Is this your 1st or 2nd time?

One of the great things about being in Paraguay is having friends respond to you telling them, "It's official, I have girardia" by asking you "Is this your 1st or 2nd time?"

P.S. For those of you who don't know what girardia is (no wories, I never did before being here), girardia is a microscopic parasite that lives in your large intestine and is accompanied by such lovely symptoms as sulphuric-tasting burps and yellow diarrhea.