“I’m here for my monogram,” a silver-haired woman told the receptionist. “Yes, your mammogram,” the receptionist answered without missing a beat. Obviously, she had heard such variations before, and this is the way of Scan Land, where many — if not all of us — go every so often to make sure there’s nothing anxious or life-threatening growing, or growing too much, on our insides.
Yesterday, I returned to Scan Land for my quarterly CT scan or MRI to ensure that no micrometastases from my ocular melanoma were taking up residence in my liver or lungs. “How many of these have we done so far?” Ken asked me yesterday as we sat in the waiting room, me sipping the iodine water necessary for my CAT scan. I counted on my fingers: at least nine quarterly scans, and that doesn’t count the dozens of eye ultrasounds (amazing how you can get used to a tiny device moving back and forth on your eyeball) and another kind of scan that entails staring deep into a machine to watch the fires of Mordor.
I’ve made many excursions to Scan Land since 2002 when I was first diagnosed with breast cancer. Because I’m a carrier of the BRCA 1 genetic mutation (which increases risk for breast, ovarian, and other cancers) and because my dad and uncle died of pancreatic cancer, I was going annually for a CAT scan or MRI for years. With the scans related to the more recent cancer, if I could earn frequent flyer miles for all the hours I’ve spent in Scan Land, I could circle the globe.
To be honest, the scans aren’t painful, and because I’ve struggled with tight-spaces anxiety, they sure aren’t boring. But thanks to work with my therapist, meditation, medication, and if it’s a closed MRI, serious drugs, I’ve been able to get through them. That said, I’ve also experienced some of my worst panic attacks lying on a platform going in and out of a machine. I’ll never forget the 45-minute-long PET scan in a traveling scan-mobile parked outside the hospital which I hyperventilated and cried through before slowing my breath enough to see myself wandering a desert for a long night, searching for some sense of peace while reminding myself that this big, bad machine wasn’t going to hurt me.
I’ve worked through a lot of my scan issues, and yesterday, I did my first scan without any medication, and although I started to feel that rushing fight-or-flight sensation in my stomach, I remembered to breathe and listen to the song (Christina Perri’s “A Thousand Years” — even if it’s from a vampire movie) I always play on my ear buds. So now I’m mostly left with the end point for all who visit Scan Land: the results.
No matter what the results are, they are always extraordinary: good (thank heavens!), bad (Oh my God!) or ambiguous (Oh no!). We inhabits of the waiting rooms — before the scan and before the doctor’s visit to tell us the results — aren’t a cheery bunch for the most part, most of us somewhere between scared, hopeful, numb, resigned, sad, distracted, and freaked out. Waiting for the results is often the worst part of wrangling with cancer and other life-smashing illnesses.
Some doctors use the I’ll-call-you-if-it’s-fine-but-you-have-to-come-in-if-it’s-not approach, which makes for a terrifying drive to the doctor’s office, knowing bad news, possibly life-shortening, is about to assault us. Luckily, my oncologist has a better way: I have my scan in the morning, then go to her office at 1 p.m. no matter the results, which gives the worst of my imaginative capacities little time to get too riled up. Still, I usually have a twinge.
Then again, scans have saved my life more than once. A mammogram caught my breast cancer early enough that I could survive it. A constellation of eye and other scans led me to treatment in June of 2019 that so far (and continuing for many years to come, I hope, I hope, I hope) saved me. Yesterday was another clear scan, and once again I’m overwhelmingly grateful for my short trek in and out of this big donut-hole-shaped machine.
I remember years ago at my oncologist’s office seeing two women — one middle-aged and one older, a mother and daughter — walk in the door clutching each other and sobbing. They were sure they were there for bad news, and it was hard for them to answer the receptionist’s questions as she checked them in. Eventually, they were called back to meet with the doctor as was I. When I was checking out, they were too, and this time they were crying for a different reason. They had gotten good news, and they were so overcome with relief and joy that they couldn’t stop weeping. I had gotten good results too that day, a good day in Scan Land for us all.