OK, see??!! We knew it.

During the 17 months that I served as Area Medical Advisor for the missionaries in the countries of Ecuador, Colombia and Venezuela, four young missionaries in those 12 missions suffered acute appendicitis, though all did well after surgery.

In the 26 or so months that we have been in the Peru Huancayo Mission, we have already had five cases, the most recent of which occurred several days ago.
The problem here is that at times, the missionaries are serving at some distance from trusted medical care.  For this reason, if we suspect a problem, we get them on the road quickly.
That sounds laudable.  However, as previously noted, the crop of speed bumps or rompemuelles (spring breakers) has been bounteous over the last 15 years.  They are everywhere!

So, you can imagine having a developing appendicitis, having to travel for a couple of hours, and bumping over 58 speed bumps (we counted them en route to that particular town).  Oooff!  When I questioned several of the missionaries afterward, they said that yes, every cruel one of the bumps hurt.
Imagine my  surprise when Paula e-mailed me the link to the following study, cited in the annual "Ig Nobel Prizes:"

And by the way, I am not making this up.  The study was this:

“Pain Over Speed Bumps in Diagnosis of Acute Appendicitis: Diagnostic Accuracy Study,” Helen F. Ashdown, Nigel D’Souza, Diallah Karim, Richard J. Stevens, Andrew Huang, and Anthony Harnden, BMJ, 2012.  By way of the study, it was determined that acute appendicitis can be accurately diagnosed by the amount of pain evident when the patient is driven over speed bumps.

Wow!  We were way ahead of published science here in the Peru Huancayo Mission!  Instead of doing all those silly blood tests, ultrasounds, etc., just drive them over a couple of speed bumps and see how much they yelp!  Simple!

All of this harks back to the Henderson Hamburger Test, which I administered numerous times during my years in clinical practice.  In a suspected case of appendicitis, one merely had to ask the patient whether or not a big, sloppy hamburger with lots of cheese, grease, fried onions and mushrooms sounded good.  

In not one single case in which appendicitis was diagnosed did the patient express interest in such a meal.  If they blanched and looked like they needed to throw up, the possibility was still in the running.  

Like I said, who needs all that other stuff when you've got speed bumps and hamburgers, eh? Oooh!  Maybe give them a hamburger while they are going over a speed bump!

Anyway, we hope your appendix stays healthy, and that your speed bumps are small.  And that your hamburgers are big!  And greasy!

Dave & Paula