It was that
time again. I was six months overdue for
what Kaiser has deemed an appropriate interval between mammograms. So 2-1/2 years after my previous one, now
armored only by a bronze health insurance plan and feeling very ambivalent and
reluctant to undergo the damn thing at all, I caved.
The day
after the mammogram, I got a call. An
overly cheerful male voice announced that radiology would like to take a few
more pictures, that they had noticed something.
I
sighed. Great, I thought.
“Can you come
in again in the next few days?” he asked.
As chance
would have it, I was working at home that day, and I happen to live three
blocks from Kaiser. Lucky me. “I’ll come within the hour,” I said.
On my walk
over, I was feeling really pissed off.
Within
several minutes of my arrival, a radiology tech ushered me in and took several
more pictures of my right breast, which, laughably, there isn’t much of to
begin with.
“Okay,
great. Now wait here. I’ll be back in ten minutes.” I got dressed.
Remarkably,
in less than ten minutes, the tech returned and led me down a hall to an office
where a young woman was sitting in a chair in front of a computer.
“Hi, my name
is Casey. I’m a nurse practitioner. Have a seat.”
The next 15
minutes were a surreal blur. On the
screen of her computer, she pointed out to me four pin prick-sized
calcifications in my right breast pretty far back from the front. Tiny, tiny. The radiologist, via Kaiser
protocol, had deemed this biopsy-worthy.
When I asked what that entailed, what I keenly gleaned from the words
that oozed from the nurse practitioner’s mouth was that it would involve
cutting. She went so far as to suggest
that I could kill two birds with one stone by removing the area of
calcification WHILE they performed the biopsy procedure, since they were
already infiltrating the tissue, and be done with it.
I was
stupefied.
I asked what
other women had done in my situation. By
this point, I think she knew that I would take no bullshit from her and that
she better be straight with me.
“Well,
calcifications are very common, and 75 percent of the time, they’re nothing to
worry about. But 25 percent turn out to be pre-cancerous.”
PRE-cancerous? What the hell does that mean? 25 percent?
“Some women
do opt to return in six months for more films to see if anything has changed
before taking further action.”
“Ah,” I
said. “I like that door. I’ll pick that one.”
“Okay. Well, due to liability issues, I have to send
you a letter that you have to acknowledge receipt of via signature that
documents our conversation and that you have opted to wait.”
“No problem.”
I replied.
“Kaiser’s
official recommendation is to proceed with the biopsy. But I understand your decision.”
Listen,” I
said. “You have to do your job, and I
have to do mine. This is my body. Thank you for your time.”
I was out
the door, actually feeling better than when I had entered.
Over the
next few days as I tossed and turned over what had transpired, I slowly settled
into a comfortable position. A calm
clarity. A resolute peace. My anger had burned through a filmy residue
of fear. Now I knew how the game was
played. Six months hence, I thought, I
may or may not return for more films.
But my
biggest fear? I’ll let the bastards
scare me again.