me, have faith in me, trust me . . . please, answer me!
Hoping to hear from you soon.
Sincerely,
Ernesto Durán
When Miguel arrives, Andrés is already sitting at a table slightly apart from the other tables, drinking his second whisky and ice. Miguel looks harassed and preoccupied.
âSorry Iâm late,â he says as he sits down.
Andrés merely makes a vague movement with his head, neither a nod nor a shake, as if hoping, nonetheless, to communicate something by that gesture. His face almost breathes unease and distress.
âOn the phone you said it was something serious,â says Miguel, âbut now that I see your face, I feel quite frightened. Whateverâs happened?â
Andrés points to the two envelopes on the table.
âHave a look at those,â he says, almost in a murmur.
Miguel picks up one envelope, takes out the X-rays, and holds them up to the light. First, those showing the lungs, then the images from the brain scans.
âThereâs no mistaking the signs. Thereâs no other way to read them,â says Andrés. âOr is there?â
Miguel turns toward him, tense, not sure what to answer. The waiter approaches and before he can say anything, Andrés cuts in with:
âHeâll have a vodka with ice and lemon. A double,â he tells him emphatically, deliberately, his eyes fixed on Miguel.
âI have to perform a fistula operation this afternoon,â Miguel says in answer to a question no one has asked, although he doesnât sound very convinced.
âJust tell me what you think. Thereâs no hope, is there?â
Miguel doesnât so much sigh as snort, before turning back to the X-rays. He again holds them up to the light, looking at them almost obliquely. The contrast between the blue and the opaque white reveals spots, dark irruptions, shadows that should not be there.
âItâs a spinocellular carcinoma, isnât it?â Miguel asks, still scrutinizing the results of the scans.
âStage IV,â says Andrés. Then he points to one of the CT images. âWith cerebral metastasis,â he adds, his voice breaking.
âWhose X-rays are they?â Miguel asks rather fearfully, looking straight at him now.
âMy dadâs,â says Andrés.
They sit staring at each other for a moment, not saying a word, wrapped in that rare complicity that comes with friendship.
âShit!â is all Miguel can manage to say after that pause.
Andrés quickly talks him through the sequence of events: first, the fainting fit, then his own presentiment, the results of the blood tests, that presentiment again, the
chest X-rays, and the CT scans. Miguel tries to get more details, to find other possible explanations.
âIf he werenât my father,â Andrés says, âyou and I would have looked at the plates and concluded that there was no hope, that itâs the mother of all tumors, that the patient is basically screwed,â he adds, his voice choked with emotion. âThereâs no need for a biopsy, thereâs no point in opening him up.â
âMaybe, but . . .â Miguel would like to say something, but thereâs nothing to say. He canât fool Andrés.
âWhy do we find it so hard to accept that life is a matter of chance?â Andrés asks suddenly, a lump in his throat.
They both fall silent. Another whisky, another vodka. Miguel makes a phone call to cancel that afternoonâs operation. Andrés puts the X-rays and CT images back in their envelopes.
âAnd your dad, of course, knows nothing.â
âNo.â
âYouâre not going to be so stupid as to tell him, are you?â
âThatâs what I always do, isnât it? Itâs what Iâve always said, the position Iâve always defended: the transparent relationship between doctor and patient.â
Another silence. Then Miguel tells him that heâs never agreed with that