moved from [very shocked, one of stocks liqudated but as $31.02 per share not comany broke, is it legal? YES;更新 10/10/26 caught ML.com seemed stealing WBD money]  

....

ps 盘前：纳指期货跌0.68% 美债再遭抛售 油价大涨4%
2026年10月08日 20:30 环球市场播报
....欧洲市场早盘再度出现法国及其他高负债国家债券遭抛售的情况，欧洲股市也跌至近三个月低点。
....油价反弹吓坏市场
　　布伦特原油上涨逾4%，突破每桶104美元，创一个月来最大单日涨幅；美国原油期货上涨3.2%，至每桶91.43美元。此前有报道称，市场原本认为美国总统特朗普会在下个月中期选举前避免进一步升级与伊朗的冲突，但这一预期受到挑战。....
--10/8/2026 we should buy oil ($4.25~$4.59) yesterday but spouse just done doctor examined  and hungry didnt eat breakfast for blood testing and then flu shot, he felt dizzy. so directly shopping in nearby grocery bought donuts (12:16pm) ate in car then drived home. bad news one by one and master still wont change in the end every one hates and tired off or ignored his news ... 

just remind him last year myself did blood testing 6 bottles then got dizzy. this year told doctor only necessary so dropped down to 4? bottles no dizzy happened. he didnt look (he is afraid of seeing blood) but it was short time very likely less than 6 bottles, he assumed flu shot caused. but would keep in mind if next year 6 bottles then divide in 2 different dates. the examined result is good but he told  frequently forgot took evening pills then changed diabeti medicines from 2 pill/day to 1 pills. he didnt sleep well as worry next day must take shower before visited doctor. so i told him i always do the day before he needs modify the habit, as usual he wont.  the colonscopy medicare did end in 75 old or have to pay by pockets whole fee. others such as skin cancer, kidney examine...must contact insurance company. 

 zoster (带状疱疹是由‌水痘-带状疱疹病毒‌引起) 1 of 2, he never done ps 如果你小时候得过水痘，病毒会潜伏在神经节里，当免疫力下降时可能被重新激活，引发带状疱疹

恩格列净（Empagliflozin ie Jardiance，商品名欧唐静）是一种‌口服降糖药，属于SGLT-2抑制剂，主要用于治疗成人2型糖尿病‌，同时还有保护心脏和肾脏、辅助减重和轻度降压的额外获益 $131 ps spouse didnt take as already daily 5 pills (now changed 2 pills to 1 pills, became 4 pills) 

[BMI 28.96 in usa is above normal range ?] ps in April he was 28.12 then weight increased 5 Lbs
吕和副主任医师营养科
哈尔滨医科大学附属第一医院
三甲 | 全国A
BMI（Body Mass Index，身体质量指数）是一种常用的评估体重是否处于健康范围的方法，计算公式为BMI = 体重（kg）÷ 身高²（m²）。这一指标在全球范围内被广泛采用，作为评估个体体重状况的基本依据。

‌是的，BMI 28.96 在美国标准下属于超重（Overweight），但尚未达到肥胖（Obesity）标准。‌ 根据美国 CDC 的成人 BMI 分类，正常范围为 18.5–24.9，超重为 25–29.9，肥胖为 30 及以上。‌‌

    需要区分的是，如果按中国标准（BMI ≥ 28 即肥胖）或美国糖尿病协会（ADA）针对亚裔人群的新标准（BMI ≥ 27.5 即肥胖），28.96 已达到肥胖切点。‌‌

不同标准的归类对比

    ‌美国 CDC 标准‌：28.96 落在 25–29.9 区间，属于 ‌超重‌，未达肥胖。
    ‌世界卫生组织（WHO）标准‌：与 CDC 一致，25–29.9 为超重，≥30 为肥胖。
    ‌中国标准‌：BMI ≥ 28 即判定为 ‌肥胖‌。
    ‌ADA 2026 亚裔标准‌：BMI ≥ 27.5 即确诊肥胖，因此 28.96 对亚裔人群已达到 ‌肥胖‌ 切点。‌‌

需要注意的局限

    BMI 无法区分肌肉与脂肪，运动员或肌肉量高的人可能被高估体脂；反之，老年人或肌肉量不足者可能被低估风险。
    腹部脂肪（向心性肥胖）是独立风险因素。即使 BMI 未达肥胖，若男性腰围 ≥ 90 cm、女性 ≥ 85 cm（中国标准）或腰高比 ≥ 0.5，健康风险也会明显增加。
    BMI 是筛查工具而非诊断，是否需干预应结合体脂率、腰围、血糖、血压等综合评估。‌‌
    ps [BMI 28.96 in usa (LBs/inchxinch) is above normal range ?]
    按美国CDC标准，BMI 28.96属于‌超重（Overweight）‌，不在正常范围内。
    具体分级如下：
        ‌正常‌：18.5–24.9
        ‌超重‌：25–29.9
        ‌肥胖‌：≥30
    你的数值落在超重区间，还没到肥胖线（30）。‌‌
    需要注意的点
    ⚠️ BMI只是初筛指标，不区分肌肉和脂肪。如果平时运动量大、肌肉多，这个数值可能高估体脂；建议结合腰围、体脂率一起看。‌‌
    下一步怎么做
        ‌体重管理‌：如果确认体脂偏高，可以从每天快走30分钟、减少含糖饮料入手，目标每周减0.5–1磅比较稳妥。
        ‌就医评估‌：若伴有高血压、血糖异常或关节不适，建议找医生做个全面代谢评估。‌‌

[what is scabies?]  ‌Scabies（疥疮）是由疥螨寄生皮肤引起的传染性皮肤病，典型症状是剧烈瘙痒，尤其夜间加重，并伴有小红疹、水疱或线状隧道样皮损。‌ ‌‌
主要症状
    ‌瘙痒‌：通常是最早出现的症状，夜间更明显，严重时影响睡眠。
    ‌皮疹‌：表现为红色丘疹、水疱或脓疱，类似蚊虫叮咬或粉刺。
    ‌隧道（burrow）‌：疥螨在皮肤内钻出的细小、弯曲、凸起的线状痕迹，常见于手指缝、手腕内侧等部位。‌‌

常见部位
    手指缝、手腕内侧、肘窝、腋下、腰腹、腹股沟等皮肤薄嫩处。
    2岁以下婴幼儿可累及头皮、面部、颈部和手脚掌。‌‌

--my head and back, spouse back no other places, i have none,  spouse no  ‌隧道-like, back skin has weird mark not 水疱或脓疱 , cant say 红色丘疹. but some are 凸起 like wounded.

传播方式
    主要通过‌长时间、密切的皮肤接触‌传播，如共同生活或性接触；短暂拥抱、握手一般不会传染。
    疥螨离开人体后可在衣物、床单上存活2-3天，因此共用衣物、毛巾或被褥也可能被感染。‌‌

治疗与预防

    ‌治疗‌：需由医生开具杀疥螨的药膏或洗剂，涂抹范围覆盖颈部以下全身（婴幼儿包括面部和头皮），通常需保留8-12小时后洗掉，必要时1-2周后重复一次。
    ‌预防‌：患者及所有密切接触者应‌同时治疗‌，即使没有症状；衣物、床单、毛巾用热水洗涤并高温烘干，无法清洗的物品密封塑料袋至少放置3天。‌‌
    治疗后瘙痒和皮疹可能持续2-6周才完全消退，这不代表治疗失败；若出现新皮疹或隧道，需及时复诊。‌‌

[what is scabies, can it be possible for several months then stop copule months so far without take any actions ?] ‌疥疮不会自行痊愈，未经治疗通常会持续存在并具有传染性‌。它是由疥螨引起的传染性皮肤病，螨虫钻入皮肤上层产卵，引发剧烈瘙痒和皮疹，尤其夜间更严重。‌‌
关于你问的“持续几个月后自行停止”，需要澄清一点：‌疥疮不经治疗不会真正“自愈”‌，但症状可能会有波动，或出现以下几种容易混淆的情况：
    需要先区分：有些人感染后症状较轻或暂时不明显，但螨虫仍在皮肤里繁殖，依然可以传染给他人；少数人在治疗成功后，瘙痒和皮疹仍可能持续数周甚至数月，这是身体对螨虫的过敏反应残留，并非感染仍在。‌‌
    ‌症状持续数月‌：未经治疗的疥疮会引起持续刺激，皮肤破损还可能继发感染，并且始终具有传染性。
    ‌症状暂时缓解‌：瘙痒程度可能因个人免疫反应、环境温度等因素变化，但这不代表螨虫被清除，也不能作为“停止”的依据。
    ‌治疗后症状残留‌：有效治疗后，瘙痒和皮疹可能还需2到6周才完全消退，这与“未经治疗自行停止”有本质区别。‌‌
疥疮需要正规治疗，常用外用药如‌5%氯菊酯乳膏‌（从颈部涂到脚趾，保留8至14小时后洗掉，一周后重复一次），或口服‌伊维菌素‌。治疗时，‌家庭成员和密切接触者需同时治疗‌，衣物和床品需在60℃下清洗，不能水洗的物品密封放置至少3天。‌‌
    风险提示：疥疮不治疗会持续传染给身边人，且抓挠可能导致继发细菌感染；如果怀疑感染，应尽快就医确诊并按医嘱完成整个疗程，不要自行判断“好了”而中断

--10/8/2026 this is i wanted spouse to confirm his back weird marks which after married found in his back (i did ask doctor who said its ok, no worry) , auto disappeared years ago then suddenly showed up in aug and very itch too. after i got itch then stopped, myself didnt see any [小红疹、水疱或线状隧道样皮损] except must use the scratcher hard in my back caused red strip-like normal mark without wounded my skin as i am carefully type for 2023?-2025 then stoped, in taiwan 2018-2020 happened similar was 1st time in my life but from head which caused abnormal many hairs lost, then in my back not in front body. 2026 happened to spouse just told me it stopped before visited doctor. the only one in my life i got 小红疹 like was caused by potatoes poisen that in my mouth tong minor numb feeling, very itch on my back then front body till today we didnt buy 5 or 10 Lbs potatoes in grocery.                                                      ps very strange yesterday (10/7) in the car reviewed his [after visit summary] saw the doctor handwriting wrote : told your spouse when visit doctor to prescribe [scabies] , now the paper didnt show doctor handwriting that some one came to our house switched it. certainly spouse denied as usual. 

--i decide not to get permethrin 5% cream until his back itch happens again to prove is it really 疥疮 happened to his back.  it requires to apply head to toe leave on for 8 hrs (10/9/2026 then wash off the cream), repeat in one week. if it is  疥疮 why in 1998? doctor didnt prescribed the  cream or medicines ? and i didnt infect at all until 2018-2020, 2023?-2025 weird itch that also auto stop. spouse also didnt infect until 2026 then auto stop, it didnt infect me either. 10/9/2026 according to the doctor told spouse that came from wild animals. indeed almost daily work in yard except snow or very cold weather or rainny if the grass or wild weeds are wet. i did see birds, squirels, insets such as 蜜蜂 胡蜂 蚊子, few 苍蝇.., in ground and underground (dig out the wild weeds root) as ants, 蜘蛛 , different kind 害虫. spouse only mow the lawn every 2 or 3 weeks april - nov. but 1997-2018 never happened to me. we didnt take any action to 清除螨虫 indoors nor put any anti-itch 药膏或洗剂 for body. 

[infected 疥疮 will cause abnormally loss many hairs ?] 

疥疮（scabies）感染‌有可能导致脱发‌，尤其是在感染严重、持续时间长或抓挠过度的情况下，但这不是疥疮的典型首要症状。

    ‌为什么会脱发‌：疥螨寄生在皮肤表层会引起剧烈瘙痒和炎症反应。如果感染严重或反复抓挠，炎症可能损伤毛囊，进而影响毛发生长，导致局部或较广泛的脱发。
    --2018-2020 in taiwan indeed my head got abnormal 瘙痒 but i wont 抓挠过度, the hairs 不抓挠也大把脱发。however spouse (at 50 old) already got 地中海脱发 the 1st day we met in taiwan airport  that almost tried to run away, i didnt but became much less hairs since happened at 61 old, after 2020 my head seldom 瘙痒. 
    ‌更常见的情况‌：疥疮最典型的表现是‌夜间加重的剧烈瘙痒‌和皮肤上的红色丘疹、隧道样皮损，常见于指缝、手腕、腋下、腹股沟等皮肤薄嫩部位。 脱发通常不是单独出现的，而是伴随严重瘙痒和抓挠后的继发问题。
    --both didnt happen to 指缝、手腕、腋下、腹股沟 unless got 蚊子 bites. nor 红色丘疹、隧道样皮损 found. 
    ‌特殊情况‌：在免疫功能低下者中，可能出现‌结痂型（挪威疥）‌，这种严重形式皮损处含大量疥螨，常伴有指甲增厚和脱发等全身症状。 另外，在动物（如猫、狗、羊等）身上，疥螨感染导致脱发是更常见的表现。‌‌
    --in spouse back few places got 结痂-like which years ago auto disappeared  cant see until 2026 some of few places showed up, others like some one press very hard caused the flat finger type marks but not show in 2026. afterwe married frequently can see he against the door edge to scratch his back sometimes he scratched too hard can see minor blood until went to buy wood scratcher for him which 1st time sold in hardware store (menards i bought 2 for each but very soon one was stolen and never returned, sometimes the 2nd also stole then returned. later years the store sold metal scratcher and again the other one stole after that refused to buy any more). that didnt cause new 结痂-like but normal stipe-like条纹 red mark. in a period i thought he was abused, so inqiured his doctor. didnt see 指甲增厚 but his head seemed got quite 厚的皮肤. 
    [will infected 疥疮 caused head skin became 厚厚的皮肤 ?] 会的，疥疮确实可以导致头皮变厚，但这不是普通疥疮的典型表现，通常指向更严重的‌结痂性疥疮‌（也称挪威疥疮）。
        ‌普通疥疮‌：成人很少累及头皮和面部，主要侵犯指缝、手腕、肘窝等皮肤薄嫩处，所以单纯头皮变厚在普通疥疮中不常见。
        ‌结痂性疥疮‌：这是疥疮的严重类型，患者皮肤会出现大量鳞屑、厚痂和‌明显增厚‌，可累及全身包括头皮。资料中明确提到结痂性疥疮以“皮肤层增厚和结痂”为特征，也有案例报告头皮受累。‌‌
    ‌你的情况需要警惕‌：如果你同时有夜间剧烈瘙痒，或自身免疫力较弱（如长期用激素、患有免疫相关疾病），头皮增厚很可能是结痂性疥疮的信号，传染性比普通疥疮强得多，需要尽快去皮肤科就诊确诊，并做皮肤刮片检查找疥螨。‌‌
        结痂性疥疮治疗通常需要口服伊维菌素联合外用杀疥药和角质剥脱剂，比普通疥疮更复杂，务必在医生指导下进行，不要自行用药。‌‌⚠️ 如果怀疑感染疥疮，应尽快到皮肤科就诊，规范治疗（常用硫软膏等外用药物），并对衣物、床单进行烫洗消毒，家庭成员需同步检查治疗，避免交叉感染。‌‌

‌关键区别‌：人类疥疮主要表现为瘙痒和皮疹，脱发多为抓挠或严重炎症的继发结果；而动物疥螨感染（俗称“癞皮病”）直接导致脱毛是典型症状之一。‌‌

疥疮引起的脱发确实少见，不过如果想了解更深入，可以看看抓挠多久容易导致毛囊损伤?或者结痂型疥疮还有哪些全身症状?
[recently doctor suspected spouse infected 疥疮, but the itch auto stopped before he visited doctor . can feel his head skin became 厚厚的皮肤 in 1998, then auto stop years ago and cant see 结痂 mark at all until 2026 itch and few 结痂 showed up , he didnt use any 药膏或洗剂 and indoors  never did clean 疥螨 nor infected me due to never know he infected suspicious 疥螨?]  你描述的“痒自己停了、头皮肤变厚、多年后又复发”这个情况，‌现有资料无法确认是疥疮，更不支持“疥疮能自愈”这个结论‌。核心问题在于，疥疮几乎不会自动消失，痒感暂时停止通常只是症状波动或免疫反应变化，疥螨仍潜伏在皮肤里，一旦条件合适就会再次活跃。‌‌
具体来看，有几个关键点需要先澄清：
    ‌“痒停了”不等于疥螨没了‌：疥疮的痒是身体对疥螨及其排泄物的过敏反应，不是螨虫本身直接引起。免疫反应波动、环境变化甚至清洁习惯都可能让痒感暂时减轻，但皮肤里的成虫和虫卵没被杀灭，症状会在数周或更长时间后卷土重来。
    ‌“头皮变厚”不是疥疮的典型表现‌：普通疥疮好发于指缝、手腕、肘窝、腋窝、腰腹、大腿内侧等部位，头皮和面部在成人中很少受累。头部皮肤增厚更常见于慢性湿疹、银屑病或长期搔抓后的苔藓样变，这些病的病程本身就容易“好一阵、坏一阵”。
    ‌2026年“复发”更可能是感染仍在或重新感染‌：疥疮从寄生到出现症状通常要2—6周，如果这么多年从没做过杀虫治疗，理论上螨虫不会自行灭绝。复发最常见的原因是治疗不彻底、再次接触传染源，或者家里有其他人无症状带虫。
    ‌你没被传染，不能反推他没病‌：疥疮主要通过长时间皮肤接触传播，比如同床共寝、握手超过15分钟，共用衣物被褥也有风险，但概率相对较低。 同住一个屋檐下但没密切接触，确实可能不被传染，这不代表对方没问题。‌‌
    需要特别提醒的是：‌你先生的情况不能靠“观察自愈”来处理‌。如果医生已经怀疑疥疮，应尽快在正规医院皮肤科做皮肤镜或刮片检查明确诊断。疥疮的规范治疗包括外用杀疥药膏（如硫磺软膏、林旦乳膏）涂满全身，结痂型还可能需要口服伊维菌素，同时所有密切接触者要一起治疗，衣物床品用60℃以上热水烫洗。‌‌
关于你问的“为何1998年头皮变厚、后来看不到结痂、2026年又痒又出痂”，现有资料无法给出确定解释，因为这种跨度近30年的病程，‌没有医学记录能证明中间是否真的感染过疥螨‌。更可能的情况是：1998年的皮肤增厚和2026年的瘙痒结痂是同一慢性皮肤问题（如湿疹、银屑病）的反复发作，而“疥疮”只是医生最近的一个怀疑方向，尚未确诊。
‌下一步建议‌：让先生先完成疥疮的针对性检查（刮片找虫或皮肤镜），如果确诊就按疗程治疗；如果排除了疥疮，再查头皮增厚和瘙痒的其它原因。在没有确诊前，‌不要因为“痒停了”就放弃就医‌，也不要把“没传染给你”当成没事的证据。
--to me the last possibility is he might infected by the unknown psycho. if it is 挪威疥. 
[how about 挪威疥 possibility ?] ‌挪威疥（结痂性疥疮）是疥疮的一种罕见但极严重的类型‌，核心特征是皮损处可寄生成千上万甚至数百万只疥螨，传染性远高于普通疥疮。‌‌
它通常不会发生在健康人身上，而是多见于免疫功能低下或身体衰弱的人群，比如HIV感染者、白血病患者、长期使用免疫抑制剂者、老年人及失能失智者。‌‌
🩺 主要特征
    ‌典型表现‌：皮肤干燥、大量鳞屑和厚痂，可形成角化过度的银屑病样斑块，毛发干枯脱落，指甲增厚变形。
    ‌瘙痒差异‌：部分患者瘙痒剧烈，但也有不少人因神经或免疫问题瘙痒不明显，容易被误诊为湿疹、银屑病等。
    ‌传染性强‌：疥螨数量巨大，不仅通过直接皮肤接触传播，还可能通过衣物、被褥等间接传播，易引发集体暴发。‌‌
⚠️ 谁的风险更高
    免疫系统受损者，如HIV、血液肿瘤患者
    长期外用或口服糖皮质激素者
    老年人、营养不良者、智力障碍或失能者
    卫生条件差、居住密集地区的居民‌‌
💊 治疗原则
    ‌药物‌：常用10%硫磺软膏、5%扑灭司林乳膏外用，重症需在医生评估下口服伊维菌素。
    ‌同步处理‌：患者和所有密切接触者应同时治疗，衣物、床品需高温清洗或密封放置。
    ‌就医提醒‌：挪威疥病死率相对较高，尤其合并基础疾病时，务必尽早到皮肤科确诊，不要自行用药延误病情。‌‌
    如果怀疑感染挪威疥，尽快去正规医院皮肤科做皮屑镜检确认，早期规范治疗预后较好。‌‌
[how about 挪威疥 possibility ? can spouse infected then years ago auto stopped even cant see any 结痂-like marks on the back until 2026 couple moths ago quite itch then i saw few 结痂 showed up (i would say happened in same old time 结痂-like places but few then stopped before visited doctor). the weird is his old time doctor ( 1997-2008? told me its ok no worry. thats why i wonder current doctor might be mis-judged?]  ‌挪威疥（结痂性疥疮）可能性很低，但单纯凭“多年前自行停止、最近又出几个痂”无法完全排除，需要重新检查确认。‌ 结痂性疥疮是疥疮的罕见重症型，好发于免疫低下者，皮损通常是大片角化性厚痂，不会“自己好了又复发”这么简单。‌
先澄清一个容易混淆的点：普通疥疮本身不会“自动停止多年后再复发”。如果当年确实感染且未经治疗，疥螨会持续存在并传染；如果已治愈，多年后新出的痒和痂更可能是‌再次感染‌，而不是旧病复发。 你描述的“旧位置出几个痂、很快又停”，也不符合结痂性疥疮的典型表现——那种通常是弥漫性、大量厚痂，且患者多为老人、HIV感染、器官移植或长期用激素者。‌‌
至于老医生（1997—2008年间）说“没事不用管”，只能代表当时判断，不能当作现在的结论。疥疮症状在‌再次感染‌时可能1～4天就出现，而首次感染潜伏期约2～6周；诊断金标准是‌皮损刮片找疥螨或虫卵‌，肉眼看不出来不代表没有。‌‌
⚠️ 关键是：你现在需要做的是‌去皮肤科做一次皮损刮片镜检‌，而不是靠回忆判断。如果这次检查阴性但症状持续，还可以做皮肤镜检查或活检。另外，如果确诊疥疮，‌同住家人和性伴侣必须同时治疗‌，否则容易反复交叉感染。‌

[the doctor presribed permethrin 5% cream for 1 week. he got skin cancer in 2024, in 2025-2026 (before got itch so cant see 结痂 mark) skin doctor examined his whole body and only did face surgery (no scar but frozen infected cancer portion) and 2027 also scheduled. if it is not skin cancer (i worried him wanted him to visit docrtor examine his back, if skin cancer related then can order to visit skin cancer doctor urgent. obviously it is not related.  if he infected by unknown psycho thief who is not daily but frequently came and left something wanted me know any time he(or she) can come, if so will the infected became minor and auto stop ?] 

您最需要确认的是背部瘙痒是否与皮肤癌有关。根据现有资料，‌皮肤癌早期常无明显症状，但某些类型可能引起瘙痒、触痛或灼烧感‌。同时，您提到的疥疮（医生开具扑灭司林乳膏的原因）也会导致剧烈瘙痒，尤其在夜间。因此，背部瘙痒可能来自疥疮、皮肤干燥、湿疹等多种原因，不一定与皮肤癌直接相关。‌‌

不过，由于他有皮肤癌病史，‌任何持续超过两周的新发或变化的皮损，都应尽快由医生检查‌。您担心他背部的情况，建议安排一次皮肤科复诊，让医生检查背部；如果医生认为有可疑之处，会建议进一步处理或转诊至皮肤癌专科。这比自行判断“显然不相关”更稳妥。‌‌

关于您提到的“心理小偷”感染理论，现有医学资料中没有证据支持这种说法。疥疮是由疥螨引起的寄生虫感染，通过直接皮肤接触或共用被褥等物品传播，与“被他人故意留下物品”无关。疥疮经规范治疗（如扑灭司林乳膏）通常可治愈，但需严格按医嘱完成疗程，并同步处理衣物、床品及密切接触者，否则可能反复感染。‌‌

    提醒：疥疮的瘙痒可能在治疗后持续数周，这是皮肤对死螨的过敏反应，不代表治疗失败；但如果出现新发丘疹或原有症状加重，需复诊。

‌关于“感染是否会自行停止”‌：疥疮不经治疗不会自行痊愈，疥螨会持续繁殖并导致症状加重或传染他人。规范使用扑灭司林乳膏（通常一次涂抹保留8–14小时后洗去，一周后可能需重复一次）后，疥螨多数能被杀灭。但如果家庭成员未同步治疗、或未彻底清洁衣物床品，可能再次感染。‌‌
🩺 当前建议
    ‌先完成疥疮疗程‌：按医嘱使用扑灭司林乳膏，并同步处理衣物、床品和密切接触者。
    ‌安排背部检查‌：带他去皮肤科，请医生检查背部瘙痒区域，确认是否为疥疮反应、湿疹或其他问题；如有可疑皮损，可考虑皮肤活检。
    ‌不要自行判断与皮肤癌无关‌：有皮肤癌病史者，新发或持续瘙痒、破溃、结痂的皮损应由医生评估。‌‌

📋 疥疮治疗要点
    ‌用药方式‌：睡前清洁皮肤后，从颈部到脚趾均匀涂抹5%扑灭司林乳膏，特别注意指缝、腋窝、腰部、臀部等褶皱处；保留8–14小时后洗去。
    ‌疗程‌：通常一次涂抹即可杀灭疥螨，但医生可能建议一周后重复一次。您提到的“1周”可能是医嘱的完整疗程安排，请遵医嘱完成。
    ‌同步处理‌：治疗当天更换并清洗所有衣物、床单、毛巾（热水洗涤并高温烘干或暴晒）；家人如有类似症状应一同治疗。‌‌
⚠️ 关于皮肤癌
    ‌症状多样‌：皮肤癌可能表现为新发斑点、溃疡不愈合、凸起结节、粗糙红斑或瘙痒疼痛的皮损。
    ‌定期筛查‌：有皮肤癌病史者，建议定期进行全身皮肤检查；如果发现任何持续两周以上的新发或变化皮损，应尽快就医。‌‌
您对他健康的担忧很合理。最稳妥的做法是让医生检查背部，而不是自行排除风险。
疥疮治疗后瘙痒可能持续，可以了解一下为什么治疗后瘙痒会持续?或者如何彻底清洁避免再次感染?

--10/11/2026 before spouse went to bed he showed to me both his arm from wrist to elbow got 红色丘疹-like when i warned him stay away whoever frequently came to  our house, he still denied and declared he didnt see any one including sister family. he thought is from wild animal but not so close beside every 2-3 weeks mow the lawn most time didnt see any animals in yard. even myself daily 2-6 hrs working in yard , wild animals (squirrel )wont nearby me.

i told him tomorrow go to get the permethrin 5% cream see whether help. the weird is i didnt see he scratched arms before went to bed he did use scratcher for the back itch 1-2 min. and not very icth-type, quite minor that  since the he visited doctor 1st time. i did warn him if it is not 疥疮 the cream has side effect. tomorrow would remind him to verify innsurance company  and skin cancer doctor  about 皮肤活检. cant believe he didnt tell me about his arm.

10/13/2026 yesterday told spouse called the skin doctor and insurance company but if he wanted go get the permethrin 5% cream however make sure you know the side effect if yours is not caused by 疥疮. that i told him earlier when found his back old time 结痂 mark and few minor no  结痂-type marks  appeared couple months ago he kept postone till the dr. sheduled date. again he didnt want call skin cancer Dr. because the schedued date in 2027. 

i felt he could have more longer life but the way he is doing might reduce several years his 寿命. frequently remind him washed hands due to didnt hear water ruuning sound but he anseared he did and got a bit upset. his words changed earlier he told me the itch quit before visited Dr., i believed because less and less saw he used scratcher. when he showed to me his itched arms then became it happened since the back itch and the visited date the Dr. shocked. that i didnt see even last time he was drived. several years i keep reminding him reduce daily drink cold ice tea(in refrigertor) as getting older he wont listen. it is very hard to change his habit and stubborn manner. when he was diagnosed skin cancer on his face that he wont listen to me immediately visit Dr. but postponed till the scheduled date. when i asked him did he show the back marks appeared to the 2 Dr. he anseared yes that both skin and primary Dr. already checked no problem. however yesterday he told me in the earier also happened to his arms and worse than this time. i dont believe that never saw his arms abnormal before. after knowing his face got cancer i kept remind him to let me drive so the sun cant on his face and left arm he refused till this year allowed me drive but not every time. and when i asked him to cover his left arm by my clothing he wont. i always carry extra colthing to cover my arms especially driving.

he insist 10/13 in stead on 10/12 put the cream because he wanted with me to visit old house , buy chinese foods 1st and returned home he would wash bed converter, sheets and clothings. 

Just waked up and examined his wrist - elbow it is really not that serious 疥疮 symptons like but more like this year worked in yard i got horrible very tiny insects bite and spouse watched youtube told me the insect name that i got bubbles with liquid and much worse than mosquitoes bite. so i asked him did he see that kind insects in bedroom? Nope. and he remember told me but forgot insect name. both arms left not many but 5-7 , 6-9 bite marks left more than right side. i remember wrote in udn blog.

searched [2026 summer in usa showed up many people were biten by tiny, black insects included me in garden, what is the insect name? it caused very itch for 1-2 months with bubles (has liquid)?] 根据你的描述——夏季、花园里、极小的黑色虫子、咬后奇痒、起含液体的水疱、痒感持续1—2个月——最符合的昆虫是‌蠓（biting midge，俗称“黑蚊”“小咬”）‌，其次是‌黑蝇（black fly / buffalo gnat）‌。‌‌
蠓比蚊子小得多，白天活动，常在草丛、灌木、水边和花园出没，专咬脚踝、小腿等暴露部位，叮咬后会出现红肿、剧烈瘙痒，部分人会起水疱，抓破后容易继发感染，色素沉着可能持续数周。 黑蝇也在春末夏初活跃，叮咬后同样会剧烈瘙痒和疼痛，症状可持续多日。‌‌
🩺 怎么处理
    ‌清洗‌：用温和肥皂和清水清洗叮咬处，降低刺激。
    ‌冷敷‌：用冰袋或冷水浸湿的布冷敷10分钟，每天数次，减轻肿胀和瘙痒。
    ‌止痒‌：可口服氯雷他定等抗组胺药，外涂含皮质类固醇的止痒药膏；不建议用局部抗组胺凝胶，可能引起光敏反应。
    ‌别抓‌：抓破容易感染，如果出现脓液、红肿扩散或症状持续超过14天，应去看医生。‌‌
⚠️ 预防
    户外穿浅色长袖长裤，尤其在黎明、白天和黄昏时段。
    避免在草丛、灌木、水边久留，选择通风有风的地方，蠓和黑蝇都不太喜欢风。
    使用含避蚊胺（DEET）的驱虫剂，效果比天然成分好得多。
    回家后尽快洗澡，减少体味吸引。‌‌

--i would say not the [midge] name but seems same symptons. now try to find in my blog from may-sep failed, searched [mites?]  

根据你的描述，夏季花园里出现、叮咬后引发剧烈瘙痒和水泡的小黑虫，最符合的是‌蠓（biting midge）‌，俗称“小咬”或“黑蚊”。‌‌

蠓的体型只有蚊子的三分之一左右，肉眼看着就是小黑点，白天在草丛、水边和花园里成群活动，专叮脚踝、小腿这些暴露部位。被叮后不是普通蚊子包，而是又红又痒的丘疹，严重时会出现含液体的水泡，瘙痒能持续很久，抓破后还可能留色素沉着。‌‌

你说的“1-2个月才好转”是典型的蠓叮咬反应，普通蚊子包不会持续这么久。你猜的“mites（螨）”也沾边——蠓和螨都是小型节肢动物，但蠓是会飞的吸血昆虫，螨类大多不飞或寄生在植物上，两者不是一回事。‌‌🩹 怎么处理
    ‌别抓‌：抓破容易感染，还会留黑印。
    ‌止痒‌：冰敷或涂炉甘石洗剂，口服抗组胺药也有用。
    ‌水泡破了‌：用碘伏消毒，保持干燥，别贴创可贴捂着。
    ‌看医生‌：红肿范围扩大、发烧或瘙痒严重影响睡眠，尽快去皮肤科。‌‌

🛡️ 怎么防
    穿浅色长袖长裤，别在草丛、水边久留。
    用含避蚊胺（DEET）的驱虫剂，比天然驱蚊水有效得多。
    回家后尽快洗澡，蠓会被汗味吸引。
    ⚠️ 普通纱窗和蚊帐挡不住蠓，它们比蚊子小太多；电蚊拍对它们也几乎没用。‌‌

    如果你在美国，蠓在夏季公园和花园里非常常见，中国南方沿海城市也有同样的“蠓灾”报道。如果症状持续不退，建议直接就医，不要硬扛。‌‌
蠓叮咬后反应确实比蚊子严重，要不要了解一下为什么蠓叮咬会持续这么久?或者抗组胺药具体有哪些种类?
--10/13/2026 once spouse told me the insect name then i didnt visit Dr. but tried to wear more such as underpant + short pant(cant bite my butt but legs) + long pant(sometimes butt still bite without short pant), put small wet 手巾 around neck (very helpful especially over 84F) and extra top white clothing(summer-type thin)

however spouse believes he got mites bite as he searched it decribed rash, the question didnt infect me. and how so searched [will 蠓(含液体的水疱, rash?) and/or 螨(rash, 含液体的水疱?) spread all over the house? can it be possible i got 蠓 biten, spouse infected by 螨(rash and 水疱) ?] ‌蠓和螨都不会在整间屋子里到处扩散，但两者传播方式完全不同。‌你被蠓叮咬后出现水疱和皮疹是过敏反应，不会传染给配偶；但如果配偶的皮疹和水疱是螨虫（尤其是疥螨）引起，那确实可能通过密切接触传染给你。
先厘清两个概念：
    ‌蠓叮咬‌：蠓虫叮咬后皮肤出现瘀点、风团、水疱或丘疹性荨麻疹，伴随剧痒，这是机体对蠓虫毒素的过敏反应，‌不具有人与人之间的传染性‌。 蠓虫本身也不会在室内繁殖扩散，它们主要在户外草丛、树林等环境活动，不会像蟑螂那样在屋里到处爬。
    ‌螨虫‌：螨虫种类很多，情况比较复杂。普通尘螨引起的皮炎是过敏反应，‌不传染‌，但螨虫本身可能通过被褥、地毯等物品在环境中传播，家人可能因共同暴露而出现类似症状，这属于环境因素而非人际传染。 但‌疥螨‌是例外，它寄生在人体皮肤角质层内，具有‌很强的传染性‌，可通过直接皮肤接触（同床、握手）或间接接触（共用衣物、被褥、毛巾）传播，离开人体后仍可存活2-3天。‌‌

    需要区分的关键点：普通螨虫引起的皮疹不传染，但疥螨引起的“疥疮”会传染，且常在家庭成员间传播，症状特点是指缝、手腕等部位出现丘疹和水疱，夜间瘙痒剧烈。‌‌

关于“会不会扩散到整间屋子”：

    ‌蠓‌：不会。蠓是户外昆虫，不依赖人体生存，不会在室内扩散繁殖。
    ‌疥螨‌：不会“满屋爬”。疥螨依赖人体皮肤的温度和湿度生存，离开人体后通常只能存活2-3天，活动能力有限，不会主动在墙壁、地板或家具表面爬行扩散。传播主要靠与患者的密切皮肤接触，或接触患者近期用过的贴身物品（衣物、床单、毛巾等），间接传播概率相对较低。‌‌
--10/12-10/13 spouse washed his clothing and bed related sheets, converter, blanket and vacume carpet. he decided when got to bed need me to apply permethrin 5% cream all over his body (from head to toes). i did wash my hands after examined his arms.

至于你问的“你被蠓咬、配偶被螨感染”是否可能同时发生：
‌完全有可能，但两者是独立事件。‌ 你被蠓叮咬后的皮疹水疱不会传染给配偶；配偶如果感染了疥螨，则可能通过同床共枕、共用毛巾等方式传染给你。如果你们两人都出现皮疹和水疱，且配偶的症状符合疥螨特点（指缝、手腕等部位、夜间奇痒），建议‌两人同时去皮肤科就诊‌，确诊后需要同步治疗，并将贴身衣物和床品用60℃以上热水烫洗或密封存放一周以上。‌‌

建议处理步骤：
    ‌先就医确诊‌：你和配偶都去皮肤科检查，明确是蠓虫叮咬的过敏反应、普通螨虫过敏，还是疥螨感染——这决定了是否需要同步治疗。
    ‌按病因处理‌：蠓叮咬可用肥皂水清洗，外涂止痒药膏；普通螨虫过敏需清洁环境、勤换床品；疥螨感染需在医生指导下使用硫软膏等药物，家庭成员需同步排查。
    ‌环境清洁‌：无论哪种情况，都建议保持室内通风干燥，勤洗晒被褥，减少地毯和毛绒玩具，降低螨虫密度。‌‌
区分蠓叮咬和疥螨感染很重要，可以看看蠓叮咬和疥疮皮疹怎么区分?或者疥螨感染后多久会传染给家人?
-- now we both are not neurous and can explain why we didnt impact each other. and he refused to call skin Dr. today what i saw is quite minor in his arms comparing i got many bites on legs in garden. since read news that the current sea temperature jump highest till Feb, 2027. indeed in here weather hight over 90F, 

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searched [ 9/8 to 9/13/2026 weather in elgin,ILL, and did MS weather got problem which shows blank even selected location or must login the website ?] 

The weather in Elgin, IL from September 8 to September 13, 2026, featured late-summer warmth, with daily high temperatures peaking around 70°F to 94°F, while overnight lows generally cooled down into the 50s and low 60s°F. [1, 2] 

Regarding your question about Microsoft Weather: Yes, Microsoft (MSN) Weather has experienced a known bug causing blank screens and missing forecast information.