Gut Reactions

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JUN 11, 2006

TAKING THE LUMPS

I wasn’t sure how concerned I should be when I felt a lump in my rump.  To the best of my knowledge, there is no such thing as cancer of the buttock.  But anytime there’s any sort of abnormal activity in that general part of my body, I get concerned.  Similarly, I generally find any sort of lumpish thing, anywhere on me, to be cause to freak out.

At first, it was just a little thing, but by late last Sunday, it was big and alarming and painful to sit on – I was like the Princess and the Pea, except that this thing was far larger than pea-sized, and I’m certainly no princess.  (But maybe that was an earlier, rejected draft of the story: “The Duke and the Lump.”) 

And so I called my health insurer’s nurse line and tried to explain the situation as delicately as I could.  I’m not sure why I cared about not embarrassing myself, but, well, you try saying “buttock” to a stranger on the phone and see if it doesn’t make you feel weird.  Seriously, try it: I mean, I’m guessing it’s a great way to get telemarketers to leave you alone.  Anyway, I fully expected that the nurse would tell me to go to the E.R., but she just said I should take a warm bath and see a doctor the next day.  

On Monday, I woke up assuming that I would spend the night in the hospital.  The lump had swollen, but I discovered that if I sat in just the right, contorted position on my chair, it didn’t hurt.  And really, the pain wasn’t so bad.  Far, far more unbearable was the dread of an undiagnosed illness, of having a lump of unknown origin or malice.  

I made it through the workday, finding lots of excuses to get up and walk around, and made a point of having some delicious, greasy pizza for lunch, assuming I’d be consuming only noxious hospital foodstuffs for the next few days.  Late in the afternoon, I went to the doctor’s office to meet my fate. 

Thankfully, the waiting area had great reading material, which helped keep my mind off of the lump.  Specifically, it had the April 2006 edition of Smithsonian, the one with lemurs on the cover, the one I had started to read several times in other doctor’s offices in the last few months.  I never quite got to the article about lemurs – there was too much other interesting stuff in there, including pieces about Saudi Arabian youth, the search for Odysseus’s Ithaca, that game the Aztecs played in which the losers were beheaded (it’s called ulama, and it’s still played in certain parts of Mexico, although everyone gets to keep their heads fully intact these days), and, finally, a vaguely offensive-sounding article described in the cover blurb as “A Gibson Girl Among the Cannibals.”  Fascinating stuff, really; I was sort of (but not really) disappointed that my other recent trips to see doctors and orthodontists had been so brief, and also amazed that such a genuinely interesting magazine would repeatedly appear in the stacks of old McCall’s and Teen People and Tea Cozy Quarterly.  

Once again I was called in to see the doctor before I could read much.  But after the nurse took my blood pressure and I explained to her the whole lump-on-rump thing, she left me to wait for the doctor alone.  Bored, I looked examined my surroundings and noticed several toenails on the floor, all of which appeared to be chewed off.  I didn’t know whether to be just disgusted or disgusted and impressed, so I started digging through the room’s pile of yellowing magazines, hoping to find the lemurs once again.  And so I did.  And so it was absolutely fascinating, so much so that I nearly forgot about the throbbing pain on which I sat.  But before I could finish the article, the doctor arrived to commence the poking and prodding and grave pronouncements and calling of ambulances. 

And yet, amazingly, that’s not what happened.  Oh yes, there was poking and prodding and murmuring.  But the lump, he seemed to think, was not of much concern.  Just an abscess.  “Just” being a relative term, of course – an abscess is still not something you really want, at all, even if it’s not cause for complete and utter panic.  He called the colon/rectal specialist on call, who said I should try to see a surgeon the next day.  In clinic.  Not in the operating room.  In a nice, friendly, anesthesia-free room with tacky art.  And magazines. 

As I waited for the doctor to return from his phone call and tell me all of this, I heard a sudden commotion in the hallway.  Sprinting nurses is never a good sign.  A few moments later, I heard someone breathing loudly, quickly, terrifyingly fast, the drumroll of gasps signaling an asthma attack.  She was sixteen.  I know this because the nurse asked her how old she was, and that was her response, drawn out over several desperate breaths, the word loaded with emotion, her fraught tone indicating two unspoken thoughts: “Please don’t make me try to talk” and “Please let me make it to seventeen.”

My lump seemed fairly inconsequential all of a sudden, to me and also to the doctor, who rushed in, explained to me that the specialist’s comments relayed over the phone, and told me they “had some other things to deal with.”  Down the hall, different nurses kept saying that an ambulance was on its way, but I could tell that everyone was afraid that, even though the hospital was a block away, she might not make it. 

I left, thrilled to spend the night in my own bed, but haunted by the gasps.  As I walked back toward the waiting room, the sounds faded with the distance, but I listened for them as long as I could – terrifying though they were, I was even more scared that they might stop suddenly.  As I exited the parking lot, I noticed an ambulance parked in front of the building, giving me hope that maybe the sixteen-year-old would pull through, and putting my worries back on my own pain.



I wasn’t able to get in to see the specialist (a.k.a. Dr. Suave, mentioned in the previous post) until two days later.  And so it was that on Wednesday, as on Monday, I awoke with the dread of a condemned man, certain that the next few hours would be my last outside of a hospital for a while.  When I arrived at Dr. Sauve’s office at 9:50 a.m., there were no Smithsonians and Creed was playing on the loudspeakers.  I knew it was going to be a bad day. 

Amazingly, it wasn’t.  Instead of sending me off to the chopping block, the doctor took a quick look, a quick poke, and wrote me a prescription for some antibiotics.  That was it.  (Best of all, since the abscess was external, he didn’t have to do, er, a full examination.)  

The bump’s still there, but not painful anymore, and it’s clearly subsiding.  The pills are the no-alcohol-or-your-colon-falls-out kind, but I figure that’s a small price to pay for not being slashed open and confined to a hospital bed.  It’s not like there’s happy hour in a hospital, anyway.  And now, I'm free to go to the library and find out all I want about lemurs.