Me: So what brings you in to the emergency department today?
Patient: I drank a lot of water. I have been vomiting all day. I feel so sick.
Me: When did you start vomiting?
Patient: After I drank a lot of water.
Me: Uhh, ok how much water?
Patient: Like a gallon and a half.
Me: And why did you drink this much water? Do you feel really thirsty?
Patient: No I felt sick to my stomach and wanted to throw up.
Me: You made yourself drink water to throw up?
Patient: Yes
Me: Why did you feel sick to your stomach?
Patient: Because I drank a lot of water!
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