The $3,200 balance had been circled twice on the estimate from the medical center near the Grand Parkway.

I stared at that number for a long time.

It wasn’t the largest bill I’d ever seen. But at that moment, it felt enormous.

I was fifty-eight years old, still working six days a week at a distribution warehouse. Most of the money I’d managed to save over the years had already disappeared into medical tests, prescriptions, mortgage payments, and ordinary expenses that never seemed to stop.