When I was a general surgery intern at Beth Israel Hospital in Boston in 1990, legendary general surgeon Dr. William Silen used to say to us, “Did anyone order a history and physical examination?” This was in response to the intense focus on magnetic resonance imaging, positron emission tomography scans, computed tomography scans, and other technological wizardry It is with that backdrop that we set out to write this case series of 3 patients who we believe represent the tip of the iceberg of...
