I Prefer Vomiting and Diarrhea - The Life of a Hotel Doctor
By Mike Oppenheim, MD
Two women at the Holiday Inn were ill. The mother suffered low abdominal pain with vomiting and diarrhea. It seemed like the usual stomach flu. I assured her that it wouldn't last long and gave medication.
The problem is that isolated low abdominal pain in a young woman can indicate an urgent problem such as ectopic pregnancy or twisted ovary. This seemed unlikely, but I couldn't rule it out. If she weren't better in a few hours, I explained, she must go to the local emergency room. She did not object.
When I phoned a few hours later, the mother's symptoms had vanished, and the daughter told me she felt a little better. Patient tend to tell doctors what they believe we want to hear, so "…a little better," does not reassure me. Pressed, she admitted that she wasn't feeling better. When urged to go to the emergency room, she worried about her lack of insurance and the late hour but promised to give it serious consideration.
I passed a restless night. When I phoned the next morning, she had recovered.