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"So...let me get this straight. Five other departments in two other hospitals haven't managed to find out what's causing this dude's tummyache? Give me a break, Mike. I have...things to do."
The voice of Dr. Joel Bowman echoed throughout the hallways of the hospital. He was talking to the CEO of the hospital about an unsolved medical case.
MICHAEL SIMMONS
"Don't call me Mike, Dr. Bowman. It's much more than a 'tummyache'. Diarrhea, cough, chills..."
DR. BOWMAN
"Ah, yes, this changes everything! He has the flu, Mike."
MICHAEL SIMMONS
"...He tested negative. There's also one other thing."
Mike took out a photo of a rash on said patient's abdomen.
DR. BOWMAN
"Yeah, see, I only generally take cases where the patients are in any actual danger. Give him a bottle of ibuprofen."
MICHAEL SIMMONS
"He also presented with hepatosplenomegaly."
Bowman stops in his tracks and turns around.
DR. BOWMAN
"And why exactly did you not tell me this first?"
MICHAEL SIMMONS
"I'm assuming you wouldn't take too kindly to an enlarged liver. Usually these types of things are boring to you, Joel."
DR. BOWMAN
"The liver? Yeah, that's boring. The spleen also being enlarged is moderately less boring. Give me the file. I'll present it in the diagnostics office. Oh, and take off that tie. It's pretty terrible."
Bowman walks into the diagnostics office, puts up the file and starts taking notes on the blackboard attached to the wall.
DR. BOWMAN
"Alright, people. Differential diagnosis for a stomachache, spleen-liver enlargement and chills. Once we have some theories, we'll talk to the patient and figure out what his deal is."
CASE FILE FOR CLINIC PATIENT #5395
ANDERSON, CHRIS
31 YEAR OLD MALE
CAME TO THE CLINIC BECAUSE OF A PERSISTENT STOMACHACHE, WAS LATER FOUND TO HAVE AN ODD ABDOMINAL RASH
WAS REFERRED TO DIAGNOSTICS AFTER VARIOUS SCANS (CT, ULTRASOUND) REVEALED ENLARGED SPLEEN AND LIVER
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"It might be bacteria manifesting tricking the Lymphatic system into killing to many blood cells. Or even a virus? There are a plethora of possibilities and I am only picking from two of the most common, let's examine the patient more first."
Cameron Murphy ran into the room looking dishevelled and breathing heavily.
"Dr. Bowman...Dr. Williams...the patient...he started seizing during a routine work-up."
"Seizing? Are you sure we're talking about the same patient here? There's little to no indication of a neurological problem. Ugh...now we're going to have to book him. Murphy, CT scan the head. Williams, interview the patient. Ask him the usual questions but be sure to emphasize the drugs. He's 31, statistically he's probably on something."
Dr. Bowman walked out of the room and left the two doctors to think.
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