The Boy

Little and blond, he plays games
on his mother’s cell phone.
He has learned to ignore

her anger here as in countless other
doctors’ offices. She demands
pills for her pain: oxycodone

for the bruises, lorazepam for anxiety.
I decline, and she declines
my alternatives. Her pretty face

projects poison. I concentrate
on not flinching, not backing down,
trying to appear stoic and concerned

at the same time, clutching
at the compassion that led me here.
Oblivious to the drama,

his attention firmly somewhere else,
the boy’s fingers fly.

Published in Annals of Internal Medicine, Volume 171, Number 8, Oct 15, 2019