Wednesday, July 31, 2013

A Week-Long Mammogram

For years now I had a goal to have a mammogram by the age of 35.  35 may sound awfully young, but with the history of breast cancer in my family, a base-line at 35 was a good idea.

You know how life goes.  Years zoomed by my goal of 35.

A week ago, at the age of 37, I finally worked up courage to have my first mammogram. 

The mammogram was not as bad as I had imagined.  I walked away wondering why I had put that off so long.  As standard procedure, the receptionist said I would receive a postcard in the mail if everything was fine, or a call from their office if they needed to see me back.

My family was camping at Shaver Lake, so I happily headed back up the hill to resume my vacation.  I kept my phone near me in the off-chance the office called.  Tuesday changed to Wednesday, then Thursday and Friday.  I knew I was clear.  Heading down the hill Sunday evening I thought about the happy postcard that would be awaiting me.

Unfortunately, I did have a postcard waiting, but instead of a happy report it said: “There are findings that need further evaluation.”  

Bummer.  Really?  

Monday morning at 11:00 I made the call to be sure they had their information correct.

“Oh, yes, Mrs. Nicholson,” said the receptionist, “we need to schedule an ultrasound for you as soon as possible.  I have an opening today at 1:30.  Can you make that?”

Was she serious? An ultrasound in 21/2 hours?  With VBS going on in the evening and a house-full of a week’s worth of camping clothes and supplies, I took the 1:30 appointment.

I called my Aunt Connie, a remarkable breast cancer survivor herself, to relay the information I knew.  She reassured me most likely they wanted a more detailed base-line with my history.  There was no reason to be alarmed.

I called my husband to let him know I had to go back.  He asked if I was nervous.  I said no.

Strange how it feels like our bodies betray us.  Mentally, I was calm, composed and ready to handle whatever was coming my way.  But physically, at noon, my body began trembling.  I kept reciting memory verses, praying for God’s peace, but from deep within my body was afraid.  I felt like King David commanding his soul to bless the Lord.  “Do not be afraid!” I continued to command my body.  But the trembling continued.

At 1:30 the ultrasound technician questioned my nerves.  She said my heart was racing.  “I really am fine, I don’t know why my heart is racing so much.”  In my mind I kept rehearsing my Aunt Connie’s words, “it’s just a more detailed base-line,” until she said, “Now, there’s one particular spot we’re looking at.”

Drats.

Sure enough, multiple pictures later, the doctor came in with the evaluation.  I have a 12mm lump that is a solid mass, not a fluid-filled cyst.  The next step?  Core needle biopsy and a tag.  We had to find out if the solid mass was fibroadenoma or cancer.  There would also be a tag inserted into the mass for easy tracking and evaluation.

Ugg.

Anyone that knows me, knows I really don’t like medical stuff.  I had all three of my babies at home to avoid the whole “hospital” scene entirely.  One of the reasons I never wanted to have a mammogram was so that I wouldn’t have to go through this!  Better to live happy in denial than get poked and prodded!

“What is your schedule like this week?” questioned the doctor, “I’d like to have this biopsied right away.”

Within 10 minutes, my biopsy was scheduled for the next day at 9:15 and I was off to resume my already too busy afternoon.

By 4:00 my head was pounding.  The anxiety, nerves and adrenalin rush was taking its toll.  I had to push through to lead music for our children at our church’s VBS.  Thankfully, I was surrounded by three sweet ladies who prayed for me.  It is a miracle that I slept so well that night and I know it is due to the power of prayer.

I was up early and at my office by 6:30.  E-mails to get mailed, notes to write, things to do before I went in for my biopsy.  Back at home by 8:00 I kissed my kids and waited for my sister to give me a ride to my appointment.  We chit-chatted all the way there, which helped keep me distracted.  I was surprisingly calm, without the trembles. (Thank you, Jesus!)

The biopsy itself was very simple, aside from the loud trigger being fired and knowing mentally a sharp object was being impaled into my flesh.  I asked the doctor if the chip they put inside me has a smiley face so the technician would know that lump has been checked and is okay.  He said no in a flat tone, and showed me the piece of metal that was about to be inserted into me.  It looked like a segment of lead from a pencil.  No happy faces.  Sitting up and seeing blood, needles, and samples of my flesh floating around in little test-tube containers did not sit well.  The room spun a bit and I warned the nurse that I was about to pass out.  “I’m a fainter,” I warned. 

"Rest, Tylenol and Ice.  No lifting for 24 hours." the doctor charged.  He must not be a busy Mom or know my schedule.   

Ten minutes of sitting later, I was taken to another room.  “Now we have to perform another mammogram to make sure we tagged the right place.”

“Seriously,” 
I questioned? “After you just stuck a hole in me you’re going to squeeze me?  
Is blood going to squirt out all over the place?”

“Oh, no.  You’ll be just fine.”

“Well it’s no wonder I’m going to bruise so bad!”  The lady laughed.

More man-handling and awkward positions and then I was pinned into the mammogram machine.  “Hold your breath, ready, now.”

Between the pressing and the breath holding, my room began to get dizzy again.  Let me just say, those pictures take a long time when you’re about ready to pass out!  The technician released just in time and a bolted to the chair in the corner before I became a lump on the floor.  “We need one more picture, honey, and then you’re done.”

My body was finished.  I had remained strong and stayed positive and compliant.  Just one more picture, God give me strength to finish this awful appointment.

Up for the last diagonal, awkward pose, sticking equipment in my armpit and squeezing my already sensitive breast.  “Now hold your breath, ready, now.”  With my arms weakening and my head pounding, the compression stopped and I was finished. 

I sat in the chair a few more minutes while she cleaned the machine and the room stopped spinning.  I wasn’t sure if I was going to throw-up or pass-out, but I knew I was on the verge of one of those!

At 10:30 I was finally escorted back to my room with my locker.  What a morning.  My sister had been waiting for me in the waiting room.  I was anxious to leave.  I reviewed the events of a biopsy to her and she felt ill from my stories.  Thankfully, that part was in the past, and now we have to wait for results.

After a stop by Starbucks (thanks Deborah!) it was back to work and a full afternoon/evening.  I couldn’t take advil since it thins blood, but Tylenol was fine.  I slipped an icepack in my bra every so often trying to push through my day.

The hours ticked away and I did my best to not let my mind stray down unknown paths of futures that were not mine.  I knew I could get myself into a ball of anxiety very quickly if I did not keep a tight reign on my thoughts. 

Another remarkable good night’s sleep, thanks be to God! 

The doctor called at 12:15 the next day. 

“The results came out good.  You have a benign fibroadenoma, which just means a non-cancerous mass.”

Now, I wait six months, then go back for a follow-up ultrasound and mammogram to make sure this lovely lump is not growing or changing.


Funny how my week can start off in one direction and take such a dramatic turn so quickly.  I am very thankful that my story ends here.  I am glad I (finally) got my baseline done and want to encourage other ladies out there with a history of breast cancer in your family to muster up the courage to get checked and be safe.  If you're going through something scary, don't do it alone.  Let's share with each other to share the load and carry each other through the tough times life throws at us.

I'm finally heading to bed and thankful for family, friends and my Father God.