on the computer program and shut it down.
Good thing he’d lined up Gaby for child care on Saturday morning.
Jason had asked him to stop by his office on his way out today, so he trotted up the back stairs to the second floor. Aw, damn, he’d caught Jason and Claire kissing. He stepped back from the doorway. They seemed to do that a lot and hadn’t even heard him. Yeah, they were newlyweds but, still, they were married, with children! He marveled at the phenomenon. Come to think of it, his dad and Roma did a lot of smooching, too.
Maybe players like him didn’t corner the market on romance.
He decided to talk to Jason later, then padded down the stairs and veered toward Stephanie’s office, a place he’d been drawn to like a magnet lately. Just as he passed Jon’s door he heard his name.
“Hey, Phil, come take a look at the latest pictures.”
Oh, man, he knew exactly what those pictures would be. Evan, his newborn son, seemed to be the center of Jon’s universe these days. Being just outside Jon’s office, Phil couldn’t very well avoid the invitation.
What was with his partners? They’d all settled down, leaving him the lone bachelor. The thing that really perplexed him was that they all seemed so damn blissful. Well, he wasn’t into matrimonial bliss. No way. No how. He liked his freedom. Liked being alone. He glanced at Stephanie’s office. At least now he knew someone else who liked being single.
Except for Robbie staying with him, he hadn’t lived with anyone since his med-school roommates. And he really didn’t miss their stinky socks and dirty underwear tossed around the cramped apartment. Come to think of it, Robbie’s socks ran a close second, and the kid knew nothing about putting things away. He smiled at the image of his little half brother strutting around in his underwear with pictures of superheroes pasted all over. Even his nighttime diapers had cartoon characters decorating them. What in the world had his life turned into?
An odd sensation tugged somewhere so buried inside he couldn’t locate it, but the feeling still managed to get his attention. Heads up, dude. Take note. Maybe there’s something to be said for a good relationship and a family.
No. Way. Maybe it worked for other people, but he wasn’t capable of sustaining a long-term love affair. Wasn’t interested. He knew just as many people whose marriages didn’t work out. Hell, his own mother had walked out on them.
Nope. He liked the here and now, and when things got too deep or involved, he was out of there. Maybe he was more like his mom than he wanted to admit. His list of ex-girlfriends kept growing; many of them had since married and he was glad for them. It just wasn’t his thing.
Phil greeted Jon and fulfilled his obligation as a good coworker to ooh and aah over Jon and René’s new son. Then he patted him on the back, told him he was a lucky dog, and excused himself with a perfectly valid reason. “I’ve got to pick up Robbie.”
On his way out of the clinic, he glanced at Stephanie’s closed office door. What were the odds of him running into her at dinner again tonight?
Nope. If he wanted to spend some more time with her, he couldn’t depend on something as flimsy as fate. He’d need a plan.
Gaby had signed up to watch Robbie on Saturday morning. Maybe he’d make plans with Stephanie then. As for dinner tonight, he had a date with his kid brother for a grilled cheese sandwich and tomato soup.
Just seven more days.
Stephanie was aware that René mentored nurse practitioner students from the local university once a week, but hadn’t realized she’d be taking on this aspect of René’s job along with everything else. Thursday morning she was shadowed by a bright and pregnant-as-she-was-tall young woman filled with questions. Maria Avila had thick black hair and wore it piled on top of her head, and if she was trying to look taller, the extra hair didn’t help. Her shining dark eyes oozed intelligence and curiosity and her pleasant personality suited Stephanie just fine. After a full morning together, they prepared for the last appointment.
“If my next patient consents, I’ll guide you through bimanual pelvic examination.”
Stephanie fought back a laugh at the student’s excitement when she pumped the air with her fist.
“Have you done one before?”
“I’ve done them in class with a human-looking model,” Maria said.
Stephanie raised her brows. “That’s not nearly the same thing. I’ll do my best to get this opportunity for you. Now, here’s the woman’s story.” Stephanie recited the medical history from the computer for Maria. “What would you do for her today?”
Maria sat pensively for a few minutes then ran down a list of questions she’d ask and labs she’d recommend. Her instincts were right-on, and Stephanie thought she’d make a good care provider one day.
The examination went well, Stephanie stepped in to collect the Pap smear, and Maria was ecstatic she got hands-on experience. Fortunately the patient was fine with the extra medical care as long as Stephanie followed up with her own examination.
One of the ovaries was larger than normal, and tender to the touch. It could be something as simple as a cyst, but she wanted to make sure. She also wanted Maria to feel the small, subtle mass that she’d overlooked when she’d first performed the exam.
From the woman’s history she knew there wasn’t any ovarian cancer in her immediate family. She met some of the other risk factors, though. She had never been pregnant, was over fifty-five, and postmenopausal.
“Have you had any pain or pressure in your abdomen lately?”
The woman shook her head.
“Bloating or indigestion?”
“Doesn’t every woman get that?” the patient said, with a wry smile.
“You’ve got a point there.” Stephanie grinned back.
When she finished the exam, as she removed the gloves and washed her hands, she mentioned her plan of action. “I’m ordering a pelvic ultrasound to rule out a small cyst.” She didn’t want to alarm the woman about the potential for cancer due to her age, but finding any pathology early was the name of the game when it came to that disease. “I’ll request the study ASAP.”
The grateful woman thanked both of them and on her way out she hugged the student RNP, Maria. “Good luck with your pregnancy, and keep up your training. We need more people in the field.”
Her comment drove Stephanie to ask, “Are you in medicine?”
“I’m a nurse.”
Stephanie figured, being a nurse, the patient was already in a panic about what her slightly enlarged ovary might be.
“Don’t drive yourself crazy worrying about the worst-case scenario, Ms. Winkler, okay? The nodule didn’t feel hard or immovable. It’s most likely a cyst.”
The extra reassurance helped smooth the woman’s wrinkled brow, but nervous tension was still evident in her eyes when she left.
Stephanie briefed Maria on possible
