Saturday, June 30, 2012

The Call Back

The first challenge for an auditioning actor is to get a callback. That means the directors ask the person to return for another audition to read, improvise and spend time with the director and other decision makers. Getting a callback puts the actor on the short list of people who might be cast for the part. To get one, the actor must do something that marks him or her as a stand-out at the audition, and a possible fit for one of the roles.

But there is one time when you don’t want a callback. I had one on Thursday. Two days prior, my cell phone rang as I was getting into the car with Abby on our way to hit some tennis balls. The conversation went like this:

Caller: “Hello, Mrs. Dinerman. This is [forgot her name} from the Beth Israel Deaconess in Lexington. Your mammogram {here is where my head got fuzzy} showed something different from the prior year’s mammogram { I’m doing my best to keep a straight face. I don’t want Abby to see any change in my expression}. We would like you to come in this week for another scan when the radiologist will be here. Are you available on Thursday?”

Me {as I step away from the car to look at my schedule on my iPhone}: “Thank you for your call. Which one is it?”

Caller: “Let me look here…the right one.” {you can hear empathy in her tone}

Me: “Thursday should be fine. 11 am works.”

Caller: “Ok, I have scheduled you. Best of luck, Mrs. Dinerman, and have a nice day.”

Me: “You too.”

We hang up.

Abby asked, “Mom, who was that?” I said, “It was a client who needed to reschedule a call.” Abby said, “You’re lying.” I said, looking at her straight in the eyes, lying right through my teeth, “No I’m not. Let’s get going if we want to get a court.”

Now, I am sure that wasn’t an easy call to make for that woman, but her tone was very warm and understanding. And the fact that I had Abby with me forced me to nearly dismiss it. But my insides were all jumbled and all I could think of was, 'Thank God I’m going to do something active right now and have a distraction.'

As soon as I had time alone, I called Brad. As I heard myself saying the words, ”They found something different in my mammogram,” his voice dropped, but I know he wanted to be strong and try to allay my fears. He said, “Hmmm. {pause} Well, let’s not get too nervous until we hear what they say. It is probably nothing.” He was right about not getting too nervous.

The next thing I did was probe and groped my right one. I didn’t feel anything unusual. I felt fine. But that’s what they all say. Several of my friends have been through this. In fact, within the past five years, it seems like it hits one of my tennis friends every year. I once said, half jokingly, “Who’s next?” Geez, I didn’t think it would be me. Who does?

According to the National Cancer Institute, "false-positive results are more common for younger women, women who have had previous breast biopsies, women with a family history of breast cancer, and women who are taking estrogen."

Yet, the site also claims that:

"False-negative results occur when mammograms appear normal even though breast cancer is present. Overall, screening mammograms miss up to 20 percent of breast cancers that are present at the time of screening.

The main cause of false-negative results is high breast density. Breasts contain both dense tissue (i.e., glandular tissue and connective tissue, together known as fibroglandular tissue) and fatty tissue. Fatty tissue appears dark on a mammogram, whereas dense tissue and tumors appear as white areas. Because fibroglandular tissue and tumors have similar density, tumors can be harder to detect in women with denser breasts.

False-negative results occur more often among younger women than among older women because younger women are more likely to have dense breasts. As a woman ages, her breasts usually become more fatty, and false-negative results become less likely. False-negative results can lead to delays in treatment and a false sense of security for affected women."

Stay positive

Wednesday came. I stayed busy at work. I let my colleagues know that I have a quick doctor’s appointment the next day and plan to be back within the hour. {Please}

After work, I helped out at Ari’s baseball practice. In those two hours, I completely forgot everything except baseball drills. When I have a moment to myself in the evening, I started to think about it. I talked about it with Brad. I was nervous. He knew that. When will I fit in treatments? What will I tell the kids? My parents? In-laws? Friends? Work? Damn. The respect I have for my friends and family who have fought and won, and fought and not won, was just elevated 1 million times.

Breathe.



Thursday morning came. I kissed Brad good-bye, drove Ari to camp and then got to work. At 10:45 a.m., I drove to the BI in Lexington. The BI in Lexington is a terrific and convenient satellite branch of the hospital in Boston. I checked in, changed from the waist up and took a seat. The technician called me within five minutes. I walked into the darkened room with the mammography machine. She showed me my original scan from Tuesday.

“See that little circle on the bottom," she said, "that’s what’s different from last year’s scan.” {My mind turned to mush, as did my insides. This is what some of my friends have said – it’s pea sized. Focus. Focus on what she is saying so I can relay it to Brad}. “Sometimes the way the machine takes the mammogram, it doesn’t smooth out the breast enough and we see what’s simply a clump of fatty tissue. That is what we’re hoping for here.” {Please, make it that.}

I tossed my right one onto the machine. The technician positioned my body so I felt like I was going to fall over. But I stood as straight as I could and balanced myself so she could get a good scan. “This time,” she said, “I’m not going to start from the top. I’m going to start a little further down and get a clearer look at that bottom part. Ok. Hold there. Don’t breathe. {I can’t anyway}.

“Ok, Mrs. Dinerman. Please have a seat in the waiting area. I will have the radiologist take a look at the scan. I’ll be right back.” {Take your time. No, please hurry!} I sat for a minute and tried to watch the TV that is on. It was showing The View with Whoopie Goldberg, who, I think, was talking about women who wear make-up and those who don’t. Not really sure.

The technician then called me back in. “Mrs. Dinerman, we have good news.” {Exhale}. “In fact it was a small cluster of fatty tissue. We’ll see you again next year.” I thanked the lovely technician. I wanted to hug her, but I didn’t. {I’m clean}. I change and rush to my car to call Brad. We both smiled over the phone, and my eyes started to water, but I didn't cry. Instead, I smiled. {I’m relieved. I’m one of the lucky ones!} I drove back to work and continued my day.

My point: Sure, I had a scare, but that is all it was. I am not asking for pity. I have no right to ask for pity. As I mentioned, I know too many who have fought and won, and many who have fought and didn’t win. Women who are 40 years old, start getting checked each year. Despite the warnings, it's a start. At the risk of sounding political, with healthcare available, do what’s right for yourself and your loved ones. I am very thankful that I am able to get a mammogram and a pap each year to (hopefully) detect something early enough so, if it ever does decide to knock on my knockers, I might have a fighting chance.