her.
âGood evening, pet,â she said, raising her eyebrows and looking at the blue Wellies still on Irisâs feet. âA little self-medicating?â
âNever hurt anyone,â Iris said somewhat sheepishly, sitting up and feeling at once a sharp ache at the base of her neck, under her left shoulder, and yes, there, dead center of her spine. âWhat are you doing here?â
âGot a missed call from you earlier. You sounded funny, so I thought Iâd pop over.â
âOh, right. Sorry. I must have fallen asleep. What time is it?â
âTen.â Tess picked up the bottle on the floor. âCalifornian. Yum.â She smiled. âBut mind yourself. Okay?â
âYes, Dr. Tess, Medicine Woman.â
âIris?â
âOkay. Yes. I hear you.â Iris kicked off her boots and rose crookedly from the couch. Her head was sore. The blue of the summer night sky was finally yielding to darkness.
âTea, I think, before you tell me exactly what the doctor said.â
In the kitchen, Tess switched on the light and Iris put the kettle on. âPoppies are fab,â Tess said, looking at them and, without lifting her eyes: âSo the doctor said they foundââ
âA distortion.â Iris looked at her for a long moment. âWhat is ⦠an âarchitectural distortionâ?â
Tess came around the counter toward her. âI know it sounds very clinical and not very encouraging butââ
âNo, it really doesnât.â
ââI looked it up.â Tess smiled, hesitantly at first, then laid her arm around Irisâs shoulders in a robust kind of way. âItâs just common medicalese, pet. An abnormal area of density. It shows up as shadows or white spots on the mammogram.â Sheâd brought her PC with her and now had it opened on the counter.
âShadows or white spots?â
âApparently. Fatty breast tissue can look similar to a lump.â
âFatty!â
âIris, seriously, thatâs it. An architectural distortionââ
âCan we stop calling it that!â Iris opened the cupboard and took out aspirin.
âDid you drink the whole bottle?â
Iris didnât replied. She had drunk more than sheâd meant to. Her back was to Tess for a few moments. âLook, I got this.â She reached into the back pocket of her jeans and showed Tess the letter from the Breast Clinic. âIt came today.â
Tess took the letter. âThey donât waste any time.â She read it. âThatâs good, Iris.â
âYeah?â
Tess nodded. âReally. The sooner, the better. Right? Doesnât mean bad news. Just ⦠letâs get on top of this.â She paused a moment before continuing, âSo ⦠Iris ⦠the distortion ⦠it says here ⦠just requires a bit of further exploration by ultrasound. Itâs not unusualââTess lowered her voice and narrowed her wide eyesââin older women.â
Iris suddenly burst out laughing, startling her friend. âOh, thank you! Now Iâm fat and old. I wish Luke could hear this.â
She brought the teapot and cups to the table and Tess read more: âAn architectural distortion is an abnormal arrangement of tissue strands of the breast, often a radial or random pattern.â Tess looked up. â But  ⦠without any associated mass as the apparent cause.â She continued reading as Iris poured the tea. âThere is no visible mass.â Tess read silently for a few moments.
âAnd?â
Tess held up her hand. âHere. Listen. The number of women in which the architectural distortion would actually represent invasive breast cancer is very low, perhaps five to seven percent. Clearly, most architectural distortions found on mammography are due to benign causes. There!â Tess sat back. âSee?â
For a few moments both women