Thank you Humaworm. I really thought it was Strongyloides stercoralis since I did a lot of pretty exotic traveling right before I got sick, including getting knee deep in mud pushing a stuck taxi cab in Madagascar! I thought that is how you get this kind of parasite but the ID doctor did a Strongyloides IGG Antibody, Elisa and did not detect any antibodies. I don't know if that proof is 100% or if the parasite cleanse skewed the results or what.
As for liver flukes, my GP ordered a chest xray and saw nothing. I'm guessing I may never know what it is and that's okay as long as it goes away!