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Optical center. See only the good, here only the best. conditioning to modern medicine. I'm your host Dr. Jordan Fingenbaum. I'm joined by the

second most handsome doctor in North America, Dr. Austin Baraki. We've got a

mystery case, you know, as is my custom I have to predict whether or not you're

going to get this case and honestly I should just

assume that you're going to get it but to create some drama which you know I feel like I'm a

sportscaster here you're watching you know a top-seated team versus a bottom dweller in the conference

and you have to create some drama out of nowhere to get people to watch so how do I get people to listen outside of

hearing you opine eloquently about your clinical acumen, I think you're not going to get it.

All right.

I think this is maybe the hardest one yet, not because of the actual case being that difficult

like like the the medical diagnostic requiring you know something out of left

field that you don't have experience in, but because the history and the exam findings are so limited, you're really...

I don't know, we'll see, you know what, we'll see.

So, let's get started.

31 year old man presents to the emergency department for the second time in his many days

...