I listened with my eyes closed, wondering if all people listened to music with words this way. When the last note played, I started my car and drove to the hospital fighting a smile. I’d expected something to strip me naked like the Florence Welch song had. The title and its tie to the great Oscar Wilde had been enough to make me smirk, but the words, which to anyone else fighting cancer would have felt insensitive, uplifted me. So gloriously morbid.

I hit play and listened one more time, drumming my fingers on the steering wheel as I drove.

I was sitting in the exam room in a hospital gown when Isaac walked in, followed by a nurse, Dr. Akela and the plastic surgeon I saw a few weeks earlier—I think his name was Dr. Monroe, or maybe it was Dr. Morton. Isaac was wearing black scrubs underneath his white lab coat. I had a moment to study him as he looked over my chart. Dr. Akela was smiling at me, standing almost too close to Isaac. Was that possession? Dr. Monroe/Morton looked bored. On television they called his kind Plastics.

Finally, Isaac looked up.

“Senna,” he said. Dr. Akela glanced up at him when he used my first name. I wondered if she was where he went missing to when he wasn’t with me. If I were a man, I’d go missing to Dr. Akela, too. She’d make a beautiful hiding place. Her sense was sight, I decided. Everything about her called loudly to the eyes: the way she moved, the way she looked, the way she spoke sentences with only her body.

Isaac asked me to sit up. “We’re going to take a look.” He gently untied the back of my hospital gown and stepped away so I could lower it myself. I made myself feel nothing, staring straight ahead as the cold air touched my skin.

“Lie back, Senna,” he said softly. I did. I focused on the ceiling as I felt his hands on me. He examined each breast, his fingers lingering around the lump on the right side. His touch was gentle, but professional. If anyone else had been touching me, I would have bolted upright and run straight out of the room. When he was done, he helped me sit up and retied my gown. I saw Dr. Akela watching him again.

“Your labs look good,” he said. “Everything is set for the surgery next week. Dr. Montoll is here to talk to you about reconstruction.” Montoll! “And Dr. Akela would like to go over the radiation treatments with you.”

“I won’t be needing to speak with Dr. Montoll,” I said.

Isaac’s face jerked up from my chart. “You’ll want to discuss reconstruction of—”

“No,” I said. “I don’t.”

Dr. Montoll the Plastic stepped in, suddenly not looking quite as bored. “Ms. Richards, if we get the expanders in now, your reconstruction—”

“I’m not interested in reconstruction,” I said, dismissively. “I’ll have the mastectomy and then I’ll go home without expanders. That’s my decision.”

Dr. Montoll opened his mouth to speak, but Isaac cut him off.

“The patient has made her decision, doctor.” He was staring straight at me when he said it. I pulled my lips tight, in thanks.

“If my services aren’t needed, you’ll excuse me,” Dr. Montoll said, before making his exit. I looked at my hands. Dr. Akela sat on the edge of my bed. We spoke for a few minutes about the radiation I’d have to go through after my surgery. Six weeks. I had to admire her bedside manner; she was warm and personal. On her way out she touched Isaac lightly on the back of his arm. Mine.

Isaac waited until the door clicked shut before he took a step forward. I braced myself for an influx of questions, but instead he said, “You can get dressed now. Are you free for lunch?”

I blinked up at him.

“Isn’t that a conflict of interest? Eating lunch with a patient?”

He smiled. “Yes, we’d have to go somewhere other than the hospital cafeteria.”

I was about to say no, when I heard the lyrics of the song he gave me this morning, playing in my head. Who gave someone a song that said, No need to worry because everybody will die when they had cancer?

I liked it. It was the honesty.

“All right,” I said.

He glanced at his watch. “Meet you in the parking lot in ten?”

I nodded.

I got dressed and made my way downstairs. “I’m over this way,” he said, once I found him in the parking lot. He’d changed out of his scrubs and was wearing a white shirt and grey pinstriped pants. I followed him to his car, and he opened the door for me. It was too much. I freaked.

“I can’t do this,” I said. I backed away from the car. “I’m sorry. I need to get home.”

I didn’t look back as I walked toward my car.

He probably thought I was losing my mind. There was a good chance I was.

Isaac was waiting for me when I got home a few hours later, leaning against his car with his face turned upward. Soak it up, Isaac, I thought. Tomorrow my clouds will be back. For a brief second, I thought about not turning into my driveway and heading up to Canada instead. But I’d been driving around for hours and the needle to my gas tank was pointing to E. I wanted to go home. I walked past him to the front door. We were barely past the foyer when I said, “Why didn’t you ask me why I don’t want reconstruction?”

“Because if you want to tell me, you will.”

“We’re not friends, Isaac!”

“No?”

“I don’t have friends. Can’t you see that?”

“I can see that,” he said. I waited for him to say something more, but he didn’t. I was wearing a navy blue jacket over my shirt. I took it off and flung it on the couch. Then I piled my hair on top of my head and tied it into a knot.

“So why are you here?”

He looked at me then. “I want you to be okay.”

Too much. I ran upstairs. I was crazy. I knew that. Normal people didn’t leave conversations right in the middle. Normal people didn’t let strangers sleep on their couch.

Two years ago I purchased a stationary bike from an eighty-eight year old widower with pink hair named Delfie. She’d put an ad in the Penny Saver after she’d had hip replacement and couldn’t damn well use it, as she’d said. I’d picked it up the same day I made the call. After all the hassle and tassle of hauling the thing up the stairs, I’d yet to sit on it. I walked over to where it was collecting dust in the corner of my bedroom and climbed on. I had to adjust Delfie’s setting on the padded seat. I pedaled until my legs felt like jelly. I was panting when I climbed off, my bare feet sore from the plastic pedals. I walked on the sides of my feet to my night table. I flipped open the cover of Knotted with my pinkie.