World, Bed Bug Registry Map – Infestation Reports

NHS staff from GPs to nurses, surgeons to pharmacists have shown incredible resilience throughout the pandemic.

But while we have heard heartbreaking stories from Covid sufferers and their families, there can be a lighter side to working in medicine too.

Here, in an exclusive extract from his new book The Secret Doctor, GP Max Skittle recalls some of the funniest and most touching moments from his time working at an inner-city surgery.

Ive an enormous Friday feeling. Its 1pm and Im on a half-day today.

One last patient to see and then Im back home to my wife Alice and the bump. I truly am motoring. Clinical paperwork, done. Emails, read (and selectively ignored). Blood results, checked and actioned.

I look at my jobs list and even thats clear. In this moment, I feel like a capable GP.

I close my eyes and hold on to it all for a few golden seconds, packing it away safely in my memory bank for a rainy day.

With the wind in my clinical sails, I greet Duncan, a nasally well-endowed 23-year-old.

As he places a matchbox next to my keyboard, a small alarm bell rings (a sort of evolved GP Spider-Man sense of the Peter Parker variety) that this is a bit weird.

From then on it all happens in slow motion.

I sit there, listening to Duncan, but already mentally checking out and on my way home to watch Love Island on catch-up with Alice, as he tells me he thinks hes got bed bugs, but wasnt sure. I nod again in slow motion still listening, but not quite putting together the s**t-storm coalescing in front of my eyes.

Before my brain catches up with Duncans explanation of how, since he wasnt sure, he thought hed bring one in that he caught, he slides open the matchbox.

If I inhaled any faster, the now-liberated bed bug wouldve been up my nose in a heartbeat.

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Despite every fibre of my being wanting to tell Duncan hes a f***ing idiot, I shut the box, quickly print out a patient information leaflet on bed bug eradication and delicately instruct him to burn the box and its contents and never to bring a suspected bed bug into my clinic room again.

Ever. I think Ive hurt his feelings so I finish off by commending him for catching the little bugger.

Im in two minds whether to tell Alice when I get home may find myself sleeping in the spare room.

Woke up itching (not in the spare room). Thanks, Duncan!

Mr Toska is 62 years old and a total rock n roller. As he swaggers in, smelling of expensive aftershave, sex, and stale cigar smoke, I immediately remember why I like him he reminds me of some guy straight off an aftershave ad campaign on television.

Here for the results of his recent NHS general health check, he wants me to tell him that hes not likely to have a massive heart attack and drop dead. Sorry, mate, youre in for some disappointing news.

Mr Toska smokes like a chimney, drinks like a (big) fish, has high blood pressure and thinks exercise is for the snowdrop (I think he means snowflake) generation. When you add in his high cholesterol despite protesting he eats healthily, which is clearly an exuberant fabrication in light of his clinical obesity his risk of cardiovascular disease (for example, a heart attack or a stroke) is positively celestial.

I explain all this and tell him he should consider changing his lifestyle and commencing a cholesterol-lowering statin (although that particular advice will all change in the next ten years, Im sure) if he wants to live longer.

Mr Toska looks at me and tells me he doesnt want to do any of that stuff he has a great life. Oh, and by the way, he wants some Viagra as hes got a new girlfriend whos 43 years old and I quote, has a high sex drive.

I darent probe further, despite my morbid curiosity (which you cant help but develop with the job). Anyway, now hes definitely going to have a heart attack.

Despite my concerns and forceful advice, he leaves no different to when he came, seemingly about to sh*g his way into an early grave.

Like I said, total rocknroller.

No words in the English language can capture what Im seeing. My jaw hangs slack, a little more than probably professionally acceptable, as my eyes absorb the flat of 70-year-olds Mr and Mrs Leigh. At first pass I count 16 dreamcatchers hanging from the ceiling.

I stop counting the dreamcatchers for now as my eyes consume the framed photographs on the wall: Barack and Michelle Obama (at his inauguration), seven Alsatians (all individually framed), Cilla Black, and my favourite, Will Smith as the Fresh Prince of Bel-Air.

Mind-blown, Im speechless, lost in the wonder of their world. Im not even sure the fact I cant remember why Im here even matters now. I put my medical bag down and sit on their sofa next to about 15 boxes of singing garden gnomes (batteries thankfully not included).

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I get out a printed summary of Mrs Leighs medical notes, trying to bury my excitement at this wonderland and suppress all the many, many questions I have and be more GP-like.

Im here for her first diabetic review (most long-term health conditions have some kind of annual check-up scheduled by the GP).

Shes received this recent diagnosis of type 2 diabetes mellitus, picked up on a set of annual blood tests by the district nurses.

Mr and Mrs Leigh sit in front of me, taking in the information about what diabetes is, how it can occur, what the treatment will entail, and what an annual review like the one today involves.

Do you like Home and Away, Max?

Im already on first-name terms.

Bloody love that. Theres something about these two that really makes me want them to like me. Slightly blindsided by the question, I explain, while trying to professionally complete her diabetes checks, that while I dont get a lot of time to watch it (given the fact Im no longer 15 years old, have a job, and moved out of the 1990s), Im sure its still great.

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Fighting the urge, I stop short of telling them Im sure I could probably still sing its theme tune.

God, I want to impress them.

Mr Leigh reappears as I pack up my bag, the diabetes review testing now complete.

He has a photo for me of their wedding day from 50 years ago.

Im really touched, if not slightly confused as to why he has this handy for such an occasion.

I listen with a warm sense of happiness for them as they speak about it with such reminiscent love.

A wave of pessimism sweeps over me sh**, am I being groomed? Itll be sweets in the bedroom next. I bat it away (putting it down to lunchtime hunger) and accept the photograph graciously, not quite sure what else to do.

I wonder what Alice will say? Maybe not one for the family photo wall. Still, a caring gesture nonetheless. And with that, I say goodbye, leaving the Leighs wonderland.

I really do hope to come back soon, this being one of the most fascinating home visits. EVER.

One things for sure, these two need their own television show I even know a theme tune for it . . .

I couldnt have ironed a shirt that well if I had all day. Let alone, square a tie off that neatly and pair it perfectly with a buttoned-up blazer. Also, I dont think I can stand up that straight. As I hover in Mr Cheemas living room, Im acutely aware that my shirts creased, definitely not tucked in at the back, and my trousers (yet again) are covered in my son Williams regurgitated milk from this mornings feeding frenzy.

I also find myself straining to stand up straighter, aware of my comparably inadequate posture. Mr Cheemas incredible: he walks over and shakes my hand, eyes evidently still full of twinkle. He invites me to sit, and I do so in silence, a little stunned by the amount of life in this man.

At one hundred years and two weeks (he adds, exuberantly) he looks 40 years his junior.

I wasnt expecting to find the answer to eternal youth on todays home visit.

Whats your secret? I have to ask as we sit here, imagining all the changes that hes lived through in this world.

Being kind and happy, he says without hesitation, not a beat missed.

A little disappointed at the intangibility of his answer, I probe for anything else more tangible like cheese. Or holidays to Bali.

Sadly, he says thats it. I make a mental note to remember this. Aware that this afternoons clinic is only half an hour away, I get down to business.

Now clinically speaking, theres not much wrong with Mr Cheema. To be honest, at his age, Ive also no interest in poking around to find something to sour his remaining years.

This visit is rather a general check-up as we havent seen him for a while.

Remarkably, he still lives alone with only one weekly carer doing some odd jobs for him.

I take in how immaculate his compact first-floor flat is, while the blood pressure machine tells me that he still has the blood pressure of a 21-year-old Olympic-level gymnast.

Yet, as with all of us, if you scratch deep enough, youll always find something. I can feel the quiet of his life, strange as that sounds.

The flat is a cacophony of newspapers, books, and crosswords.

Do you see many people?

Mr Cheemas veneer didnt take much scratching. It turns out he is in fact incredibly lonely, and has been for years.

He sees hardly anyone at all, with no family nearby (all largely dead, including his wife some 20 years ago), and a community that he doesnt really recognise or understand any more.

This upsets me for two reasons: first, this man clearly has so much to give.

Second, weve become the kind of non-communicable society thats perpetuated and fostered loneliness despite being on top of each other in bricks and mortar.

Its something Im seeing more and more in the patients I meet.

Yet Mr Cheemas clearly still up for life I love that about him.

We can all take a leaf out of this centenarian (and two weeks) book.

He agrees for me to get in touch with the local Age Concern organisation and some of the other local services that plan social activities like tea and cake mornings (though I do promise him that they do other things a little more exciting too).

Before leaving, I ask him to show me the secret to ironing his shirt so well.

Thankfully, his advice here is a little more tangible than being kind and happy to your shirt.

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Secret diary of a doctor - bed bugs, sex drives, Fresh ...

No one wants their home to be infested with bed bugsor mites. Before you can eliminate either of these pests, however, its important to understand some of the distinct differences between the two. When you are trying to differentiate between mites vs. bed bugs, its often a good idea to call on a bed bug control professional for assistance. Below are some facts about each pest that might help you.

Adult bed bugs are reddish-brown in color and about one-fourth of an inch long. Their bodies are oval and flattened, somewhat resembling an apple seed. They have six, slender legs and possess two antennae. Bed bugs have a long, slender mouthpart known as the proboscis that they use to pierce the skin of the host animal and siphon a blood meal. Immature bed bugs, called nymphs, look the same as the adults except that they are smaller and their color will usually be much lighter.

More than 46,000 species of mites have been identified, so the appearance will vary greatly among the different types. Mites are not actually insects. They are categorized as arachnids. Spiders and ticks also belong to this group and are closely related to mites. Most mites are approximately one-eighth of an inch long and can be seen with the naked eye, although some species are so small that they cannot be seen without the aid of a magnifying glass or microscope. Mites develop through four life stages egg, larval, nymph and adult. Immature mites have six legs. Adults have eight legs.

Bed bugs are typically found, as their name implies, in or near your bed. They can be found in the seams and folds of mattresses as well as in box springs. A common place to find bed bugs is behind the headboard where it abuts or is attached to the wall. As a bed bug infestation grows, they spread to nearby articles of upholstered furniture, behind baseboards, into wall voids, beneath loose flooring and behind electrical switches.

There are three species of mites that readily infest homes the bird mite, the clover mite and the dust mite. The bird mite prefers to feed on the blood of birds and rodents, but will bite humans if their host animal dies. Because they are carried by their host to various locations, they can be found inside walls, in the attic and in cracks and crevices near wherever birds or rodents may nest. Clover mites do not bite humans, but they can be alarming because they sometimes enter buildings by the thousands. Clover mites feed on clover, ivy, fruit trees and other plants and tend to enter structures when food sources outside are in short supply. The dust mite is so small its virtually invisible. These mites do not feed on humans, but can easily become airborne. Dust mites and their feces are one of the most common allergens found indoors. Pillows, mattresses and upholstered furniture are typical harborage sites for dust mites.

If you are concerned about bed bugs or mites carrying disease, you should know that bed bugs are not known to transmit any disease to humans. Only a few species of mites rarely have. Both can, however, cause skin irritations or allergic reactions due to their bite.

Now that you have more information about mites vs. bed bugs, it should be a given that you dont want either of these pests invading your space. Call the pest management professionals at Terminix to help keep these and other pests from bugging you.

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Bed Bugs vs Mites: How to Tell the Difference | Terminix