Let’s talk boobies

I have never had a great relationship with my boobs. I guess it’s always been sort of a love/hate thing going on. I got them early and when they showed up, they weren’t small and cute, not at all. They made me stand out from everyone else who hadn’t even started going through puberty yet. I blame this on karma. You see, I used to grab my heavy-set grandma’s huge bras and put them on and make fun of them when I was little...and don’t you know I ended up with her exact body later  in life. Karma. I swear. Anyway, my boobs attracted a lot of unwanted attention first in the form of teasing and eventually in the form of interest, and I hated both. It took me a long time to get used to even wearing a bra, which I hated so much. I waited until people started telling me I HAD to wear a bra before I ever did. And then it made it hard to find dresses and things that fit my chest and were still modest and appropriate for a tween. Needing an 8th grade white graduation dress that was formal, we had to go to a bridal shop. My mom found the most modest one we could, but even then it was impossible to hide my boobs. It was mortifying on graduation night to have the principal walk down the line as we waited to walk in and start criticizing my dress and saying it was inappropriate and tugging it up higher on my chest. Eventually I started wearing big, oversized shirts and sports bras to help conceal them. It just really sucked. My sister always had small boobs, and so we were jealous of each other, and I always told her she could have them, that I would gladly give them up. That it wasn't great to have big old boobs.

At some point I realized the power they held and I learned to use it if I needed it. I learned to embrace the jokes and enjoy the attention they brought. Being bi myself, I still didn’t really get the appeal but whatever. (Their just sacks of yellow fat*) Pregnancy and nursing did a real number on them, and after my third baby weaned they were left sort of sad looking. I still didn’t really care either way about them. It took a long time in between babies to view them in a sexual way again, which I’m guessing is necessary and normal. While before I needed the most supportive bra out there, now I just needed something to push up and round out all the deflated tissue. Seriously, I joked that they looked like sad deflated balloons. Eventually I got my nipples re-pierced and tried to make peace with them again. Fast forward 5 more pregnancies and nursing 2 babies and yeah...my boobs are definitely not what they used to be, but they are sort of the least of all my body concerns, appearance-wise. They actually look small to me compared to my stomach that just won’t go down thanks to ab separation. But they are there and I know them well.

*As a super side note, please go to youtube and watch Rachel Bloom's gem of a song and video "Heavy Boobs". I needed this song way back when.

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Last week as I go in the car to go shopping for vacation supplies, my daughter grabbed the mail for me. It had come hours earlier but I forgot to check it, so it was around 4pm on a Wednesday. There was the letter from the radiology center, and I expected to find the same letter I got last year from my first mammogram saying all was clear. Except that is not what the letter said. It stated that there was a  “finding” on my images that needed additional pictures and possibly an ultrasound. Now, I am a medical professional and radiology is my field, but that did not help calm the panic I immediately felt. Sitting in my car in the driveway I called the number to try and schedule something, and because of our vacation I wasn’t able to get an appointment for over 10 days away. We did the shopping and I was more than distracted and really irritable and forgot half of what I needed and bought a bunch of crap I didn’t need. I called again when I got home and couldn’t find a location anywhere even remotely near me with a diagnostic appointment available in the next 2 days.

My sister is a mammo tech (not in the same state) and so I spent a long time on the phone freaking out going over every possible scenario. I know “finding” can be almost anything at all that wasn’t on my last mammogram images, so it could be nothing or it could be something. I didn’t have the report to try and further determine what they might be seeing, and I only knew it was my left side because of the scheduler reminding me of no deodorant on the left side. (Deodorant contains aluminum which is a metal and can create artifacts on images) I was shirtless on the phone frantically feeling around my boobs for something, anything, while my sister assured me it was not likely something I’d be able to feel. I feel my boobs all the time. I have never felt anything, ever. I was locked in my room freaking the fuck out and trying to hide it from everyone because I don’t need them to worry too. I was sad, but I was also mad. I spent all of last summer anxious with worry over a situation that ruined  the entire summer and even our vacation, and here we were again about to go on our only family vacation of the year and it was going to be ruined for me. I went around and around with my sister...put it out of my head for my vacation and worry when we get back (hahaHA), if I find out bad news before vacation that’s going to ruin vacation, and on and on. She said a million times “Slow your Roll”. I stressed myself into exhaustion and finally went to bed. I had texted a few close friends I work with and just asked them for prayers to help calm me down. My girls, bless them, said whatever it is we are in this with you.

Maybe this all seems dramatic and over-the-top. Maybe it was. But when I heard something could be wrong with me, like really, really wrong, I was sad and scared and in denial. Sad this was happening at all, sad I couldn't just go on vacation for the second year in a row without a worry, volleying back and forth between thinking everything was ok to believing it was not. My fight or flight was in flight mode, wanting to just run the heck outta town as soon as possible, wanting to not confront this issue at all. I didn't try to think or feel a certain way, it all just came in huge crashing waves I had no control over. I just kept thinking about how my baby is only 3, how nothing could be wrong with me. and then I thought of my dear sweet friend who is nearing the end of her life, and how her babies are only 14 and 17, and it just all got to be overwhelming and real and unfair, and I was smacked in the face with the fact that this very well could be happening to me. It isn't just some distant thing my happening to someone else. It was sobering and scary as fuck.

Quick side note: A long time ago my sister and I decided that if we ever found a lump or anything in our breasts, we would opt for a double mastectomy and be done with it. None of this lumpectomy/try and salvage my breasts bullshit. It’s just not worth the risk of leaving any tissue. My dad has breast cancer, but it was non-genetic. Before we knew that, it was suggested I start having mammograms at age 30, which is usually the recommendation if a parent has had it. Because it was non-genetic (meaning he didn’t have the gene to pass down to me) I could start at age 40, which is the non-risk factor age, and I did.

I thought I would wake up the next day feeling ok, but I only felt worse. As soon as I opened my eyes it was the first thing I thought of.  I called to check for cancellations first thing but got nowhere. I felt myself becoming more frantic about the whole thing. My sister tried to tell me things I already knew...anything that looks different than last year can be a finding. I weight more now than last year so there could be an increase in fatty tissue. I have had another pregnancy, and even unsuccessful pregnancies can cause hormonal changes. Finally, I reached out to a friend and co-worker that also works at that center. She’s an an ultrasound tech who could at least pull my report...or maybe get someone to squeeze me in as a favor??? I send off spastic tech messages. Finally call back the scheduling line while I wait to hear from my friend...they have a 2pm appointment at my friend’s office. Ok. Great. 2pm. But, OMG now I am going to know something in a few hours. How am I going to get through this without crying. I text my husband he needs to go with me. But who’s going to pack for vacation, we leave in the morning? I call my mom and tell her I’m bringing the kids to her, I got an appointment. I start crying, I can’t help it, I am TERRIFIED. I say I want my sister. Ok, I need to get it together this isn’t helping anyone. I go up to shower and get dressed and start throwing random shit into my suitcase. No idea what I am even packing, I am just grabbing stuff as I see it.

I take a long hot shower and actually shave. I let super hot water hit my shoulders  and back. I think about what it would mean if my results are bad. I say I don’t care about my boobs, but is that really true? I realize that if it’s bad, then that’s a definite end to my reproductive years for sure. That treatments would make it so, and it wouldn’t matter because I would lose my only way to feed a baby with my body. I start to appreciate my boobs more than I ever have before. I realize a few moments later that I will miss the sexual part of my breasts as well. I know nerve damage would likely happen and fake boobs aren’t the same. I also pray in the shower for some peace.

After I shower I text my best friend. Can you meet me at 2pm? I have my follow-up I don’t want to go alone. All she asks is the address.

I drop the kids at my moms; she asks if I want her to go. I tell her no, best friend is going to meet me there. I think she feels kind of bad that it’s my sister and then best friend in the order of who I want with me. We meet at the center and I check in. First schedule mix up with spelling of my name so they can’t find me, then they ask for a doctor’s order which they didn’t tell me I needed for a callback??, then asking me for almost $400 towards my deductible which I don’t think is right. I’m already on edge and close to tears, I don’t have it in me to fight and make a scene. They sense this and offer to charge me half and call my doctor for the order. My friend who works there find me and is shocked to see me so rattled.

My friend waiting with me tells me stories (it’s been a couple weeks since we caught up) to keep me distracted. She sits back with me after I get that open-in-the-front gown on and makes me laugh. I am glad to see the tech that gets me is an older lady who has been doing this forever, and it totally comforting when I tell her I’m nervous. (Younger techs are great, too, but this one has been around the block and has surely had her own boobs squashed before) She gives me a lot of info about what they saw before and what she is doing, which I appreciate. It’s by my nipple so I get a nipple marker (a band-aid with a lead dot in the middle that goes over the nipple. Lead absorbs the radiation and leaves a clear space. It’s helpful because nipple tissue can leave a density on images and they use this to rule out nipple tissue vs something else). She places it on my nipple. I have no modesty in me, I’d show the world my boobs at this point. She asks about pain or lumps and I am 10000 percent certain I have none. One picture then back to waiting. My friend is still sitting outside the room. I show her my lovely nipple marker. There are other women in pink gowns in this area. Everyone is friendly with each other and I guess there isn’t much other way to be when we all have our boobs hanging out and getting squashed and are all scared we might have cancer. Everytime the door opens I’m looking to see if it’s my tech. I’m bouncing on the chair and my friend looks me dead in the eye and says we got this, no matter what. I’m not alone and that is what I need to know right now. Eventually it is my tech, and they need another picture. It’s looking like a blood vessel or something bunched up around the nipple so they have to try and smooth out the tissue and take a view that will fan out the slices. This one actually hurts a bit but I am ok with it. She could stomp it flat if it means they can figure out what’s going on in my breast. I’m back to waiting and my friend and I are just being ridiculous and loud telling stories but there is no other way to be when one needs a distraction. Finally the tech comes back and says it’s all clear. It was fibrous tissue around the nipple and I don’t need anything else I can  come back in a year. It doesn’t sink it at first until my friend is hugging me saying it’s ok. I get dressed and my friend who works there comes and gets us and shows us her office. She is as surprised I brought someone. “You are tough as nails, but not about this” she comments shaking her head in sympathy at me. She was already to scan me when she saw my ultrasound was cancelled. I get hugs, text everyone the news. My friend and I leave to go get celebratory drinks at 3pm on a Thursday afternoon. I say a prayer of thanks, because I am well aware how that could have gone the other way.

It was some of the worst 24 hours I have ever had, anxiety-wise. But it was also beautiful in hindsight because I often feel alone, but it was a great reminder that I’m not. I don’t have a group of mommy friends or a village of family, but I have a group of us who have chosen each other. My best friend I met through our kids school, but my other friends are work framily, and I am so thankful for them.

So here is my PSA:

Please, please, please get your mammograms. Every single year. Don’t put it off, and don’t wait. It is not scary, and it’s not really that painful. And check your boobs often!!! Know what they feel like at different times of the month. It’s so damn important!! I know that a while back there was a report that self-exams weren’t needed or whatever, but that it bullshit. You need to know what your boobs feel like so you can tell when something feels different. A general rule is to get your first screening at age 40, unless you have a reason to get it sooner. Yes, it's just one more appointment to make time for. But it is an important one. A screening mammogram takes no time at all. Even for my very first one the entire thing took under a half hour, from walking in the door and checking in to leaving. Most insurance companies pay 100% for a screening, and even if you don't have that coverage (or any at all) hospitals and county programs provide free screenings. Early detection saves lives. And it is WAY better to know going in to one that one year ago you had a clear mammogram, or to know what kind of breast tissue you have, or any other thing. You need a baseline so they know when something is off or when it could have started. do yourself and your family this favor.