Aza and Davis’s first kiss
Turtles All the Way DownAza Holmes and Davis Pickett’s first kiss is both a moment of chosen intimacy and a scene in which Aza’s contamination fears seize control of her attention. She initiates the kiss because she wants Davis, without first settling what that desire means; as their closeness becomes physical, however, she fixates on the microbes they might exchange. The scene makes the distance between wanting connection and being able to inhabit it the event’s central conflict.
Setting and Impulse
The kiss follows a conversation in which Aza is trying to understand what Davis means about life. His answer—that life rhymes, though not as expected—does not settle her question, but it precedes a sudden change in her attention: she wants him badly enough that she stops trying to explain or classify the desire. She reaches toward him, touches his cold cheek with her cold hand, and begins to kiss him.
That impulse matters because Aza does not wait to establish whether the wanting is wholly rational or whether it comes from a fixed, clearly defined part of herself. For a moment, the question gives way to action. The kiss is not a resolution to the questions she has about identity and control; it is an experience she enters before those questions can be answered.
The Kiss and Its Physical Details
When they separate briefly for air, Davis’s hands are at Aza’s waist. She likes the feeling of his body against hers and one hand tracing her spine, and asks whether he has written any other poems. Their exchange and renewed kissing give the scene a lightness that is part of its intimacy, not separate from it. Aza likes kissing with their coats still on; their breath fogs Davis’s glasses, and when he tries to remove them, she pushes them back up his nose. They laugh together before he kisses her neck.
The sensory details make the scene unusually consequential for Aza. Cold cheeks and lips, a warm mouth, layers of clothing, breath on glasses, and a hand moving beneath her jacket all register as immediate bodily sensations. But the same closeness that gives her pleasure also supplies the focus for fear. When she thinks about Davis’s tongue having been in her mouth, the kiss changes in her mind from shared contact into possible contamination.
The Intrusion of Contamination Fear
Aza tries to direct herself back toward the moment and toward the warmth of Davis’s skin. Instead, her thoughts race through the possibility that his microbes might remain inside her, multiply, and permanently alter her. She imagines possible infections, including campylobacter and E. coli, and then fears that antibiotics could lead to C. diff. Her attention is no longer organized around what she wants from Davis; it is captured by the need to check whether contact has made her unsafe.
She pulls away. When Davis asks whether she is okay, she nods, says she needs air, sits up, and turns away from him. She takes out her phone and searches whether bacteria from someone a person kisses stay inside the body. After scrolling past pseudoscientific results, she finds a study reporting an average exchange of around eighty million microbes per kiss and a modest but consistent alteration in gut microbiomes at a six-month follow-up. Instead of reassuring her, the finding gives her fear a number and a future: she imagines Davis’s bacteria remaining in her, breeding and joining her own.
Aftermath and Clinical Interpretation
Davis puts a hand on Aza’s shoulder, but she spins around and moves away from him. Her breath runs away from her and dots appear in her vision as her thoughts insist that the microbes are inside her forever and that she must do something to fix the situation. When Davis asks what is wrong, the physical urgency of the spiral has already displaced the ease and laughter of the kiss.
In a later conversation with Dr. Karen Singh, Aza distinguishes her fear from a general worry about intimacy: she says that she was worried about microbial exchange. Dr. Singh observes that the worry expressed itself as being about microbial exchange. The exchange clarifies how the kiss becomes caught in Aza’s obsessive-compulsive symptoms: the fear has a specific subject, but it also shapes how she experiences closeness. Aza also says that she had not brought her Ativan to Davis’s house. She and Dr. Singh discuss her inconsistent use of Lexapro, with Aza struggling against the idea that medication could change who she is even as she wants relief from what she calls the demon within her.
Significance Within Aza’s Ongoing Struggle
The kiss does not produce a simple choice between romance and fear. Aza desires Davis and enjoys his touch; the same encounter also triggers a compulsion to investigate and a retreat from his body. The scene’s movement from laughter to checking is therefore not evidence that the desire was false. It shows how a genuine wish for connection can coexist with thoughts that urgently recast contact as danger.
The broader treatment narrative reinforces that this struggle cannot be settled by willpower alone. Before the kiss, Dr. Singh has offered exposure response therapy again, involving contact with a dirty surface without cleaning or covering the finger; Aza refuses because she remembers how frightening the practice was. Later, following a serious accident, Aza spends eight days in hospital with a lacerated liver. At first, staff assume she drank hand sanitizer because she wanted alcohol. Dr. Singh learns the stranger explanation, confronts Aza about not taking medication as prescribed, and identifies the accident as a serious trauma. She proposes a different medication that Aza can tolerate and take consistently, correcting Aza’s conclusion that none have worked by saying none have worked yet. When Aza raises her fear of C. diff and the thought of drinking hand sanitizer, Dr. Singh distinguishes thought from action and tells her that drinking sanitizer will not help. These later exchanges do not make the kiss the cause of the hospitalization; they show the continuing reach of the fears that surfaced during it. The first kiss remains a moment of real mutual closeness, but not one that suspends Aza’s illness or resolves her conflict over treatment and selfhood.

