The 10-year-old boy, freckled, stocky, central-casting New England Irish, looked unsettled.
“Brian’s never sick,” his mom explained. “But he’s been throwing up since yesterday, with bad stomach cramps. He’s never sick. I got some ginger ale into him yesterday, but he puked all last night. No better today, so it was time for the ER.” She paused to stroke his clammy forehead. “He’s trying. Aren’t you, Bry?” Brian nodded, barely.
The boy had no other medical problems. The vomiting had started along with the belly cramps; he couldn’t remember which came first. Vital signs were normal except for a slightly elevated heart rate and a low-grade fever of 100.4.
“Where does your stomach hurt most, buddy?” I asked. His cheeks flushed red. “Kinda everywhere,” he finally answered, then added, “Down…