“Can you identify this please?” asks this reader in her submission regarding the minuscule, black, twisted-looking organism pictured below. “This was coughed up”, she explains, though she does not add anything else in her submission. Regardless, we will not be able to identify this organism, and the reason for this is because it came from her body. Any situation in which an organism comes from a person or animal’s body must be presumed to be medical in nature, as we cannot risk making an identification that will be misconstrued as a diagnosis. Since we are not medical professionals, we are neither qualified nor legally able to make these kinds of identifications in the first place. What we can do is point our reader in the direction of some resources she can use to find someone that is qualified to answer her questions and identify what came out of her nose.