What’s an illness more associated with pirates than urban dwellers? What illness might you get if you had OCD and your diet for the past 20 years has been limited to only 3 items, none of which are fruits or vegetables? What’s on the far-fetched differential for “mysterious rash”? If you answered SCURVY you are correct! Also, you are smart. Or perhaps extremely knowledgeable about pirates.
Today I saw my first (maybe only?) scurvy patient. The tough stuff–the diagnosis–had already been done several months ago, and today’s visit consisted mostly of me wondering how the hell I was going to make any more progress on the vitamin-C-rich-diet plan when a wicked case of untreated OCD was standing in the way. I didn’t really have any good answers, but I did spend the rest of the day thinking “Heh heh, scurvy!” every few minutes. Which has to count for something, right?