Frank created the character in [5x10] In the episode, Mac compared Frank's sexual gains to feeding like a "mantis." Frank liked Mac's word choice, and requested to Dennis and Mac to call him mantis, but Dennis refuses his request. Later in the episode, Dennis asked Frank to pose as a carney at a fair. Instead of a carney however, he shows up as made up doctor named "Mantis Toboggan".
Frank once again assumed the moniker in a misguided attempt to make a "viral video" for Paddy's Pub to increase their web presence. Frank mistakenly thought the concept was a "virus video" centered around an actual virus, and used Toboggan as a central figure to proclaim that people who came to Paddy's would be "infected". [7x8]
While the gang is attempting to break Wade Boggs' alleged beer drinking record on a cross-country flight, Frank gives another passenger a potentially lethal dose of sleeping pills to prevent him from diminishing the on-board beer supply. When the passenger begins to experience severe symptoms, the stewardess calls for a doctor. A drunken Frank approaches and introduces himself as "Mantis Toboggan." [10x1] He claims to also be a pilot.
“Dennis, I've been looking all over for you! Where ya been? (To Caylee) Hello. Dr. Toboggan. Nice to meet ya.”
“Frank, what the hell are you doing?”
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“Actually, it's Mantis. Mantis Toboggan, M.D. I got your test results! You're positive! You've got the HIV! Yes, AIDS, big time! You've got the AIDS, big time!”
“What are you doing, dude!?”
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“Oh, did you see her face? Look at her. I'm breaking her down, I'm making her feel worthless, you see? She thinks she's got the HIV, then I slip in. Get it?”
“There is an order here, get back in line!”
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“No! No more thirds for Frankie. Seconds from now on.”
“Mantis Toboggan, M.D. Now, you want this young man to live, you're gonna have to gimme some aspirin, a roll of duct tape, a bag of peanuts, and four beers.”