When Ben Nowak reached the age of fifty, his primary care physician for the past fifteen years, Dr. Ellen Parrish, began performing annual digital rectal examinations on him. Ben is still embarrassed by the female physician checking his prostate gland. He finds the younger Dr. Parrish attractive and available. She divorced her husband because the man was abusive.

Dr. Parrish's office receptionist happens to be the wife of Ben's friend, Jerry, who works at a landfill and brings home cases of expired beer. Once, Jerry found a dead newborn baby in the landfill. Dr. Parrish informs Ben that his prostate has gotten larger. The tests she orders come back "inconclusive" so additional tests are done. Ben concedes that he might have prostate cancer, but rationalizes that things could be "a hundred times worse" (29).

When his second set of test results are normal, Ben grasps that it is likely a temporary reprieve; he is only fine "until the next time" (34). He drives to the site of an illegal dump. The trunk of his car contains ten cases of expired beer (courtesy of Jerry). At the dump, he proceeds to drink one bottle of beer from each case and smashes the other twenty-three.