“Hey Meg, your sister is here.” Kelly said, popping into a room where I was suturing a laceration on someone who dropped a kitchen knife… and tried to grab it.

“In the ER?”

“Yeah in the waiting room demanding to see you… She looks really upset.”

“Oh geez I better go talk to her.”

Now my younger sister Elizabeth is a full 10 years younger than me. My parents really worked hard to get her… Or maybe my mother worked my dad hard? My mom wanted to be a “mommy” one more time… Honestly my mother just loved being a mom and when Elizabeth came along she relished the fact that I finally had a little sister… Though she also forgot how big a ten year age gap is. I’m going into a fellowship and she was a freshman in college. At a college three hours away from Boston… What was she doing here?

Despite the age difference we did get along and I was a great confidant for her. She always went to me instead of mom with “big” problems and as much as I was a short, kind of stocky, Richardson woman she was the spitting image of my mom. Tall, red hair, thin… and like my mom extremely shy… until you really got to know her. Then the life of the party.

“Elizabeth?” I said calmly walking to my terrified looking sister.

“Meghan, so glad you are here. I went to your place first but you were not there… so I was hoping you were at work.”

“You’re crying, what's going on? Is everything ok?”

“I had a date for the college dance mixer… you know how mom says don’t do anything she wouldn’t do? That’s not really good advice…”

“What?”

“I’m LATE… LATE… I’m… LATE…”

“Late to?”

“I had sex with my date! Now I am LATE!”

“How late?”

“Only like three weeks but Meghan… Don’t tell mom OK…”

“OK I won’t but… Ummm… I’m surprised…”

“Can you do some easy test…. And not tell mom?”

“Sure… How did you get here?”

“Adam drove me…”

“Who’s Adam?”

“I hope he's just my sort of boyfriend and not my kid’s father…”

“OK, Ummm where is he?”

“In the car… I told him to wait there…”

I took her back to an exam room and grabbed Kelly, I had my sister pee in a cup and rushed it off to the lab with instructions to page me when they get the results.

“You should really go tell Adam to come in… This could be an hour or two… or three if they are busy.”

“Yeah… What was I thinking Meghan?”

“Hormones sometimes take over…”

“I knew better… I don’t even… touch myself… ya know… but I had SEX… I didn’t even think I’d like sex… Sex is so weird… a hard thing goes in a soft squishy place… But… I had SEX…”

“Well was it good?” Kelly said from across the room, trying to make a joke.

“No… We were two awkward virgins… He was going to TRY and pull out… He missed…”

“Well… Ummm…” Kelly said awkwardly. “Tell you what… tell me where Adam parked and I’ll go get him… you stay with your sister.”

I was called in and out a few times but when I could be in the room with Elizabeth I was… we were mostly silent until I came back after a quick case and she opened up to me a bit more.

“You know Meghan… Mom still thinks I am ten…”

“Yeah, you’re her little girl.”

“Yeah… She… I know she took you to a doctor before college… for birth control… She never even offered that to me… and if she did… I’d have said no that’s ok…”

“I didn’t even know you had a boyfriend.”

“Well we haven’t dated that long… Just a date for the dance, ya know… I thought we were just friends… But then after the dance we started making out… and Meghan… I was aroused…. So… I don’t know… we just had sex… I didn’t even take my dress all the way off. I was feeling shy… Then we started dating… can’t really just be friends with someone you had sex with… But yeah he knows I might be pregnant…We haven’t had sex again… I’m too scared…”

“It’s OK… No matter what you know I’ll be with you the whole way.”

“I don’t want to be a mommy now though… I want to be a teacher… I wish I never had sex…”

“Elizabeth… Look it happens, my first time wasn’t really planned either… and he wouldn’t have driven me three hours to see anyone… and I am glad you trusted me. Now once this is over let’s get you to a gynecologist. If you’re not pregnant, get you on your own birth control… and if you are…”

“If I am not, mom can NEVER know about this OK…”

“Yes it’s OK… I won’t tell her… Want me to call my doctor? She’s really good.”

“NO! Someone who hasn’t seen you and mom… I mean like… Ewe… she’s seen you and mom naked! And ummm it would just slip out that I was there. Don’t you know anyone down here?”

“Sure OK… Let’s see what’s going on first, OK?”

Just about then Kelly and Adam came into the room. He was carrying a dozen roses for Elizabeth. “Sorry it took us so long, he had me take him to a florist.” Kelly mentioned

“Thank you Adam, that’s so sweet…” My sister said, giving him a kiss.

“Of course Liz…” He said holding her hand.

The tension in the room was thick… We were just waiting… Finally two and a half hours after I sent the lab work down I got the call. I stepped out to take it.

“OK I have your results.” I said in a deadpan tone looking at Elizabeth and Adam.

“WELL….” Kelly said, looking at me while Elizabeth and Adam held each other's hands tightly.

“Well…” I said holding back all emotion “Elizabeth…”

“Just tell me! Geez!”

“You are not pregnant.” I said, bursting out a smile for her.

“Thank God! I love you Adam but.. Thank GOD!”

“I love you to Liz.”

“Wait! you love me! You love me! Me? Ugly me?”

“Yes and you’re not ugly you are really hot.”

“No I’m not…”

“Yes you are.” He said, as they suddenly started kissing, with a large amount of passion.

“Geez kids, get a room!” Kelly piped up with a chuckle.

Elizabeth shot up and straightened out. “Oh sorry… Just…”

“It’s OK.” I said smiling, “but yeah, let’s not get you pregnant because you’re happy you’re not pregnant.”

“We love each other! Adam loves me! I love you Adam!”

“OK but no hanky panky until we take some precautions OK?”

“OK Meghan.. Right Adam?”

“Yes yes… Ummm but..”

“Elizabeth, why don’t you spend the weekend with me and Kelly. Let this all sink in just have a girls weekend… and let it all sink in with Adam. I’ll drive you back to school on Monday OK? Is that OK Kelly?”

I gave Elizabeth my keys so she could get into my place while I finished up my shift. A little later Kelly popped in to see me again.

“Hey Meg, you were really great with your sister.”

“Thanks I miss her a lot, we’ll have a good weekend.”

“You know Adam did more than buy her flowers.”

“Oh?”

“Well. I am not supposed to tell anyone… So don’t tell your sister. He made me stop and he bought an engagement ring just in case she was pregnant… Just a cubic zirconia, best he could buy right now… but that was really sweet and responsible for him.”

“That is.”

“Your sister is really nothing like you… She’s usually so quiet when I have met her and doesn’t look much like you.”

“I spent a lot of time with my Aunt Mary, especially when my dad was still in med school, and Elizabeth was smothered by our mom… I think my aunt wore off on me a lot… I mean I’ve never heard my sister even swear once… And well, you’re nothing like your older sister.”

“Well my older sister is a nun sister… I do miss seeing her though.”

“Yeah… she knows every angel, you know every angle.”

“Oh come on Megs… But yeah I do, just ask Brian.” Kelly responded, shaking her butt as she walked away.

That night the three of us were sitting around the living room as I was calling around to the OB-GYNs that I was not only friends with, but I’d also trust my little sister with.

“OK Elizabeth… I found you two options who can see you tomorrow. Doctor Benz and Doctor Garcia.”

“Benz, like the car?”

“Yes. He’s pretty good, of any male doctor in the hospital I’d probably pick him. Some girls think male gynos can be more gentle. They are worried they might hurt us…” Kelly said brightly.

“Yeah but… he’s a he…”

“Yeah I get that.” Kelly said, pausing. “I would rather see women for that.. Though I have seen them both work and he is caring and gentle… Doctor Garcia is a small latino woman so tiny hands and fingers might be more comfortable.”

“I really don’t know…” Elizabeth said. “I am really really scared.”

“Well what about?” Kelly asked

“Someone seeing my ugly body.”

“OK you are really pretty, you know that right? And I am not your mom or sister so I’m not trying to make you feel better… Secondly the doctor couldn’t care less what you look like. They see vaginas all day long. You’d just be another vagina.”

“That really doesn’t make me feel better.”

“Why not?”

“I don’t want to be the vagina of the day… anyways it’s going to hurt too.”

“Hey once you have had some D in you the gyno is a breeze!” Kelly responded in her own way.

“The D sucks. I hated it…”

“Oh ummm… Well…”

“It hurt so much I hope I never have sex again…” My sister said curling up in a ball on the couch.

“You OK there?” I asked, as Kelly quickly realized she said too much.

“No…”

“What’s up sis? What are you really thinking?”

“I really do love Adam… I honestly didn’t think he loved me but he does. We were making out and we just had sex… I don’t know why, we didn’t talk about it… He tried to kiss down there… I was like no, that’s gross…”

"You mean went right to sexy sex? I figured you'd want to suck on it first." Kelly said with some shock in her voice

"Ewe gross! Put his peepee hose in my mouth! NO"

"Peepee hose? How old are you sis?"

"Penis just sounds so.... weird though… Gosh it’s so veiny… and scary looking… I did touch it though… then I hiked up my dress… and he was on top of me… we were kissing… a lot… and the tip was right there… Meghan I pushed my pelvis up against the tip and… he was pushing it in… and I… didn’t stop him… and we just had sex… I was trying not to cry the whole time… It was so bad… I felt like I was being ripped open and then he kept hitting my… up part… the.. What is it…"

“Cervix sis.” I said

“Yeah that part…and when he was done I was bleeding… and I was crying and he was holding me saying he was sorry… and I kept saying I was sorry and… I don’t know… then I avoided him for a while… and he kept calling me… sending me gifts.. Then I was late… and he took me here to see you… but God, was it this bad for you two?”

“My first time was, Elizabeth.” I told her all about the king asshole, turned hospital chaplain and priest.

“Yeah but… was it THAT bad.”

“No, but I didn’t… well to be honest I had had stuff up there before.”

“Like what?” My sister said somewhat curiously, and trying to embarrass me a bit, I am sure.

“My purple hair brush handle.”

‘What?! EWE! I used to borrow that brush from you! What about you Kelly?” My sister suddenly asked.

“Oh well… before I was slutty… And I am NOT anymore… I was steady with someone for a long time… we did a heck of a lot of… Let’s just say we did a lot with our mouths for like a year or two before we made the plunge.”

“Did it hurt though?”

“Honey I wanted to be a good girl and stay a virgin… we did it in my ass… I shrieked the whole time in pain.”

“What!” I yelped, blowing soda out my nose looking at her.

“I was a very good girl… back then…It was the sex God couldn’t see and what did I know? Anyways I wasn’t bleeding but he was grossed out cause he had shit on his dick. Anyways play in the dumpster you’re going to get dirty. I came the first time I had pussy sex though.”

“Well lucky you. I’ve never even masturbated.. OK OK… I had enough… Meghan, take me to that car doctor.. Benz… But please I am so scared. Can you go in with me?”

“Of course Elizabeth… Come on, it's been a long day, want to watch the late night movie or go to bed?”

“Movie…” My sister said, though we all ended up asleep on the couch within the next 30 minutes, and each of us wandered off to a bed at some point in the night.