"I'm not going to arm wrestle with the administration about where to put you," Dr. C., a highly skilled gastroenterologist, said gently to my friend who was in bed in a triage room in the ER. "We just want to get you into a bed so we can figure out what's wrong and get you treated."

We were at our small town's hospital. No one was sure why, but my friend had not been able to keep anything more than a handful of raspberries down since a complicated surgery for a chronic health condition three weeks before. Dehydrated and unable to eat, my friend had been violently vomiting after taking just a sip of water or sucking on an ice chip, and had lost nearly twenty-five pounds.