Stability was the theme of my 5/15 appointment with Luis Alvarez (my nephrologist — who, since advanced kidney disease is my most salient affliction, has been in effect serving as my main physician). He was delighted with the most recent lab tests (everything holding at a good level) and with what he saw by examining and feeling various parts of my body and by observing my speech and behavior. He said to go on doing what I was doing and get an appointment in, wow, six months.
I allowed that I’d gotten used to the idea that death wasn’t very far off (every day is a surprising gift, to be treasured; my motto has been the Pythonic Mary Queen of Scots cry: Not Dead Yet), and he said that was reasonable before, but not now, since I probably had a long life still in front of me. And then we chatted for a while about the nature of diagnosis and prediction, as he and I are inclined to do.




