The 25-year-old narrator returns to his hometown after a five-year absence. He accompanies his 14-year-old cousin to the hospital. The cousin's right ear is damaged, and his hearing is ruined. Although previous treatments have been unsuccessful, a new ear specialist is going to perform a procedure on the boy's ear.

The narrator recalls another trip he took to a hospital eight years earlier. At that time, he and a high school friend visited a girl who was having an operation on her rib. The girl had composed a poem based on a dream she had. She told the story to her two visitors and illustrated it by drawing a picture on a napkin. Her tale involved miniscule flies that crept into a woman's ear causing her to fall asleep. While she slept, the insects eventually devoured her flesh. A man attempted to awake (and save) her, but it was too late. The narrator remembers that his high school friend died not long afterwards.

The cousin's appointment with the ear doctor ends with a sack of medication and little likelihood that the day's treatment will restore his hearing. The narrator and his cousin eat in the hospital cafeteria. The boy asks the narrator to gaze inside his ears, and the narrator marvels at the structure and mystery of the human ear. He decides his cousin's ear appears normal. Soon, the narrator's mind once again drifts back to a summer eight years ago and memories of his lost friend.