recently?â She shook her head again. âAny history of Crohnâs disease? Anorexia? Bulimia?â I asked.
She held out her arm, palm up. There was a perfect bite mark in the middle of her forearm. Each tooth had broken the skin. Deep, red perforations dotted her arm in mirrored half-moons, but the bruised skin around the bites was still intact.
I met her eyes. âDog?â
âA drunk,â she said with a weak laugh. âI was at a party Tuesday night. We had just left, and some asshole wandering around outside just grabbed my arm and took a bite. He might have pulled a whole chunk off if my boyfriend hadnât hit him. Knocked him out long enough for us to find the car and leave. I saw on the news yesterday that heâd attacked other people, too. It was the same night, and the same apartment complex. Had to be him.â She let her arm fall to her side, seeming exhausted. âJoeyâs in the waiting room . . . scared to death I have rabies. He just got back from his last tour in Afghanistan. Heâs seen everything, but he canât stand to hear me throw up.â She laughed quietly to herself.
I offered a comforting smile. âSounds like a keeper. Just hop up on the table there, and lay on your back.â
Dana did as I asked, but needed assistance. Her bony hands were like ice.
âHow much weight did you say youâve lost?â I asked while situating her on the table, sure I had read Christyâs history report wrong on the requisition.
Dana winced from the cold, hard table pressing against her pelvic bone and spine.
âBlanket?â I asked, already pulling the thick, white cotton from the warmer.
âPlease.â Dana hummed as I draped the blanket over her. âThank you so much. I just canât seem to get warm.â
âAbdominal pain?â
âYes. A lot.â
âPounds lost?â
âAlmost twenty.â
âSince Tuesday?â
Dana raised her brows. âBelieve me, I know. Especially since I was thin to begin with. You . . . donât think itâs rabies . . . do you?â She tried to laugh off her remark, but I could hear the worry in her voice.
I smiled. âThey donât send you in for an upper GI if they think itâs rabies.â
Dana sighed and looked at the ceiling. âThank God.â
Once I positioned Dana, centered the X-ray tube, and set my technique, I pressed the button and then took the film to the reader. My eyes were glued to the monitor, curious if she had a bowel obstruction, or if a foreign body was present.
âWhatcha got there, buddy?â David asked, standing behind me.
âNot sure. Sheâs lost twenty pounds in two days.â
âNo way.â
âWay.â
âPoor kid,â he said, genuine sympathy in his voice.
David watched with me as the image illuminated the screen. When Danaâs abdomen film filled the screen, David and I both stared at it in shock.
David touched his fingers to his mouth. âNo way.â
I nodded slowly. âWay.â
David shook his head. âIâve never seen that. I mean, in a textbook, yes, but . . . man. Bad deal.â
The image on the monitor was hypnotizing. Iâd never seen someone present with that gas pattern, either. I couldnât even remember seeing it in a textbook.
âTheyâve been talking a lot on the radio this morning about that virus in Germany. They say itâs spreading all over. It looks like war on the television. People panicking in the streets. Scary stuff.â
I frowned. âI heard that when I dropped off the girls this morning.â
âYou donât think the patient has it, do you? Theyâre not really saying exactly what it is, but that,â he said, gesturing to the monitor, âis impossible.â
âYou know as well as I do that we see new stuff all the time.â
David stared at the image for a few
Christopher Knight, Alan Butler