Now, for the last interesting patient:

Now, for the last interesting patient: Earlier this week, we saw an elderly man with a history of diarrhea, some blood in the stools and, at the same time, discovered a bladder obstruction. A foley cath was placed and he returned today for follow-up. Much to our amazement, a rectal exam revealed an impaction of large seeds (he says only langsat, but we wonder about rambutan as well). Ilana and Ronald have been busy removing the impaction (I elected to defer -- have done more than enough over the years) and I am getting periodic updates. Even the orangutans, we noted, spit out the seeds -- don't know why this man decided to do otherwise. Is there a moral to this story?? Suggestions are enouraged.