If squeamish, skip this post. Wait for the post on my Caribbean beach weekend that is forthcoming. This is also long, with my apologies, but the details are just so juicy.
First things first: the BOT FLY. Two weeks ago, I ask my professor are these bites bot flies? You remember, I was worried. And he says, don’t look like it. However, on Thursday I’m sitting in a cafe, studying for what turned out to be an incredibly brutal 4+ hour biology/environment exam on friday, when the bite on the back of my shoulder starts bleeding. And I mean profusely. I reach back because my back itches and discover to my surprise and slight panic that blood has literally soaked through my shirt in numerous places. The next day I ask my professor, can you look again? So he rubs some vaseline on the bites, the idea being that with the air hole blocked the larva will have to poke out of my arm to breathe. And it was absolutely DISGUSTING (all caps disgusting) because after about 30 minutes I look down and there is this little white worm thing poking in and out of a hole in my arm. I was incredibly close to puking. This is all during my two midterms, remember, and all in all slightly distracting.
It turns out that you can’t just grab them when they poke out with the vaseline because they are too swift. The home remedy is to duct tape a chunk of meat to the bites overnight and they will bore their way out and get stuck to the duct tape. If you want to see this, there are some great videos on youtube. This: http://www.youtube.com/watch?v=23eimVLAQ2c is a pretty good representation, though imagine it on my arm and not on some rando’s hairy back.
Of course it’s not that simple. I think I also have one on my head, and the technical difficulties of attaching a piece of meat to my head cause my professor to recommend I see a doctor (yes, feel free to laugh at the image of me with a filet duct taped to my skull; my class certainly enjoyed it). He says, if you’re already going for the bite on your head, just have the doctors remove them all. He recommends a hospital. I go. A friend joins me, with the promises of a few more friends to come in a bit and bring a camera so they can record the action.
Challenge number one is its a Costa Rican hospital and all in Spanish. However (thank you last few weeks of Spanish class) I find my way to the ER, check in, and get the prelim blood pressure/temp/etc tests. I’m actually fairly proud of this, and being in a foreign hospital was a bit exciting. This was the first of many firsts on the day. The doctor does speak English, which turns out to be a good thing in the end. It turns out my little flies wouldn’t leave my arm far enough for them to grab them and pull them out because they were too small. The doctor says, we have to cut them out. I panic. And thus begins Operation: Razorblade.
I am led to another room. I lay down. I see a lot of sharp and nasty instruments laying about, though to my pleasure they were all in little sterile packets. Turns out those rumors of Costa Rica having a good health system are true. Another plus for them: they saw me within 10 minutes. Last time I was at the Duke ER, I waited over 5 hours. Unfortunately, this means that the kids with the camera do not show up in time to see my operation. Or fortunately, because there was blood everywhere and the pictures may have been disturbing. If you don’t believe me, type in “bot fly” in google images and enjoy. May have been nice mementos though. Regardless.
The doctor then injects my first bite, on the front of my shoulder, with some anesthetic. I am not looking. He then cuts a little bit and begins squeezing hoping to pop it out. It is not cooperating, and the doctor is amusing me by cursing at it profusely in Spanish. He cuts a little more. Turns out he cuts the fly in pieces, and thus is forced to squeeze more to insure all the pieces come out. and SURPRISE! There are TWO bot flies in that bite! To be certain, he grabs a little curved tweezer and digs around a bit. This doesn’t hurt, because of my sweet anesthetic, but I can feel him pulling at my skin and am slightly disturbed. Apparently it looked brutal, because the friend with me made comments along the lines of “Oh God” and “what in the world is he doing?” He gets it out and shows the nurse, who gets excited and shows my friend, saying “look at the little hairs!” This is because there are small spikes in a ring around the little white worm that it used to scratch the inside of my skin so it can eat. I can think of few things more disturbing for me than that image. My friend asks if we can take the flies home in a bag, but the doctor doesn’t oblige. I get a stitch (another first).
Bite #1 is over. Bite #2 is the one on my head. Same drill: he injects anesthetic into the bite, which feels very odd since its on my skull and its like having a cold spread all across the bone. Makes a cut. This one pops out pretty easily, though bringing with it a small chunk of hair. Another stitch.
Bite #3 is on the back of my shoulder, meaning I have to roll over. After he cuts the bite on my shoulder, I can feel the blood running in little rivers down my arm. This one he is forced to enlarge the cut twice, one time a little outside of the range of anesthetic. I feel like nails at this point; sign me up as the next terminator or something. He gets this last bot fly out. This one is particularly disgusting, because its about the size of a pea and just very visible. This cut warrants three stitches.
Then its over, and I am just waiting for someone to come clean me up. I’m laughing at the sight I must look. There was blood covering my shoulder with little flecks down my arm, and my hair was matted down on the side and (my poor golden hair!) a pinkish color. The man nurse said I looked “punk.” In summary, I had four bot flies which was one short of my program’s record. I remain fearful because the doctor said there could be more in the bites that are still growing, but at least its unlikely. Please everyone cross your fingers for my sanity.
Again apologies for the lack of photographic evidence; here are my stitches in as good of quality as my camera could manage.


Pura Vida!