44:OK, I Believe You

T. presents with pelvic pain. The abdominal exam with its initial gentle palpation that tries to localize the pain and estimate its strength, was, frankly, unimpressive. T. must have sensed this; without warning she grabs my hand, pulling it deep into her abdomen. After a long 30 seconds, she lets go and assumes a semi-fetal position, tears streaming from pain. She explained that she just wanted to demonstrate the pain.