When I arrived at the hotel, a father explained that his daughter was under treatment for leukemia. They were visiting relatives when, a few hours before, she had refused to speak.
Except that she was bald from chemotherapy, the daughter looked fine. She was sitting up in bed, arms folded, looking glum. When her parents appealed to her to talk to me, she obviously heard but merely shook her head and remained silent. She did not resist when I examined her, and nothing abnormal turned up. I was faced with a sullen teenager who didn’t appear sick.
This was another occasion when, for no obvious reason, things didn’t seem right. I told the parents she needed to go to an emergency room. They obeyed, and the daughter died soon after being admitted.