A newly Mexican immigrant, knowing not a word of English, arrived in the ER indicating pain in his abdomen. He was handsome and macho young man, with a tight T-shirt to show off his well-muscled body. We tried to develop the young man’s story through pointing and gestures. A physical exam showed some low abdominal tenderness. I wanted some lab tests. I pointed to his forearm for a blood test that I would order, and I pointed to his groin for a urine test. I handed him a small plastic bottle and led him to the toilet to produce a urine specimen. After ten minutes, he still had not emerged form the bathroom. One of the nurses needed the bathroom so she knocked on the door. After some rustling, the young man appeared, flushed and sweating, but beaming proudly. Ha handed the nurse his specimen container. It was filled with semen.
B. TOMKIW, JR., M.D.
Fair Oaks, California