Patient: Don LotharioPatient NotesDon came in for a monthly visit he appeared tired and somewhat tense. The following is a transcript of said appointment.Therapist says...So Don you look a little hagard are you doing OK? Well, I'm exausted.
How are visitations going with your son?
They were going pretty well I haven't seen my boy though in about a month mostly because I have been occupied with other things..
I felt Don was leading up to tell me something important so I opened the conversation so it would progress naturally.Why don't you tell me about it Don?
It actually all started about a month ago. I had James for the weekend. Cassie was moving into her new place so for once she wasn't reluctant to let him go with me.
I had fulfilled all her requirements of keeping him overnight. She made me get a bunch of kid stuff besides toys. I had bought a feeding chair, crib, changing table, potty cause my boys training ya know! LOL!
Cassie made me show her reciepts for the stuff before she would actually let him sleep over.
I could have fought her on it I do have legal overnight visits but I thought about it and she was right he still is a baby and needs those things.
James is a quiet good little boy. He doesn't cry much at all. I see Cassie in his eyes he has her same expression of watching me closely. It's actually weird.
I had taken him to the apartment playground which he seems to like. He got pretty dirty so it was bath time. Cassie has written down his routine which I somewhat try to follow.
"DON!
DON'T FORGET!!
JAMES BATH AFTER PLAY OUTSIDE
GERMS!!!LETHAL TO BABY'S IMMUNE SYSTEM SINCE IT'S NOT YET DEVELOPED.
FEED HIM AFTER HIS BATH!
LOOK IN HIS BABY BAG AND FEED HIM WHAT I SENT FOR YOU!
NO ADULT FOOD DON!
HE IS ON TODDLER BITS.
IT DOESN'T HAVE PRESERVATIVES OR ADDITIVES AND I DON'T WANT HIM HAVING THAT JUNK!
I HAVE SENT YOU ENOUGH FOOD TO LAST THE WHOLE WEEKEND!
FEED HIM HIS RICE CEREAL IN THE MORNING WITH A BOTTLE OF OJ GIVE HIM SIX OUNCES. PREPARE HIS CEREAL WITH HIS FORMULA. NO COWS MILK. HE LIKES IT WARM NOT HOT.
HE EATS LUNCH AROUND 11AM SINCE HE WAKES UP SO EARLY.
YOU CAN FEED HIM ONE JAR OF TURKEY OR MAC AND CHEESE. FOR HIS DESSERT ONE OF THE FRUITS. HE ALSO HAS A BOTTLE OF FORMULA.
TRY TO PUT HIM DOWN FOR A NAP BETWEEN LUNCH AND DINNER BUT NOT TOO LATE.
DINNER THE SAME.
DON'T LET HIM WATCH YOUR NASTY MOVIES!
VERY IMPORTANT! PUT HIM ON THE POTTY CHAIR IN THE AM WHEN HE WAKES, AFTER EACH MEAL WITHIN 10 MINS AND BEFORE BEDTIME.
BEFORE HE SLEEPS HE LIKES TO BE READ TO I PUT ONE OF HIS FAVORITE BOOKS IN HIS BAG. GIVE HIM A BOTTLE OF WARM FORMULA WHILE YOU READ TO HIM AND HE WILL SETTLE RIGHT DOWN.
CALL ME ON MY CELL IF THERE IS ANY PROBLEMS. I'LL LEAVE MY PHONE ON.
When I first read this note I was pissed. She was treating me like an idiot. Doesn't she remember I'm a Doctor?
But despite my annoyance I found myself tapping the
"RULES" to the fridge and keeping the schedule since the first night James did nothing but cry and complain.
So I gave my boy his bath after the playground.
It was time for lunch. I fed him his food Cassie had sent. Made myself a sandwich too since I was starving. I looked up at my boy he was done with his mush.
He is a funny little man. "So James....Mom says I have to put you on your potty now but the rest of the afternoon is open. Want to watch a movie? I got a new movie it's called 'The Burning Bush'. LOL! Yeah...your right I don't think your Mom would like that.
James is down with potty cause he actually went for me which surprised me because so far he had only just sat in it for a few split seconds and ended up soiling his pullups. I was in the process of cheering and making a fuss about it when the doorbell rang.
Now..who the hell could that be? It better not be your Mom to pick you up. She promised to let me have a full weekend.
Well it was not Cassie. It was Nina
again.
"Nina what are you doing here?"
"Aww....is that your boy Donny? He is a cutie! He looks like Cassie Don he is her clone!" she squealed.
"Nina why are you here? I am busy as you can see I have my son this weekend." I tried to get rid of her I swear I did. Nina has been showing up every few days. I am so tired of this. How many times do I have to reject this woman?
I started to walk away and put James down in his crib it was time for his nap. I figured Nina wanted money so I went to get my wallet. "Donny?....I need to stay here Brandy asked me to leave."
"Oh No! Nina I told you we are not a couple. I don't want to live with you. I'll try to find you some kind of pregnancy shelter or something."
I really didn't want her to move in with me. I guess I was still holding on to some hope that Cassie might want me back at some point.
"Donny I'm pregnant with your baby and I'm homeless. I'm not asking you to marry me or even to be my boyfriend just take care of me at least until the baby is born."
I thought about Nina's words and felt badly about her situation. I knew she was sleeping on Brandy's couch and that Brandy was tired of taking care of her.
"Why did she ask you to leave? What did you do?"
"She said it was time for me to move on that my baby is coming soon and she herself was trying to get her own life on track and another infant in the house would be too much. She told me to come stay with you and get you to help me.
You know she is studying for the Sargent's exam and she has just changed since she joined the police force. She's hard."
"Nina I only have a one bedroom apartment. If you stay here you will have to share my bed." I relented.
Then Nina moved in on me. In more ways than one. She cooed up to me and whispered into my ear..
"Oooh Donny...I have never had a problem sharing a bed with you..she grabbed my hand and put her soft lips to the edge of my mouth.
Now Doc....I dunno if you are aware of this or not but I haven't had a woman in ages. At that point I was so ready before I realized it I grabbed her and we started to kiss and touch each other.
Nina is very good looking. She has not put on much weight with her pregnancy so she is just sort of soft and rounded. I have to admit I tore her clothes off and went to town on her. I been so alone and Cassie won't give me the time of day except having to do with our son. It was just nice having someone desire me.
I took a quick peek at James he was busy with his toys so I pulled Nina into the bedroom and after so many months of being celibate, miserable and alone I gave in to my instincts.
To say it was fast and furious is I suppose an understatement. I got up quickly as soon as we were done and put James in his crib he was pretty tired but still playing with his blocks.
I took James home early that next day early Sunday morning. Cassie seemed somewhat irritated I suppose it interferred with her plans somehow I dunno. But I wanted to be with in bed not taking care of little James and the endless list of formularies that involved caring for a toddler at that moment.
I am not in love with Nina but she is in my home, my bed and having my baby right now. She understands and accepts that I'm not in love with her. She still wants to be with me.
Destiny is pushing me to be with this woman despite my own desires. I suppose I have just given in to it.
Don? Now that Nina is living with you have you descussed what will happen after your child is born? No...I haven't gotten clear in my own head yet.
I asked Don to sit down with Nina and discuss his feelings. To come up with a plan for what their relationship would be so there would be no misunderstandings.Don had decided to allow Nina and the baby to live with him. He would seek a larger apartment and after the child was born Nina could stay with him but would have to work and help with expenses. He would not commit to her and wanted her to understand that this arrangement was not permanent but that he would help her out if he chose to leave.Don in making this decision had accepted that his relationship with Cassie was indeed over.Perhaps, for his sake that was a good thing since that obsession had not been helpful to his progress.I was concerned about Don demeanor he did look really tired so I adjusted his antidepressant and scheduled him for a follow-up within two weeks to see how he was feeling. Two weeks later..... A more relaxed less tense Don showed up for his follow up he seemed in a bit better spirits... "Nina had the baby!" he blurted out.
"It's a girl!" he beamed.
Well congratulations Don!Don pulled out the snapshots to show me.
She looks like me....she has my green eyes. I guess she looks like Nina too but she is so pretty..
Don she is a beautiful baby!I was in the labor room with Nina when she had the baby. You know Cassie didn't want me in the room when she had James. I had to wait in the waiting room. Her labor was 16 long hours of waiting in that waiting room not being able to hold her hand or see our son be born. That hurt me more than she will ever know.
Nina had a good delivery she had the baby in only four hours.
I am blown away by that experience. I got to hold my daughter first before anyone. I cut the cord and even though I have delivered a baby before in my residency I don't remember it being this beautiful. We have named the baby Donnatella or Donna for short.
She is a good baby. I'm in the process now of finding us a bigger place my small apartment is jam packed full of kid stuff you can barely walk.
How are things going with Nina and you? They are going Ok I imagine. I did have that talk with her and Nina and she agreed to my terms. She is going to stay home with the baby for six months then we will hire a nanny and split the costs.
She plans on returning to work as a hair dresser since she is still licensed to do that.
I think she needs to take some kind of refresher course since she hasn't actually worked in that for some time.
Nina is a great mother she takes pretty good care of the house and as always is amazing and very willing in bed.
So you have come to a comfortable arrangement? For now yes...I saw Cassie the other day and she was with a guy. He had on the same lab uniform as her I imagine it's her boyfriend.
How did that make you feel Don?
To be honest at first angry then I realized I'm living with another woman who just had my baby I have no right to be jealous if she seeing someone.
It still manages to make me angry anyway.
I walked up to her and told her I was moving into a bigger place and would resume my visits with James as soon as I was settled in. Then I walked away before she could say anything.
Notes:I scheduled Don for a normal visit within a month after his move and getting settled into a new place.Cassie meeting someone else had unsettled Don and could possibly throw him into another depression.