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Welcome back clinical problem solvers.

It's Reza.

Where's Robbie?

I have no idea.

He's probably solving some cases or working in the emergency department.

Because tonight we have a very special episode for you. And one of his colleagues is going to be in the lukewarm seat

so someone has to be taking care of those ed patients um i'm so thrilled to be joined by

anna anna do you mind introducing yourself and sort of laying down the the groundworks for tonight's episode

absolutely hi my name's an Costello. I'm a

pediatric hospitalist at the Children's Hospital of Philadelphia. So tonight's case is going to be

a tiny bit different because it's going to feature a child who's near adult age. And I'm very

excited tonight to have group Creek Dali, who will be solving this case.

Thank you, Anna, for that introduction.

I think solving is generous.

I hope I solve it.

That is the goal, but I'll definitely analyze it for sure.

So my name is Grip Ralehawal.

I'm a clinician educator at the San Francisco VA Medical Center, and I'm a professor of medicine at the University of California, San

Francisco, and I could describe myself as a friend of the pod. And if I may make one

interjection before we start, for the audience, if you're not driving after each aliquot

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