According to the doctor-run podcast, This Won't Hurt A Bit, a no-nonsense Fresno man removed a tapeworm from his own rectum and later presented it to the bemused staff of a local Hospital. Dr. Banh is usually skeptical of patients who self-diagnose but in this case, the man was adamant about his symptoms.
Last year, the Centers for Disease Control put out a study that showed a prevalence of tapeworm in wild salmon caught off the coast of Alaska.
"When you're eating uncooked fish - or other raw foods, like unpasteurized milk - there is some inherent risk", said Adalja.
And then, Banh said: "I take out a toilet paper roll, and wrapped around it, of course, is what looks like this giant, long tapeworm".
Dr Kenny Banh, the attending ER physician at the time, recounted the freaky events that unfolded after the patient marched into the Community Regional Medical Center and requested de-worming medication while holding a mysterious plastic bag.
Banh said a young man walked into the hospital complaining of bloody diarrhea and asking to be tested for worms. If you dare, you can see what it actually looked like - "This Won't Hurt a Bit" shared two photos of the worm from Banh.
"I looked down, and it looked like there was a piece of intestine hanging out of me", Banh recalled the man telling him.
After being unraveled, the tapeworm ended up being 5-and-a-half feet long. The clue was the patient's love of sushi, particularly raw salmon. Most infections don't have symptoms, but some people might get stomach discomfort, diarrhea, vomiting, and weight loss.
Treatment for tapeworms entails taking the same kind of deworming medication that dogs do. (Different species of tapeworms can hang out in raw beef and pork, too.) For fish, that's at least 145°F.
At -31°For below until solid and storing at -4°F or below for 24 hours.
Banh asked the man if he would continue to eat sushi.
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