An ultrasound room seems an odd place to find joy. I would not go looking for it there. The place where tissue is extracted and examined for cells gone-rogue has qualities antithetical to human-magic. Cold and sticky gel is rubbed across bare skin while danger lurks on a glowing screen. Places you loved before are suddenly deemed suspect.
As the technician led me down the hallway, I noticed the way her wavy hair was cut in a subtle, angular manner so when it draped down her back it fell into a V-shape. I didn’t know at the time it was likely a fresh cut for her wedding in Vermont the weekend before. She showed me where I could put my bag, overflowing with a heavy book and multiple other weighty items. I thought about how later I would be told I shouldn’t pick up anything heavier than a milk carton. I would carry my belongings out like a bag of groceries, not slung over my shoulder, as usual. Bending forward, I unzipped my mud-splattered boots and climbed onto the table imagining the experience might be restful. A rare luxury to lie-down, mid-day, in a dimly lit room.
I was ill-prepared for the first biopsy, afterward canceling a full-day of activities, so I could crawl into bed with an ice pack. I rely heavily on a high pain-threshold and a can-do attitude to get through things I might do better to prepare for. I had not considered the signals my body would receive having three of these same procedures back-to-back. My sister described how my immune system might go on alert imagining it was under attack with each removal of a valuable part.
What I was in-for started to become more-clear as the ultrasound wand was pressed down forcefully on my bare chest in the same bruised area where I’d had the previous excision. My arm, raised in an L-shape above my head, began shooting pins and needles into my hand even before we had begun.
The technician apologized for being silent for a long stretch as she mapped out the red and blue landscape of my inner world reflected like a military radar screen to my right. She lined up the suspicious locations of density like targets. l told her I welcomed the quiet. Her presence felt immediately familiar in the way of an old friend. Of the five women who would occupy the room, she seemed the most like a sister and in the days to come I would think of her.
I heard an assistant come in and when I turned to look, I recognized the back of her frame as she quickly dove into her preparations. Her fuchsia scrubs were the only notable color in the room, and brightened the space, like a bouquet. When she finally turned toward me, her hair swung around at her chin. Her face reacted with happy recognition.
I thought it might be you!
I filled her in on the results from my previous test and watched as the space between her eyebrows contracted with concern. This has become a familiar facial expression in the people I share my experience with. Then she brightened, doling out affirmations of hope, like candy.
I couldn’t say her age, she wasn’t likely all that much older than me, but she brought the mother energy into the room. From beginning to end she filled up a halo of comfort around me with endless offerings of support. Her presence was like a siphon, keeping me fueled and abreast (no pun intended) of what was happening. She left the room to find a warmer, softer blanket, better, she thought, than what had already been draped over me.
The radiologist came in like a force of nature, with a resident in her wake. She made a comment about how the doctor with her was fortunate to be on her service in a room full of women. We all laughed as she quickly pardoned herself, affirming the many capable men working in the hospital.
We were acquainted from the previous biopsy and she greeted me warmly then quickly switched gears, detailing her plan to the others. She was like a sergeant barking out orders, only kinder and with an upbeat energy. There was a lot to be accomplished. She had a commanding voice and presence I might have once found off-putting. I might have read her as brash or overconfident. I understand better now about what it takes. I understand about how many ways women have been taught to shrink and to be quiet, to dim what allows us to make a needed contribution in a flailing world. I could recognize in her the many layers that must exist in order to demonstrate so much skill under the weight of responsibility with alternating humor and seriousness.
The sound of a breast biopsy is exactly like the sound an ear-piercing gun makes when penetrating cartilage. It’s like a hole puncher making its way through a stiff sponge. I began bracing myself for the sound as everyone in the room lined up images on two screens with the reality of what was going on inside my chest. The last time I was there, the radiologist suggested I look away when she began inserting numbing needles into my breast tissue. This time, I closed my eyes without her prompting. I began concentrating on my breath, dropping my awareness down into my belly, softening and gripping simultaneously.
The assistant came around by my head and propped a pillow under my arm and then took my hand in hers as the procedure got under way. Chatter began about weddings and stinky, boy children—several of us had a couple of those—and honeymoons filled with reading and sleeping late. We laughed more than you might expect given the circumstances but there was always a pause and a sense of sacred space being held in each moment when the real work was undertaken. I could feel a force of goodwill building in the room, like oxygen was being pumped in.
Each biopsy target required multiple shots for numbing that felt like exaggerated bee stings, and then one long needle inserted deeply into hard to access locations in my breast. I steadied myself for the pressure of the reach and turned in my mind to the energy of friends who promised to be with me from afar. I experienced a sense of them, as if they hovered over me. Their personalities fell away in my mind and I knew them in the backdrop of their being.
With the numbing agent, you can’t really know for certain whether it has fully-deadened the area in question until the contraction of the biopsy tool is made. After each compression, the radiologist questioned me, Are you ok? You doing ok?
She said she could hear my heart beating. I assured her I was okay.
At one-point trouble-shooting was necessary. The resident sat at a computer across the room, meticulously considering the best course of action based on the imagery from a previous test. Peering through horn-rimmed glasses she contributed her opinion and then stepped back to observe. We celebrated between biopsies and the bed was turned around multiple times for better access. Each time I was spun around, it was as if a slate was being wiped clean or like I was being let up for air. Everyone seemed to take that moment to breathe again and I realized each of these women were every bit as much invested in the experience as I was.
I watched as the clock ticked closer and closer to school pick-up time and when I was finally finished the relief was palpable. I was ready to jump out of the bed and leave but my mother-for-the-afternoon encouraged me to move slowly. She helped me to sit up and saw I had water in my bag, encouraging me to drink. She wanted to know my plan for the evening. I didn’t tell her my husband would be working late. I told her, instead, a friend had brought food.
Afterward, I felt elated. It was more than the adrenaline surging through my body. Even as I had experienced extreme discomfort, I felt as if I had also been held for many hours in a gentle womb by a group of women who knew their job extended well-beyond the technical aspect for which they were each responsible.
Walking into the damp, Maine air, I made my way to my car and just as I was getting in, I suddenly made a connection. I thought about joy and instances that elicit this human-magic, this fleeting knowing that all is right in the world. I realized that whenever there is love, there can be joy. These two qualities are inextricably bound. It doesn’t matter if it is a bleak time. It doesn’t matter if you and your friend—a woman of grit and dogged humility—both have cancer. Whatever the circumstances, love is the gateway to the very highest realm of experiences we may have as a species.
In the aftermath, my chest turned all shades of grape-purple and yellowish-green. Waiting for the biopsy results was grueling. I’m not a worrier at heart, but I ruminated plenty in this instance. Positive results would likely have changed my plan for treatment significantly. Bursting into the room, my surgeon spilled out the good news. When we discussed next steps, I somehow managed to simultaneously admire her stylish, strappy heels (at a time like this!) and when she hugged me, in the uniquely, warm way she does, I knew I was in good hands.