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“Some tumors grow at an accelerated rate when hormones are added.”
Hannah rolled her eyes. “I don’t need hormones. I just want the Pill so I don’t get pregnant.”
“Many types of birth control are hormones, including the Pill.”
“Oh.” The girl sat quietly, digesting what Chelsea had told her.
“Another thing you should consider having is the HPV vaccine.”
The girl crossed her arms and gave Chelsea a smug look. “I’ve had all my vaccines.”
“That’s wonderful, and perhaps you have had HPV, too, but it isn’t a required vaccine so not everyone has. The vaccine is recommended for girls aged nine through twenty-six. HPV, or human papillomavirus, is the most common sexually transmitted disease in the United States and causes most cases of cervical cancer.”
Hannah’s eyes became round. “There’s an STD that causes cancer?”
“Yes.” Chelsea was glad to see she’d caught the girl’s interest. “There are around fifty strands of the virus. The vaccine protects against the strands causing cervical cancer.”
“If this HDP is so common, why haven’t I ever heard of it?”
“HPV, and you probably have heard of the disease without knowing it. Genital warts are also caused by human papillomavirus,” she explained.
Hannah’s nose curled in disgust, and she nodded. “I do remember studying those during health class. Nasty business.”
“Let me give you some information to read.” Feeling pleased she’d made a connection with the girl, Chelsea stood. “I’ll come back in a few minutes, and you can decide what you’d like to do regarding your pelvic examination and the vaccine.”
She stepped into the hallway and didn’t see Betty anywhere. Scanning the nurses’ station, she wondered where brochures and handouts might be kept but didn’t see anywhere obvious.
“Problems?” a deep voice asked from behind her. A voice belonging to the man she’d had to force off her mind all morning. Her spirits lifted just at knowing he was near, that he still felt the connection between them and had sought an excuse to search her out, to share a conversation. Perhaps he was a man confident enough to overlook her imperfections and care for her just as she was. Hey, a girl could dream.
She turned, but her heart stalled.
Jared’s eyes would have formed glaciers on the sun. Ouch. Why was he looking at her like that? With something akin to…Chelsea sought the right word and could only come up with loathing.
But he couldn’t loathe her. All she’d done had been to ineptly flirt with him ten years ago. OK, she’d kissed him, too, but he’d kissed her back, so surely he didn’t blame that completely on her?
Jared had left the next day and, despite initially trying to contact him, she’d not seen him since.
Not knowing how she’d clung to his words, Will had updated her from time to time. Jared wasn’t married and, other than the longtime girlfriend she hadn’t known about when they’d first met, there hadn’t been anyone special in his life. Laura. She’d suffered at the name, mourned at the existence of the woman who had held Jared’s heart, but she’d never wished the girl’s fate on her. Later that same year Laura had been killed in a car accident.
Jared was Will’s best friend. He wouldn’t hold a grudge for ten years over something as simple as her foolishly throwing herself at him. Would he?
Wishing she didn’t feel like she carried the bubonic plague, she gave a slight smile. “I was looking for a handout on the HPV vaccine and hoping we had one that explains pelvic examinations.”
Without any softening of his features he pointed to the small lab where basic phlebotomy tests were performed. “In those two filing cabinets.”
She nodded, expecting him to walk away, but instead he opened a drawer and pulled out a sheet on the vaccination.
“We keep folders here with all immunization information in them. I don’t recall seeing a handout explaining what to expect during a pelvic examination, but if there is one, it would be in here.” He flipped through another drawer.
Chelsea stared at the back of his dark head, wishing she could read his thoughts.
“Nothing,” he said, closing the drawer and facing her. “You can probably pull something up online when you get time and mail it to your patient.”
Good idea, except she didn’t think Hannah would be receptive to getting mail at home regarding the reasons for her office visit. Although she’d verbally gone over what would take place, she wanted Hannah to have something concrete that explained exactly what would happen during the exam.
“Or I have a patient-education program on my computer. It might have something.”
“Really?”
