Provider: Dr. Yasmeen Ansari;
I think her pronouns are she/her. If I'm incorrect I apologize for my ignorance.
TL/DR: Went in with questions about a potential parasite; left with a half measured diagnosis for a highly stigmatized condition that can impact your ability to be taken seriously by doctors in the future and can make obtaining life insurance challenging.
My Mom (retired) and Aunt (Mayo Clinic) are both OBGYNs, my Sister is a Psychiatrist, my Brother and his Husband, are both RNs, and lastly another Sister who is a Physicians Assistant. That's just my immediate family. Im saying this because I have multiple channels from which I can obtain good insight.
This is long and probably annoying. I don't care. We are very lucky in the PNW to have some of the nations best providers, medical tech, research, hospitals etc. that said, don't assume everyone has your best interest.
When you're done explaining your symptoms to your doctor and they accompany their disinterest in your grief with a cocked eyebrow and a condescending "Hah, you know you're in an emergency room, right?" Just leave. Seriously, if you're not bleeding out, try somewhere else tomorrow.
If my decision to go an emergency room was uninformed, I'll own that! My mistake. But, don't make me feel stupid for being there. There's no manual you're given on how to navigate all this. I chose the organization you represent for its reputation and for the quality of care I've received in the past.
I thought I might have parasites, it came up during a session with my psychiatrist of 7 years. I sent him a photo I had taken and he said I should get checked out, probably sooner than later, so I did. I tried to show the doctor photos but, that's paranoid behavior, now? Sorry that I can't unzip my abdomen and let you have at it but, I thought it would be helpful? Who knows!
I wasn't convinced I had parasites. Based on the photos I took of what came out of me; Google images thought I might, my psychiatrist thought I might, I thought I might. Frankly, I would have been ecstatic to have heard the words "you're mistaken; it's actually this." "Oh wonderful, because the idea of having them is mortifying, I am so happy I was wrong."
I also have accompanying symptoms. A lot of them. She didn't engage with me on one. Not like a "oh tell me more about that." Nothing. She got real interested when I said I used a pimple popper on zit I had on my arm?' Apparently, that's self harm...OK.
They said I tested positive for cocaine. In my head I was like "hahah, cocaine?! It's been YEARS since I heard that one!" I'd have no trouble admitting to using cocaine. Even though Labor Day weekend was wrapping up. I didn't use cocaine. What can I do? It's foolish to think speaking up for yourself is helpful, it just makes you look worse.
It was obvious there was nothing I could say, or do, that would allow me to receive the type of care that wasn't contemptuous, judgemental, assumptive.
Here comes the part that felt like I was being charged with a crime. It was so insulting, I couldn't believe that Dr. Ansari (A DOCTOR) couldn't be bothered to present her conclusions/diagnosis, to me? Seriously? One of her nurses just barged in and said "Okay, you're free to go thanks byye!" As I'm being ushered out I see on the diagnosis "Ekboms Delusional Parasitosis? I'm sorry, WHAT?!" I turned right around and requested it be removed, it's not only incorrect, I didn't want this anywhere on my chart. It's heavily stigmatized and can make life difficult for you in a lot of ways.
People with Ekboms are those who think they have bugs underneath their skin, they have lesions from trying to carve them out, they will not take "no" for an answer. Their belief of infestation is deeply rooted and unwavering. It's a really messed up disorder and not one that can be diagnosed in the same manner that someone slaps a post-it note on your back saying "kick me!".
A suspicion is not a belief! There was no formal psychiatric evaluation, no consultation from a psychiatrist or psychologist, no probing questions, nothing. I even said to her, if you don't think it's parasitic, then please let's find out what it is! To this day, on my MyChart, I have the results from the bloodwork and samples I gave; she said she found no parasites were found. Wonderful, what is it then? Oddly, You can make someone feel really judged, pretty low and, stupid. When it comes to the part that really helps; it's "yeah, I'll skip that." I'm not saying she's a bad doctor. I'm not ignorant or, egotistical enough to make that claim. But this is experience was bullshit. read more