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im walked into the ER on his own two feet, but he claimed he wouldn’t have made it another step. “It hurts here,” he said, laying a large red hand just above his abdomen. A preliminary exam turned up no abdominal indicators, but the patient was sweating. Could he be misjudging the source of his pain? Could this be a cardiac event?

“Let’s do an EKG,” I told Sharon, the nurse. She wheeled the EKG machine near the patient’s bed and pulled out the leads.

The patient removed his shirt. Tattooed across his chest was a swastika.

I blinked. Sharon looked down too and stopped talking.