Uncertain Destinies in the Waiting Room

by Maggan

in Health Care,Health Insurance,Physicians,Surgery

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In the waiting area, before receiving my mysterious “wire,”  I immediately set eyes on a young woman, at the most 25 years old, too young to be wearing a hideous hospital gown and a plastic ID bracelet at the Magnolia Cancer Center. The middle-aged woman next to her is fully dressed. I feel emotional as a look at them.

The mother, I assume, notices. She, too, have tears well up in her eyes before we both look away, neither of us, obviously, want the girl to see our reaction.

I hope she will escape chemo. But because of her young age, the odds are not in her favor. And what about five years on the estrogen interfering pill Tamoxifen, while her biological clock is ticking? And what about her very survival? The young woman just sits there, quiet and calm,  seemingly unaware of the high stakes.

Three other women, all older, are also in the waiting area.  The women talked freely but quietly among each other.

One is a nurse in the child oncology department of the Magnolia Cancer Center. She quietly says: “Breast cancer may be one in four now. But it is not official yet.”. She is here for her first annual check up after lumpectomy, radiation and chemotherapy. All her hair is back on her head: Thick and dark, streaked with gray, curly. “It used to be straight and thin,” she says,visibly shaken by what she has been through during the past year.

Another woman in the waiting room is a slim, light skinned black woman with a pleasant smile and a dignified demeanor. She sits with her back straight, one leg gracefully crossed over the other, hands in her lap.  She looks serene, only the nervously tapping foot betrays her tension.

Her great-grandmother, her grandmother, her mother and sister all died from breast cancer, she tells us. Ten years ago she herself had a lumpectomy and radiation. Then it was ductal carcinoma in situ. Now, in a routine check up, she is discovered to have lobular carcinoma. She needs a full mastectomy. Her voice is calm, she looks brave, but then again: there is the jiggling leg. I don’t know if she is aware of these scandalous statistics. The numbers below are truly something to scream about at town hall meetings instead of ranting about imaginary “death panels.” How about a certain death trap (unless you have deep pockets): breast cancer without health insurance.

According to the American Cancer Society the gap in death rates from breast cancer between African American and white women has increased substantially. In 1991, death rates among African American women were 18 percent higher compared to white women; by 2004, they were 36 percent higher.

It is amazing how four women in a waiting room can bond so quickly. It reminds me of female bonding during pregnancy. Although back then I sensed more of a competitiveness among expectant mothers in the obstetrician’s waiting room. Who had kept her weight down better? Who was thinking she would handle labor pains better? Whose baby would be the best baby ever? (Mine, of course.) Now we, the breast cancer patients, seem genuinely interest in each others’ stories, seem to care about everyone’s fate. We do not compare.

I am called away before I hear the result of the  oncology nurse’s check up.  But a few minutes later, in the adjacent room, I hear laughter and applause from the waiting area. After one year, the nurse is still cancer free. The room cheers for her as she walks away. (The two first years after surgery are the most likely for recurrence.)

I have no idea what happened to the young woman who waited for surgery with her mother. I still think of her.

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