36  

oh God, probably.

 

Speaker 2  15:40  

The patient had consulted numerous physicians and was treated for body lice and scabies a number of times with no resolution of symptoms. Were you

 

Unknown Speaker  15:50  

gonna say something?

 

Speaker 1  15:51  

I was just like, cringing, but I actually show you the shirt that I found really quick.

 

Unknown Speaker  15:58  

So just say, like, I don't have scabies.

 

Speaker 1  16:03  

Say, where is it? This is so fucking random, but it's a shirt that says I have cubic lice, and it was on Amazon, and it has, like, butterflies and flowers. But sorry, that's

 

Speaker 2  16:18  

something I feel like. It's like, a great first date shirt. Yeah,

 

Unknown Speaker  16:25  

let's see.

 

Speaker 2  16:27  

The patient was living alone, and there was no history of any psychiatric disorder or intake of any medication other than anti

 

Unknown Speaker  16:38  

person,

 

Speaker 2  16:40  

some medical word I don't know, because I'm stupid, in medical stuff, which she had been taking for at least 10 years. For the last three months, the woman's son and his family, including his one year old daughter, were also living with the patient. The patient and his son gave a history of noticing similar insects over the body of her granddaughter a number of times, for which the child was also treated for scabies by the attending pediatrician. I don't know what like the treatment for scabies is at all, but I hope it's not nothing too, you know, intense.

 

Speaker 1  17:16  

I think it's like a soap or something. Oh, okay,

 

Unknown Speaker  17:21  

that makes I mean that that makes sense. That sounds right.

 

Speaker 2  17:26  

The patient had brought a box full of collected insects. When lots of quotations, which consisted of fibers, threads and other inanimate objects, the characteristic quote Matchbox sign, which that's like a specific sign. I don't know quite how to describe it right now, but when I get to it, it kind of describes what it is at the end of this. So yeah, and had also taken the photographs of these, quote, insects on her cell phone, which we termed as the quote snapshot sign, which that's not described later, but I think that's pretty obvious what they mean by that, like it's, you're taking a picture of it. Oh,

 

Speaker 1  18:15  

so this is modern times. I was thinking this was still like, oh yeah, no,

 

Unknown Speaker  18:21  

this is an early one.

 

Speaker 2  18:23  

I don't think this. So this abstract was written in 2017 I don't know when the case. Oh, gotcha. Of these people happened. So, yeah, they were definitely alive in modern times. Like,

 

Speaker 1  18:33  

this is the cell phone she had with the picture. Oh, shit, that's like a smartphone. Okay, yeah, it's

 

Unknown Speaker  18:38  

like a smartphone.

 

Unknown Speaker  18:41  

Oh, damn. Okay, so this is probably recent ish,

 

Speaker 2  18:43  

yeah, yeah. And, and this is like the little bottle of, like fibers and stuff that she brought in that she said that insects. So that kind of, like describes what the picture looks like. Well, there's like a, it's a picture of her smartphone with a picture on it, but it just like a line. Can't tell what it is. It's like maybe something dirty on the counter that's really zoomed in. So the like, the script caption for the pictures says a container containing imaginary insects, and the photograph of the insects in the patient's cell phone. So on examination, there were a few EXO corn correation marks over the arms and lower abdomen, but there was no sign suggestive of any infestation, and either the woman or the granddaughter, so, you know, those are like self, you know, she's trying to get that stuff out, which is definitely not uncommon for these

 

Unknown Speaker  19:47  

parasites, delusions,

 

Speaker 2  19:52  

on the basis of history, differential diagnosis of DOP scabies and ectoparas. Cytic infestation were made, but on clinical examination, there was absence of any ectoparasites or any telltale signs of scabies in the patient or the grandchild. Therefore, the patient was diagnosed as a case of DOP with folio do so, just a perfect Damn, her delusion of her parasites onto her granddaughter and son. Um,

 

Unknown Speaker  20:30  

so, yeah, um,

 

Speaker 2  20:35  

so that that's that's all for the case study. There's like a small discussion part I'll read. But is there anything that you want to

 

Unknown Speaker  20:44  

say with

 

Speaker 1  20:46  

this one? I could see myself falling prey to this type of,

 

Speaker 2  20:53  

yeah, me too. I feel like, I mean, not for you, but like me, myself, like I feel like I may have for like, very brief moments of time, yeah,

 

Unknown Speaker  21:09  

you know, but,

 

Unknown Speaker  21:10  

oh my gosh,

 

Speaker 2  21:14  

yeah. And there's, um, let me see if I can find the name of the movie. But there's a, there's a movie that kind of reminds me of this

 

Speaker 1  21:26  

having a memory that I've repressed of like, there's this time when I was an adult that I was like, convinced that I had lies. I'm like, Oh my God. I've had this before, but I didn't convince another person but I was, like, convinced that I had lice. And, like, I couldn't see him, but I was like, I feel like they're there. So I went to one of those, like, lice combing places, oh yeah. And, like, they checked me, and they were like, No, there's nothing there. And then, like, after that, I'm fine, but, yeah, I was like, Okay, I know this is crazy. I don't think that I have them, but like, my brain will just not tell, like, it won't let up. And the chick was cool. She's like, Oh yeah. Like, you know, take a look and you know, it was fine, but

 

Unknown Speaker  22:19  

yeah, well, yeah, cool, yeah, I

 

Speaker 2  22:20  

feel like I wouldn't have been able to, like, trust it either, like I would have to, yeah, I need the proof. Yeah,

 

Unknown Speaker  22:28  

no, my head stitching.

 

Speaker 1  22:34  

Oh, my God, I'm sorry I gave us

 

Speaker 3  22:40  

blank. Yeah.

 

Speaker 2  22:50  

So there's a movie called bug. It's a movie from 2006 and it's basically like, kind of like this. It's like a fully adieu with Oh like, ever heard of this bug thing? I only came across it because that horror Austin, horror movie, like, oh yeah, book group that I have yet to go to. But one of the ones I was thinking about going to, I did the watch list, and I got it from there. Otherwise I probably would have never watched it. But it was, it was it was okay. It was pretty good. It was definitely a different, like, idea for a movie. And it's kind of like a, yeah, like a, fully a, do you like parasite delusion kind of thing. It's, it's cool,

 

Unknown Speaker  23:44  

yeah, it's

 

Speaker 2  23:48  

so the discussion portion of this journal, so the first sentence lists a bunch of phobias that I'm having trouble pronouncing, and that says the characteristic present presentation of the condition is a fixed false belief of a parasitic infection in the patient, who is usually fully functional in all their areas. It is a rare disorder, and the exact prevalence rate is not known. The female to male ratio is two to one, showing a female predominance. And reports demonstrate that the average age of onset DOP is 55 to 65 so there's still time Alyssa still have that a delusion of parasites. So DOP can be primary, secondary or organic. Don't know what the fuck that means. But then you said that, I'm like, yeah, no fucking idea.

 

Unknown Speaker  24:52  

Actually got my head.

 

Speaker 2  24:58  

So this explains what those different. Certain types of dopr. So the primary DOP consists of primarily a single delusional belief of having been infested by parasite and comes under monosynthematic, hypochondrial psychosis.

 

Speaker 1  25:15  

So that was me for ah,

 

Speaker 2  25:22  

real life example. Yes, that's Alyssa with her life

 

Unknown Speaker  25:27  

just turns into a therapy session for me.

 

Speaker 2  25:32  

Thank you. This is actually, I've just been recording these as actual therapy sessions so secondary DOP can occur in the context of other mental disorders such as schizophrenia, depression or dementia. So I just kind of like a, like an symptom of another mental disorder that you're having, actually, I

 

Unknown Speaker  25:58  

guess that's more me.

 

Unknown Speaker  26:01  

Actually. That's me.

 

Speaker 2  26:07  

An organic GOP occurs secondary to organic illness such as hypothyroidism. Oh, no, GOP.

 

Unknown Speaker  26:22  

Me, Alyssa, my life story.

 

Speaker 2  26:32  

So, hypothyroidism, vitamin B, 12 deficiency, which seems easy to have diabetes.

 

Unknown Speaker  26:56  

Calm down.

 

Speaker 2  27:02  

Oh, cerebral vascular disease, cocaine intoxication, like the fuck, which I guess if you get super fucked up. Yeah, that makes sense. HIV, allergies, like what? That

 

Speaker 1  27:22  

makes sense too. You get all, like, your skin gets itchy and, oh, man.

 

Speaker 2  27:27  

And menopausal state, which, I don't know when menopausal state was added, but I bet those fuckers were just blaming it on a woman's period. It's

 

Unknown Speaker  27:36  

a woman's issue.

 

Speaker 2  27:39  

She's like, Oh, I'm like, eating a lot of food, but I keep losing weight. Menstrual issue,

 

Speaker 1  27:48  

gross. I don't want to hear about it. Please lay my off a male doctor, it's gross.

 

Speaker 2  27:54  

And can you empty the bathroom trash out before you go to you? I noticed you used it before you came in here. So the patients usually complain of crawling, burrowing, biting, oh, sorry, it's hard to get through that list or stinging of insects, or seeing the insects or their eggs body parts or extrusion of insects from the skin the patients, yeah, sorry, so I'm still kind of struggling my back keeps like twinging. The patients also provide descriptive, complex life cycles in detail of these insects, the parasitic Yeah, I know. I don't know if they just like, Google it and kind of figure it out. Or if these are, like, made up life cycles that they're like, I feel like is doing this, you know,

 

Speaker 1  28:51  

a pupil stage and whatnot. Isn't that like a butterfly? Oh, yeah,

 

Speaker 2  28:57  

I think it's okay, the pupa Caterpillar, pupa larvae. Yeah, I think that's like the second or third stage of the wow. I somehow pulled out that from like third grade biology. That was weird. Well, maybe

 

Speaker 2  29:21  

I shouldn't try. Trust that. Don't trust that, then don't trust that information. The parasitic agent may not be confined to the skin. Oh, sorry, but also involve the genital, oral or ocular areas. Can you just imagine like a worm like crawling around in your eye? Did

 

Speaker 1  29:50  

I ever tell you about my friend that had a friend that had a fucking worm in her eye? I can't remember if I talked about on the podcast. But yeah, she got some kind of rare

 

Unknown Speaker  30:03  

thing in her eye, and

 

Unknown Speaker  30:04  

she took a video, and you could see it like,

 

Unknown Speaker  30:09  

moving nasty. Was

 

Speaker 2  30:10  

it like, all the way on her eye, or was it moving like, like, it was kind of like reaching up, yeah,

 

Speaker 1  30:15  

it was like, on the white part of her eyeball. And you could see it like squiggling,

 

Unknown Speaker  30:21  

oh, God, I hate that. I

 

Speaker 1  30:23  

listened to Mr. Bolin's medical mystery episode recently, and it was

 

Unknown Speaker  30:30  

this little girl

 

Speaker 1  30:33  

played in a sandbox a lot, and there were, like, stray dogs that went around. So I guess, like, some of the dog shit, like, got into the sandbox that she played in, and she ended up she had a worm in her eye, and they had to, like, go in and, like, take the little worm sack out. I can't remember if she got her vision back, but it was pretty crazy. Oh, shit. I guess I didn't even think about that. Like, yeah, it was like, in the back of her eye. Oh, so that was pretty crazy.

 

Unknown Speaker  31:02  

Did your friend's friend lose?

 

Speaker 1  31:07  

Yeah, I think hers was just kind of like surface level type of thing. The podcast episode I listened to it like, got in the back, like they had to be surgery. I think the friend of a friend had antibiotic eye drops, or, you know, some crazy shit like that. Yeah, it was mostly just gross rather than, like, problematic. But

 

Unknown Speaker  31:27  

damn, how embarrassing,

 

Unknown Speaker  31:31  

man, it was gross.

 

Speaker 3  31:33  

Um, wait, where's I at? Sorry, that's my fault. I

 

Speaker 1  31:38  

started talking about my personal experiences. No, you're

 

Speaker 2  31:43  

totally fine. I'd love to hear about, no, I wouldn't, never mind say the genital ones. I'm like, No, I don't want to hear about fucking nope, genital parasites.

 

Speaker 1  31:57  

I'm gonna Google it. I'm not gonna lie to Google.

 

Unknown Speaker  32:00  

Let me know if I can handle it.

 

Speaker 2  32:04  

On clinical examination, no obvious skin disease is present, but there may be a presence of numerous exco radiations which underline the efforts done by the patient to remove the insect from the skin. Patients often present with specimens of parasites they have collected in a container. Oh, um, probably and Okay, so that's the so called matchbook sign. It's just like a physical thing. So yeah, like she had that little uh, container of fibers. Um, on microscopy, these offerings are usually found to be fragments of the skin and hair, samples of fabric, dust and dirt. The our patient also brought a container full of such insects, characteristic of the matchbook sign. Apart from this, our patient had also clicked numerous photographs of the insects on her cell phone, which, on close inspection, were fibers in inanimate objects, which we named as the snapshot sign. In around 12% of cases, dilutions are shared with another individual, so called Fauci adieu. It is defined. Oh, wait, we don't need to define it. We've already done that.

 

Unknown Speaker  33:25  

We

 

Speaker 2  33:29  

this phenomenon is also more common in women, of course, fucking delusional women, am

 

Unknown Speaker  33:35  

I right? Yeah,

 

Speaker 2  33:39  

delusional and is more often observed between sisters, which we'll

 

Unknown Speaker  33:44  

get to in the next episode,

 

Speaker 2  33:48  

wife and husband and mother and child, but is more rarely involved most or even whole families. The management of DOP is difficult, and the most important aspect of treatment is exclusion of any underlying infestation and other psychiatric disorder. The establishment of a strong physician patient relationship is important to ensure the compliance of the patient level. Drugs were reported. So, yeah, they did drugs. I think they like separated her from, uh, her son for a little bit. If I'm not mistaken, okay, I'm not gonna save that, because they didn't write it here. But that is a typical solution, oh, uh, or, you know, when treating fully adieu. So I would assume that they separate them. Probably separated them for a little bit, but, yeah, so that's a it's like pretty much it for that this particular kind of case, and I guess, you know, we got a little bit of knowledge on delusion of parasite as well. I

 

Speaker 1  34:56  

didn't think that this. One would be that relatable?

 

Unknown Speaker  35:03  

Relatable sitting here itching and like,

 

Speaker 1  35:08  

but yeah, you better believe I'm gonna Google Dick worms after

 

Speaker 2  35:13  

this. Oh, God. I'm just imagining a little like Pokemon urethra. Like, hey, I don't know if you know the song, Dr worm, but there's a song that goes they call me Dr worm, good morning. How are you so, yeah, I'm just thinking of the worm singing that coming out of the dick hole.

 

Unknown Speaker  35:31  

Yeah, yikes.

 

Speaker 1  35:36  

You know what people need for that is to get dipped into five bowls of bowl and oil.

 

Speaker 2  35:41  

Yes, um, I would, if I thought I had things crawling on me and there was nothing that could be done about it, I would dip myself into five bowls of bowl and

 

Speaker 3  35:53  

oil. For sure. Yeah, oh, yeah.

 

Speaker 1  35:56  

I think that I have a clip of carboy number three saying that, Oh, I got him to say it, let me see if I can find it. And he struggled too. I was pretty surprised, because

 

Unknown Speaker  36:08  

I feel like he

 

Speaker 1  36:11  

definitely talks more normally than I do. He's the

 

Speaker 2  36:15  

one that uses the Google at home. Yeah.

 

Speaker 1  36:20  

Okay, so here is carboy Number three's attempt at five bowls of boiling oil. Five bowls boiling oil. Say it again, five bowls of boiling oil. There we

 

Unknown Speaker  36:38  

go, in the beginning, just like five.

 

Unknown Speaker  36:45  

Oh, my god,

 

Speaker 2  36:47  

yeah. Oh, that was good. And yeah, if anyone

 

Unknown Speaker  36:52  

from from

 

Speaker 2  36:55  

try or maybe your locale, give you please

 

Speaker 1  37:00  

send us to your Yeah. Or if you know somebody that talks like boom hour, we would love to hear them say it, yeah.

 

Speaker 2  37:08  

Or if you're in, you're in Boston, and you want to do the Bastion one, oh, yeah, do that.

 

Unknown Speaker  37:15  

But you should keep listening to the podcast

 

Speaker 1  37:19  

all your friends, don't give them parasite delusions, like I've maybe given Jamie talking about lice. Sorry about

 

Speaker 2  37:31  

that. I mean, share it with them at the very least. You know, just

 

Speaker 1  37:36  

the episode or the dimension both, okay? Like, talk, talk to your delusion. Yeah? Like, if

 

Speaker 2  37:43  

you're gonna about your delusion, yeah, to have a delusion with your friend, if you're gonna have one,

 

Unknown Speaker  37:51  

teamwork makes the dream work.

 

Speaker 2  37:54  

But I guess, on a real note, be on top of your mental health

 

Unknown Speaker  38:02  

following season

 

Speaker 1  38:05  

made me laugh. Yes, I agree. I think it's because my mental health

 

Unknown Speaker  38:11  

is very poor that that made me laugh.

 

Speaker 2  38:16  

But yes, but cool, yeah, we will. I guess we'll see on the next one Fat heads