All’s well that ends well. That’s what you need to know.
The silence as of late has been due to a series of unfortunate events. A few months ago we sat in the good Dr. BooBoo’s office trying to figure out why Jack doesn’t have a sibling. I’d think, “ohh I should blog about this.” But then the next thing would happen– and like dominos clacking into each other it seemed like we needed to wait to see what would happen next first.
Dr. BooBoo ordered a round of tests for me. They came back without incident. So it was Robby’s turn to be poked, prodded and assessed. His tests came back waving tiny little red flags. So they ordered an ultrasound. On his testicles. Think about that. I sat in the room while the poor tech squirted the goop and ran the reader over Robby. We laughed because it’s ludicrous to watch the screen for an ultrasound for any thing other than to see a fetus. And, again, there was a poor woman running the scanner over Robby’s testicles. (Suddenly the stack of forms that I had to get signatures on for the registrar didn’t seem like such a bad day at work…)
The ultrasound wasn’t symmetrical. I noticed that one side had a huge black hole. (Well, it was big on the screen. It’s hard to remember how much stuff gets magnified on the small screen.) I racked my brain trying to remember the tiny bit of information I took in about testicles in 9th grade biology. Should one side have a black hole if the other side didn’t?
No. Black holes aren’t good. The results from the ultrasound came back after a long weekend. Dr. BooBoo called personally to say that he was sure it was nothing but that he wanted us to see an urologist. Dr. BooBoo’s expertise, of course, being ovaries. Not testicles. He got us an appointment for later that same week. The unease I had after the ultrasound began to grow. It made me nervous that he’d called us directly– and then wanted to talk to Robby, too. It wouldn’t have seemed so serious if nurse Clara had called.
On a Thursday we sat in the examination room of the recommended urologist. I’d googled him. He had a good reputation and a good website. (But, here’s a tip, be careful when you try to google about mass + testicle + ultrasound. Yikes.) Dr. P’s staff was great. We like the LPN that examined Robby. (Note to self: make sure, in the future, that I check that the laundry is caught up so that Robby isn’t wearing his Mickey Mouse Christmas boxers to the urologist…) She leveled with us– the mass wasn’t something we wanted on an ultrasound. We needed to rule out cancer.
Suddenly we went from worrying over the age of my eggs and the mobility of Robby’s sperm to Cancer? Cancer? She ordered a round of blood tests and apologized that, it being late on a Thursday, we’d have to wait until Monday to get the results/meet with the doctor.
We ate sandwiches in the waiting room of the lab and tried to talk about other things. Mostly we sat still and quiet. I pretended to read on my Kindle. Robby pretended to play Temple Run on the iPhone. It was a very long weekend.
The following Monday we sat again in Dr. P’s exam room waiting. A horribly inept nurse rattled around her laptop keyboard while she asked questions. We were strained. Taut. Robby was reduced to answering her cheerful questions with one or two syllables.
“Has there been any change? I’m not sure why you are here…”
Robby grunted, “Look. You ran the tests.”
She clacked more on the keyboard then said, “oh.” and left the room.
I looked at Robby. We both exhaled. “There is no way we’d get bad news from her. We must be in the clear. God wouldn’t be that cruel.”
She didn’t come back. We heard murmuring outside the door and then the good LPN came in again. She said things about two of the three tests coming back negative– one was still out. We exhaled again. Dr. P came in. We shook hands and introduced ourselves. He examined Robby. Dr. P doesn’t joke. He’s very literal. So when he talked about still needing to do surgery we understood we needed to listen. We asked about the tests and he explained that the results were consistent with testicular cancer and went on to talk about surgery and removing the testicle and radiation.
We were somewhere back on the negative results of the bloodwork really being negative. (Wasn’t negative usually positive?) Dr. P paused and waited for us to catch up. He was, he sorry to say, 96% sure that we were dealing with cancer here. He gave us the good news– it was small. So probably early. The cure rates were good. Great even. Not like it’s ovarian cancer sibling. Robby was a weird age for it– generally it was 15-25 year olds and then, in smaller numbers 35-40…
Ninety six? That left us with four percent? Were we doing the math right? Dr. P said, 93-97%. Seven percent didn’t feel better. We made feeble, pathetic jokes about only having one testicle while we tried to process the information. Dr. P didn’t know us well enough to know that neither of us cared how many testicles Robby has. We just wanted Robby to be fine. Dr. P mentioned that there are prosthetic testicles. Seriously.
He scheduled surgery as soon as possible– so we were given a slot about 10 days out. We left his office silently. Outside there was snow on the ground. We stood in the cold and didn’t look at each other. Eventually Robby decided to go back to work. I went straight to my mother’s house where, because it was MLK day, my sister was home, too. I sobbed and told them what we little we knew.
The next week was a mess. We ate and slept and went through the motions of all of our usual routines. We went to work. We came home. We played games with Jack. When he went to bed we wordlessly put together puzzles. Puzzles with cartoony pictures of different cities on them. We’d finish one and start another– Robby scooping the finished one into a box while I picked out the edge pieces of the next one.
We couldn’t say it out loud. I emailed Chris and Susan. Their reply came back fast– they were circling the wagons. Susan sent links to websites with positive affirmations. Chris called with an endless stream of jokes that made me laugh until I cried. I emailed Sue who checked in with us every day. I told Wally who sent his wife, Katie, in to the office to talk about vitamins and supplements. Robby downed his resveratrol and handfuls of vitamins and minerals. We canceled our plans for the youth group ski trip. Robby lined up people at work to cover for him. We told our pastors who stopped in the moment to pray.
The week of the surgery was a blur of school activities and church meetings. We stumped through Jack’s cub scout ceremony and the an open house at his school. We didn’t tell our school parent friends until the night before the procedure– we wanted their prayers but couldn’t risk Jack hearing more than we wanted.
We also waited until the 11th hour to talk to Robby’s parents. In the end I did that. Robby didn’t like the idea of telling his parents their only child was in danger of something they couldn’t do anything about. I wasn’t too keen on the idea, either, but I couldn’t get past the idea that if it were Jack I’d want to know. They took the news well. I told them most of what we knew.
We all made ball jokes. It’s hard not to. Testicles aren’t an easy thing to talk about. So we reverted to inane references to balls. Junk. Sacks. Trish made a list on her iPhone (all of her lists are on her iPhone) of every ball-related or shaped food we could think of. Turns out there are quite a few: Meatballs, malted milk balls, cheese balls, ice-cream balls, sour balls, Russian tea cakes, doughnut holes, cherry tomatoes…
The morning of the surgery we left the house early and headed to the hospital. The surgery was out-patient so we checked into the surgical center and got Robby into a little gown that left him looking like a German hausfrau. He’s not an attractive woman. My sister followed the sound of our voices back to the curtained area and laughed at Robby who refused to give up his boxers until the last possible moment. We started introducing ourselves as his sister wives.
God sent the perfect nurses. Nurse one seemed gruff at first– but quickly snapped into the perfect tone of sarcasm. We needed that. She delighted over Robby’s huge veins and then, “Whew. First time. Not too bad.” and then deadpanned, “I usually work in maintenance.”
Nurse two’s name was Trish. We reminded Robby that while he was going under the anesthesia he’d have the comforting confusion of hearing the name of Trish.
Dr. BooBoo was in the pre-op area waiting for his own slate of surgeries– we waved him in where he reassured Robby that this was all probably nothing. He joked with us– we had a repertoire of inappropriate ball references honed now. Dr. P came in– our straight man who looked askance at our frivolity. Dr. BooBoo slipped out during Dr. P’s terse review of what we should expect. He was disconcerted that we had not thought to mark the offending testicle. (Actually, Robby and I had considered doing that the night before but thought it would be frowned upon. Of course, we also considered covering Robby’s nether regions in glitter to make things more festive…) Trish brightly suggested that we cover Robby in artwork. Dr. P earnestly replied that we could but that the important thing was that Robby initialed it.
They gave me a pager. The kind that you get at busy restaurants. I kissed Robby and told him I’d see him when our table was ready.
The surgical waiting room is lacking in many things. We have sour memories of the waiting rooms when my father had colon cancer. Trish came armed with Panera treats and hot rooibos tea. We shared the room with one other woman, at first, and we talked the nice attendant into switching the channel from something morning show with a female host in a blaring yellow jacket to the Today Show where Ann Curry wore a blaring yellow blouse. Matt Lauer wasn’t there. The other lady in the waiting room seemed angry with us after the channel switch.
Later some other people came and went. There were two men sitting on opposite ends of the room. One hung his head. The other had charge of a terribly plastic-y looking purse. He seemed agitated. Trish and I wondered about the purse and the kind of woman that would insist on bringing her purse with her. Both of the men were waiting for OB/GYN surgeons to update them. We felt bad for them. They needed a separate space to wait. A room for men with La-z-Boy recliners and sports on the tv.
Our Pastor Sue popped in. She wore her chaplain badge and a worried expression. We made nervous chatter and waited for the pager to beep or buzz. It told us when he went in to surgery. I called Robby’s parents to let them know. We knew we had a slew of people praying for Robby at 8:30. The surgery actually started earlier– but there was a strange calm at 8:30. If you don’t believe in God or prayer you might say it was coincidence– but I do believe in God and prayer and I knew that we had a lot of good thoughts headed toward whatever was happening in the OR.
Other doctors came and went. One of the men was called into the little side room with another OB/GYN in town. We didn’t like the way he made the man close the door behind himself. The man was so alone. We were pleased, somehow, when Dr. BooBoo came to talk to the other man and held the door and closed it behind the nervous husband.
Dr. P came in suddenly. Trish and I followed him in to the little room. I don’t remember who closed the door or who opened it. I only remember thinking that I was afraid that the little room might be where our world would come crashing down.
Dr. P said, “There is some good news.” I braced for what would come next and barely heard him say that there “was no malignancy.”
He blinked. I looked at him and then to Trisha who had the presence of mind to ask him to clarify. He repeated himself. Dr. P might be autistic. I’m pretty sure he is, at the very least, somewhat socially awkward. He repeated that there was no malignancy and then under the sound of my heartbeat there was something he added about Robby having both testicles still.
We all looked at each other. I was still wondering if Dr. P was in some way autistic and he was probably wondering if I was retarded in some way or hearing impaired.
Trish asked, tentatively, “You said is good news. Is there bad news?”
He said there would be discomfort and swelling. (Sorry Robby, but this was the best news we’ve ever heard. The bad news is just discomfort and swelling? We can handle discomfort and swelling.)
I said to the room, “Oh I can’t wait to tell him!” Dr. P, forever the straight man said, “Oh, he’ll know. He’ll reach down. All my patients reach down to check.”
Trish asked the follow up questions. I shook his hand. I said “thank you” a lot. And then he left. Trish and I held each other and cried and laughed.
Out in the waiting room poor Pastor Sue– who’s been in the waiting room a lot– thought that things must have gone especially bad since we were still in there. We relayed the good news. I called Robby’s parents who cheered. I started calling and texting the circled wagons. There was a lot of relieved laughter and tears.
Eventually we were called back to the recovery area. We sat with a loopy Robby who asked the same questions over and over and told really long stories to very patient nurses. I patted his leg and sipped the ginger ale Nurse three gave me. Turned out Nurse three is a parent at Jack’s school so we talked about school while we waited for Robby to pee.
On the way out one of the nurses said something about our luck. That we should play the lottery.
Maybe that’s true, too. But I can’t shake the weird calm at 8:30 a.m. Knowing that the circled wagons were sending up petitions for Robby. For, as Carol Ann said, it all to be a mistake or something in the 4%. Might have been a coincidence but my odds say not.