"Hello?"
"Dana, this is Jill from next door. I hate to ask you this, but I need to ask a huge favor. Is there any way you could come over and look at Matt for me?"
"Certainly Jill, what's wrong with him?"
"He said he fell out of a tree he was climbing and hurt his, um, how do I say this, ehm, his groin area? He's in a lot of pain but he won't let me look because I'm his mother. I don't know if I should to take him to the ER?"
"Fell out of a tree?"
"I know. He's 18, I don't know why he's climbing trees. He's in a lot of pain though and I'm worried he may have really hurt something, if you know what I mean."
"Jill, I'll be right over. I raised a son myself, so I understand how some boys can be. See you in a minute."
Jill and Matt moved in three years ago. She is a single mom and they keep to themselves. Jill is very quiet and reserved. Matt is a senior in high school, also very quiet. He's a sweet boy though but very shy. I've never seen him hang around with friends and he seems to always be home.
But, I have seen him in that tree before.
Many times.
...
"Dana, thank you so much for coming over. He's in his room." We walked down the hallway and she knocked on his door.
"Matt? I called Dana from next door. She's going to look at you."
"WHAT? Jill NO! I'm fine!" Jill opened the door and as soon as I saw him lying on the bed, knew he was in a lot of pain. I also thought it odd he called her Jill and not mom. I'd not picked up on that before.
"Matt, your mom told me you got hurt in a sensitive area. I've been a nurse for 30 years and have seen it all. To me it's like I'm looking at your arm or your leg.
I see you are in a lot of pain. There is a chance you may have ruptured a testicle or even twisted them. That's called torsion and isn't good. If that's the case, we will be heading to the ER immediately. It could cause permanent damage and you don't want that. This won't take but just a few minutes. Is it okay for me to examine you?" His face had turned red from embarrassment but he knew something wasn't right. He looked back at his mom and then asked,
"Will she be in here?" I looked at Jill and motioned for the door. She nodded and walked out, closing the door behind her. Most teenage boys are like this.
"Can you tell me what happened and where you got hurt?" He waited until the door was closed before he talked.
"I was bored and decided to climb the tree in the backyard. I slipped on one of the branches and fell about six feet, landing directly on the branch. It was so painful. I even threw up.
Do you really have to look at me?"
"How am I going to tell what's wrong if I don't? Not only look, but I'll have to feel around too. There is no need to be embarrassed. Okay? If you don't let me do it here, there will be several nurses and techs at the ER that will be looking and you won't have the level of privacy you do here in your bedroom. But I can't promise after I look we won't be taking you to the hospital anyway. Understand?" He nodded in fear.
"Can you stand up for me?" He lifted himself off the bed and stood, but was bent over in pain.
"It hurts that bad? Maybe we just need to take you to the ER now."
"No, please. I don't want to go to the hospital if I don't have to. What do I need to do?"
"Simple, just lower your pants and underwear. I'll need to look and feel around. Since you are already in pain, any touching I do is going to hurt. I'll be as gentle as I can, but that's the only way I can see if I can figure out what's wrong." He nodded and lowered his pants. He held his hand over his penis which was erect. I noticed the tenting in his underwear and is normal for a boy his age.
"I need your underwear down too." He looked at me and then down at his predicament trying to make it go down. Without hesitation, I added,
"Don't worry, I've seen an erection before. Boys your age get them all the time and it's nothing to be embarrassed about. Many men also get erections when examined. I see it happen frequently and it's normal. Now the sooner you let me examine you, the sooner this will be over."
He mumbled "this is so embarrassing" as he pulled his underwear down.
I've been a nurse long enough to not be surprised at anything I see. Fortunately, I maintained my composure as I looked.
"You
are
swollen. I know that hurts. My son got hit with a baseball once and his scrotum looked just like this. I'll be as gentle as I can but it's going to hurt. I'm sorry." I reached down and felt around his testicles. His scrotum was swollen and already turning purple from the bruising. He flinched several times from the pain and was almost in tears at one point. It didn't appear he ruptured anything and it felt like everything was where it was supposed to be.
"Have you been able to pee?"
"Yes"
"Did it hurt?"
"No."
"Did you notice any blood in the urine?"
Again, "No."
As I finished my exam, I held his penis and looked at the raw skin on the shaft. I pulled back his foreskin and noticed red splotches on the glans. He flinched again as I touched one of the raw areas. He then asked,
"Can I pull my pants back up now?"