Life as a Nurse, Part one Some people ask me after so long working the emergency room, how do I take it, that is how can I do it and not go completely insane. Well, my answer is always the same, with humor. Some professionals call it gallows humor. I just call it making the absurd fit into my realm of thinking. Case in point: I was caringfor a beautiful 16-year-old blonde who was in the emergency room with abdominal pain. This young lady was insistent about washing her hands over and over. Good I thought, at least she is clean. Now, part of the exam for any female who presents with abdominal pain is a pelvic exam. I carefully knocked on her door and introduced myself and then went on to explain her treatment plan. I asked her if she had any questions, for which she replied no. The doctor was quick with his exam and we collected our usual specimens. After the doctor left, this young lady suddenly sat up and asked, "so, you can tell if I am pregnant with those tests you are doing?" I reflected for a moment, wondering if I had somehow been mistaken and had explained the treatment plan to another patient. Jolting back to reality, I explained that she was not pregnant and I had already been over this with her once. I then thought for a moment and decided to go into mother mode with this young lady. "Are you using protection when you have sex?" I asked? To my surprise and utter dismay, she chirped out, " but of coure, my boyfriend always closes and locks the door when we have sex." OK, I thought, time to go into the stern nurse mode. I sat there and explained why it was important to use protection, and that condoms would protect her from disease. I also very sharply told her that she was in high school with no means to support a new baby should that happen. (The love of her life being a mere 17 years old himself.) I then decided the best approach was to go into street gutter mode. How do you think you catch sexually transmitted diseases? To my amazement she very proudly stated, "Like you know, from the faucets at school." I now realized why she insisted on washing her hands so often. I could only leave the room and wonder if the scholars were right, perhaps an IQ test should be mandatory before one procreates.