– Doc?

– Shhh.

He squeezes my feet a few more times, then stands up. He’s talking now, but I’m having trouble hearing what he’s saying. He’s gesturing from my feet to the X rays. I’m thinking about getting out of here and drinking my next beer. I’m thinking how I wish I were lying down right now because I feel a little strange. He is looking at me oddly.

The roaring in my ears is not the hangover. I cannot hear over it and it occurs to me that something must be wrong. The examining table spins out from underneath me and I thump to the floor. I try to lift myself up, but I can’t. I feel a warm wetness spreading over my lap and down my legs. I can see the tops of my feet. I can see the tips of my three-hundred-dollar sneakers that are supposed to be the most comfortable things that money can buy but are not. And I can see the bloody urine trickling out the cuffs of my jeans. Something is very wrong. I sleep.

This is how life changes.

You’re born in California and raised as an only child in a pleasant suburb a ways east of San Francisco. You have a nice childhood with parents who love you. You play baseball. You are tremendously gifted at the game and you love it. By the time you are seventeen you have a room full of trophies. You have played on two teams that have competed for the Little League World Series and are the star player on your high school’s varsity squad. You’re a four-tool player: bat, glove, arm, and legs. You play center field. You lead the team in homers, ERA, RBI, stolen bases, and have no errors. Pro scouts have been coming to see you play all year and when you graduate, everyone expects you will skip college to be signed for development by a Major League club. At every game you look into the stands and your parents are always there.

In the regional championship game you are caught stealing third. You slide hard into the bag as the third baseman leaps to snare a high throw from the plate. Your cleats dig into the bottom of the base and as you pop up out of your slide, the third baseman is coming down with the ball. He lands on the ankle of your caught foot and, as you continue up, he falls down with his full weight on your lower leg.

The bone sticks straight out from your calf, and you just stare at it.

The pins they stick in your fibula restrict growth in the bone. It will not heal properly and for the rest of your life you have a hard knot of scar and bundled muscle tissue that aches in cold, wet weather. No one even pretends you will play again.

You stay away from the games and don’t see much of your old friends. You have new friends, and you get in a little trouble. You work after school and buy a Mustang and fix it up with your dad, the mechanic. You drive everywhere and drag all the local motor-heads. You always win. When there’s no one around to race, you drive fast on the back roads outside of town and get a rush from the speed. It’s not baseball, but it’s something.

Out by the cattle ranches, after midnight, a calf wanders into the road through a split in the fence. You swerve and pound down on the brake pedal. The wheel crazes out of your hand and the car heels down on the front right tire. The tire explodes. The wheel rim bites into the tarmac and the car flips up and begins to sail end over end. You are suspended in the car, held tight to the seat by the four-point harness your dad insisted you install. The car tumbles through the air and passes harmlessly over the calf. The Ford completes a full revolution, lands on its bottom, careens across the road and slams its front end into an oak.

Your friend Rich does not have his seat belt on. When you first saw the calf and slammed the brakes, Rich was kneeling on his seat, turned around and rummaging in the back for a sweatshirt.

During the flip you are for a moment suspended upside down. Rich bounces around the interior of the car and falls to the roof, sprawled on his back. He is looking at you, into your eyes, his face less than a foot away, inches away. The car flips with sudden violence, Rich disappears from your vision, and as you plow into the tree he appears to leap at the front windshield from somewhere behind you. He launches through the glass and flies the short distance to where the oak catches him brutally.

Lots of people show up at the funeral and cry and hug you. You have a bruised sternum and a cut on your cheek, and you look no one in the eye. Afterward your parents take you home.

In the spring you graduate and in the fall go to college in Northern California. You think about being a physical therapist or an EMT. You think about teaching like your mom. You won’t go to work in your dad’s garage. You don’t want to work on cars anymore. You don’t even drive.

You never graduate. You go to college for six years and study a bit of everything and do well at all of it, but you never graduate. You’re not sure what to do and then you meet a girl. She’s an actress.

You show up in New York with your girl and the two of you stay on the couch at her friend’s place. Two weeks after you get to the city, she gets a job on the road and leaves. The friend tells you that you have to move out.

New York has great public transportation. You never have to drive. You decide to stay. You find an apartment the size of your folks’ kitchen. You get a job tending bar. For the first time in your life you start drinking. You’re good at it.

You live in New York, but you always act like a guy from a small town in California. You help winos out of the gutter, you call an ambulance when you see someone hurt, you loan money to friends who need it and don’t ask for it back, you let folks flop at your pad and you help the blind across the street. One night you go to break up a fight in the bar and get knocked around pretty good, so the next day you start taking boxing classes. You drink too much, but your parents don’t know that.

You’re a good guy, you’re tough and you have a reputation in your neighborhood for helping people out. It’s nice. It’s not the life you expected, but it’s nice enough for you. You feel useful, you have friends and your parents love you. Ten years pass.

One day the guy who lives across the hall from you knocks on your door. He needs a big favor. That’s when life really changes.

When I wake up, the first thing I think about is the fucking cat. I’m looking after this guy’s cat for a couple weeks. God knows how long I’ve been out and if the thing is even alive. Fuck! I knew this would happen. I told the guy I wasn’t good with animals, that I can barely take care of myself, but he was really up against it, so I took the damn cat. Then I see I’m in the hospital and figure out I may have more important things to worry about.

A joke: Guy is born with three testicles and spends his whole life feeling like a freak. Boys make fun of him in gym class, girls laugh at him. Finally, he can’t take it and goes to have one of them lopped off. The doctor takes one look and tells the guy no way, it’s too dangerous, might kill him or something, but he sends him to a shrink who might help out. This counselor or whatever he is tells the guy to take it easy, he should be proud of this third ball, he’s special. I mean, how many guys have three testicles, right? So the guy feels great after that. He leaves the doc’s office, walks into the street, goes up to the first man he sees and says, “Did you know, between you and me we’ve got five balls?” This dude looks at him funny and says, “You mean you only have one?”

First guy I see when I walk out of the hospital I go up to and start talking.

– Did you know, between you and me we only have three kidneys?

He doesn’t say anything, just walks around me like I’m not there.

New York, baby, New York.

I’ve been in the hospital for six days: one unconscious and five conscious. The doctors removed the kidney, which had been nearly ruptured by the two big guys with four small hands and further damaged by my negligence and massive consumption of diuretic liquids.Booze. The kidney was at “four plus” when they took it out. At “five,” they simply explode and kill you. I have been told that I should never again consume alcohol in any amount for the rest of my life on pain of death.Likewise no smoking or caffeine. I don’t smoke and, like I said, caffeine makes me jittery.