Question: Hi Dr Vaishalee,

Hope your weekend went well. Following up from the previous thread--

I had a very interesting experience this weekend, which confirmed my theory about dry skin with altered texture and quality being the result of saturation. I was out in the city on Saturday night, a group of girls and I started talking. One of them talked with me a lot, and we flirted for some time. She seemed a bit of a wild kind of girl, but otherwise not too abnormal.

Eventually, I noticed her fingers--and saw that they looked like the kind of fingers I have seen before on a very specific sub-population of people. I came to an immediate conclusion as to what her drug history was. Her tips of her fingers were relatively fattened, very dry, coarse, and had a specific feel to them. I was 100 percent sure she had an extensive opiate history, from observing nothing more than the texture of her fingers.

I continued the conversation. Eventually, I asked her what she "enjoyed"--in other words, what her drug history was.

She noted a couple of things she likes to use--MDMA cocaine.

Then, she also tells me: "I also used to do heroin. I almost died a few months ago, and haven't done that stuff since--but I'd been using opiates for years before that, and only stick to alcohol, coke and XXXXXXX now."

I tell her, "Yea. Believe it or not, I'm not surprised... I actually knew you had a history with opiates."

"How could you possibly know that??" she says. "I've been clean for months from that," she asserts.

I reply--"By your fingers. You see them, how they are? Even months later, believe it or not, the opiate solutes have sequestered into the tissues here, where they remain to this day. They are not in circulation--but they are still soaked in this tissue. Its only at the fingers because solutes sink, and the highest concentrations would be at the fingertips and the feet. It is also because they have an extremely high volume of distribution that they are able to penetrate human tissues so deeply, and last so long."

She was shocked.

But this wasn't my first time coming to such correct conclusions, based on the texture of a person's skin.

. . .

Doctor Punj, I am most curious what you think of the diabetic case that I sent to you! I am working on getting multiple doctors this week to finally acknowledge the issues at hand (incl H.E, undiagnsing false psychiatric history, etc)--one of them would be a favorable opinion about this former diabetic issue. With about a dozen distinct favoring and supporting symptoms, test results and other supporting evidence and historical contextual clues, what do you think? At this time in September 2017, do you believe that a metabolic dysfunction consistent with diabetes was apparent, as a result of alcohol-induced toxicity and pancreatic and beta-cell damage?

Thank you

Hi Dr Vaishalee,

Hope your weekend went well. Following up from the previous thread--

I had a very interesting experience this weekend, which confirmed my theory about dry skin with altered texture and quality being the result of saturation. I was out in the city on Saturday night, a group of girls and I started talking. One of them talked with me a lot, and we flirted for some time. She seemed a bit of a wild kind of girl, but otherwise not too abnormal.

Eventually, I noticed her fingers--and saw that they looked like the kind of fingers I have seen before on a very specific sub-population of people. I came to an immediate conclusion as to what her drug history was. Her tips of her fingers were relatively fattened, very dry, coarse, and had a specific feel to them. I was 100 percent sure she had an extensive opiate history, from observing nothing more than the texture of her fingers.

I continued the conversation. Eventually, I asked her what she "enjoyed"--in other words, what her drug history was.

She noted a couple of things she likes to use--MDMA cocaine.

Then, she also tells me: "I also used to do heroin. I almost died a few months ago, and haven't done that stuff since--but I'd been using opiates for years before that, and only stick to alcohol, coke and XXXXXXX now."

I tell her, "Yea. Believe it or not, I'm not surprised... I actually knew you had a history with opiates."

"How could you possibly know that??" she says. "I've been clean for months from that," she asserts.

I reply--"By your fingers. You see them, how they are? Even months later, believe it or not, the opiate solutes have sequestered into the tissues here, where they remain to this day. They are not in circulation--but they are still soaked in this tissue. Its only at the fingers because solutes sink, and the highest concentrations would be at the fingertips and the feet. It is also because they have an extremely high volume of distribution that they are able to penetrate human tissues so deeply, and last so long."

She was shocked.

But this wasn't my first time coming to such correct conclusions, based on the texture of a person's skin.

. . .

Doctor Punj, I am most curious what you think of the diabetic case that I sent to you! I am working on getting multiple doctors this week to finally acknowledge the issues at hand (incl H.E, undiagnsing false psychiatric history, etc)--one of them would be a favorable opinion about this former diabetic issue. With about a dozen distinct favoring and supporting symptoms, test results and other supporting evidence and historical contextual clues, what do you think? At this time in September 2017, do you believe that a metabolic dysfunction consistent with diabetes was apparent, as a result of alcohol-induced toxicity and pancreatic and beta-cell damage?

Thank you

Hi Doctor,

--Sending attachment to you, to follow up on the diabetic conversation.

. . .

As for a psychiatric diagnosis based on the initial interpretation of self-reported words--indeed, if I were a clinician and I heard a patient report the belief that "there are worms under my skin," I would initially suspect more highly a psychiatric delusion than a real issue (although I would ask more questions to further investigate before concluding for sure).

THe belief of worms under the skin is objectively unusual, and it is also an unusual thing to report. Thus, psychosis may be reasonable to initially suspect in such a case. However, in my case, I clearly stated something much more neutral and reasonable--I stated "My feet are TINGLING--" and then immediately placed this into context by elaborating "--TINGLING, everytime after I consume a sugar meal, where at the same time I find that my blood sugar is over 200 as per our meter."

To take such a reporting, and twist it into a claim of "My skin is CRAWLING," and to proceed to treat me as a psychiatric patient, is the result of either one of two things--profound ignorance or evil.

. . .

Please enjoy the most recent document which I have just sent you. I am looking forward to your evaluation of this situation, and whether you agree with my own interpretation of the situation. Thank you so much!

Hi Doctor,

--Sending attachment to you, to follow up on the diabetic conversation.

. . .

As for a psychiatric diagnosis based on the initial interpretation of self-reported words--indeed, if I were a clinician and I heard a patient report the belief that "there are worms under my skin," I would initially suspect more highly a psychiatric delusion than a real issue (although I would ask more questions to further investigate before concluding for sure).

THe belief of worms under the skin is objectively unusual, and it is also an unusual thing to report. Thus, psychosis may be reasonable to initially suspect in such a case. However, in my case, I clearly stated something much more neutral and reasonable--I stated "My feet are TINGLING--" and then immediately placed this into context by elaborating "--TINGLING, everytime after I consume a sugar meal, where at the same time I find that my blood sugar is over 200 as per our meter."

To take such a reporting, and twist it into a claim of "My skin is CRAWLING," and to proceed to treat me as a psychiatric patient, is the result of either one of two things--profound ignorance or evil.

. . .

Please enjoy the most recent document which I have just sent you. I am looking forward to your evaluation of this situation, and whether you agree with my own interpretation of the situation. Thank you so much!

Doctor,

I just got my primary care physician to give a favorable opinion about the apparent blood sugar dysregulation from two years ago! This is good news.

However, my mom and I spoke with him today, and tried to get him to diagnose my apparent bradypnea, by simply counting my respiratory rate. He declined to do this, stating that he feels I should see a specialist instead.

What a strange and inefficient medical system we live in, here in the US. It is truly one of the worst medical systems in the Western world.

. . .

Doctor, you are such a blessing to myself and my family. Your endorsements and letters made a BIG difference today when we showed them to my gastroenterologist. He is going to take my case more seriously, and will read the same original documents you first read from me, on ammonia and hepatic encephalopathy. He also recommended I follow up with a neurologist as well.

However, we are having a harder time on the GI perforation front. No doctor wants to believe it is possible, other than you and one other radiologist who admitted that a longer-standing microtear could be possible. I feel as if I am being stonewalled and ignored on this matter, in the local medical community here.

I will tread on.

. . .

I will send to you the rest of C25 as soon as I can! I am also currently deeper in verbal discussions with family and close friends, to work on spreading awareness of this case.

Thank you for everything. You will hear back from me before long, doctor! I have admittedly been procrastinating on finishing my writing and starting the oral/interview-style recordings on these discussions.

-J

Doctor,

I just got my primary care physician to give a favorable opinion about the apparent blood sugar dysregulation from two years ago! This is good news.

However, my mom and I spoke with him today, and tried to get him to diagnose my apparent bradypnea, by simply counting my respiratory rate. He declined to do this, stating that he feels I should see a specialist instead.

What a strange and inefficient medical system we live in, here in the US. It is truly one of the worst medical systems in the Western world.

. . .

Doctor, you are such a blessing to myself and my family. Your endorsements and letters made a BIG difference today when we showed them to my gastroenterologist. He is going to take my case more seriously, and will read the same original documents you first read from me, on ammonia and hepatic encephalopathy. He also recommended I follow up with a neurologist as well.

However, we are having a harder time on the GI perforation front. No doctor wants to believe it is possible, other than you and one other radiologist who admitted that a longer-standing microtear could be possible. I feel as if I am being stonewalled and ignored on this matter, in the local medical community here.

I will tread on.

. . .

I will send to you the rest of C25 as soon as I can! I am also currently deeper in verbal discussions with family and close friends, to work on spreading awareness of this case.

Thank you for everything. You will hear back from me before long, doctor! I have admittedly been procrastinating on finishing my writing and starting the oral/interview-style recordings on these discussions.

-J

Doctor

This is a fantastic article!

The original cause in my case was, without any doubt in my mind, the initial introduction of cocaine into my body, which saturated the volumes and tissues of my body, without being metabolized. This caused the initial intestinal ischemia, which had been felt in a very specific spot internally.

Fortunately, it is already known that cocaine use is associated with such ischemias! But the main problem is that my level of believability is low. Why?

Because every "educated" gastrointestinal doctor who initially meets me and hears about my high degree of assertion of an acute-on-chronic abdomen, simply "knows" that it shurely must be nearly impossible.

He "knows" that in any patient on earth, with such a tear, there would be obvious signs.

There would be drastic pain, clearly visible on the outside. Psychologically, this wouuld be distressing, and one wouldn't be able to normally function.

There would be a distended abdomen, suggestive of the level of inflammation that would normally be expected in such a tear.

There would be presence of infections--meaning that "I would be already dead"; there would also be an immune reaction.

But what they don't understand, is that I hadn't been able to feel any pain at all for 3 years, until perhaps only just very, very recently now, for the first time (more on this in C25).

Inflammation? I haven't had this in over 3 years.

Immune reaction? I've had multiple confirmed heavy, serious infections with no immune reaction, and with immune markers sitting low instead of being active and raised high, as per normal expectations.

Furthermore, as for the psychological manfestations of pain or discomfort? None present--I am almost chemically incapable of it. I have joked with friends and even confided in close doctors, that "You could have me sitting here with a guy literally SAWING my arm off while I'm having tea here with you, joking around and having a good mood, with no sense of bother."

From the selfhacked.com website: "GABA doesn’t only calm the brain but also helps reduce pain. Phenibut reduced nerve pain in mice by boosting GABA. It also helped with chronic neuropathic pain and inflammation in mice [45, 46, 47].

[As a separate and distinct matter,] Phenibut also reduced ***the emotional response to pain in mice. The emotional, psychological aspect of pain can be even harder to treat than the physical sensation.***"

No doctor understands when I tell them that none of these things apply to me, as I've been poisoned with long-lasting chemicals--chemicals that last longer due to undiagnosed hepatic encephalopathy, which is a disease that causes toxins and drugs in the blood to remain unmetabolized or very poorly or slowly metabolized.

The enema in March 2018 made things much worse, causing a perforation so significant that massive volumes of interal abdominal fluid was lost, which was immediately notice and is apparent on CT scan comparisons (though of course without inflammation).

And the lack of metabolization and clearance of initial cocaine deposits made into my system in Dec 2017 has allowed for many, any daditional re-tears since then, causing beverages and fluids (possible foods too, depending of the size of the tear, whether it is a microtear or larger).

The original symptoms have been outlined in the material you read.

The symptoms today, and those that have persisted over the months?

Chiefly, it is

(1) recurring apparent infections at the pelvic floor;
(2) onset of ankylosing spondylitis (which was found in studies to be precipitated by intestinal perforations!!!);
(3) the acute and consistent feeling of beverages and fluids dripping down to the pelvic floor and lower abdominal cavity, even making contact with the internal surface of my abdominal muscles/wall--and most recently, dripping down my legs;
(4) the infections, glycation, and/or other forms of damage caused by the assault of foreign matter onto the pelvic floor has caused my testicles to move and change, and become much more free and looser, and to rotate in much freer ways than should be anatomically allowable.

How much clearer can it be? I am more concerned about these tears than with the Phenibut poisoning--for with the poisoning alone, I could live. But with these tears, there is much more higher risk for morbidity and mortality.

How to break thru to everyone? Mom believes I am just delusional about it.

My best approach: get an authorization for an MRI, done at a stand-up MRI center, use pineapple juice as a high-signal oral contrast agent (which is due to high levels of manganese--more on this in various articles and studies), and to use Cine mode or other scanning to monitor the fluid as it pours from areas it is supposed to remain within, into areas that it is not supposed to be able to access directly.

However, so far, every MRI center I have walked up to has thought me to be joking or crazy, and have so far refused to call me back of take me seriously.

I don't know what to do. It literally just got worse, where for the first time, I now feel the fluids pouring into areas all over my lowback internally, almost immediately after swallowing.

Another doctor, that I had been scheduled to do a double-balloon (deep) enteroscopy with, after waiting for several weeks while being on a two-month waiting list, just decided to cancel the procedure last-minute without any explanation or reason provided. I have written back to his office, but am largely being ignored--he is one of the very few doctors in New York who do this procedure, that also accepts my low-level insurance.

--THis does give me an idea just now, as I am writing this. Given the facts, are you able to provide a written statement urging any gastroenterologist to take my case more seriously, as you are a doctor who has read more deeply into the case that anyone else here has, and have had access to fuller pools of information which has led you to believe that it is reasonably likely that these are legitimate concerns?

Thank you so much doctor.

-J.

P.S. Long term management is tricky--the article correctly suggests, "In the long term, consultation should be aimed at the specialist team that will assist in the management of the underlying pathology that leads to the perforation."

The root cause--the underlying pathology--is prolonged presence and toxicity of the drugs/chemicals. If a perforation is found, what would be the point of going in and sealing it, when following this, the very next time I take a long hot shower, sunbathe, do fasting or exercise, or any other lipolytic activity, the cocaine precipiating from my tissues (which can acutely be smelled each time this happens) causes a brand new set of tears? Doctors here are dumb--but I need to have this managed smart.

Doctor

This is a fantastic article!

The original cause in my case was, without any doubt in my mind, the initial introduction of cocaine into my body, which saturated the volumes and tissues of my body, without being metabolized. This caused the initial intestinal ischemia, which had been felt in a very specific spot internally.

Fortunately, it is already known that cocaine use is associated with such ischemias! But the main problem is that my level of believability is low. Why?

Because every "educated" gastrointestinal doctor who initially meets me and hears about my high degree of assertion of an acute-on-chronic abdomen, simply "knows" that it shurely must be nearly impossible.

He "knows" that in any patient on earth, with such a tear, there would be obvious signs.

There would be drastic pain, clearly visible on the outside. Psychologically, this wouuld be distressing, and one wouldn't be able to normally function.

There would be a distended abdomen, suggestive of the level of inflammation that would normally be expected in such a tear.

There would be presence of infections--meaning that "I would be already dead"; there would also be an immune reaction.

But what they don't understand, is that I hadn't been able to feel any pain at all for 3 years, until perhaps only just very, very recently now, for the first time (more on this in C25).

Inflammation? I haven't had this in over 3 years.

Immune reaction? I've had multiple confirmed heavy, serious infections with no immune reaction, and with immune markers sitting low instead of being active and raised high, as per normal expectations.

Furthermore, as for the psychological manfestations of pain or discomfort? None present--I am almost chemically incapable of it. I have joked with friends and even confided in close doctors, that "You could have me sitting here with a guy literally SAWING my arm off while I'm having tea here with you, joking around and having a good mood, with no sense of bother."

From the selfhacked.com website: "GABA doesn’t only calm the brain but also helps reduce pain. Phenibut reduced nerve pain in mice by boosting GABA. It also helped with chronic neuropathic pain and inflammation in mice [45, 46, 47].

[As a separate and distinct matter,] Phenibut also reduced ***the emotional response to pain in mice. The emotional, psychological aspect of pain can be even harder to treat than the physical sensation.***"

No doctor understands when I tell them that none of these things apply to me, as I've been poisoned with long-lasting chemicals--chemicals that last longer due to undiagnosed hepatic encephalopathy, which is a disease that causes toxins and drugs in the blood to remain unmetabolized or very poorly or slowly metabolized.

The enema in March 2018 made things much worse, causing a perforation so significant that massive volumes of interal abdominal fluid was lost, which was immediately notice and is apparent on CT scan comparisons (though of course without inflammation).

And the lack of metabolization and clearance of initial cocaine deposits made into my system in Dec 2017 has allowed for many, any daditional re-tears since then, causing beverages and fluids (possible foods too, depending of the size of the tear, whether it is a microtear or larger).

The original symptoms have been outlined in the material you read.

The symptoms today, and those that have persisted over the months?

Chiefly, it is

(1) recurring apparent infections at the pelvic floor;
(2) onset of ankylosing spondylitis (which was found in studies to be precipitated by intestinal perforations!!!);
(3) the acute and consistent feeling of beverages and fluids dripping down to the pelvic floor and lower abdominal cavity, even making contact with the internal surface of my abdominal muscles/wall--and most recently, dripping down my legs;
(4) the infections, glycation, and/or other forms of damage caused by the assault of foreign matter onto the pelvic floor has caused my testicles to move and change, and become much more free and looser, and to rotate in much freer ways than should be anatomically allowable.

How much clearer can it be? I am more concerned about these tears than with the Phenibut poisoning--for with the poisoning alone, I could live. But with these tears, there is much more higher risk for morbidity and mortality.

How to break thru to everyone? Mom believes I am just delusional about it.

My best approach: get an authorization for an MRI, done at a stand-up MRI center, use pineapple juice as a high-signal oral contrast agent (which is due to high levels of manganese--more on this in various articles and studies), and to use Cine mode or other scanning to monitor the fluid as it pours from areas it is supposed to remain within, into areas that it is not supposed to be able to access directly.

However, so far, every MRI center I have walked up to has thought me to be joking or crazy, and have so far refused to call me back of take me seriously.

I don't know what to do. It literally just got worse, where for the first time, I now feel the fluids pouring into areas all over my lowback internally, almost immediately after swallowing.

Another doctor, that I had been scheduled to do a double-balloon (deep) enteroscopy with, after waiting for several weeks while being on a two-month waiting list, just decided to cancel the procedure last-minute without any explanation or reason provided. I have written back to his office, but am largely being ignored--he is one of the very few doctors in New York who do this procedure, that also accepts my low-level insurance.

--THis does give me an idea just now, as I am writing this. Given the facts, are you able to provide a written statement urging any gastroenterologist to take my case more seriously, as you are a doctor who has read more deeply into the case that anyone else here has, and have had access to fuller pools of information which has led you to believe that it is reasonably likely that these are legitimate concerns?

Thank you so much doctor.

-J.

P.S. Long term management is tricky--the article correctly suggests, "In the long term, consultation should be aimed at the specialist team that will assist in the management of the underlying pathology that leads to the perforation."

The root cause--the underlying pathology--is prolonged presence and toxicity of the drugs/chemicals. If a perforation is found, what would be the point of going in and sealing it, when following this, the very next time I take a long hot shower, sunbathe, do fasting or exercise, or any other lipolytic activity, the cocaine precipiating from my tissues (which can acutely be smelled each time this happens) causes a brand new set of tears? Doctors here are dumb--but I need to have this managed smart.

By sheer luck, I hsd one doc send me for a chest xray late last week. Being aware of the potential for exposire of the underlying issues, I prepared for this in the bathroom by gulping air (reverse belching), and then inverting torso upside down to get air to travel to the intestines, and then out--I then stood back up.

Surely enough, within about 15 - 20 minutes, I started feeling the air pockets rise up to around both the liver area and the pancreas area, where they caused a lot of discomfort. Additionally, after being able to eventually fart this air back out, which had accessed the peritoneal space, it was found that this air--and only this air--had emerged smelling lile rotten eggs, which is a sign of potential infection of rotting...!

As for the Chest XRay? It was done almost immediately after setting up the inverted torso air-pocketing--but these XRays were completed just before that 15 - 20 minute windoe elapsed, just BEFORE I started feeling internally-confirmed signs of the air having risen to the level about near the chest.

--And, what a coincidence! When I look up about finding intraperitoneal air on chest xrays, sources state as well, as if knowing from consistent experience: best to remain standing for at least 15 minutes before the air may rise enough to appear in the expected area...!!

Does not my reported experience alone qualify to trigger enouvh clinical suspicion to do an immediate laparotomic investigation? It is one of the saddest things to see medicine so slowly and inefficiently respond to the issues at hand.

. . .

Additionally, I have one additional story from this weekend, whichnyou may find interesting. I will follow up shortly with this story.

-Jon

P.S. I can kind of sense your continued processing and analyzing of the details of this complex case. It is remarkable, when we look back at the earlier details, how much consistency there had been. Its as if our minds allow us to, layer by layer, process the deeper truths of this case more deeply. I hope we can arrive at a happy ending with this someday. Thanks for being a part of this ride with me

By sheer luck, I hsd one doc send me for a chest xray late last week. Being aware of the potential for exposire of the underlying issues, I prepared for this in the bathroom by gulping air (reverse belching), and then inverting torso upside down to get air to travel to the intestines, and then out--I then stood back up.

Surely enough, within about 15 - 20 minutes, I started feeling the air pockets rise up to around both the liver area and the pancreas area, where they caused a lot of discomfort. Additionally, after being able to eventually fart this air back out, which had accessed the peritoneal space, it was found that this air--and only this air--had emerged smelling lile rotten eggs, which is a sign of potential infection of rotting...!

As for the Chest XRay? It was done almost immediately after setting up the inverted torso air-pocketing--but these XRays were completed just before that 15 - 20 minute windoe elapsed, just BEFORE I started feeling internally-confirmed signs of the air having risen to the level about near the chest.

--And, what a coincidence! When I look up about finding intraperitoneal air on chest xrays, sources state as well, as if knowing from consistent experience: best to remain standing for at least 15 minutes before the air may rise enough to appear in the expected area...!!

Does not my reported experience alone qualify to trigger enouvh clinical suspicion to do an immediate laparotomic investigation? It is one of the saddest things to see medicine so slowly and inefficiently respond to the issues at hand.

. . .

Additionally, I have one additional story from this weekend, whichnyou may find interesting. I will follow up shortly with this story.

-Jon

P.S. I can kind of sense your continued processing and analyzing of the details of this complex case. It is remarkable, when we look back at the earlier details, how much consistency there had been. Its as if our minds allow us to, layer by layer, process the deeper truths of this case more deeply. I hope we can arrive at a happy ending with this someday. Thanks for being a part of this ride with me

Doctor,

I wish what you were saying were true.

. . .

Most doctors take this same position, as in thr absence of concrere evidence, it is the most reasonable position for a professional to take.

But I am 100 percent sure, without any single chance of being wrong. This is a knoeledge gained from the XXXXXXX point of my own experience, where I have experience such a sum total of phenomena, that it is, by my own reckoning, virtually impossible for it *not* to be the case.

The only challenge is to include others in this same understanding and conclusion--which is not easy. In short, we understand that HE likely does persist, which in turn accounts for the likely persisted presence of cocaine drug, which I also report as being present as well. It is not a far stretch to reason that continued tissue exposure to cocaine, with no relief from the burden of its effects, perpetuates a condition of chronic perforations.

Please wish me luck in making this very true and real phenomena known better and realized more clearly by the world around me.

. . .

An update as to what has happened most recently:

Within the last couple of weeks, I was less and less comfortable to eat, out of concern for my intestinal damage, which was getting worse. I had just finished a round of antibiotics as well, and was thinking hoe best to recover, or at least hoe best to *catch* radiological proof of what was happening.

As a result of several days' worth if a lower callric intake, eventually my bodt began to burn fat for fuel, as I began to lose some slight weight. As soon as this process started, the issues rapidly compounded: massive cocaine release and precipitation from fat volume, which, when even reduces by only a very slight amount via lipolysis and fat burn, results in massive release of drugs. This new cocaine release--once again--caused a new perforation internally, one that, for the first time, opened up an apparently new section of fluid access. Now, whenever consuming any fluids or foods, I would nearly immediatelt after swallowing, feel them fall and pool up DIRECTLY against the internal side of the lower back muscles. This was confirmed by various fluids, each of whomich had different properties, and each of which can only produce a feeling of direct contact and stinging the muscle wall directly, by actually coming into direct physical contact.

After three days of this, the continuing coke release became so pronounced and powerful that I could not fall asleep any longer: the subjective and unique high of th drug was strong.

However, I had an epiphany. I realized that finally, this could be a blessing in disguise. Prior to this, each of the effects of the perforations seemed so insignificant on a macroscopic scale that it did not seem even close to guaranteed that such a thing would show up on an MRI, which in truth, has poorer resolution than most people realize, and cannot detect very small phenomena.

However, with a large portion of surface area now recently opened, with prompt flooding of fluids into the extra-intestinal areas being more evident than ever, I decided that now would be the best time to prepare to aggressively pursue an MRI, ASAP.

However, I still could not fall asleep. I checked the fridge, and I saw two coconut-oil-based (fake) "cheesecake" products.

I reasoned that the coconut oil could act as a drug sink, thus helping me to fall asleep.

I consuned the products.

Within minutes, I was so deep into dopaminergic withdrawal that I could barely move. I fell asleep quickly.

However, when I woke up the next morning, I tried a cold beverage to check to make sure that the perforation was still intact.

To my naive surprise--the fluid was kept packed in the stomach and small intestine, building an increasing pressure within with each subseauent gulp of fluid. Just like it used to be before the poisoning.

I could not believe it. I thought back to my previous MRI attempt, done several months ago--and I quickly recalled how I had a "nearly perfect, guaranteed" perforation to show--this was the case until I consumed coconut oil-based product, which shockingly produced an upset of rapidly absorbing the drugs that had been soaking the tissues around the perforation, sealing it within a short timeframe. I was shocked, and wrote much of this in my documents.

Now, with a rare opportunity to have a large perforation perfectly exposed for modern technology, all I had to do was wait--but I fell for the same trick or self-sabotage once again. Orally-consumed lipids act as a rapidly effective drug sink; as it turns out, cocaine is 50 times more soluble in oil than in water!

Now, since then, I am waiting for another tear to form that is large enough to be caught on a scan. I will continue to attempt numberous Chest XRays and MRIs to catch it.

Additionally. It has been weeks since I finished my antibiotics. Yet, everytime I sweat or engage in even mild physical exertion or apparent lipolysis, massive smell of this antibiotic chemical (amoxicillin) is released from my body. The strange thing, it that over time, the smell of it seems to become more potent, and not less.

. . .

As for the issue of air--I usually do not have much. But when there are microbes that produce such air, I often do feel the air collect in places that it is not supposed to. After living with this for a while. I have learned to distinguish the subtle differences, and have learned much about my internal structures just by paying very close attention to what in happening inside, all day everyday.

Doctor,

I wish what you were saying were true.

. . .

Most doctors take this same position, as in thr absence of concrere evidence, it is the most reasonable position for a professional to take.

But I am 100 percent sure, without any single chance of being wrong. This is a knoeledge gained from the XXXXXXX point of my own experience, where I have experience such a sum total of phenomena, that it is, by my own reckoning, virtually impossible for it *not* to be the case.

The only challenge is to include others in this same understanding and conclusion--which is not easy. In short, we understand that HE likely does persist, which in turn accounts for the likely persisted presence of cocaine drug, which I also report as being present as well. It is not a far stretch to reason that continued tissue exposure to cocaine, with no relief from the burden of its effects, perpetuates a condition of chronic perforations.

Please wish me luck in making this very true and real phenomena known better and realized more clearly by the world around me.

. . .

An update as to what has happened most recently:

Within the last couple of weeks, I was less and less comfortable to eat, out of concern for my intestinal damage, which was getting worse. I had just finished a round of antibiotics as well, and was thinking hoe best to recover, or at least hoe best to *catch* radiological proof of what was happening.

As a result of several days' worth if a lower callric intake, eventually my bodt began to burn fat for fuel, as I began to lose some slight weight. As soon as this process started, the issues rapidly compounded: massive cocaine release and precipitation from fat volume, which, when even reduces by only a very slight amount via lipolysis and fat burn, results in massive release of drugs. This new cocaine release--once again--caused a new perforation internally, one that, for the first time, opened up an apparently new section of fluid access. Now, whenever consuming any fluids or foods, I would nearly immediatelt after swallowing, feel them fall and pool up DIRECTLY against the internal side of the lower back muscles. This was confirmed by various fluids, each of whomich had different properties, and each of which can only produce a feeling of direct contact and stinging the muscle wall directly, by actually coming into direct physical contact.

After three days of this, the continuing coke release became so pronounced and powerful that I could not fall asleep any longer: the subjective and unique high of th drug was strong.

However, I had an epiphany. I realized that finally, this could be a blessing in disguise. Prior to this, each of the effects of the perforations seemed so insignificant on a macroscopic scale that it did not seem even close to guaranteed that such a thing would show up on an MRI, which in truth, has poorer resolution than most people realize, and cannot detect very small phenomena.

However, with a large portion of surface area now recently opened, with prompt flooding of fluids into the extra-intestinal areas being more evident than ever, I decided that now would be the best time to prepare to aggressively pursue an MRI, ASAP.

However, I still could not fall asleep. I checked the fridge, and I saw two coconut-oil-based (fake) "cheesecake" products.

I reasoned that the coconut oil could act as a drug sink, thus helping me to fall asleep.

I consuned the products.

Within minutes, I was so deep into dopaminergic withdrawal that I could barely move. I fell asleep quickly.

However, when I woke up the next morning, I tried a cold beverage to check to make sure that the perforation was still intact.

To my naive surprise--the fluid was kept packed in the stomach and small intestine, building an increasing pressure within with each subseauent gulp of fluid. Just like it used to be before the poisoning.

I could not believe it. I thought back to my previous MRI attempt, done several months ago--and I quickly recalled how I had a "nearly perfect, guaranteed" perforation to show--this was the case until I consumed coconut oil-based product, which shockingly produced an upset of rapidly absorbing the drugs that had been soaking the tissues around the perforation, sealing it within a short timeframe. I was shocked, and wrote much of this in my documents.

Now, with a rare opportunity to have a large perforation perfectly exposed for modern technology, all I had to do was wait--but I fell for the same trick or self-sabotage once again. Orally-consumed lipids act as a rapidly effective drug sink; as it turns out, cocaine is 50 times more soluble in oil than in water!

Now, since then, I am waiting for another tear to form that is large enough to be caught on a scan. I will continue to attempt numberous Chest XRays and MRIs to catch it.

Additionally. It has been weeks since I finished my antibiotics. Yet, everytime I sweat or engage in even mild physical exertion or apparent lipolysis, massive smell of this antibiotic chemical (amoxicillin) is released from my body. The strange thing, it that over time, the smell of it seems to become more potent, and not less.

. . .

As for the issue of air--I usually do not have much. But when there are microbes that produce such air, I often do feel the air collect in places that it is not supposed to. After living with this for a while. I have learned to distinguish the subtle differences, and have learned much about my internal structures just by paying very close attention to what in happening inside, all day everyday.