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Re: The puzzler

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Well I will just take my football and go home.

Henry

The puzzler

Apparently everyone has tired of working on the puzzler. Nobody got it

but two of my paramedic students.

So nothing more will be posted about it.

If anybody wants to know the answer, email me off line at

wegandy1938@... and I'll 'splain it to you.

Gene

**************

Make your summer sizzle with fast and easy recipes for

the grill. (http://food.aol.com/grilling?ncid=emlcntusfood00000005)

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Hee hee. Well, do you want the answer or do you want to continue to play?

GG

>

>

>

> Well I will just take my football and go home.

>

> Henry

> The puzzler

>

> Apparently everyone has tired of working on the puzzler. Nobody got it

> but two of my paramedic students.

>

> So nothing more will be posted about it.

>

> If anybody wants to know the answer, email me off line at

> wegandy1938@wegandy and I'll 'splain it to you.

>

> Gene

>

> ************ *

> Make your summer sizzle with fast and easy recipes for

> the grill. (http://food.http://food.wbrhttp://food.wbrhttp://foo)

>

>

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OK. Here's the answer.

The jaundice is a " red herring. " The patient has Gilbert's syndrome, a

hereditary condition that causes a reduction in the enzyme that conjugates

bilirubin, resulting in increased bilirubin in the bloodstream. It occurs in

5-10% of the population and is a benign condition. However, when a person

is under stress, dehydrated, as this one is, and so forth, the person may

become jaundiced, which has happened here due to the patient's dehydration

from prolonged vomiting and diarrhea.

The cause of the patient's nausea/vomiting/diarrhea is salmonella that he

got from eating the potato salad at the church social.

He gets some IV fluid and is discharged to recover at home, which he does.

The point is that not everything is always as it seems. All the guesses

about liver disease were appropriate, but in this case, there's a different

cause. It's true that history is very important, even when things seem

clear.

Some studies have found decreased risk for heart disease in patients with

GS. It is thought that bilirubin acts as an antioxident.

Google Gilbert's and you'll find some interesting stuff.

Thanks to all who played.

GG

>

>

>

> I would like the answer Professor Gene..

>

> Bernie

>

> From: texasems-l@yahoogrotexasem [mailto:texasems-l@yahoogrotexasem] On

> Behalf Of wegandy1938@wegandy

> Sent: Friday, June 26, 2009 9:32 PM

> To: texasems-l@yahoogrotexasem

> Subject: Re: The puzzler

>

> Hee hee. Well, do you want the answer or do you want to continue to play?

>

> GG

> In a message dated 6/26/09 6:03:42 AM, hbarber@... <

> mailto:hbarber%mailto:hbarmai> writes:

>

> >

> >

> >

> > Well I will just take my football and go home.

> >

> > Henry

> > The puzzler

> >

> > Apparently everyone has tired of working on the puzzler. Nobody got it

> > but two of my paramedic students.

> >

> > So nothing more will be posted about it.

> >

> > If anybody wants to know the answer, email me off line at

> > wegandy1938@ wegandy1938@ wegandy and I'll

> >

> > Gene

> >

> > ************ *

> > Make your summer sizzle with fast and easy recipes for

> > the grill. (http://food.http://food. http://food.http://food> <

> wbrhttp://food.wbrhttp://foo)

> >

> >

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I would like the answer Professor Gene..

Bernie

From: texasems-l [mailto:texasems-l ] On Behalf

Of wegandy1938@...

Sent: Friday, June 26, 2009 9:32 PM

To: texasems-l

Subject: Re: The puzzler

Hee hee. Well, do you want the answer or do you want to continue to play?

GG

In a message dated 6/26/09 6:03:42 AM, hbarber@...

writes:

>

>

>

> Well I will just take my football and go home.

>

> Henry

> The puzzler

>

> Apparently everyone has tired of working on the puzzler. Nobody got it

> but two of my paramedic students.

>

> So nothing more will be posted about it.

>

> If anybody wants to know the answer, email me off line at

> wegandy1938@wegandy and I'll 'splain it to you.

>

> Gene

>

> ************ *

> Make your summer sizzle with fast and easy recipes for

> the grill. (http://food.http://food. http://food.http:/food.>

wbrhttp://food.wbrhttp://foo)

>

>

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