After a month of unexplained bouts of stomach pain, an otherwise healthy 16-year-old girl arrived at the emergency department of Massachusetts General Hospital actively retching and in severe pain.

A CT scan showed nothing unusual in her innards, and her urine and blood tests were normal. The same was found two weeks prior, when she had arrived at a different hospital complaining of stomach pain. She was discharged home with instructions to take painkillers, a medication for peptic ulcers, and another to prevent nausea and vomiting. The painkiller didn't help, and she didn't take the other two medications.

Her pain worsened, and something was clearly wrong. When she arrived at Mass General, her stomach was tender, and her heart rate was elevated. When doctors tried to give her a combination of medications for common causes of abdominal pain, she immediately vomited them back up.

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Enlarge (credit: Getty | MICHAEL KAPPELER)

The human body is full of marvels, some even bordering on miraculous. That includes the limited ability for nerves to regenerate after injuries, allowing people to regain some function and feeling. But that wonder can turn, well, unnerving when those regenerated wires end up in a jumble.

Such is the case for a rare neurological condition called gustatory hyperhidrosis, also known as Frey's syndrome. In this disorder, nerves regenerate after damage to either of the large saliva glands that sit on either side of the face, just in front of the ears, called the parotid glands. But that nerve regrowth goes awry due to a quirk of anatomy that allows the nerves that control saliva production for eating to get tangled with those that control sweating for temperature control.

In this week's issue of the New England Journal of Medicine, doctors in Taiwan report an unusual presentation of the disorder in a 76-year-old woman. She told doctors that, for two years, every time she ate, her face would begin profusely sweating. In the clinic, the doctors observed the phenomenon themselves. They watched as she took a bite of pork jerky and began chewing.

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Enlarge / Bees fly to their hive. (credit: Getty | Federico Gambarini)

In what may be the biological equivalent to getting struck by lightning, a very unlucky man in the Philadelphia area took a very rare bee sting directly to the eyeball—and things went badly from there.

As one might expect, the 55-year-old went to the emergency department, where doctors tried to extract the injurious insect's stinger from the man's right eye. But it soon became apparent that they didn't get it all.

Two days after the bee attack, the man went to the Wills Eye Hospital with worsening vision and pain in the pierced eye. At that point, the vision in his right eye had deteriorated to only being able to count fingers. The eye was swollen, inflamed, and bloodshot. Blood was visibly pooling at the bottom of his iris. And right at the border between the man's cornea and the white of his eye, ophthalmologists spotted the problem: a teeny spear-like fragment of the bee's stinger still stuck in place.

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Updated to reflect additional information on crime and health care.

Reconsider travel to Jamaica due to crime. Exercise increased caution regarding medical services. Some areas have increased risk. Read the entire Travel Advisory. 

Country Summary: Violent crime occurs throughout Jamaica. Tourist areas generally see lower rates of violent crime than other parts of the country. The homicide rate reported by the Government of Jamaica is among the highest in the Western Hemisphere. Armed robberies and sexual assaults are common. 

The U.S. Embassy routinely receives reports of sexual assaults, including from U.S. citizen tourists at resorts. U.S. citizens report slow or unsatisfactory response to serious criminal incidents. When arrests are made, cases are infrequently prosecuted to a final verdict and sentence. 

U.S. citizens should not expect the same level of health care available in Jamaica as is available in the United States. This includes generally lower levels of emergency service response times or routine care for illness or injury. Private hospitals require payment up front before admitting patients and may not have the ability to provide specialized care. Ambulance services are not always staffed with EMTs or always readily available, especially in rural areas. U.S. citizens should bring extra prescription medication as common medications such as insulin can be difficult to obtain.

We strongly encourage you to obtain traveler’s insurance, including medical evacuation insurance, before traveling. The Department of State does not pay medical bills.

U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors overseas do not accept U.S. health insurance. Air ambulance service to the United States can range from $30,000-50,000. Read the country information page for additional information on travel to Jamaica.

If you decide to travel to Jamaica:

• Do not attempt to bring firearms or ammunition. This includes stray rounds, shells, or empty casings. The penalties for carrying firearms and/or ammunition, even inadvertently, are severe, and can include lengthy prison sentences.
• Avoid walking or driving at night.
• Avoid public buses.
• Avoid secluded places or situations.
• Do not physically resist any robbery attempt.
• Be aware of your surroundings and keep a low profile.
• Enroll in the Smart Traveler Enrollment Program (STEP) at www.step.state.gov to receive alerts and make it easier to locate you in an emergency.
• Follow the Department of State on Facebook and X/Twitter. 
• Review the State Department’s Country Specific Information for Jamaica.
• Make a contingency plan for emergency situations. Review the Traveler’s Checklist.
• Visit the CDC page for the latest Travel Health Information related to your travel.

U.S. embassy personnel are prohibited from traveling to certain areas of Jamaica due to crime. Additionally, U.S. embassy personnel are prohibited from using public buses and from driving outside of prescribed areas of Kingston at night. The off-limits zones for U.S. embassy personnel within each parish are listed below. 

Off-limits locations for U.S. embassy personnel throughout Jamaica – Level 4: Do Not Travel

St. Ann’s Parish - Steer Town and the Buckfield neighborhood near Ocho Rios

St. Catherine’s Parish - Spanish Town, Central Village, areas within Portmore, including: Naggo Head, New Land, Old Braeton, Portmore Lane, Gregory Park, and Waterford

Clarendon Parish - all of Clarendon Parish, except passing through Clarendon Parish using the T1 and A2 highways.

St. Elizabeth’s Parish - Vineyard District Community, between the communities of Salt Spring and Burnt Savanna, St. Elizabeth

Hanover Parish - Logwood and Orange Bay

St. James Parish/Montego Bay - Inland side of the A1 highway and The Queen’s Drive from San San to Harmony Beach Park

Kingston and St. Andrew Parish - Cassava Piece, Duhaney Park, Grants Pen, Standpipe, Swallowfield, Elleston Flats, August Town, and downtown Kingston, defined as between Mountain View Avenue and Hagley Park Road, and south of Half Way Tree and Old Hope Roads. Downtown Kingston includes Arnett Gardens, Cockburn Gardens, Denham Town, Olympic Gardens, Seaview Gardens, Trench Town, and Tivoli Gardens. 

Manchester Parish - Green Vale, Gray Ground, Red Ground, and Vineyard neighborhoods of Mandeville

St. Thomas Parish - Black Lane neighborhood in Seaforth, Grands Penn, Church Corner neighborhood near Yallahs, Town of Yallahs, except when driving through on the main highway.

Trelawny Parish - Clarks Town

Westmoreland Parish - Russia community in Savanna-la-Mar (The Southeastern quadrant of Savannah la Mar east of Darling Street and south of the A2 highway/Barracks Road), Morgan Bay, Kings Valley, The Whitehall, Bethel Town, and Red Ground neighborhoods of Negril

If you do decide to travel to the above-listed Do Not Travel areas, please visit our website for Travel to High-Risk Areas.