twelve-year-old in the world.
With the back of his hand he wiped the wetness from her cheeks.
âIâm sorry, Daddy,â said Michelle through her tears.
âWhat do you mean, sorry?â asked Charles softly.
âIâm sorry Iâm sick again. I donât like to be a bother.â
Charles hugged her. She felt fragile in his arms. âYouâre not a bother. I donât want to even hear you say such a thing. Let me look at you.â
Embarrassed by her tears, Michelle kept her face averted as Charles pulled away to examine her. He cradled her chin in the palm of his hand and lifted her face to his. âTell me how you feel. What is bothering you?â
âI just feel a little weak, thatâs all. I can go to school. Really I can.â
âSore throat?â
âA little. Not much. Cathryn said I couldnât go to school.â
âAnything else? Headache?â
âA little but itâs better.â
âEars?â
âFine.â
âStomach?â
âMaybe a little sore.â
Charles depressed Michelleâs lower lids. The conjunctiva was pale. In fact, her whole face was pale. âLet me see your tongue.â Charles realized how long it had been since heâd done clinical medicine. Michelle stuck out her tongue and watched her fatherâs eyes for the slightest sign of concern. Charles felt under the angle of her jaw and she pulled her tongue back in.âTender?â asked Charles as his fingers felt some small lymph nodes.
âNo,â said Michelle.
Charles had her sit on the edge of the bed, facing away from him, and he began to draw up her nightgown. Jean Paulâs head came into the room from the connecting bathroom to tell her the shower was free.
âGet out of here,â yelled Michelle. âDad, tell Jean Paul to get out.â
âOut!â said Charles. Jean Paul disappeared. He could be heard laughing with Chuck.
Charles percussed Michelleâs back somewhat clumsily but well enough to be convinced that her lungs were clear. Then he had her lie back on her bed, and he drew her nightgown up to just below her nascent breasts. Her thin abdomen rose and fell rhythmically. She was thin enough for him to see the recoil of her heart after each beat. With his right hand, Charles began to palpate her abdomen. âTry to relax. If I hurt you, just say so.â
Michelle attempted to remain still but she squirmed beneath Charlesâs cold hand. Then it hurt.
âWhere?â asked Charles. Michelle pointed and Charles felt very carefully, determining that Michelleâs abdomen was tender at the midline. Putting his fingers just beneath the right ribs he asked her to breathe in. When she did, he could feel the blunt edge of her liver pass under his fingers. She said that hurt a little. Then with his left hand under her for support, he felt for her spleen. To his surprise he had no trouble palpating it. Heâd always had trouble with that maneuver when he was in practice and he wondered if Michelleâs spleen wasnât enlarged.
Standing up, he looked at Michelle. She seemed thin, but sheâd always been slender. Charles started to run his hand down her legs to feel the muscle tone, then stopped, noticing a series of bruises. âWhereâd you get all these black-and-blue marks?â
Michelle shrugged.
âDo your legs bother you?â
âA little. Mostly my knees and ankles after gym. But I donât have to go to gym if I have a note.â
Straightening up again, Charles surveyed his daughter. She was pale, had minor aches and pains, a few lymph nodes, and a fever. That could be just about any minor viral illness. But four weeks! Maybe Cathryn was right. Maybe she should be seen by a ârealâ doctor.
âPlease, Dad,â said Michelle. âI canât miss any more school if Iâm going to be a research doctor like you.â
Charles smiled. Michelle had