The Instant When Everything is Perfect
“His last patient, Jackie Lagalante, has just had her final check up after her TRAM flap reconstruction. It wasn’t easy. In fact, when Jackie came in for her first consult and then later, after she’d gone through chemotherapy and radiation, she was thin, her bones like hooks under her skin. But she was a good consumer—she’d watched the videos carefully, and saw that the TRAM gave the best results. Breasts that were of her own skin, own flesh, supple, and natural. “I want those,” she’d said, the bangs from her wig dipping down over her eyes. “These are the breasts I want.” Robert didn’t know what to say, except, “You’re too thin.” Jackie stared at him, blinking once, twice. “Then I’ll gain weight. I’ll grow the fat for my own breasts, and you’ll move it from my stomach to the right place. I read about it. It can happen.” In his other life, Robert would have said, “Yes,” immediately, assuring Jackie that all of this was possible, and maybe more.
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