Chapter 15

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Nivea Pov

"Hello, My names Nivea Washington and my Medical Assistant Sharee told me that you have a mole on your back that you think is pretty different from your others?" I asked shaking my patients hand introducing myself.

"Yes ma'am, and its pretty new. For it to be new its fairly large."

"Hmm, any history of atypical moles?" I asked taking a look at her mole under my dermatoscope.

"No ma'am, but I have family history off Squamous Cell Carcinoma." My patient said looking very concerned.

"I see, Sharee document Atypical Macule on the right upper back." I said looking over at her she nodded and proceded to set up the patient specimen bottle for a biopsy. "So, Mrs. Canton I would suggest a biopsy of this mole for a few reasons. For one, its quite the size to be new. Second, it displays more than one color and has a small notch missing. Lastly, you have family history of skin cancer, so its best to remove it for further evaluation." I said sitting my dermatoscope down explaining to the patient my concerns.

"Well what will I expect? Whats gonna happen? What are the care instructions? What happens if its cancerous?" The patient rushed out in slight panic and concern. "Im only twenty-four! Im too young for skin cancer! What if its mel-"

"Woah, Mrs. Canton please calm down. For the biopsy, I will be numbing the area and doing a shave biopsy. Meaning, im not excising anything just shaving off the mole and the mole only and there will be no stitches. Once its sent off we will have an answer within one to two weeks determining what exactly it is and what needs to be done from there. If it comes back benign, then thats fine no further treatment is needed. If it comes back with atypical cells, not cancerous, but atypical we will need to excise. Now, if it comes back cancerous, we will excise and we will have you back 3 months or so for a full body skin exam. Understood?" I said while Sharee had her to sign the consent form allowing me to do the biopsy. She shook her head okay. I had her lay down on her stomach after finding out if she had any drug allergies. three minutes later I had the mole off and inside the specimen cup all bagged up. I said my goodbyes and left Sharee to explain the care instructions.

Walking past the nurses station, I asked the ladies if they needed anything before heading to my office.

"Nivea, theres this lady whos throwing a whole fit about her acne medicine."Tonya said looking really annoyed. I have her handling phone calls cause she dont mind telling people off professionally.

"What shes saying?" I said with a stank face and switching my laptop to my other arm.

"Well shes mad because we took her off her oral medication Doxycycline and her face is breaking out. But, this the same lady who didnt use her topicals with it and only used the Doxy because it cleared her skin alone. I hate patients who arent compliant, but want help wh-"

"Aye! Aye! Calm down" I said laughing a little because she was really about to go in. "Tell her that she was told that it was important to use the topicals along with the antibiotic, so this dont happen. The rule for Doxy, is three months on and one month off. She knows the cycle." She nodded and picked the phone up. I know she already know what to say to the patient so im not sure why she asked me anyways. Pretending to walk off is stick by the door to listen to her response.

"Hello? Mrs. Dickerson. I spoke with Dr. Washington, and unfortunately we cant put you back on Doxy right now due to you being on it for three months. Use your topicals, come in and get a acne treatment and that should help." She sounded so profess- "Ladyyyyy, do we really wanna do thissss? You know, if you were to do as told you wouldn't be breaking out. We told you to use your Aczone and Veltin, but no you had to be hardheaded. Lady listen, you dont wanna go there over some acne. I wont be disrespected, and its nothing to pul-" I snatched the phone from her.

"Hello? Mrs. Dickerson, im going to transfer you to management and they'll take it from here. Sorry, about that I'll be sure to offer a month of free facials. Alright, give me a second to transfer you." I gave Tonya the side eye, she zipped her lips and threw away the key. "Tonya, you gone run out of place for me to put you. Next step gone be out the door, and I dont wanna do that." I said before walking off. I told you shes very professional, but it can go left really quickly.

"Myaaaa! are we almost done for the day? Im tired, my feet hurt, im hungry." I said complaining walking into our office to do some documentation on the patient I just seen.

"Biiiitch, we almost there. We only a hour left here before we're done. Oh, and imma talk to Stacy up front who makes appointments. She aint got another time to schedule a full body exam at the end of my day." She said rolling her eyes and getting back to typing up her documentation for a patient. I sighed and got to work, somehow I've gotten behind and I dont like that.

I know yall wondering what happened, but its now eight years later and im now twenty-six. Your girl is a Doctor who specialize in Dermatology. As you can see my bitch Mya is still by my side. Shes a Physicians Assistant we work together. Not only that this is our practice, and I wouldn't have anyone else by my side. It was hard work getting our clientele up, but baby its booming now. Its a dermatology office that of course handles the skin, but we also do Botox&Filler, Lasers, and offer facials. Lets just say, we be getting our money. Mya can do medical, but she specifically wants to do Cosmetic.

"I had this lady to come in for some botox, and was thinking about doing filler. So I suggested her doing her lips, and this hoe caught a WHOLE attitude. Not my fault her lips were paper thin. Not like I was being mean, because I was just offering my expertise. Thin lip hoe" She the last part under her breath. When I tell y'all I was hollering!

"Mya you cant be calling patients hoes and thin lips" I said trying to be serious. "But no ma'am Im done for the day. Looks like my last one canceled, so im going home bihhh!" I gave her a kiss and started packing my stuff.

"Nope remember you were going to meet with that Drug Rep, about that new specialty pharmacy?" She said with a sly grin. Dammit I forgot all about ole that man.

Walking into the house and kicking off my shoes im greeted by my fur baby Cali, shes the cutest Yorki in the world. Followed behind her I look up to see my handsome young man Chase. He is the absolute best thing thats ever happened to me. Caramel skin, curly hair and greenish eyes and not to mention he's so handsome! Yeaaa that night after that party, led to a lot of surprises down the line.

"Hey ma, you have a good day at work today?" He asked with his arms open for a hug and kiss. For my baby to be eight he's well spoken and mature.

"Hey mamas baby! today was pretty good. How was school today? You learn anything new?" I asked heading towards the living room with Chase hot on my trail. "Hey Rico and Trey!" I said plopping down on the couch.

"Sissssss! Bout time you got here. Square Bob and is uncle working my nerves. I gotta go release some stress." He said standing up and mushing my baby head and chucking up the deuces. He better not come for my baby like that again. I threw the remote at his back but it kinda hit him in the head. Sorry.

"Aye lil nigga, better leave my nephew alone. Anyways, he already ate, and his homework is done." Rico said getting up as well giving me and Chase a hug. I went to Chase book bag and looked over his homework. I smiled looking at my baby work proudly. I nodded in approval and headed to the kitchen.

"What did you eat Chase?" I said taking out some chicken, fresh greens, and some mac n cheese. No telling what they fed my baby.

"Uncle Rico took me to Chick-Fil-A when I got finished with school." I nodded and put ALL that food back up. Im bout to heat up a microwave dinner and call it a night after I get him in be. I know I got a lot of explaining, but it'll all make sense in due time.

You've reached the end of published parts.

⏰ Last updated: Oct 09, 2018 ⏰

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