Ok, so I'm working on a big long post for your enjoyment, but maybe this will tide all three of my readers over for a bit.
My friend was really sick a few weeks ago. Fever for 5 days, sickness, doctor visits, the whole works. He gets better, we go out drinking, all is well.
I find out yesterday he's sick again, only this time with the added pleasure of vomiting yellow foam and delirious ramblings of hate directed toward his fever at 3am. Off to the doctor again. In the doctor's office Mr. Doctor (Dr. Doctor?) examines my friend's lymph nodes and exclaims, "Jesus! They ARE big!".
Mr. Doctor must have failed his Bedside Manner class in Med School. While examining your patient it is not permissible to exclaim in wonder at the advancement of your patient's symptoms. If you feel the need to marvel at how violently your patient's immune system is responding to the invading organisms, the proper response is, "Hm." Only after you're out in the hall and have closed the exam room door may you say to the nurse, "Be nice to the guy in Exam 2, he's fucked."