"What's wrong, honey?" Ethan asked as he and Samantha were eating together at the hotel's buffet restaurant during lunch on a weekday. 

He easily saw his wife frown, right in the middle of eating her tomato and cheese salad. 

"Sam?" Ethan asked again. He noticed how Samantha swallowed with difficulty again and again. 

Samantha still did not answer. Instead, she got up, covering her mouth, and acted to heave. 

Without saying a word, Samantha