Bad Literature about a Great Man.

The young doctor ran his sinewy fingers through his dark wavy hair. He paused and sighed, measuring his thoughts; buying some time. His jaw was square, his teeth were white and straight, and his skin--dark and moist--was fertile ground for the black stubble of a 14-hour workday. He was all together a beautiful man: probably hated by his high school classmates, envied by his fellow med schoolers, and worshiped by his neighbors and everyone else without a Mercedes convertible and beachfront home in Stone Harbor.

His life was as smooth as China silk, but his body language at that moment was 60 grit rough.

I hate doing this, he thought.

Giving patients bad news is not something he was good at. Mostly, because he hadn’t had much practice. First in his class at Hopkins, a choice residency at the Mayo Clinic, an esteemed fellowship at the Cleveland Clinic—Young Doc had, indeed, faced adversity in his career. In fact, he was usually brought in on the most difficult cases. Yet for Doc, adversity was like a fertilizer: deepening his roots in medicine and blossoming his creativity for a solution. He was bad at delivering bad news, because he was so good at delivering good news.

But today would be different. For this case he had no answers. The patient had three boys--all blonde, all deeply in love with their father, all nervous and unsure of what would come next. They huddled on the bed around their father like survivors on a life raft, their limbs tangled, heads and hands everywhere, they struggled for real estate on the narrow mattress.

Doc thought of his own children, three girls, whose ages probably matched-up perfectly with these three kids. In order to gain some private time with his patient, he tipped the kids off to the ice cream in the doctors’ lounge freezer. “Help your self,” he said, “and feel free to watch some TV, too.”

As the children left, the patient could see the doctor’s hazel eyes turn a shape of somber. Lids lifted, eyes down, the patient could see in his doctor’s out-of-focus gaze a telegraphed punch of bad news. That is a merciful thing to do, he thought, giving me some time to brace myself before impact.

As the doctor began to preface his prognosis, the patient’s mind turned to a simpler time, when physical goals were measured by time and distance, not dogs and buns. His ears tuned in to the doctor as he transitioned his speech to the things that matter.

“Mr. Steakbellie, I am afraid there is nothing we can do for you,” he apologized. “Your intestines are hundreds of yards long and able to pass mountains of food, but only at a measured pace, only in reasonable amounts.”

“The eighteen hotdogs you ate in twelve minutes were just too much for your intestines to handle. Your stomach did its job. It expanded to meet the demand. But the food bottlenecked in your small intestine. It’s like a six lane highway full of traffic narrowing to a hiking path. Those Nathan’s are a jackknifed tractor-trailer to your system.”

“Mr. Steakbellie, and I’m so sorry to have to tell you this…” tears began to roll down the doctor’s cheek, he trembled with the next few words, “but you have to pass those hot dogs and buns on your own. I can’t help you. Eighteen hot dogs, you see, is a lot of food to eat in twelve minutes.”

Eighteen hot dogs are a real lot to eat in eighteen minutes.