I Feel Your Pain

A four-year-old girl came into our practice a couple of weeks ago for her well-child checkup -- adorable, as most of them are, and a little fearful, which many of them also are. She didn't want to get on the scale without clinging to her mother, and nearly threw a tantrum over standing against the wall to have her height measured. I made sure to be gentle with her and fully explain each task we had to do, and she eventually began to loosen up, smile, and interact with me a little. As part of the standard physical exam, we start doing vision checks at three years old and hearing checks at four -- which, as you can imagine, aren't always easy with a child that young -- so her checkup took a little while.

One of the things many people don't realize about a pediatric practice is that the parents can sometimes be far more difficult than the children. Some of them are wonderful, but some are just horrendous, too, and they make the exam that much more difficult for their children. Luckily, Lila's* mother was friendly, tall with short salt-and-pepper hair. She was quite firm with the little girl, and when Lila was hesitant about something, her mom mentioned more than once 'remember how we talked about this?' in reference to a previous in-depth conversation about the doctor's office. That impressed me, that a mom would take the time to walk through each aspect of a trip to the pediatrician ahead of time, and struck me as a good idea.

At first, I was so focused on Lila that I wasn't paying much attention to her mom, except for the occasional glance, smile or, "Your mom's right, we're just going to..." Near the end of the exam, though, as I was getting my things together to leave the room and allow the doctor to come in, my eyes landed on the woman... and I suddenly got a familiar vibe off her. My 'gaydar' isn't always accurate, not by a long shot, but this time I was sure I was right. I smiled, said the doctor would be right in, and closed the door -- then checked Lila's last name: hyphenated. A clue, but not a certainty. Flipped open her paper chart, and saw the Post-It note from the doctor to herself, as a reminder before she entered the room: Both moms are PAs. Smiled to myself.

Desiree, another nurse, stuck her head over my shoulder. "She was a cutie."
"Yeah," I said with a smile, still absorbed in the chart.
"What does that say?" she asked, trying to read the scrawled handwriting on the Post-It.
"'Both moms are PAs.'"
"Huh? ... Maybe she didn't mean to say 'both moms'."
I tried to hide a smile. "...No, I really think she did."
"Why?"
"Oh, I dunno, just the vibe I got," I said casually.

* * *

"Lila needs her Hepatitis A and Varicella shots," the doctor said to me upon emerging from the room, "and then they'll be free to go."

I scurried to the fridge, grabbed the two vials, and prepared the shots. Grabbing the necessary paperwork, I entered the room. I'm still being observed when I perform immunizations, so Desiree was at my side.

"Okay, Lila, let's lie down on the table," her mom said calmly.

Immediately, Lila began to whine and cry. She clutched her mother as if I were the Antichrist, her eyes wide and fearful.

"Remember, we talked about this. You're going to lie here, and I'm going to hold you, and it's all going to be over in just a second." Lila began to struggle in earnest, her whines escalating to wails, her legs flailing. I had to hand it to the mom, though -- most moms would have continued to try to talk the child down, but the PA training kicked in and she grabbed Lila's hands (to keep them away from the needles) pressed her down into the table, and hung on grimly.

Without speaking, Desiree and I each grabbed a kicking leg and held it still. We uncapped our syringes, counted "One, two three," and injected simultaneously. Lila screamed at the top of her lungs as we withdrew our needles, slapped on Band-Aids, and stripped off our gloves. She continued to cry as her mom held her and soothed her -- "It's all over, they're all done."

Lila looked at me over her mom's shoulder, tears streaming down her tiny face, and what I saw there made my heart wince. I hate, hate, hate seeing that trust go out of their eyes.

My own tears threatened, prickling and hot. This woman was a PA. She had a daughter. And she had a life partner who was a woman. So many things about her matched up with the life plans I had for myself, the red carpet I saw stretching out in front of me. She had undoubtedly endured most of the same emotions and struggled with many of the same situations as I had, as many of you have, as many of us continue to. Getting taunted on the street for holding your partner's hand, not knowing what to write for 'relationship' on your emergency contact form, seeing the look on your parents' faces when you tell them your secret. This woman and I shared a bond, although she didn't know it. I felt a strong and unique kinship with her... and there wasn't a single thing I could say or do to reach out to her.

I watched them walk out the door, hand in hand. Wiped a tear. Smiled for what was. Sighed for what might have been... and went back to work.

*All names have been changed, as usual.