slowly north, but their shadows were iron-black upon the sea, pressing the surf flat.
The door opened behind Ryan. Feeling as weightless as a cloud, and half afraid that in an angled light he would cast
no
shadow, he turned away from the window.
Forest Stafford’s powerful square body was in contrast to his rectangular countenance, in which his features were elongated, as if affected by a face-specific gravity that had not distorted the rest of him. Because he was a sensitive man, the deforming force, at work for years, might have been the pain of his patients.
Leaning against the counter that contained the hand sink, the physician said, “I imagine you want me to cut to the chase.”
Ryan made no move to a chair, but stood with his back to the window and to the sea that he loved. “You know me, Forry.”
“It wasn’t a heart attack.”
“Nothing that simple,” Ryan guessed.
“Your heart is hypertrophic. Enlarged.”
Ryan at once argued his case, as if Forry were a judge who, properly persuaded, could declare him healthy. “But…I’ve always kept fit, eaten right.”
“A vitamin B 1 > deficiency can sometimes be involved, but in your case I doubt this is related to diet or exercise.”
“Then what?”
“Could be a congenital condition only now expressing itself. Or excessive alcohol consumption, but that’s not you.”
The room had not suddenly gone cold, nor had the temperature plunged in the day beyond the window. Nevertheless, a set of chills rose at the back of Ryan’s neck and broke along the shoals of his spine.
The physician counted off possible causes: “Scarring of the endocardium, amyloidosis, poisoning, abnormal cell metabolism—”
“Poisoning? Who would want to poison me?”
“No one. It’s not poisoning. But to get an accurate diagnosis, I want you to have a myocardial biopsy.”
“That doesn’t sound like fun.”
“It’s uncomfortable but not painful. I’ve spoken with Samar Gupta, an excellent cardiologist. He can see you for a preliminary exam this afternoon—and perform the biopsy in the morning.”
“That doesn’t give me much time to think,” Ryan said.
“What is there to think about?”
“Life…death…I don’t know.”
“We can’t decide on treatment without a definitive diagnosis.”
Ryan hesitated. Then: “Is it treatable?”
“It may be,” said Forry.
“I wish you’d just said yes.”
“Believe me, Dotcom, I wish I could just say it.”
Before Forest Stafford was Ryan’s internist, they had met at a classic-car rally and had struck up a friendship. Jane Stafford, Forry’s wife, bonded to Samantha as if she were a daughter; and
Dotcom
had since been more widely used.
“Samantha,” Ryan whispered.
Only upon speaking her name did he realize that the preliminary diagnosis had pinned his thoughts entirely on the pivot point of this twist of fate, on just the sharp fact of his mortality.
Now his mind slipped loose of the pin. His thoughts raced.
The prospect of impending death had at first been an abstraction that inspired an icy anxiety. But when he thought of what he would lose
with
his life, when he considered the specific losses—Samantha, the sea, the blush of dawn, the purple twilight—anxiety quickened into dread.
Ryan said, “Don’t tell Sam.”
“Of course not.”
“Or even Jane. I know she wouldn’t mean to tell Sam. But Sam would sense something wrong, and get it out of her.”
Like wax retreating from a flame, the mournful lines of Forry Stafford’s face softened into sorrow. “When will you tell her?”
“After the biopsy. When I have all the facts.”
With a sigh, Forry said, “Some days I wish I’d gone into dentistry.”
“Tooth decay is seldom fatal.”
“Or even gingivitis.”
Forry sat down on the wheeled stool, where he usually perched to listen to a patient’s complaints and to make notes in his files.
Ryan settled into the only chair. After a while he said, “You made a decision on the
Eugene Burdick, Harvey Wheeler