“I’m going to press a little more on your abdomen, Mrs. Sabatino. I want you to tell me if it hurts,” Mikki requested.
“It hurts, it hurts,” Sophia cried immediately.
“Mom, she hasn’t touched you yet,” Jeff pointed out, then turned toward the woman examining his mother. “I’m really sorry, Doctor,” he began.
Mikki shook her head, wanting to put him at ease. “Don’t be. Your mother’s pain is very real,” she told him. “She’s obviously hurting without my touching her.” As she spoke, Mikki subtly placed her hand first near his mother and then very gently on the area where she thought the pain originated.
She was right.
“Argh!” Sophia cried, her eyes narrowing as she angrily looked at the doctor. “You’re hurting me!”
“I’m sorry,” Mikki apologized. “I just want to be sure what’s going on. How long have you had this pain?”
Sophia shrugged carelessly, avoiding her son’s eyes as she mumbled, “A few weeks, I guess.”
“Mom!” He’d only become aware of the problem in the last couple of days. “A few weeks? Why didn’t you call me?”
Still avoiding his eyes, Sophia sighed. “I didn’t want to bother you. You have that restaurant and everything. You’re always so busy,” she said just before her expression changed as she noticeably braced herself for another wave of pain.
Instead of reaching for a thermometer, Mikki opted to test her theory the old-fashioned way. She lightly placed her fingertips against the woman’s forehead, finding it quite warm.
“Okay,” Mikki murmured to herself. “I think that proves it.”
“What is it?” Jeff asked, looking at the doctor quizzically. “Can you tell what’s wrong with my mother?”
Mikki didn’t want to be premature, but she had a very strong suspicion about what was going on. “Well, I think that we’d better get your mother into the hospital,” she began.
“No, no hospital!” Sophia interrupted.
“Mom, let the doctor talk,” Jeff told her, trying to get his mother to calm down long enough to hear the diagnosis.
“I don’t care what she’s going to say, I’m not going to die in a hospital,” Sophia declared.
“No,” Mikki responded with confidence. “You’re not. But in order for you not to die, we need to get you there in time.”
“In time for what?” Sophia demanded. “To cut me up into pieces?”
“No, just one piece,” Mikki answered quite seriously.
“What is it, Doctor?” Jeff asked. His mother was clutching his hand and he wanted to do his best to calm her, but right now, he wasn’t feeling all that calm himself. “What’s wrong with my mother?”
“I need to run some tests,” Mikki prefaced.
“I got all that. I understand. Just tell me what you suspect is wrong,” Jeff said.
“Well,” Mikki began, “with any luck—”
“Luck? You call feeling like someone set your insides on fire lucky?” Sophia cried indignantly. “Take me home, Jeff!”
“Let her talk, Mom,” Jeff ordered, surprising his mother with his abrupt tone. He turned toward Mikki. “Doctor?”
“Best guess,” Mikki said, enunciating every word as she looked at the all but terrified woman on her examination table, “is that it looks as if your mother has appendicitis.”
The pain had momentarily abated, and Sophia sniffed. “Some doctor. She doesn’t know what she’s talking about,” she told her son.
Jeff prided himself on his patience. He had a nearly infinite amount, both at work and when it came to dealing with his mother when she was being difficult. But his ample supply was just about used up this particular morning.
A warning note entered his voice. “Mother—”
Ignoring him, Sophia said, “I had my appendix removed when I was six,” just before she suddenly doubled up in pain again.
“Are you sure?” Mikki questioned. “Forgive me,” she quickly interjected, “but according to what you just said, you were six, and maybe you’re not remembering things quite clearly.”
“Of course I’m sure,” Sophia bit off, annoyed that this slip of a girl was doubting her. “My mother told me that’s what happened.” About to continue, she suddenly grew very pale as she grabbed her son’s hand. “I can’t take this anymore, Jeffrey. Put me out of my misery.”
Interceding, Mikki laid a gentling hand on the woman’s arm to get her attention. “I fully intend to, Mrs. Sabatino, but not the way you mean.” Mikki looked at Jeff. “I have to get her to the hospital and run some tests,” she explained. “I still think it’s appendicitis, but if it is something else, the CT scan and abdominal ultrasound should show us what we’re up against.”
Jeff looked at her, puzzled. “How can it be appendicitis if hers was removed?”
“She could be mistaken,” Mikki pointed out. “At six, it’s easy to misunderstand what’s happening. Checking to make sure the appendix was removed is a simple process.”
Sophia’s laugh was harsh. “She just wants to get me into the hospital and do all those expensive tests on me.”
He was aware that the doctor was doing him a favor, seeing his mother so quickly. She certainly didn’t deserve to be treated this way. “I’m sorry about this,” he apologized to Mikki.
Mikki’s smile wasn’t strained. Instead, it was understanding.
“It’s okay, really,” she told him. “I’m not offended. Your mother’s afraid. Who wouldn’t be?” she asked, giving Sophia an encouraging look. Sophia appeared to be totally oblivious to it. “Let me just leave a note for my receptionist and I’ll ride over to the hospital with you and your mother,” Mikki told him, picking up a pad and pen.
Jeff realized what a huge imposition this had to be for the doctor, especially since his mother wasn’t even one of her regular patients. He could see why Dr. McKenna had been recommended to him. She seemed to have an infinite amount of patience.
“I really appreciate this, Dr. McKenna,” he told her, then lowered his voice before adding, “My mother can be very difficult.”
Mikki thought it prudent not to comment on that as she quickly wrote a note to her receptionist. He could say anything he wanted to about Sophia, but after all, the woman was his mother. If she agreed with his assessment, in all likelihood he would become defensive and that would make further communication difficult.
Being vague about her new patient’s disposition was the best way to go.
“Let’s just try to get her better,” Mikki responded. “I’m going to call ahead so that we can get her into the radiology lab for those scans quickly.”
With that, Mikki turned away in order to make her call.
The pain abated again for a moment. Concerned that she was disrupting his life, Sophia looked up at her son. “Just leave me here, Jeffrey. You have to get to work,” she reminded him.
“Not for a few hours yet,” Jeff corrected, “and anyway, I have people to cover for me. Let’s just focus on finally getting to the bottom of this pain you’ve been having.”
A