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My hospital is in a very diverse part of NYC, so we get a lot of pts originally from other countries, many from India and areas around there. A pt had come to the US from a very rural, poorer part of India, where it turns out many parasites are common enough that almost everyone ends up infected at some point in their lives and it considered no big deal, like getting a cold. It was something common enough that it didn occur to the pt or her family to mention her doctor had been treating her for some kind of intestinal worms for a bit, and she still wasn clear of them yet..

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