much,” she answered.
Why do these things always come in batches? Mel thought. I’m not over Brie! Carra’s vaginal wall was torn, ragged. Raw. Her hymen was ripped open and looked like so many little fingers. She completed her exam quickly, and while she didn’t have a rape kit handy, she did have a sterile swab with which she took a vaginal specimen, although it could be too late for any DNA recovery.
“Okay, Carra, let me help you sit up.” Mel snapped off her gloves and helped Carra get herself settled, legs dangling off the table. “I’m concerned about what happened to you, Carra. It looks like you’ve been hurt. Want to tell me about it?”
She shook her head and a couple of big tears spilled over. Carra was a plain girl with an oblong face, bushy, unshaped brows and a small problem with acne. And right now, a really bad case of regret and fear and nerves.
“It will be confidential,” Mel said tenderly. “It’s not justthe bruises, Carra. Your vagina looks ragged. Torn. The damage isn’t serious. It’ll heal. But from everything I can see—”
“It was me. It was my fault.”
“Something like this is never a woman’s fault,” she said, and she used woman purposely, although this was a mere girl. “Why don’t you tell me what happened, and we’ll go from there.”
“But you’ll give me that pill?” she asked desperately.
“Of course. We’re not going to let you get pregnant. Or sick.”
She took a deep breath, but it brought the tears harder. “I just changed my mind when it was too late, that’s all. So it’s my fault.”
Mel touched her knee. “Go back to the beginning. Nice and easy.”
“I can’t,” she said.
“Sure you can, honey. I’ll just listen.”
“We decided we were going to do it. He got all excited about that—he said he was sorry after. We’d already started…. He couldn’t stop.”
“He could,” she said. “I can see the bruises from his fingers, like he held you down, held your legs apart. I can see the marks, the tears. Let me help you.”
“I wanted to, though.”
“I know, Carra. Until you didn’t. And you told him no, didn’t you?”
She shook her head. “No. I wanted to.”
“If you said no at all, that’s rape, Carra. Date rape.”
Carra leaned forward, her position pleading. “But I’ve done things with him. Lots of things. And I wanted to.”
“Have you ever had intercourse before?” She shook herhead. No. “You can say no right up to the last minute, Carra. That’s the law. And it doesn’t matter what you did with him before. Tell me—is this a boyfriend? Or someone you’ve only known a little while?”
“I’ve known him a long time from school, but he’s been my boyfriend a couple of weeks.”
But they’ve done a lot? Mel was asking herself. “Carra, he moved pretty fast. I want you to think about this. A couple of weeks. This is one determined guy. How old is he?”
“No,” she said, shaking her head. “No, I’m not telling you any more. I’m not getting him in trouble. It wasn’t his fault. It was my mistake, but he’s sorry.”
“Okay, listen—don’t get yourself all upset. If you change your mind and want to talk about this, you just call me. Or come to see me. Doesn’t matter when. Let’s get you on a dependable birth control and—”
“No. I’m not doing it again,” she said, holding her mouth in a tight line while tears wet her cheeks.
Oh, she’d been raped. Sounded as if she didn’t even have much of a date, Mel thought. “Carra, if you continue to see this boy, this man, it’s going to happen again.”
“I’m not doing it again,” she said firmly. “I need that emergency pill. That’s all.”
“That’s all for right now,” Mel said. “I want you to come back in a week or two, so we can test for STDs and be sure you’re healing up. It’s too soon for anything to turn up today, this soon after exposure. But this is really important. Will you do that?”
In the end