This case involves a seven-year-old girl who complained of severe abdominal pain to her second-grade teacher, her school principal, and her school’s nurse. The child was frequently disciplined for disturbing the classroom setting and for complaining of nausea and dizziness. Early in the morning (9:30 AM) the child first complained to her teacher of severe abdominal pain. By 10:00 AM, the child was noted to be laying on the ground in her classroom, crying because the pain became overwhelming. At this time, the school’s principal was asked to speak with the child – and he brought her to the school’s infirmary. The infirmary/school nurse advised the principal that the child was probably “faking” and should be sent back to class immediately. She was then reprimanded by the principal and instructed to sit in her seat for the rest of the day without speaking. The child did this until her appendix likely ruptured and she passed out and became unconscious. An ambulance was called and an emergency surgery was ordered. The child required four subsequent procedures and was discharged after a three-month hospital stay.