The report refuses to say when or where this happened. I call bs
The New England Journal of Medice reported this.
The Power and Limits of Classification — A 32-Year-Old Man with Abdominal Pain
Daphna Stroumsa, M.D., M.P.H., Elizabeth F.S. Roberts, Ph.D., Hadrian Kinnear, B.A., and Lisa H. Harris, M.D., Ph.D.
https://www.nejm.org/doi/full/10.1056/NEJMp1811491