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she tells me with a shake of her pretty head, A pack a day smoker and you're the healthiest unhealthy person I know.
The doctor - young and bespectacled and awesomely pleasant - reads the history, looks at the EKG, listens to my heart, examines my feet and feels my arms and throat before passing a calm and measured judgement that he doubts it was cardiac related.
More'n likely, he says with a slight smile, An esophageal spasm from salami and white bread getting lodged in your throat, no signs whatever of cardiac involvement. But........
The all powerful, attention grabbing, medical BUT. I brace myself for a lecture on diet, exercise and smoking. Instead he begins a kind of one sided negotiation - I can cut my risk in half with an aspirin each morning, 30 minutes of walking every day and resuming my cholesterol meds. Am I willing to try? And he is so earnest, so kind, so gently persuasive and damnably reasonable that - without being quite aware I've been cardiologically conned, even if for my own good - I agree to it all. And he smiles.
On my way out, both the nurse and physician's assistant stop to wish me well and I have a suspicion that both are being genuine. Can it actually be that this practice cares more about patients than money? It's a wayward thought but one that stays with me despite my cynicism and experience with the medical profession.
And I smile.