Dr. Swain evidently felt heâd uttered a complete sentence.
âBut I canât have a transplant until we get rid of the lymphoma.â
âWeâll switch chemo regimens. High-intensity, myeloablative.â
Myeloablative. Score that one on a Scrabble board.
âAnd that means?â
âThat means, essentially, a very high dose. Higher than what youâve been getting. Kills off the lymphoma cells, but also kills healthy cellsâin your bloodstream, in your bone marrow. Then you receive new donor cells to bring back your blood counts.â
Blood. From someone else. How Count Dracula.
âAnd?â
âAnd, if all goes well, youâre cured.â
âThatâs what you said about the R-CHOP.â
Another pause. Actually, he hadnât said that, exactly. What he had said, not long after the old âYouâve been diagnosed with . . .â line, was âThis is a highly curable form of cancerâ85 percent or more. Itâs a good one to get, if you get cancer.â
She had laughed at that line, too, because really, what else could she do? That Dr. Swain was a real comedian. Are you okay? after dropping the lymphoma bomb, followed quickly by This is a good cancer to get. Swain would killâ kill âat the Improv.
âHello?â
She shook her head, trying to wrap her mind around this latest news. âYeah. Iâm here.â
But for how much longer?
She pushed the question from her mind.
âAs I said,â Swain continued, âwe need to search the registry. Several thousand names, lots of people on it. Thereâs a college football team, even, that signs up for the registry during spring drillsâkind of a tribute to their coach.â
Wow. Now they were talking about college football.
âWhat . . .â Her tongue felt thick. âI mean, this transplant thing . . . is it dangerous?â Okay, that was a stupid question, but she figured old Swain could give her a break. Especially after some of his one-liners.
âItâs a complicated process. Youâll be in the hospital a minimum of a month. Thereâs a treatment-related mortality rate of . . . well, perhaps 10 to 15 percent. And after-wards, GVHDâGraft-versus-host Diseaseâbut a little bit of that is actually helpful. Letâs just take the first step with the registry.â
âOkay.â
But that Swain-speak euphemism was sticking in her mind: treatment-related mortality. Really just another way of saying death . So 10 to 15 percent of people died just going through the transplant.
âIâll call you Monday. Weâll talk more then, and I should have some news on the registry.â
âOkay.â She hung up the cell phone, glanced briefly at her computer screen to make sure her e-mails were still spooling.
Breathe. Breathe normally.
25.
Most people would never be able to become bottom-feeders. Corrine knew that. Their sense of self-worth prevented them from doing so, along with their sense of order and hierarchy. For the vast majorityâand this included people everywhere, not just in the good old US of Aâthe true comfort zone was a basement in their souls. No matter what they did for a living, there were always people in their own personal basement who were farther down the chain of misery. Prostitutes and druggies lived in that basement, sure. Hicks from the sticks or down in the holler. Welfare moms in the projects. Used-car salesmen. Tobacco executives.
That basement was there so people could say, no matter their lot in life: At least Iâm not that guy on the corner with a WILL WORK FOR FOOD cardboard sign. At least Iâm not that woman living in a tin shack without air-conditioning, waiting until the first of the month so I can get more food stamps. At least Iâm not that firebug I keep reading about in the papers and seeing on the TV news, a guy who gets his kicks by burning down buildings.
Corrine