After the Second Visit
  With the pill still in effect Casey was silent besides me in the car. He dozed besides me placid for now though sure to be resentful and haughty later on. I knew that he was upset with me but, I also knew that I was right, knew that I did the right thing for him. It was his health after all, his love life as well that would be positively effected by my choice and I stood by it. âThank whoever for the new rulesâ was all that I could think in this scenario. I looked over at him now and wondered if her was pretending to sleep but doubted it. I think between the anesthetic and the anxiolytics heâd been given it was unlikely he could fake anything. His hood was pulled over his head an had mussed his hair and the fringes of his hair and face were sweaty. I knew he must be warm but doubted he would appreciate any further interference, or any further hoods removed. I laughed to myself at that and then felt a bit mean. He was my son, my poor inept boy. He would learn though, heâd know in time what Iâd done was right. I wondered if the suggestions about lessened sensitivity were true? Well if they were too late, and it was most likely a good thing anyway.
  He stirred slightly besides me and I suddenly felt nervous, wondering if there would be an early confrontation between us but he just shifted slightly and returned to his slow breathing. I knew once the pills wore off I would have to actually confront him again about my decision. I knew once healed heâd accept what had happened. I had always been proud of his resilience and his adaptability. I was certain that heâd see things my way soon enough. Once he met a girl, someone who would smile at him and in more private moments smile with delight at the thought of his nice and cleanly circumcised penis. I liked to think she would delight in it â though of course I knew she would love it as she loved him â but, I wanted her to love it that extra little bit. I wanted her to find it clean and pleasant to explore, to not fail her in key moments and to give her pleasure as she needed. I wanted his penis to be an instrument that provided her pleasure and built their mutual attachment, she would return for him as a person surely but, her orgasm as reward would be a fine thing too and the thing that helped her decision to stay just a little bit easier. I knew these things after all, I knew what that little extra bit of ease or pleasure could change. It wasnât a thing easy to communicate but when you do so much work in a relationship so many small things can make a difference and tip the scales in a decision to stay or to go.
  There was a stop sign then, we were approaching our little abode. I looked him over then and noticed that despite his underwear there was a small lump where the clamp attached to his now modified penis. His penis that I had modified. I knew he had some right to be upset and my sympathy welled then. What had been done was certainly invasive even if it was a good thing. The feelings of the present are however, not beholden to future gain even in situations where it was certain there would be gain. It seemed like maybe that was our deepest flaw, that we are always so focused on the present when weâre young. It was a source of so much misery for us and so much discord with our parents. I know with me it had been the same. Well here was my source of discord with Casey, would it be as bad as when I had moved out and married Caseyâs father? Would he be more forgiving of this more minor thing, would he simply accept it? I knew how vulnerable that little lump showing in his pants would make him feel and resigned not to mention it. I giggled a bit thinking of how childish and small it would make him feel. I felt a tinge of guilt at that too but I supposed it could not be helped really.
  We made it to the driveway and I coaxed him gently awake and he stirred and looked at me with the bleary eyes of the drugged. I had no medical training but enough fun in your young life to recognize sedation. The unfocused pupils and slightly uneven breathing, the open mouthed inhale, and sudden recognition of movement if not the cause or the purpose were all signs of his intoxication. The infantile, I wasnât sure if that was correct, willingness to follow along with directions was there too. I gently coaxed him and he began mechanically to undo his seat-belt and then to open his door. I quickly undid my own, opened my door, and then went around to his side to help him. He had opened his door part way and was in the process of standing up. I quickly grabbed him under his arm and helped him up and we stumbled together to the door. The car doors remained open. I wondered if he could feel his resentment right now, if he was upset at my touch. I doubted it as I didnât think he could think of much. I cooed some soft assurances as I had when he was younger and took him to his bedroom and laid him down.
  I began to undress him then first pulling off his sweatshirt and then very gently taking down his sweatpants. I noticed the shape of the clamp was far more pronounced in his underwear and felt both pride and sympathy in great measure. I pulled the sheets over him lovingly and planted a small kiss on his forehead. I next went to the kitchen and drew a small glass of water before returning it and placing it at his bedside. I then realized I should go immediately to fill his prescription, before his awoke and walked out swiftly closing the door softly on my way out before resuming my efforts. I walked swiftly down the hall, my confidence in rare form. I had a mission to accomplish. I exited the house and realized I had left the car doors open and felt a bit silly but no harm was done. I went first to the passenger side and shut the door then to my own side and entered the car and started it. I drove to the little pahrmacy no more than eight blocks away. Normally I would send Casey to walk but he was indisposed and I needed to return quickly. I strode to the pharmacy and handed them Dr. Gallaâs script. The pharmacist looked at it, twice actually, and seemed a bit confused but then told me to wait.
  I took a seat and browsed aimlessly on my phone. Hoping I would not get any calls from Casey. I didnât however and soon enough I was called by the pharmacist. I received the little bag and took it happily offering my copay. I walked out quickly, not breaking the momentum that propelled me. I returned to the car and made my way swiftly home. Once there I took the little bag and went to check on Casey. He was still sound asleep and stirred slightly but did not seem interested in getting up or even able. I was glad for that and noticed he had not touched his water. I wasnât sure if that was good but doubted strongly if it was bad, it probably just meant he had slept through my absence. I was sure he was very tired. I went downstairs and poured myself a glass of wine and sat on the couch for a few minutes. I sipped it slowly and felt relief, the worst of it was over and I was happy for that, well I hoped it was over. I quickly pushed that feeling away, it was natural to worry but Dr. Galla was a professional and she knew what she was doing. I was sure she wouldnât make any mistakes nor would there be complications. I decided to watch something and took my laptop from the coffee table and opened it. I typed my password and brought up whatever I had been watching the night before. I just needed the noise at that point. I clicked play and allowed myself to be engulfed in the streaming distraction.
  Suddenly she was aware of shuffling and then the unmistakable creek of Caseyâs door and realized he must have gotten up. I rushed over but the bathroom door shut before I could say anything. I waited anxiously at the end of the short hallway where the doors to both our rooms and the bathroom were located. It was probably best I didnât crowd him. He exited the bathroom a short time later. I exhaled deeply in relief. His eyes were still glazed and I was he still shuffled but I was just happy he hadnât fallen.
  âAre you OK?â I asked as I rushed to him and put his arm around me to support him.
  âYeah Iâm fineâ He mumbled and slurred it just a bit but he seemed ok.
  âLetâs get you back to bedâ I said and we shuffled back to his bed. I guided him gently and lay him down. I made sure he was on his back.    I noticed then that the end of he had failed to put his penis back through the fly of his underwear. I was taken aback at first but then curious. I looked at the little device attached to the end, seemingly just two plastic pieces formed into a clamp. They fit entirely over his glans. It attached just under his glans and the skin of his shaft was pulled tight. She must have made good on her promise to remove it completely. I felt so excited at that, yet I felt also the tug of empathetic pain. It was such a rush. I covered him and returned to my show.
   The next few days were a rush. I made sure Casey got his pills on schedule, both of them. I do not know what they both were but it was Dr. Gallaâs specific instruction. Casey was a lot less upset than I had thought he would be. He did not seem to be in any pain either. He seemed oddly calm and often a bit out of it but Dr. Galla assure me that was a common side effect of the medicines she had prescribed. It kept us from talking much at first. I knew that we wouldnât much anyway, probably for a while. Though it pained me I knew I had done the right thing, I knew he would be happy one day. If he were not then I could not be blamed for his short sighted and simple view. He would not feel that way though. I knew he was a better man than that, I had raised him better than that. I returned to work that Tuesday which was a huge relief to me. I loved Casey of course and hoped for the best for him but it was important to return to normality and people I could talk to. There were none of course that I felt close enough to talk to about things as they had happened so I just left it vague, no one pressed me except for Sarah, the only woman I worked with who I saw as more of a friend than just colleague. Still I chose not to tell her right away.
  Casey returned to school the day after that which was another relief. It also meant a lessening of the dosage of the medicines he was taking. Just one of the first pills in the day at lunch and one of the second ones in the evening after dinner. After the second he was often willing to talk a bit, though never about any difficult subjects. It was nice to see him chatting a bit more and, it didnât seem like there was any anger harbored behind his voice which was a similar relief to me. The time passed in a seeming flash and before I knew it we were already at the one week mark since the surgery. I was thrilled and wished so deeply to have a bit of insight into how things were healing. Casey had even stopped taking his pills after a few days claiming he had no pain at all. I was so proud of him then and the bravery he displayed. Of course with the end of the pill regimen came the accompanying silent treatment I had dreaded, so deliberate in its intention and delivery. I was afraid of it but could bear through. I simply told myself it was s normal thing and continued on with confidence. That Saturday was a bit hard and I was a bit sad at the lack of interaction but was more than content to let Casey lounge and watch his shows as he pleased.
  It wasnât until Sunday that we got out next big development. We were going to enjoy a late breakfast. I had made everything we liked, toast, eggs, coffee, and a few other small comforts. Instead of eating on schedule however Casey called to me from the bathroom after his his morning rituals and asked me to come to him. I did immediately, hearing the concern in his voice.
  âWhat is it?â I asked him outside the bathroom door, I pressed myself against it to try and hear him.
  âIt came off!â he said, he sounded panicked.
  âWhat did?â I asked calmly despite my own rising concerns.
  âYou know, the thing â the clamp she put on me.â he said, choking through his words in both anxiety and reluctance. Suddenly I understood and understood his reluctance but I was glad he had come to me and announced it.
  âOh, I see.â I choked out meekly and paused for a minute. I had to compose my words.
  âWell according to Dr. Galla that should happen soon anyway. Are you feeling OK? Is there any pain? Any blood?â I asked him, I used my most parental voice hoping it would trigger some deep reflex and goad him into answering. There was a deep pause, and I waited nearly breathless.
  âNo, no pain or blood. I donât know if anything is wrong.â He said, the anxiety still rang clear in his voice.
  âListen why donât we try and call Dr. Gallaâ I said to him. She had given me her personal number for emergencies. Hopefully this constituted that, she intimidated me a bit, though in a way which somehow made me feel so confident after. It was a confusing thing to meet someone like that and, I supposed it was what people meant when they spoke of charisma.
  âWill she talk to us?â He asked, still concerned but less so now.
  âShe gave me her number encase we had questions. Why donât you come out OK?â I asked him, imploring him with my own concerned tone of voice.
  âAlright Iâll come out.â He replied and I heard the door knob start to turn and moved away form the door which stuck slightly from humidity and then opened with a start and Casey came into view. His eyes were wide with panic and he was breathing raggedly. He was wearing a long sleeved shirt and light athletic shorts. I noticed that unlike other days there was no bulge from the clamp it really must have fallen off. I took out my phone and dialed the number Dr. Galla had given me and switched it to speaker. I motioned to Casey.
  âCome on letâs go sit down in the living room.â I said and then beckoned.
  âOKâ he replied briefly and then followed. We sat down besides each other on the sofa and I held the phone in my hand. Breakfast cooled rapidly in the other room and for some reason I thought of how weâd have to reheat it.
   âHello, this is Dr. Galla. How can I help you?â Her voice was clear as crystal and at once dominated the room.
  âHi, itâs Jane, Caseyâs mom. You remember from last Friday?â As I spoke I realized I was no longer in charge of the conversation and it gave me a small shock to realize it. While this woman was on the phone I was no longer in the authority in my own house. I was glad for it at the moment though.
   âOf course, the circumcision. How is everything, is Casey alright?â she asked.
   âEverything is fine I think itâs just the⊠thing on Caseyâs penis fell off today.â I said, stammering out the last words.
   âWell this is nothing to be alarmed about. Did Casey tell you this, is he there?â She asked with total calm.
  âYes heâs here, sorry your on speaker.â I said and felt a bit of embarrassment. It was rude not to mention.
  âWell that will make things a bit easier then. Casey I have some questions for you is that OK?â Dr. Galla asked. Casey continued to look mortified and his he looked at me in distress.
   âIâm here. I mean sure.â He managed to croak out and looked at me for assurance.
   âOK Casey listen, is there any bleeding at all and are you in any pain?â Dr. Galla asked.
   âNo there was no pain or bleeding.â He said.
   âNow any significant swelling or numbness?â Dr. Galla asked him, her voice left no room for disobedience or reluctance.
   âNo, neither.â He replied.
   âWhen and and where did this happen?â Dr. Galla asked.
  âIn the bathroom this morning after I â after I urinated â I noticed the clamp was loose and well I pulled at it just a little and it came right off.â He said, unsure if he needed to use the medical term.
  âThat is good Casey, and it came off with no pain?â Dr. Galla asked.
  âNo, no pain at all. I did not realize until it was off.â Casey told her, he had gained a little confidence and seemed to forget my presence.
  âOK listen Casey, I know you and your mom are in the same room right?â
  âYes weâre on the couch, she is holding the phone.â He said. I could sense a bit of uncertainty returning to his voice now.
  âListen, Casey, what I ask you next is going to be a bit embarrassing but I promise it is for a good reason. A lot of young men your age are nervous about these things and sometimes they donât report them accurately so in order to avoid that I want to you to do something for me that might upset you. Are you ready?â She asked, her own tone oddly maternal.
   âI am going to need you to show your mom your penis now.â Dr. Galla said. I was floored. This was a totally new development. I could not imagine how poor Casey felt. As my senses recovered however I realized very quickly that I was not entirely opposed. In fact it seemed clear that this was the best course of action.
   âWhat? No? Why would I need to do that? Iâm an adult, and Iâm not lying to you. Why would I do that?â He was clearly hurt and I could see his point, still I thought the doctor was right. It was possible for both of them to be.
   âPlease Casey, I know this is difficult but it would really help me. I want to make sure youâre OK and that things are healing normally. It would really help me to know since Iâm not there to see whatâs going on. It would only be for a minute. Can you please do that for me?â She did not really ask, the question was rhetorical. I couldnât read Caseyâs feelings at that moment as I had trouble meeting his eyes. His breathing changed a bit, it grew faster and then shorter. Suddenly I resolved myself and realized if he was to be comfortable I needed to be. I steeled myself and brought my gaze to his. His own eyes were wide and pleading but as before I knew this was best and prepared myself to be stern if needed.
   âPlease be goodâ I mouthed to him in the same way I had when he was just boy on the boarder of misbehaving at some social event. He looked at me with his wide frightened eyes.
  âItâs OK.â I mouthed noiselessly, just as I had when he needed confidence.
  âIs it really going to help?â He asked Dr. Galla, and he seemed a bit broken in the asking. He turned his eyes from me as he asked.
  âYes it will help. I need someone who is not directly the patient to describe things for me. It would really help me a lot and it will save you some stress. It is just a few question very brief. Where are you in the house now?â Dr. Galla asked.
  âWeâre in the living room.â He replied.
  âSo there is a place for your mom to sit?â Dr. Galla asked.
  âWeâre sitting now on the couch.â He said.
  âIs it possible for anyone to see in Casey?â She asked him.
  âNo the blinds are closed.â He said meekly.
  âSo only your mom will see and only I will know. Itâs OK, this is just medical. I need to know whatâs going on. Do you want to get hurt just because you were embarrassed?â She was still giving an order rather than asking a genuine question but I was impressed with the way she could order and implore so seamlessly.
  âIf you think it will help. I guess.â He didnât stammer but instead shocked us both by standing up in front of me and dropping his shorts. He looked away and squeezed his eyes tight. I gasped at the abruptness of the action. My eyes were drawn now to his pubic area. His penis stood out boldly atop the short bed of pubic hair. His mauve glans was fully exposed and any swelling had subsided. Just above his glans there was an angry reddish black line that seems a bit swollen and I realized the clamp had been there. It looked nicer already.
  âWhat is going on?â Dr. Galla asked.
  âHe um, he did as you asked.â I stammered.
  âWell that was quicker than usual.â She replied, her voice sounded happy. She was enjoying this. In truth I was a bit too.
  âWhat do you see? Any serious redness, inflammation, or bleeding?â Dr. Galla asked
  âNo blood at all that is for sure.â I said with confidence, there really was none at all. It was a neat job.
  âThatâs good, really the most important thing. What about swelling or redness?â asked Dr. Galla.
  âNo really redness, the line where is attached, itâs a little red.â I said.
  âYou mean his crush line? That is normal. It should heal over into a scar before much longer.â Dr. Galla said.
  âI am not sure about the swelling, what should I look for?â I asked
  âJust see if there is any noticeable puffiness of his penis, it should look unusually large next to his scrotum. The shaft would seem very swollen compared to the glans, or head.â Dr. Galla relayed the information at a practiced speed. I wondered how many of these she had done. I looked some more but it did not seem there was any disproportion between the shaft and glans or âheadâ as she had called it. Casey still refused to open his eyes.
  âNo I donât see any difference although is looks like his head, his glans, is very wide.â I said. I felt flushed describing my own sonâs penis in such detail but reminded myself it was a medical thing.
  âThat is probably fine, provided Casey is reporting no pain I think there is no issue here. Casey are you still there?â She asked.
  âIâm here.â He replied, his eyes still shut and his head turned away from me.
  âYou can pull up your pants now, itâs over. Dr. Galla said. Casey sighed loudly enough that the pitch rose as he forced his breath out faster and faster. He swiftly pulled up his pants and sat back down.
  âListen it sounds like nothing is wrong and that Casey is healing very well.â Dr. Galla related the welcome news in a bubbly tone.
  âOf course thank you doctor.â I replied relieved both for the news and also that the awkward interaction would still be over.
   âYour welcome, please call me if anything at all concerns you. Iâll want to see you anyway in the next four weeks or so to check on things. Casey remember no sex or masturbation until then and report any painful erections. Erections are fine if they arenât painfulâ Dr. Galla warned him sternly.
  âOf course Dr. Galla.â He whimpered.
  âOK is there anything else?â She asked
  âNo Iâm fine.â I replied. Casey shook his head.
  âOK Iâll let you go now, Bye guys.â She said.
  âTake care and thanks againâ I replied. She hung up the phone.
  âCan I go?â Casey looked at me with imploring eyes and I nodded my ascent. He left abruptly and gently closed his door. I went and covered his breakfast and went to reheat my own eggs and coffee. I ate silently full of conflicting emotions.
   The next few weeks passed in a blur. Life returned to a normal intensity for us and I was soon thinking of work more often than Casey and his operation. I assume he was soon thinking about school more and his friends as well. He went to visit a few after school and a few came to visit him. We did not need Dr. Gallaâs personal number again in that time. It had taken only a few days since the clamp had come off for poor Casey to start having erections again. He thought I didnât notice them. I am sure most boys donât think others can tell, and probably pray their moms donât. We do of course. I saw them from time to time in the morning. I could tell from the dark circles under his eyes that some of the normal ways of soothing himself to sleep were not available to him. I felt such compassion for him then but my resolve was unwavering. I had done the right thing and was so proud. Maybe after his wait heâd go and find some nice girl to relieve him. It was clear from some stains he left at night that he needed that badly. Still it was such a relief to know he was healthy and functioning
  It was a few weeks later than I again got to see the object of my fascination. It was a Saturday morning and getting a bit late. I went to wake him then only to realize heâd kicked back the covers and that his morning erection had somehow found itâs way through the fly of his pajama pants. I should have left him for the sake of propriety but instead I stayed and looked. Did I not deserve that at least for my efforts? I just wanted to see if he was OK. The scar was the first thing I noticed. It was a light read now, thin and even and just below his head, his glans. The glans itself was a sort of dark pink and seemed rigid and glistening in the morning light it was noticeably wiser than the shaft now and I wondered if there had been swelling. The skin below it certainly was pulled completely tight. It was so beautiful now. I felt so much pride well up then, and as I noticed the droplets of clear fluid at the tip I realized that something was welling up from him too. I laughed at that and then quietly left to let him sleep. He had such a nice penis now, a thing of pride. I was so excited to meet the first young woman who would enjoy, take in her mouth and then inside her. I knew he would please her and her him. I felt so warm knowing I had done so much good for his future by circumcising him.












