The sound patients make when they fall off the earth is so quiet that hardly anyone can hear it.
For one of my clients, Richard Semsker, a forty-six-year-old attorney, the sound was a thin rustle, as his internist handed him a sheet of paper that told him his life was ruined for no good reason.
He already knew that the mole on his lower back, which had recently turned a mottled blue-brown, had proven to be an aggressive cancer, a melanoma. But now the newly discovered paper told him that a dermatologist had recommended the mole be excised eight years before, long before it turned deadly. Somehow, no one had notified the patient.
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