Dallas Koperski’s note today:

I had an 18 year old boy today with nausea since the earthquake, but no other symptoms. It didn’t add up, so I asked him what happened during the earthquake. He broke down in tears as he lifted up his shirt, showing me the scars where he was impaled by a piece of metal, then told me that his father’s leg had to be amputated and that his mother was killed. I think that’s the first time I have cried with a patient.