Anna is scheduled for more surgery on Sept. 24th. Apparently, her surgeon suspects she may be suffering from small bowel volvulus, a rare and difficult-to-diagnose condition in which a loop of intestine twists around itself and the supporting mesenteric tissue. She exhibits risk factors including adhesions from previous surgeries and poor intestinal motility, self-reports severe and constant abdominal pain, and engages in purging behavior that mimics real symptoms of this condition and may actually contribute to bringing it about.
Although there are clinical and radiological features that indicate the presence of small bowel volvulus, it can only be diagnosed by laparotomy. Abdominal imaging does not reliably produce enough imaging information for accurate diagnosis, and studies show that the consequences of delaying diagnosis while repeated rounds of imaging are carried out are often dire. Early diagnosis and prompt surgery are essential; if treatment is delayed, the condition can rapidly progress to strangulation obstruction, infarction, gangrene, and death.
This is a situation where, even if Anna's care team believes she may be lying, exaggerating, or actually exacerbating her condition for attention, failure to perform an exploratory laparotomy cannot be justified. But the fact she's scheduled for surgery two weeks out - as opposed to right away - is rather telling.
I don't envy Anna's doctors, that's for sure.
e: In her Stories, Anna is acting like a child at the grocery store:
She is pretending to care about the environmental impact of single-use plastics, of which she is known to be a heavy consumer:
And she is urging people to follow her example and donate "unnecessary" food items to disaster relief. All those high-protein snack foods and canned veg that Anna has accumulated? See, Mom, Anna is giving them to charity because she is generous and altruistic, not because she has a restrictive eating disorder and no intention of actually consuming them herself: