feeling? Are you nauseated?” Her tone was the same as it had been when she’d told me Olivia would need her friends, and I started to get thesense she was just matter-of-fact about everything.
Olivia shook her head. “Not yet. I have a funny taste in my mouth.” Livvie ran her tongue along her teeth and made a face. “It’s weird.”
“Unfortunately, I can’t help you with that, but if it’s making you nauseous, let me know, okay? Like I said before, it’s hard to get the horse back in the barn once he’s out.”
I had no idea what she was talking about, but Olivia must have, because she nodded. Dr. Maxwell looked around the room. “Everything seems okay for now,” she said. “Olivia’s off to a good start.”
I hadn’t noticed how quiet the room had gotten while Dr. Maxwell was examining Olivia, but as soon as she gave her assessment, the buzz of conversation that started up again made me feel the silence her presence had generated. It reminded me of how it had been in a dance class when Martin Hicks, the NYBC director, would pay one of his occasional visits. You didn’t realize how tightly you’d been holding everything in—how high you’d been lifting your leg, how far you’d extended your arms—until he left and you felt the collective tension seep out of the room as everyone literally gave a sigh of relief.
Now people went back to their conversations. Dr. Maxwell stood next to the bed. “So,” she said, “Olivia and her family and I had a long talk earlier, but she asked me to come back and explain some things about her illness to you.”
I looked at Olivia. “Really? You wanted her to explaineverything to me, too?”
Livvie nodded. I loved her so much right at that instant I almost cried.
“Now, what do you know about leukemia?” asked Dr. Maxwell.
“It’s got something to do with Olivia’s blood,” I answered, purposely not using the word cancer .
“Good,” said Dr. Maxwell, and even though we were talking about a deadly disease that my best friend had, I felt glad to have gotten the answer right. “It does have to do with blood. Specifically, it’s a cancer of the blood.”
“Actually, I was trying to avoid the c word,” I explained.
Olivia laughed, and even Dr. Maxwell cracked a smile. “We use the c word a lot around here,” Dr. Maxwell assured me. “Now, there are different types of leukemia. Most children and teens get something called acute lymphoblastic leukemia, or ALL. Olivia has acute myeloid leukemia, or AML. It’s a cancer more commonly associated with males in their sixties.”
Livvie turned to me. “I have old-man cancer. Isn’t that so humiliating?”
“It is , actually. But I won’t tell anyone,” I promised.
Dr. Maxwell was shaking her head. I couldn’t tell if she was amused or irritated by the way we were talking. “In a healthy person,” she went on, “blood is formed inside the soft, spongy part of the big bones in your body, such as your femur. You know what your femur is?” I nodded. Our first year at NYBC,a girl in our class had had a skiing accident and broken her femur. I still remembered when one of the worst dancers in our class had pulled us aside to tell us about the accident. She may never dance again . Her face had been bright pink with the drama of the moment.
“Your femur’s here.” I hit my thigh as I said it.
“Correct.” Dr. Maxwell said. “So blood is born—formed—in the bone marrow. There, immature cells called blasts grow into mature blood cells: white blood cells, red blood cells, or platelets. Think of bone marrow as a school. Or a house. The kids grow up, learn a trade, then leave home and go to work at a job.
“But leukemia stops blood cells from doing that. In a person with AML, instead of making normal blasts, which grow into normal blood cells, the bone marrow starts making cancerous cells. They divide quickly and uncontrollably. They don’t do their jobs. And they fill up the bone marrow so