office. I immediately ask Umberto just what was in the tattooed womanâs basket.
âA python. Very fashionable these days,â he answers nonchalantly. Then he asks me the reason for this surprise visit. Itâs the first time Iâve come to his clinic for professional reasons.
I explain to him about the abdominal pains Iâve been experiencing for almost eight months now. I havenât been to see a doctor in years and years. Iâve been avoiding the public health doctor whom I share with Paola to keep from alarming her excessively. The doctor is a friend of Paolaâs and certainly would talk to her about it. Iâm practically certain, I explain to Umberto, that it must be an ulcer.
My friend tells me to lie on my back and he palpates my stomach with expertise. I feel a sharp stab of pain. I can see that heâs a little worried.
âDoes it hurt right here?â he asks.
The answer is clear from the grimace on my face.
As I get dressed, he explains that in his opinion this is neither a hernia nor an intercostal muscle strain, much less an ulcer.
âItâs a small lump,â he explains, âbetween the liver and the stomach; itâs hard to say with such a generic examination. It might be a lipoma, which in laymanâs terms is an anomalous but benign clump of fat. Iâd immediately order an abdominal sonogram. These days that kind of equipment can do a quick and accurate analysis.â
âIn fact, Paola recommended the same thing a couple of months ago.â
âAnd she was right. As she almost always is, I should add.â
He scolds me for a while, the way only doctors and high school teachers know how. Heâs right, I should have listened to my wife and kept that sliding door from slamming shut.
âIâd do a blood test too. Youâll see, itâs probably nothing,â Umberto concludes. âYou almost never drink, you donât smoke, and youâre even a former athlete!â
I have no difficulty understanding that heâs trying to keep from freaking me out.
I donât like the smile on his face one little bit.
 * * *Â
Skipping over the boring parts, hereâs the report from the sonogram of my abdomen that was done two days later in a specialized medical clinic. I read the results while waiting for the doctor whoâs going to go over them with me, and I immediately consult Wikipedia on my smart phone. I look for the two words that appear in bold after the phrase âthe patient was found to present a . . . .â Those two words are
hepatocellular carcinoma
.
Wikipedia is efficient as always.
A carcinoma is a malignant tumor.
Tumor. Malignant.
Two words, are each unpleasant enough taken alone.
Hepatocellular, on the other hand, means that the organ affected is the liver.
The liver.
Outstanding.
Even newborn babies know that a tumor to the liver is the most dangerous kind.
Two lines down is the size of the intruder.
Itâs six centimeters long.
In my cozy tummy Iâve been hosting a hepatocellular carcinoma6.0 centimeters in length, with a diameter of 0.7 centimeters, as my guest.
More or less the size of a French fry.
Even newborn babies know that French fries arenât good for you.
I have a six-centimeter tumor in my liver. My blood tests also confirm the excessively elevated values of the tumor markers that show the undesired presence in my organism. Thereâs no chance itâs a mistake.
I donât even wait for the doctor who is scheduled to come break the news to me. I head out onto the street.
I have a six-centimeter tumor in my liver.
I wander aimlessly.
I have a six-centimeter tumor in my liver.
I repeat the words over and over aloud, like an obsessive mantra.
I have a six-centimeter tumor in my liver.
I canât seem to stop.
I have a six-centimeter tumor in my liver. . . . I have a six-centimeter tumor in my liver. . . . I have a