In this narrative poem, the narrator enters his doctor's waiting room only to find that the room is full of "mostly old / dying women," and the doctor is not in. So the narrator decides to go to the racetrack, where he finds the doctor "standing there with / a hot dog and a beer."
The doctor explains that his practice is depressing; for example, "there's one / old woman, she's got / cancer of the ass." The doctor gives his patient a good tip on the next race. The narrator reveals that he, too, has cancer of the ass. The doctor gets them both another hot dog and beer and starts "talking / about what / a horrible woman / his wife was." [103 lines]