My friend walks into my kitchen. The windows are shrouded in the remains of last night’s darkness. She bends down and looks at my face, reminding me of those enervating conversations in ERs with doctors. After a careful moment, she pronounces, You look good. My house is warm; her sentence warms me more.

In the St. Johnsbury hospital, she drops me at the laboratory door. A receptionist sends me down the hall, in search of elevators. A woman in the waiting room follows rickety me in my winter boots, and repeats the directions. I wander down halls empty of people, interspersed with lit Christmas trees in what seem to me random corners and notches. Someone calls my name. I turn and look, and of course this is my friend, who for a fleeting moment I don’t recognize in her bundled coat, surgical mask.

Not far from the Canadian border, St.Johnsbury has a faded charm from its former heyday of logging and Fairbanks scales. This December morning, the day sputters, promising no sunlight, maybe a few rosy strands in the opening daybreak. In my strange fog, I wonder if the light mirrors Siberia. My blood is drawn and spun. Waiting for the verdict, I stare out the window, the layers of coal and washed-thin blue and last night’s pale snow. Beside me, a man introduces himself says he owns a garage and towing business. I pull down my mask and offer my name. My voice is so muted he can hardly hear me, but I ask him to tell me about his plowing so far this winter. While we wait, he obliges me. My hands, he says, will never be clean enough for hospitals.

Siberia, I think, Siberia, as the garage owner pinpoints roads. The daylight notches up a bit. Save for my friend, waiting elsewhere, I know no one here, but this winter landscape of snow and pale mountain, the livelihood of working with hands and backs and people, is familiar to me as my thumb knuckles, the loneliness of lingering over the morning’s last cup of cooling black coffee, pondering some decision that’s wormed itself in the day.

So disease, cancer, that forbidding word, burrows in. The disease is me; the blood is mine; the nurse explains numbers, says hematocrit, hemoglobin. Less than a handful of weeks into this journey, I know my blood courses with immutable facts, ragingly powerful chemistry. The blessing to leave is laid upon me.

Home again from distant Siberia — is it midmorning? afternoon’s mire? — my friend sweeps ashes from my wood stove and nourishes gleaming coals with birchbark and splinters, odd pieces of end wood. This day unfurls, somber and patient, settling into winter’s long haul. I offer a piece of my daughter’s gingerbread. For hours now, we’ve talked about migrating snow geese and cancer and macaroni and cheese. She asks if I would take her on a nighttime walk — I envision the throb of spring peepers, the redolent rotting slop of thawing earth — indeed, a pleasure I might give back, to one of my shepherds holding me steady as I wobble down my back steps.