A guest at the Park Sunset complained of the flu. His
temperature was 101; my examination was normal, but patients with influenza
have a normal exam.
He looked miserable, but he was forty-one and in good
health, and everyone with the flu looks miserable. There was no reason not to
give the usual remedies and check back later. This happened long ago, but I
still remember the inexplicable feeling that something was not right. I
couldn’t bring myself to leave him in the room.
Leaving after extracting a guest’s promise to go to an
emergency room is a bad idea. If the guest decides not to go and something
dreadful happens, I’m the last doctor he’s seen. Calling paramedics was another
option, but they might not share my unease.
Explaining that he required further attention, I drove him to the nearest hospital. The next day I phoned. He had been
admitted and died a few hours later. The doctor who cared for him was as
mystified as I. We theorized he was suffering an overwhelming infection from an
unknown source. Perhaps he took drugs. This was early in the AIDS epidemic, and
victims sometimes died abruptly when their immunity vanished. We never found
out.
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