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”Doctor Mercer smiled, “It’s OK. You’ll learn these things once you get into your clinical rotations. Keep an eye out, and you’ll learn to judge if the man on your exam table really does have back pain or he’s drug-seeking. You won’t always get it right, but you’ll develop a sense for who is telling the truth and who isn’t.”“But there is no test for that, right? I mean, we can’t measure pain, the patient can only tell us how they feel.”“That’s true, but you can look for other signs and ask them, or their loved-ones, questions about their daily activities and what makes the pain worse. We don’t need to get into the details, you just need to be aware of the concept. Your professors and mentors will teach you. When you have your elective rotations, may I suggest you do a double psych rotation? One adult and one adolescent? I think it’ll pay big dividends in the ER.”“So what do I do now?” I asked.“At this point, just wait. Let her doctors work with her and her pastor provide whatever. When Miles entered his teen years, doctor though he was, Tony left it to me to give the boy sexual instruction. This consisted mainly of information about contraceptives, and dire warnings about sexually transmissible diseases. Fortunately, the outrageously expensive school he went to had an excellent programme on sexual development, so I was saved the task of explaining some of the more intimate details. In his early teen years, Miles and I went out increasingly together, but our roles began to change. From me taking him out, he became more akin to my escort. He noticed what I wore, how I had done my hair and whether or not I had too much makeup on. He was inclined to comment on these matters, saying things like, ‘You are looking lovely tonight, mother.’ At first I assumed he was merely repeating what he had read in some novel, but after a while I began to understand he was serious, and found myself deliberately trying to make myself look attractive for him. Then when he was.
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