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Chapter 5: The Waiting Room Check

The pediatric clinic smelled like hand sanitizer and old coffee. I sat in the orange plastic chair by the window with my son against my chest, his light blue outfit damp where he'd sweated through. Ethan stood at the check-in counter with a clipboard, his white shirt still untucked from the morning.

He didn't look at me when the receptionist asked for the insurance card. He patted his pockets twice.

"I've got it," I said.

He nodded and let me dig it out of the diaper bag with one hand. My other arm never left the baby. The baby's breath was quick against my collarbone, that shallow, too-fast rhythm I'd been counting all night in Diane's guest room.

Ethan sat down two chairs away from me. Not next to me. He filled out the form with his knee bouncing.

"Emergency contact?" he asked.

"Me," I said.

He wrote it. Then under relationship he hesitated, pen hovering.

"Just put mother," I said.

The nurse called us back before he finished the second page. "Maya?"

I stood and Ethan followed. The nurse was older, short gray hair, no nonsense. She led us to a small exam room and gestured to the table. I didn't put him down.

"Let's get a temp," she said. She had one of those forehead scanners. "How long's he been warm?"

"Since last night," I said. "He was fussy. Wouldn't eat as much."

She swept the scanner, waited for the beep. She did it twice. Her expression didn't change but she glanced at the reading and then at me.

"One hundred point four," she said. "Rectal will be more accurate for his age, but that's our threshold."

Ethan was leaning against the wall, arms crossed. "That's not that high, right? Like adults run higher."

The nurse was already opening a drawer for the other thermometer. "For a newborn, any fever at one hundred point four is something we take seriously. Their immune systems are still learning." She looked at me, not him. "We'll get the doctor in quick."

She took the rectal temp while I held his little legs up. He whimpered and his face scrunched red. Ethan looked away at the poster about flu shots on the wall. The number came up the same.

"Low-grade fever, but at his age we watch close," she said, peeling off her gloves. "If he hits one hundred point five, trouble breathing, fewer wet diapers, straight to the ER. Don't wait." She left the door half open when she went out.

The exam room felt too bright after Diane's kitchen. The same warm daylight but this was fluorescent and honest. I bounced my son gently. He was quiet now, too quiet.

Ethan finally spoke. "So it's a real fever."

I didn't answer. I stared at the white paper on the exam table.

"I mean, my mom said—" He stopped himself.

"I know what she said," I whispered. I didn't want the baby to hear my voice shake.

The pediatrician knocked once and came in, a woman in her forties with a stethoscope already around her neck. Dr. Patel, according to her badge. She washed her hands at the sink without rushing.

"Hi Maya, hi Ethan," she said, glancing at the chart. "So we've got a nine-day-old with a low-grade fever. Tell me about feeding and diapers."

I told her while she listened to his chest. She was careful with him, her hands small and warm. She pressed his belly lightly and he squirmed.

"Early infection," she said after she listened again. "Could be viral. Lungs sound clear right now, which is good. But this age we don't take chances." She turned to both of us. "Here's the plan, and I need you to hear me. Quiet home. No crowds. No visitors passing him around. Just mom and baby together, minimal handling. Lots of rest for both of you. I want you back here in twenty-four hours to recheck. If anything worsens tonight— fever up, lethargy, poor feeding— you go to the ER, you don't call first."

She wrote it on the after-visit sheet as she said it. Quiet home. No crowds. Isolate. Follow-up 24 hours.

Ethan frowned. "Quiet home— like, our apartment or..."

Dr. Patel didn't know about Diane's house. She just said, "Wherever is calmest and cleanest. Fewest people in and out. Newborns don't need a lot of stimulation right now, they need their mom and sleep and clean hands."

I felt my shoulders drop for the first time since the kitchen. Then I felt something else click into place and go cold.

Diane's house wasn't quiet. It couldn't be. The last two days there had been her sister stopping by, her neighbor bringing a casserole, Ethan's cousin texting she wanted to see the baby. The kitchen was the center of it all, that bright island where everyone stood and talked loud and reached for him. She'd had me in the guest room right off the living room with the door that didn't latch.

That house violated every line Dr. Patel just wrote.

Ethan took the paper from the doctor and folded it twice. "Okay. Twenty-four hours."

Dr. Patel rested a hand lightly on my forearm. "You're doing the right thing bringing him in. Trust your gut these first weeks."

When she left, the nurse came back with discharge instructions and a follow-up appointment card for tomorrow morning at nine. I held it while Ethan held the door.

In the hallway, with the baby against my chest, I said, "We can't go back there."

Ethan didn't look at me. He stared at the folded paper in his hand.

"We can't," I said again. "Did you hear her? No crowds. He needs to be with me. Not in your mom's house."

He exhaled slowly through his nose. "We have to get the bag first."

I knew what that meant. The diaper bag was still on the floor of Diane's guest room, by that kitchen where she watched us.

May you like

"After that," I said, "we go home. To our apartment."

He didn't say yes. He didn't say no. He just pushed the clinic door open for me and let the bright daylight hit us, and we stepped out with a plan that finally gave me a reason to say no to that house.

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