Lifelong Denial of Clam Disorder

The first thing I notice is the sheen. People don’t usually shine. Sweat, yes. Oil, of course. But this is different—irridescent, like gasoline spilled over her skin.

I press into her shoulder. It resists me. Not tight. Not guarded. Resistant, as though it has decided in advance not to participate.

“Have you been to see a doctor?” I ask, because this is what a massage therapist should ask when a client appears unwell.

She laughs, sharp and dismissive. “He said that denial is transforming me into a mollusk.”

My thumbs pause.

“Do you mean LDCD, lifelong denial of clam disorder?” I ask. “Isn’t that serious?”

“If it were serious, wouldn’t I notice my skin calcifying into a shell?” After a huff, she adds, “I’m just firm. I’ve always been firm.”

I glide my palms downward.

There is, unmistakably, the beginning of a seam running down the center of her back, above her spine.

I decide not to comment on the seam. Instead, I ask about stress levels.

She tells me stress is a construct invented by people who can’t handle reality. From experience, I know that, if I say anything, then I will offend her, and she will leave, and then she will hire someone else who smiles and nods.

I smile and nod.

My hands move in long, professional strokes. Her skin is cool the way tile is cool. My thumbs gradually move inwards, towards the seam. It is smooth and curved.

“Does this feel tender?” I ask.

“No, I feel ignored,” she says. “My husband used to help with this.”

“With massage?” 

“Yes. But now he refuses unless I take my medication.” She snorts. “Can you believe that?”

I can.

“He should be supportive of my firmness,” she continues. “Instead he’s chosen pharmaceuticals.”

I shift to her lower back. The oil pools in a shallow dip and then slides off the side of her. I catch it with a towel before it reaches the floor. I make a note to use less next time.

“Other than the doctor and your husband,” I say carefully, “has anyone commented on changes?”

She lifts her head slightly, which produces a faint clicking sound near her spine. “My daughter. I keep telling her we’re just firm, but she pays a shrink who tells her to blame me for everything.”

My fingers trace the seam again. It is no longer subtle. It is now two ridges. It has depth between. The edges are smooth and symmetrical.

“It doesn’t hurt?” I ask.

“Only when people insist something is wrong with me.”

That feels like an answer to a different question. 

I move to her shoulders again. The scapulae are less distinct than they were twenty minutes ago. Or perhaps I’m imagining that. I’ve had a long week. Three prenatal clients and one man who believed his aura was bruised.

Still. The surface beneath my palms is rounding.

“Deep breath,” I say.

She inhales. There is a faint internal suction sound, like a jar being tested for a proper seal.

“That’s better,” she murmurs.

I adjust the bolster under her ankles. Her heels knock together with a muted clack.

“I do think,” I begin, because I am paid to care for her body, “that if multiple professionals are expressing concern—”

“Professionals,” she repeats, amused. “You’re not a medical professional.”

I do not correct her. I am, technically, licensed.

“I simply mean,” I say, pressing gently along the seam, “that bodies can change gradually. Sometimes we normalize discomfort.”

“My body and I have an excellent relationship,” she replies. “If I were transforming into seafood, I would absolutely know.”

Seafood. My stomach twists.

I smooth my hands over the curve of her back. It is more pronounced now. The seam yields the slightest gap when she exhales. There, in the gap, is a sliver of darkness.

I look away. Nausea scratches my throat.

“Perhaps,” I say, keeping my voice level, “we can focus on releasing stored tension today.”

“Yes,” she says, satisfied. “Exactly. Release my stored tension.”

Her words sound like a distorted echo. Those are my words, but not my meaning.

I reach for more oil and hesitate. I gently stretch my wrists and fingers. Then, I continue.

The light catches her back. It gleams.

When I press near the base of her spine, there is no give at all. My thumbs slide outward along a smooth arc that does not belong to human anatomy.

I tell myself that bodies are mysterious.

She sighs. “See? Nothing dramatic. Just firmness.”

“Of course,” I say.

As I speak, my wrists crackle—they feel more stable, less flexible. But this makes the pressure easier to apply.

My hands move in steady circles over the hardening curve. I tell myself I can coax the muscle to remember how to relax.

Perhaps I am helping, because she schedules a massage for next week.

***

Under my palms, something settles more firmly into place.

It is not my imagination.

There is a faint grinding sound, delicate but decisive, like sand rubbing against porcelain.

“Is the pressure all right?” I ask.

“Perfect,” she says. “You see? If I were becoming a mollusk, this would be uncomfortable.”

I consider this logic. I have encountered worse.

I shift to compression work, leaning my weight carefully through my forearms. The contact point is broad and unresponsive. My pressure redistributes around her rather than into her. I feel less like I am working on a person and more like I am polishing a large, reluctant stone.

“Your tissue elasticity has changed since last time,” I say, because this is, technically, accurate.

“I’ve been hydrating,” she replies.

There is another subtle click near the seam. This time it opens a fraction of an inch on its own. I glimpse a darker interior, matte rather than iridescent. The sound that follows is not breath exactly but a wave-like rumble.

I straighten slightly. My hands leave her skin. I hover over her back.

The rumbling wave ebbs and flows, like the ocean’s slow erosion of the coastline.

“Do you hear that?” I ask.

“Hear what?”

The seam closes with a crisp click.

“Nothing,” I say.

She relaxes into the table. The paper beneath her crackles.

“My husband says I’m calcifying,” she continues. “He’s always been judgemental. Honestly. Firmness is not a moral failing.”

I move to her neck, though there is less neck than before. The curve of her back rises higher, crowding the space where vertebrae should articulate individually. I attempt small circular motions at the base of the skull. My fingers slide off unyielding iridescence.

“Has the medication helped at all?” I ask.

“I haven’t taken it,” she says lightly. “If you start medicating every imaginary condition, where does it end?”

I nod. I have clients who refuse vegetables, clients who refuse sugar, clients who refuse exercise. Refusal is not new to me.

But denial is.

I attempt gentle percussion along her upper back. The sound is unmistakable. Not dull. Not fleshy. Hollow and resonant, like tapping the side of a bowl.

She hums with approval.

“Oh, that’s wonderful. I can feel it working.”

Working how, I wonder.

Her hands, resting at her sides, are no longer distinct from her torso. The edges have softened and then fused into the widening curve. I press lightly at what used to be an elbow. There is only smooth continuity.

“Would you like to turn over?” I ask, because routine can sometimes anchor a situation.

She laughs. “I don’t think that’s necessary.”

I pause.

“Are you comfortable?”

“Very,” she says. “More comfortable than I’ve been in weeks.”

The seam along her spine trembles faintly, then opens a little wider than before. The interior is dark, yes, but not empty. There is a faint gurgle inside, fleshy and wet.

I find that I am holding my breath.

She exhales. The seam closes again.

“See?” she says. “Progress.”

I reach for a towel and gently blot the remaining oil from her surface. It beads and rolls away in perfect droplets.

“I do think,” I begin again, softer now, “that if there’s even a small possibility of lifelong denial of clam—”

“Then I would know,” she says, patient with me. “I’m very in tune with my body. Honestly, how could anyone turn into a mollusk without noticing?”

I rest my palm flat against the highest point of her back. It is fully convex now, the curve smooth and unbending, as obstinate as polished stone.

There is no pulse. No warmth.

Under my palm, the iridescence brightens to shimmering blueish-green.

She sighs, content.

“That’s it,” she murmurs. “Right there. I’ve just been under so much pressure lately.”

I let my hand remain where it is.

“Yes,” I say.

The back of my hand, briefly, shimmers like gasoline.

I adjust my posture and continue the session, careful and professional, tracing slow circles across shimmering, calcifying skin.

By the time the hour ends, my hands ache. My skin burns. Both wrists throb. Her iridescent skin has calcified into an unyielding shell.

“I need to strip the table,” I say.

“Oh, it’s over already?” She sighs. “I was so relaxed. I almost forgot about the—well, everything.”

It takes time for her to sit up.

There is a sequence now: a subtle widening at the seam, a faint inward pull, and then a rocking motion that allows her to tilt forward. She does not use her arms. I am no longer certain she has arms.

“Take your time,” I say, stepping back.

“Oh, I’m perfectly mobile,” she replies, though she remains motionless for a full ten seconds.

Finally, with a decisive clack, she settles upright at the edge of the table.

Her profile is different. Rounder. Composed.

“Next week?” she asks.

“Of course,” I say automatically.

She slides off the table with a sound like ceramic meeting tile. I pretend not to hear it. At the door, she pauses.

“You don’t think I’m overreacting, do you?”

“No, not overreacting,” I say.

She beams, which is impressive given the limited tissue flexibility of her face.

“I knew you understood.”

The door closes behind her.

I sit down. Both hands and shoulders ache. Stretches help, but do not alleviate the discomfort.

It takes longer than usual to compose myself for the next appointment.

***

The following week, she does not walk in.

Her husband rolls her.

He navigates carefully through the doorway with a furniture dolly. She is strapped upright, cushioned with folded towels at either side. Her transformation into a clam is complete. And undeniable: two symmetrical shells, pressed tight together, hide her soft body. The shells shine with beautiful blueish-green iridescence.

“Good afternoon,” he says politely.

From somewhere within the shell: “I told you I could manage on my own.”

“You did,” he says.

He unfastens the straps. As he lifts her onto the table, his fingers press flat against the shell.

She remains upright, balanced on folded towels.

When he removes his hands from her shell, each finger leaves a faint, pearlescent print.

I wait for the moment when someone acknowledges the obvious.

No one does.

“I need my massage,” she calls out from inside. Her voice echoes slightly. “My lower back is simply killing me.”

“I see,” I say.

He holds out a bottle. The label is peeling. The dosage instructions have been rubbed nearly blank.

“She refuses,” he says quietly. “Maybe you could persuade—”

“I’m firm,” she corrects. “I’ve always been firm. There is nothing wrong with being firm.”

He nods. His hand tucks the bottle back inside a pocket.

“Same time next week?” I ask him.

“If she wants,” he says. An iridescent shimmer ripples over his skin. He smiles, too smooth, like a surface rather than a face.

“I do,” she answers immediately.

He leaves.

The room is still.

I circle the table.

There is no skin left. No muscle. No accessible anatomy whatsoever. Just two gleaming shells shut tight.

“What would you like me to do?” I ask.

“My lower back!” she snaps. “Didn’t you hear me?”

“Thank you for clarifying,” I say.

I consider my toolkit.

There is no oil that will moisturize a shell.

There is no kneading technique that will soften a shell.

I walk to my cabinet and open the lower drawer, the one I rarely use. Inside are cloths for stone therapy, polish for basalt sets, and a small jar of petroleum-derived mineral oil—more commonly known as baby oil.

I bring the jar back with me.

She shifts slightly. A faint grinding sound follows.

“Oh, that smells wonderful,” she says.

I scoop a modest amount of oil onto a cloth and begin in small, circular motions along the highest curve.

The effect is immediate.

The shell brightens beneath my hand. Dullness disappears. Light catches more confidently along the surface.

She exhales—a deep, resonant sound that seems to come from an interior chamber much larger than her former lungs.

“Yes,” she murmurs. “That’s wonderful. I’ve been so tense, so firm lately.”

“I understand.” 

As I speak, my wrists stiffen. No pain, but less flexible.

I continue polishing.

The seam quivers faintly, then opens half an inch. Inside is a wet darkness. I glimpse something soft withdrawing deeper at the approach of light.

The seam closes again.

I buff the surface until I can see my reflection. My slight smile of professional composure does not reassure me.

“There,” I say finally. “How does that feel?”

“Wonderful,” she answers. “Finally, the firmness eases.”

I cap the jar.

She gleams. Immaculate. The final stage of lifelong denial of clam disorder.

From the hallway, I hear the wheels returning.

As her husband straps her gently back onto the dolly, she calls out, bright and satisfied: “See? Nothing serious. I told you she’d fix me up.”

I smile and nod. “Of course. Just… firmness.” Inside my pockets, both thumbs crackle and stiffen.

The door closes.

The room smells faintly of petroleum. I light a scented candle to fill the room with a citrus aroma.

I gently stretch my arms. My hands are less flexible, but I don’t ache. No soreness in the wrists or thumbs.

Polishing a clam is easy.

***

Next week, she arrives alone.

She—the clam—is in the doorway. Upright. Iridescent.

“I told him not to fuss,” she says from within the closed shell. “I am perfectly mobile.”

“How did you—” I begin, then stop.

There are faint scrape marks along the hallway tile behind her.

“I manage,” she says.

It takes considerable effort to lift her onto the table. My lower back complains. However, I suspect she will cancel her appointments if I insist on assistance from the dolly and her husband.

I circle her once.

“Where would you like me to focus today?” I ask.

A long pause. Then, “I suppose,” she says slowly, “just a massage.”

Massage.

I begin with the cloth again, slow circular movements. The polish blooms into shine almost instantly, as though the surface has been waiting.

“You are very skilled,” she says, voice distant. “Unlike certain medical professionals.”

“Thank you.”

As I buff along the closed seam, nausea scratches my throat. The seam is barely visible now. It has thinned into a hairline trace.

I pause.

“Does that feel sensitive?” I ask.

“I am extremely sensitive,” she replies, pleased.

The seam trembles.

For a moment—just a fraction—it parts. Not enough to reveal depth, only enough to emit a small, damp breath of air that smells faintly of brine.

Then it seals again with a clean, final click.

I lower my hands. I polish.

I finish the session precisely on time.

When I help her down from the table, she tips forward and rolls the last few inches to the floor on her own, settling upright without assistance.

At the door, she pauses.

“You never once insisted something is wrong with me,” she says. “Thank you.”

I smile. Then, against my better judgement, I ask, “I am helping you, aren’t I?”

“Yes, you are,” she says. “I’ll see you next week.”

I nod. My wrists grind into a more stable, less flexible arrangement of bones.

The door opens. She tilts and rolls into the hallway, leaving a faint, rhythmic echo behind her.

I look down at my palms. My skin gleams.

Iridescent.

I rotate my wrist under the light. The joints feel more stable but less flexible.

It’s probably just oil.

Just a surface sheen.

Just…firmness.

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