Wednesday, November 29, 2017

The Cancer Diary 5 Years Later: 12/12/12 and the Satellite

I have always been a good rule follower.  I never park in handicapped parking spaces.  I renew my license and pay my bills on time.  I write my lesson plans on Sunday nights so that they are online Monday morning.  I grade my students’ papers promptly so that they can know their grades quickly.  I am reliable.  Unfortunately, not everything in life is that reliable and so I am easily shocked when things do not go as planned. 

I have had the biggest shock of my life.  I have breast cancer. 

Why is this a shock?  Because no close relative of mine has ever had breast cancer – I have to go back two generations to great aunts and a great-grandma .  Because I thought only large-chested women had breast cancer (um, not me).  Because since seventh grade, when my grandma died of diabetes related heart problems, I have only ever worried that I would have diabetes or heart disease.  Breast cancer?  This was far off my radar of things to worry about.  And so I did not. 

But I did turn 40 this past June.  I looked forward to it, much more than turning 30.  Turning 40, I was secure about myself.   I didn’t have to worry about what I haven’t done yet in my life.  I could be happy with what I have done.  However, when you have milestone birthdays, you do think about ticking off certain boxes.   One box for me was getting a mammogram.
 
I had thought about it in the previous few years.  My mom gets a mammogram every year on her birthday.  Friends who were starting to turn 40 were talking about getting mammograms.  Even my primary care doctor sent me an alarmist letter telling me to get one.  I wasn’t worried, but remember, I am a good rule follower.  If you are supposed to get a mammogram at 40, I was going to get one.
Luckily for me, I had a very easy way to get my first mammogram.  On election day, we have a professional day at school – no students.  For the last few years, our wellness committee had also planned a health fair for that day.  It included a mobile mammogram unit from the James Cancer Center.  I knew that I wanted to sign up for that mobile mammogram.  It was easy – I was already at school.

But then I got busy with other things and forgot to sign up for an appointment before the deadline.  Oh well, I thought, I can do it next year.  Luckily for me, someone else was looking out for me – a guardian angel maybe.  Two days before the health fair, we got an email telling us that if the mammogram unit didn’t have at least one more person, they wouldn’t come.  OK, I thought, someone is really telling me that I should get this mammogram.  So I called right away and got my appointment.

The first mammogram was pretty quick and easy.  The staff was nice.  It was uncomfortable but it didn’t really hurt like some say.     The technician explained the procedures to me and said that because this was my first mammogram, I may need a follow-up.  Follow-up procedures are common.  OK.

A couple of weeks later, I got a call from the James and from my gynecologist’s office.  I did need another mammogram and had a new appointment scheduled.  I started to have a sliver of negative thoughts peep through, but still I thought nothing was wrong.  Many others have follow-up procedures.

I went to my appointment with my mother to the Stephanie Spielman Comprehensive Breast Center.  I must say that this Center is a strikingly beautiful place with the friendliest staff I have ever observed.  The date was 12/12/12.  Many people were excited about that day since the numeric sequence will not occur in such an interesting fashion again in most lifetimes.  It was an interesting day, maybe a lucky day, definitely a life-changing day.

The first procedure I had done was another mammogram.   I walked in the room nervously but blissfully ignorant of my situation.  The technician had pictures of my previous mammogram lighted on a screen.  She explained to me what we were looking at and what kinds of mammograms we were going to do.  Wait.  I looked at the screen.  Is that abnormal, I asked?  The technician diplomatically gave me a non-answer and my face began to fall -- my first realization that something was indeed wrong.

My next procedure was an ultrasound -- the longest ultrasound in the history of man (at least what it seemed like to me).  They obviously were looking for something.   I was starting to understand.  Then a radiologist wanted to talk to me – and my mom.  That’s when I learned about the satellite.

My mom and I walked into a dark, small room with my now enormous breast lighted on a screen.  The doctor talked about calcifications, measurements in millimeters, and especially being worried about the satellite.  A satellite, a linked body nearby.  For some reason, that word stuck with me.  I like satellites – like the moon and satellites that circle the earth and tell us about space.  I don’t like this new satellite.  It means there’s something wrong. 

And there really was something wrong.  The next week, I ended up having a follow-up biopsy which showed that I have invasive ductal carcinoma – breast cancer, the most common type.  I didn’t need the biopsy to know I had cancer.  I could tell from the pictures of the mammograms and the ultrasounds that I had cancer.  I don’t have medical training, but I had a feeling.  I meet with a surgeon next week to discuss what will come next.   I’m not sure what that will mean exactly, but I have faith that the doctors, nurses and all the medical personnel will do their best to help me.


Maybe 12/12/12 was my lucky day after all.   It was the day that I found out about the satellite and my breast cancer.  There have been days since then that I have been very sad and scared, but on the whole, besides being a rule-follower, I am an optimist and I am thinking positively.  My cancer is very small, measured in millimeters instead of centimeters.  Because of developments in technology, they were able to find my cancer early, when I am young and I have a great chance of fighting it.  I am also blessed to have such a wonderful, top-notch cancer center so nearby.  If I need to fight cancer, I feel good going to such experts.  I am also blessed to have such caring family and friends who I know will help me along my journey.