That's the bitch of the thing - after nearly a decade of smugly underfueling, overtraining, abusing laxatives, refusing to follow ED treatment protocols, and failing to comply with surgical aftercare guidelines, Anna is in a situation where she may really be suffering from a condition that can only be diagnosed by laparotomy and, if left untreated, will rapidly become life-threatening. A precipitating factor for small bowel volvulus may be the ingestion of a large amount of fiber after extended periods of fasting, and in adults, it is most often secondary to postsurgical adhesions.So she found someone who is willing to charge her parents a boatload of money for unnecessary surgery, and is manic with glee. What a little cunt.
Clinical practice guidelines are completely unambiguous and the literature is virtually unanimous; when a patient presents like Anna, "surgical exploration is indispensable" and "failure to perform an exploratory laparotomy cannot be justified," even if she has clearly brought the whole damn situation on herself and is reveling in the attention it brings her.
Her surgeon does not seem to be giving her the surgery for which she was shopping, as she has mentioned nothing about being scheduled for prolapse repair.