It is snowing again. At 2 a.m., I get a call from the ER doctor: “I have a middle-aged man who just came in with a blood pressure of 40 and abdominal pain. Earlier today he had an elective computerized tomography (CT) (in a nearby town) which showed an 8-cm solid mass in the right lobe of the liver...his pain started a few hours later...I need your help.” …