Cross-posted, so I do apologize for some of you will be getting several 
copies of this message.

Mother of my patient called that the kid got sick wile criusing in Europe.
The kid (20 something now) has spina bifida occulta, neurogenic bladder 
and the hx of frequent urinary tract infections as a child (doing 
reasonably well in the oast several years).
Yesterday she developed abdominal pain and fever that for the ship's doc 
was suspicious for appendicitis.
The kid got better with IVF in the ship's infirmary but did refuse to go 
to the local hospital and is right now flying to Franfurt to catch the 
plane to NJ.
I dont think that it will be wise for her to fly without being checked 
by a reputable hospital in Germany.
What would be the suggestions?

TIA,
Alla

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