Jane Doe is an independent 65-year-old female with a benign past medical history. She has been married for forty years to John. Together, they had a son, who graduated medical school and now works as an oncologist close to home. Jane complains of nausea and starts vomiting a week ago. Her symptoms get worse until she begins feeling debilitating abdominal pain.
John brings her to the local community hospital, where a CT scan shows that Jane has large pancreatic mass. The attending surgeon believes he can excise the tumor, but when he opens her, he can see that this tumor has invaded the surrounding vasculature and metastasized to the liver. The surgeon closes the patient, and orders a transfer to the larger, urban hospital.
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