âItâs a big long wordâI never did learn to say it properly. Bobbyâd get a little impatient about that.â
So Roy wasnât totally unprepared for the biopsy results, could even be said to have taken it well: he could read that on the faces of Dr. Honey and his staff.
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âYouâve got someone to do the driving?â said one of the nurses on Royâs way out.
âWaiting in the car,â Roy said.
He drove himself back up north, alone. Clear blue sky with silver overtones, small golden sun, glaring but somehow cold, snow that grew whiter and whiter the farther north he got: a lovely winter day, and winter was Royâs favorite season. He especially liked when ice sheets coated the granite outcrops where the road builders had blasted through, and there was lots of that today, those hard rocks shining bright. It brought tears to his eyes, and Roy, no crier but here in complete private he couldnât come up with a good reason not to, let them flow. Not for long,thoughâone exit, maybe two. By the time heâd crossed the Connecticut River and entered Vermont, heâd pulled himself together.
Diagnosis: sarcomatous unresectable malignant pleural mesothelioma, stage three in the Brigham staging system.
How many stages?
Four.
So it could be worse.
True.
Good. So where do we go from here?
From here?
In terms of treatment.
Ah.
Sarcomatous unresectable malignant pleural mesothelioma: there turned out to be a lot of meaning crammed into that little phrase. The word unresectable alone packed a tremendous punch.
Treatment: palliative care.
Palliative?
It meansâ
I know what it means. Is that all youâve got?
There are clinical trials, but you donât qualify.
Why not?
The diagnosis.
Isnât that a little circular?
Dr. Honey had seen some justice in that remark. Then he mentioned that his wife knew all about Royâs work, was amazed at her husbandâs ignorance. After that he brought up an experimental program a friend of his was about to start at Hopkins.
Can you get me into it?
Iâll try.
Try hard?
Prognosis: four months to a year.
Roy went cold all over when he heard that. And Dr. Honey seemed to shrink in size, as though Roy was suddenly seeing him from a distance, already going or gone.
How certain are you?
Nothing is certain in this profession, not certain in the absolute sense.
So it could be thirteen months?
It could.
Fourteen?
Possibly.
Eighteen?
Nothing is certain.
That means thereâs hope.
Always.
I had a hat trick the other night.
Hat trick?
An unfamiliar term to Dr. Honey. Roy, wishing he hadnât said it, didnât explain. Hat trick sounded pretty frivolous next to a word like unresectable .
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Roy drove up to the barn. A kid in a sweatshirt and unlaced boots was shoveling the path. Roy did his own shoveling. He got out of the car and said, âHey.â
The kid swung around. âHi, Mr. Valois. Figured you must be, you know, delayed, so I thought Iâd just, umâ¦â
Skippy. Was this his tryout day? Roy had forgotten all about it. What had he told him? Show up at two? Roy checked his watchâthree-thirtyâthen noticed a new path shoveled all the way across the yard to the shed, and another, completely unnecessary, that seemed to be following the entire perimeter of the barn.
âI really donât needâ¦â Roy began. Skippy waited, a full load of snow poised on the blade. âCome on inside,â Roy said.
Skippy flung the snow up and over the high bank and they went inside.
âSo cool,â said Skippy, his gaze right away on Delia.
âIn what way?â Roy said.
âIn what way?â said Skippy. âItâs awesome, Mr. Valois, all those rads. Got something in mind for the next one?â
Next one. That coldness came over Roy, but not as intense this time. âHow about coffee?â he said.
âIâm good,â said