Wednesday, January 12, 2011

SuperBall (part 7)

All the guys want to be me

All the Ladies want to be with me

They call me SuperBall

OK, perhaps that’s not quite true, but I’m moving closer to a sort of truth. Have you ever felt a secret grief or a hidden passion that you swear no one else has ever felt before? Your chances aren’t good. There’s someone before who has felt the same way or has dealt with it better than you could have. Don’t panic – you’re doing the best that you can, right?

I wish that I could give you an immediately uplifting story. I wish that I could skip the part about drinking fifths of vodka in a night, forgetting to make myself dinner, and joining free online dating services.

An epiphany is like an orgasm; you can’t just stamp your foot and demand that it come for you. I don’t have time; we’re all running low on time. I don’t have time to give in to fear. I don’t have time to argue. I don’t have the time.

Here’s a nice bit of story: it hasn’t even been 2 weeks since I’ve been half-neutered, but I managed to get a girl’s number at a movie theater. This was the first time that I managed to actually ask for someone’s number and receive it. Here’s how it happened.

I went to see Tron: Legacy, but I walked the few miles to the movie theater to get some exercise. The only bad part about that was I got there 10 minutes late, and they weren’t showing the movie since I was the only person seeing it. The good part was I got to talk to the cute girl who sold me the ticket, and she suggested that I kill time at a bar until the later showing.

I was the only person in the bar for the first hour, but people (all older gentlemen) trickled in for the sports games. Finally, two girls came in and they started talking specifics about football. I know next to nothing about football, so I finally screwed up the nerve to ask them what it all meant. I said that I was trying to write a detective story where football players all around the country are getting injured (this happens anyway), but then one of them is murdered. The PI on the case discovers that some of these other injuries were intentional and linked to a high stakes fantasy football league. I asked the girls for their numbers in case I had any more football questions, and they laughed at me. I don’t think it helped that I was very drunk at that point. It was time to go see Tron anyway, and now I have a detective story to write.

Back at the theater, the same girl who sold me the ticket kept making fun of me for being drunk. She said that I should get her patented hot dogs, so I did. She brought the hot dogs in to me while Tron was playing (the movie theater was empty except for another couple). In the dark, the hot dogs looked misshapen, but I figured they were just movie theater hot dogs. It turns out they were covered in peppers. Past that initial shock, they were actually quite good.

I couldn’t really follow Tron due to my drunkenness and not being able to stop thinking about the hot dog girl. As soon as the credits came on the screen, I vaulted out of my seat and complained about my movie experience to her. I said that the hot dogs were excellent, but the actual movie had too many special effects and plot twists. The only way I could feel good about that night is if she’d let me take her to dinner next week. The only problem is I was being stupid and trying to impress her; I said I’d memorize the number instead of copying it down… I forgot part of the number; I know 8 of the digits for sure, but the other 2 could be a 3 or a 5. I guess you could say that I got four possible numbers that night.

Her name is Becca, and she has very dark, mischievous eyes. She’s 20, and she’s turning 21 in about a month. It’s too bad that I’ll be dealing with the surgery then. Hopefully, there will be a dinner or two before then.

Hopeful? Yeah, I suppose I can find the time to be hopeful.

Tuesday, January 11, 2011

Grown Ass Man (SuperBall part 6)

You know, I’ve never been brave. I’ve been careless or reckless but never brave. That’s just a nice way of saying that I am a coward. When I try to conjure up some remembrance of courage, I’m drawn to missed opportunities, past failings.

I remember arriving at a high school football game to find that a drunk jerk had punched my little brother in the face after he’d made a smartass comment. I walked up to the guy and talked to him while other high schoolers circled in, waiting for the fight. There was no fight since I walked to the bathroom, splashed my face with water, and watched myself shake with impotent rage. I spent the rest of the night getting the guy to apologize to my brother, but it was a half-assed, sloppy apology. You might say that I chose reconciliation rather than conflict – don’t feed me the shit. I should’ve punched the guy in the face on first sight.

Less than six months ago, my girlfriend and I were walking to the L train station. Three guys were loitering along the way. One of them said something to the effect of “I like your hair, baby” (she has dreadlocks). They called out after us “do you use shampoo?” Not once did I say anything or even give one of the guys a hard stare. I just clenched my jaw and looked down; I didn’t even hold her hand or put an arm around her waist. I am a coward.

Even before I lost my right nut, I was worried or scared about whatever little idea happened to be on my mind for that day. It gets tiring. I do nothing and hope for change. It’s the path of least resistance with a healthy helping of self-loathing.

I have three options for future treatment now that the tumor has been removed: “light” chemotherapy, surveillance, or a major surgery. The first option isn’t really an option, since there’s about a 1 in 3 chance that the cancer has spread. Chemotherapy at this point would likely be overkill, and it’s not guaranteed that such a light dose will stop any potential spread. Thus, I’m left deciding between surveillance and surgery.

Surveillance basically means less invasive but less certain follow-ups with more long term risks. The follow-ups would consist of CT scans and blood work every 3 months for the next 5 years. CT scans involve considerably more radiation than regular X-rays, and the exposure risks in the long term are relatively unknown. The doctors would be looking for any enlargement of my abdominal lymph nodes, since they constitute the primary staging site if and when the cancer metastasizes. The internal imaging is detailed but not to the microscopic level. If lymph node enlargement is detected using this method, then there is a definite spread. Surgery is a possibility but chemotherapy is basically a given at that point. If there is any spread, then it will likely take place within the next 2 years.

That’s 2 years of waiting and hoping and basically doing nothing. This decision feels familiar – it’s been my M.O. until now.

Let me describe the other option, the surgery. Have you seen the torture scene near the end of Braveheart? It’s that plus anesthetic and minus the pain and getting my head chopped off at the end. OK, maybe the not best example, so I’ll try fellow one-baller, Tom Green. He received the surgery and you can see it here http://www.youtube.com/watch?v=Th1e5CYY39k (start around 5:30 if you want to skip some of the hilarity).

The surgery is called Retroperitoneal Lymph Node Dissection (RPLND) and starts with an incision just below the sternum. The surgeons continue that cut around and past the belly button. They will spread apart that opening and shift internal organs and intestines out of the way to get to the abdominal lymph nodes. This is where the dissection part of RPLND comes in. The surgeons will remove the lymph nodes that were attached to the infected testicle. Infection, minor bowel obstruction, and retrograde ejaculation are among the possible complications of RPLND.

Retrograde ejaculation means that semen will no longer shoot normally from the penis; instead, ejaculate will terminate into the bladder. This side effect would come from nerve damage; a surgeon may accidentally nick or even sever one of the many nerves during the dissection. Oh yeah, and the recovery time for this operation is 4-6 weeks. I don’t want this fucking surgery.

These three options were presented to me by an Oncologist on Monday morning. I also learned that chemotherapy, which was presented as the last stage of possible treatment, can cause infertility. Although the Oncologist recommended RPLND, I was convinced that I’d choose the surveillance option. My last surgery wasn’t an option, and I’d felt rushed; I’d lost my right testicle within 8 hours of being told that it had a tumor.

I made a decision tree with risks, benefits, and possible outcomes. If I chose surveillance, then I’d just have to wait. Sure, the many CT scans would be a pain in the ass, and the long term cancer risks for that type of radiation exposure aren’t definitely known. But I wouldn’t have to be dissected, and I could go on as usual. If they detected a spread, then other treatments would become necessities rather than options. It would be decided for me. I could wait and see.

Unfortunately, the decision tree also revealed that a RPLND at this early stage had a high probability of halting any spread. If microscopic spread of the cancer was in the lymph nodes, then I’d be essentially cured upon their removal. The tricky part is I’d have to get the surgery within the next month or so to reap the full benefits. I tried to convince myself that surveillance would be the braver option, since I could embrace the uncertainty, let go, and wait.

I went to sleep and hoped that I’d have a vivid dream that would decide for me. That didn’t happen, but my first conscious thought upon waking was Go to Surgery. At this point, I was considering flipping a coin, but my ex-girlfriend has informed me that grown ass men don’t flip coins. They make their own decisions.

Tuesday evening - I’m looking at a random section of the newspaper and reading about a Tennessee leader of a professional women’s organization; she is trying to teach people that Islam isn’t rooted in terrorism and hate. I flip the page to follow the story and see an article about trying to reduce the number of CT scans given to young children because of radiation exposure.

I lock myself in the bathroom, drop my pants, and study myself in the mirror. Half of my pubic hair is still very long, since the surgeons only needed to shave the right half for the previous surgery. I find a pair of scissors and trim the remaining half as best I can. I kind of like the way my cock rests on my remaining ball, which falls more in the middle. In the last week I’ve started thinking of this new arrangement as an interesting oddity, like the pair of webbed toes that I have on each foot. The current arrangement isn’t the problem.

I keep tracing my index finger from my sternum to past my belly button, harder and harder until it leaves a path of red skin. I always thought that having a long scar would be neat, story –worthy. Now, I’m not so sure. I turn on the shower to cover up my sobbing. I’m scared. I can’t do it. I can’t make decisions. I can only wait.

If you are about to be born and plan on having a semi-serious medical condition at a relatively young age, then I recommend that you decide to be born to a Doctor. It’s irresponsible otherwise. The RPLND isn’t a common surgery performed at every hospital. But my parents were in full support mode, and my Dad had two of his colleagues call over to Nashville to get me a consultation with a RPLND-qualified surgeon on Wednesday morning. This worked out perfectly since my flight to Chicago was in Nashville for Wednesday evening.

Before we get to the RPLND consultation, let me assure you that I wasn’t writing out decision trees in a vacuum. I asked for advice. Most of my good friends said it was a tough decision. My ex-girlfriend said she’d take the surveillance option. My Dad suggested exploring the possibilities of laparoscopic surgery, which would involve several, precise incisions rather than peeling me apart. However, skilled laparoscopic surgeons aren’t as familiar with lymph node dissection, and the results are less conclusive. When I asked my Mom what she would do if she were in my position (and had testicles), she said that she’d ask her Mom… what I’m trying to say is every conversation reminded me that, ultimately, the decision had to be mine.

OK – Nashville – we’re seated in the patient room. My Dad is on my left, and my Mom is on my right. The Urological surgeon enters, and he’s a clean-cut Asian guy in his mid-30s. I keep staring at his hands throughout the Q & A session; they look strong and small, perfect for probing my insides. Most of the information I’ve already heard. I find out that if any traces of cancer are found after the RPLND, then I’ll have to undergo two cycles of chemotherapy. I also find out that this relatively light chemo won’t necessarily render me unfertile.

From losing my right testicle to now, I’ve realized that I really want to have kids at some point in my life. I want to teach them to cherish their sense of humor and to make their own decisions. I want to teach them to be strong.

We ask all the possible questions and get all the possible answers for the moment. It’s time to speak. There’s tightness in my chest. I can’t wait any longer. I tell the Urologist that I want to schedule the surgery. He and my parents assure me that there’s at least a few more weeks for me to make my decision. Two days were enough. I tell them I want the surgery.

I’m sick of waiting and doing nothing. I’m goddamned tired of being a coward. The surgery is scheduled for February 8th. Wish me luck.

Prognosis

There’s a slight rumbling in my stomach, but beyond that, I feel empty, restless, unforgiving. My testicle is gone. My girlfriend is gone. What else will leave me? Not able to write complete sentences no longer… fuck!

Feel like a 350 pound man each time I try to rise from sitting. Ugh, stabbed me in the gut – phantom right testicle twitches no fun. Best friend from high school and family still here. Thank You.

Mmmk, but have prescriptions. Pain meds and antibiotics. Wish there were more pain meds. Getting better all the time. Mhmmm.

Bandage itches – must take showers wearing trash bag skirt. Ex-girlfriend not returning emails. Please. She does - disappointing. Want to sleep and sleep and sleep and sleep. New Year. Happy happy.

Oncologist appointment on Monday. There’s more. Goddamnit, get a hold of yourself. Complete sentences are there for a reason.

The Oncologist lets me know that the lump that kamikaze-ed my right testicle is called a mixed germ cell tumor; it’s 95% embryonal and 5% seminoma. Those are testicular cancer strains. If it were 100% seminoma, then I’d be set. No chemotherapy or surgery is required for seminoma for the most part; minor radiation therapy would’ve done the trick. However, the embryonal is a less favored strain; it’s known for metastasizing faster. That’s the downside of testicular cancer; it’s very treatable, but it spreads rather quickly.

The Oncologist is also father to a rather smart kid who went to my high school and graduated three years earlier than me. His son was a chess whiz and won a huge trophy for the school, larger even than some of the foot ball trophies. My Mom mentions that fact and my Dad adds supporting statements. We talk about that for several minutes. Please, just tell me my fucking prognosis.

At this point, I should describe the Oncologist, but I don’t give a fuck. He describes the future treatment options associated with my prognosis in a straightforward manner. I thank him for that.

The Doctor also assures me that the chances of getting a second, testicular tumor are akin to winning the lottery twice. I don’t feel like I’ve won anything, but that’s still good news.

Another piece of good news is that the Urologist later informed me that my larger, left nut should be able to compensate for the lack of its partner in terms of testosterone levels and sperm count. This means that my remaining testicle will become larger, a super ball if you will.

I don’t want to talk too much more about this – here’s a message that I sent to a friend.

hey man, thanks for your support. I think I've been drinking a little too much - not at the moment, but just in average day-to-day terms. I left my girlfriend in the same week that I lost my testicle. It was a long time in the making, since she deserves and wants better, and I didn't want to keep her prisoner by playing the cancer card.

Fuck. I'm just looking for new reasons to wake up early each morning. There’s a 1 in 3 chance that the cancer has spread to my stomach and will be moving on to my lungs. Don't get me wrong; this is still a very curable condition. There's a 90+% chance that it'll be cured, no matter what treatment option I choose.”

My treatment options are a major surgery versus less involved but less certain follow-ups with more long term risks –more about these options later.

Monday, January 10, 2011

Reflections ( SuperBall part 4)

1) The obvious New Year’s resolution would be to not to lose another ball. I have no control over that possibility. The slightly less obvious resolution is this: I’m going to have to work twice as hard.

2) If you have the desire to pray but feel guilty for not doing it often and only when you really need something, then try starting off your prayer with “Thanks.” For example, Thanks for letting me keep my larger ball.

3) Fixation is easily achieved. So far, I’ve only been reflecting on my remaining ball. I must remember to not to check it frantically for lumps every time I take a piss. I also need to talk about something else.

4) I broke up with my girlfriend. It was a long time in the making, and I didn’t want to hold her prisoner by playing the cancer card – what a fucking week.

5) If anger, fear, and sadness are spiraling down into depression, does that mean that forgiveness, courage, and happiness are waiting on the other side?

6) Be careful about feeling sorry for yourself. Other people will start doing the same.

7) I desperately need to feel good about myself… I’m awesome!

8) I can’t stop writing. This has to make sense.

9) Are these reflections getting shorter?

10) Yup. Move on.

Removal (part 3)

I keep thinking of bolting during the walk to the surgery building. I don’t want to be neutered. My cell phone makes several warning sounds and officially goes dead.

My Dad gives me his cell phone so that I can leave another voicemail for my girlfriend who needs to pick up her damn phone. That is a bad idea.

We’ve left the parking structure and are crossing the sky bridge to the surgery center. The walls are covered in cheerful murals depicting a rolling meadow scene. My voicemail to my girlfriend starts off scratchy but fine, and I focus on a white and yellow butterfly. I know that Monarch Butterflies migrate insane distances – how do they find the energy to mate? I’d like to have a woman while I’m still whole.

My throat catches and I lose my voice.

“Fuck,” I moan. I quickly recite the number for my girlfriend to call back and hang up.

“This must be a lot to process,” my Dad says.

There are more white corridors and various people in scrubs and white coats. Somehow, we’ve made it to the check-in desk. It’s surrounded by larger, more luxurious chairs, and most of the people sitting in them are old.

My Mom is waiting for us at the desk. We have nearly identical complexions, but I’m about a foot taller than she is. She smiles habitually and has too much energy for her petite frame. She’s smiling now and she hugs my chest. She doesn’t cry when we pull away.

I don’t remember checking in, but now, we’re sitting in the luxurious chairs while my Dad is further off doing Segway maneuvers.

“Well, I guess they’re going to take a look and see what they find,” she says.

“They’re going to REMOVE it,” I snap. I glare at her, and she nods and smiles nervously. She may be doing me a favor by making me angry. I’ll probably need that after the surgery.

I go to the bathroom to say goodbye in a handicapped stall. I stare down at my right testicle and wonder what to do. Should I say a few words, maybe assure it that it’s going to a better place? I end up giving it a few, awkward pats before washing my hands and heading back out.

My Dad has parked his Segway and joins us when they call my name. We meet with a Nurse in an office room off to the side of the check-in desk. She asks me the same questions that everyone has been asking me today. My Mom proffers an insurance card, and the Nurse prints off a white hospital bracelet with my name on it.

She’s misspelled my middle name as Oconner. First Testical and now this. I sigh.

“Hey, you misspelled his middle name. There should be an ‘o’ instead of an ‘e’, and don’t forget the apostrophe,” my Dad says.

The nurse retypes my name and prints off another bracelet. When I pull off the bracelet, I realize that I had put it on my left wrist. They’re removing my right testicle. Jeezus. I put the correct bracelet on the correct wrist.

There’s a flight of stairs, more paperwork, and another check-in desk before we make it to the waiting room. A plastic wrapped hospital gown and green socks await me on a surprisingly comfortable gurney. There’s a TV in the corner of the room, and it’s operated by a remote wired to the gurney that also has a call attendant button.

I strip down to my boxers and slip into the gown and socks as my Dad fiddles with the TV and my Mom stares out the window.

“Do you want to take a picture?” my Mom asks.

“Sure, but we don’t have a camera,” I say.

My Dad takes out his cell phone and takes a picture of me trying to smile. My face looks like it has a nervous tic.

“No, I thought you were going to take a picture of your testicle,” my Mom says.

“I’ll just remember it,” I reply. We laugh, but I regret not taking that picture. That could have been an instance where a guy shoving a camera down his boxers actually held some kind of significance.

I lay back on the gurney and start channel surfing while my parents bustle around. Their mission is to find another contact number for my girlfriend. Despite a few wrinkles, they look healthy. I feel ancient.

My Dad is also sort of a movie buff, and he keeps asking me if I want to know the plot to the movie on TV that’s near the ending. I tell him no. He forgets several minutes later and starts giving the back story. I don’t listen, but I do remember that if I can get my phone charged, then I may be able to find the number to my girlfriend’s work phone.

I don’t have any contacts listed in my phone, since I just remember numbers that I call often. That’s stupid, I know, especially since I can’t remember the number to her work phone, which I don’t call often. I know that number has to be in the call history somewhere.

My cell phone charger is at home. My little brother and best friend from high school are also there, since he decided to crash at our house after last night’s drinking bout. We make the call, and they promise to drive over with the charger. It’s 1:30. My surgery is in an hour.

When they arrive, I plug my phone in and start scouring my call history for the number. I know the area code starts with a 2. I find it! Now all she needs to do it pick up.

Perhaps I was meant to wait because I’m more emotionally stable at this point. The presence of my brother and my friend helps me keep my voice even when she answers the phones. She’s working at one of the Ohio offices for her corporation so she doesn’t have to take a vacation day while she visits her mother.

When I tell her, she gasps. In a sick way, I’m glad. We’ve been having more problems lately, so perhaps this will make her forget all my shortcomings. Yeah, I’m considering playing the cancer card to brush off relationship troubles.

We don’t talk for very long. She says she wants to come down over the weekend. I tell her that we’ll figure something out. My “I love you” sounds casual, hollow. At least it doesn’t sound desperate.

The room is getting cramped with five people, but my Dad leaves to get back to work. He still has patients and basically dropped everything when he got the news. My Mom cancels the rest of her patients for the day.

“I’m not going anywhere,” she says. She smiles. I don’t think she’s super eager to go back to a job that requires her to interact with a troubled family and fill their prescriptions in fifteen minutes or less.

A Nurse comes in at 2:00 to wheel me away.

“You need to have on nothing but the gown,” she says.

I’m still in my boxers. How’d she know that? I look out the room’s generous, thick window that overlooks the parking lot. Could I kick it open with both my heels without eviscerating myself? No, I’d have to ram it with the gurney. I sigh and slip out of my boxers under the sheet. My Mom takes them.

On the way out, my brother and friend stand at attention and hold salutes. I try to smile, but I don’t manage to salute back.

The nurse wheels me to a preparation room with gurneys separated by curtains. One of the ceiling tiles has a children’s drawing on it. The picture is of some underwater scene; I can tell from the bubbles. The picture is mostly coral pink and toothy yellow, a globular image that I can’t quite wrap my head around. I wonder if it was drawn by an actual child or a struggling artist who has found a niche.

I keep looking up when another nurse comes to my station.

“And what are we having done today?” she asks.

“I’m having my right testicle removed,” I reply.

She nods and puts an orange bracelet on my right hand. For the next 30 minutes, anywhere between one and four people are gathered around my gurney asking me questions. I have to tell someone else that I’m losing my right nut when they ask. One Nurse writes notes on her latex-blue hand while I talk to an Anesthesiologist. They ask me if I have any questions. I tell them to make sure that they get the right side. I smile but can’t help repeating myself. A Nurse takes pity on me and writes something on my right hand. Someone else gives me a cup and some pills, a pre-dosage to take away some of the edge.

I yawn and tell myself that I’m not feeling the effects. After my next yawn, I notice that the ceiling tile with the kid art is no longer above me. I’m in the operation room. I must’ve been talking with the Nurses there because they’re still talking to me about one of them being from Missouri.

The Urologist comes in and stands over me. I try to nod at him, but there is no eye contact. A Nurse warns me that I’ll feel a slight prick as they start the injection. At the same time another one places a clear mask over my face, telling me to breathe deeply.

Deep breaths – is there some lasting image or thought that will stay with me? I inhale the chemical smell while trying to look at the mask and going cross-eyed as a result. What if this is my last thought? That is my last thought.

A young woman is sitting next to me. She’s slender with light brown hair and blue eyes, beautiful in a professional sort of way. I’m flattered that this lovely nymph would sit by my side and wait for me to awake. Perhaps she was strolling down the hospital highways and felt drawn by a presence. Love at first sight.

As she comes into sharper focus, I realize that she’s reading a book. She’s just doing her job and making sure I come back to life. I cough in resentment, and then embarrassedly look away when she meets my eyes. I think I fall back asleep.

An older woman is sitting to my left. She has leathery skin and close-cropped curly white hair. There are also a few, delicate hairs on her upper lip. She smiles, pats my hand, and takes my pulse. Something moves to my right, and it’s my Mom.

“How are you feeling, dear?” my Mom asks.

I’m feeling high, elated, and buoyant. I giggle in response.

“Now, we’re going to have to get you to the bathroom. Once you can go to the bathroom and keep food and water down, you’ll be cleared to go,” the Nurse says.

She and my Mom grab an elbow as I totter off the bed to the adjoining bathroom. Someone pulls up my gown, but I’m able to pull out my penis myself. My penis looks awesome! I like the way it hangs, so I chuckle again as I pee. I stop laughing when I notice that half of my pubic hair has been shaved off and that there’s a large bandage on my stomach.

When I lie back on the gurney, the buzz comes back. I start telling my Mom and the Nurse a riddle about two guardians and two doors but I forget the answer. The Nurse is a giant teddy bear and she tells me that I should see the movie “Salt.” We also find that someone left the shaver used to prep me for surgery under the sheets.

A beautiful blonde Nurse with a heart-shaped face wheels me into a CT scan area. This is one of the ways that they check to see if the cancer has spread. It’s also a way to for me to realize that there may be more to this than just losing a nut. I trade this thought for self-consciousness about the fact that I’m still naked under my gown.

When she wheels me back into the room with Nurse Teddy Bear and my Mom there’s some type of food waiting for me. I can’t recall what the food was, but I do remember scarfing it down. It’s evening, and I haven’t eaten all day – delicious.

“I saw you looking at her.” Nurse Teddy Bear chides me before leaving me alone with my Mom.

“They’re going to wheel you out, and I’ll have the car waiting. OK, honey?” she says.

I nod. Five minutes later I forget about the wheelchair and start wandering down the hospital corridor.

“Get back in there, you crazy.” Nurse Teddy Bear is sitting behind a desk and chuckling.

The wheelchair finally comes, but the Nurse pushing it isn’t as pretty as the one who took me to the CT scan. We make it to the car, and my Mom drives us away. I imagine my detached testicle on a stainless steel table in the hospital basement. Men in lab coats are gathered around it and take turns prodding it with scalpels. I feel a phantom twinge of sympathy in the empty half of my sac before I fall back asleep.

Saturday, January 8, 2011

Diagnosis (part 2 of the SuperBall journey)

Thankfully, the reclining chair in the ultrasound room is full-length. The technician has healthy, wrinkle-free skin, and if she were 15 years younger and at one of the bars last night, then I’d have tried to talk to her.

“I’ll leave the room so you can take down your trousers and underwear. Then you’ll get under that sheet so we can start the ultrasound.”

She keeps her promise, so I keep mine, although it bothers me that people here keep referring to my pants as trousers. Next, they’ll start calling my lump a growth.

The technician knocks and comes in with another paper-cotton, disposable sheet. The sheets look rumpled, but I can tell she’s folded them precisely as she tapes my penis to my stomach, leaving my balls exposed along the fold. She smears my sac with a generous amount of gel and guides her vibrating wand over my scrotum. I wonder if this could become erotic if we maintained eye contact. Instead, we give lip service to the holidays and watch the imaging screen. The screen doesn’t tell me anything and neither do her facial expressions.

“The Doctor will have the final say on this. I’ll step out while you get cleaned up and put your trousers back on.”

Not too bad – so far, my day has involved my pants becoming trousers and cleaning myself up. Upstairs waiting room again before I’m back with the Doctor in the room with the all purpose chair.

“Looking at the ultrasound, it’s definitely a tumor. We’re going have to remove the right testicle. We should do the surgery today, since that needs to be out as soon as possible. If you were my son, I’d have you go in today.” The Doctor looks like he just backed over my dog with his pickup truck.

I think we are sitting, but somehow we are now leaning against the counter and facing that twisted chair. Everything’s fuzzy except for the chair – that goddamn-no-good-fucking-son-of-a-bitch-rotten chair

I say “OK” a lot. When I can’t talk, I start nodding.

“When’s the last time you had something to eat and drink?” he asks.

I try to stay 7:30, even though I don’t know if that’s true. It’s the only time I can think of right now.

Plop. Plop. I’m stuck between admiration for how precisely my eyes can squeeze out tears and anger for how easily I let them come. The Doctor pats my shoulder and leaves me in the room to compose myself.

I finally remember what happened between sitting on the chair and leaning against the counter. The Doctor was giving me the details of the surgery. He assured me they wouldn’t cut into the scrotum; they don’t even want to have surgical instruments near the femoral area. Instead, he told me they would make an anal incision and pull the testicle out that route. Wait… what!? Adrenaline consumes the last vestiges of my hangover.

It takes me a full minute to remember how to use the tissues. I don’t think to stuff some extra tissues in my pants become trousers because I can’t think past my lump become tumor. I open the door and leave the room with the horrible chair. A digital clock on a cubicle corridor desk tells me that it’s almost 10:30. The Doctor looks nervous that there’s a blubbering mess let loose in his ward.

“We just paged your father, and he gave us a number to call,” a matronly, silver-haired Nurse assures me. She cups my elbow.

At this point, I should mention that my Dad works in the same hospital as a Gastroenterologist. I’m privileged in that capacity. I’m lucky; most people, insurance or not, wouldn’t be getting such speedy healthcare. How fast? Just wait.

My Dad is a good man. Our complexions are different; he’s lighter complexioned, but our statures and many other physical characteristics are similar. That’s descriptive, I know. Anyway, my Dad has taken to riding a Segway down the corridors, the hospital highways. He doesn’t do this for the joy of traveling effortlessly or a zero turning radius. One of his ankles is fused and the other ankle has been injured many times. Despite the curiosity and mixed comments from the hospital inhabitants, he rides with confidence.

OK, back to the silver-headed nurse cupping my elbow. Think Marshmallow. She isn’t huge, but everything about her is white and smooth: teeth, face, hair, arms, shirt. I can’t remember the color of her pants, but I’m going to go ahead and say those were white too.

Nurse Marshmallow steers me into an alcove filled with four cubicle desks, similar to those in the corridor but with more personal effects. I plop down at a desk in a corner. She leaves and comes back quickly with a number on a scrap of carbon paper. It’s a number I don’t recognize to somewhere in the hospital. I call on the desk phone, it rings, and it goes to a voicemail of a woman’s voice. I can’t comprehend words.

I flip open my cell phone; the battery symbol has one flashing bar. I call my girlfriend. She’s a beautiful, skinny but curvy, black girl - super elegant and probably out of my league in some areas, but we love each other. Our boyfriend-girlfriend days are probably in their last phase before we travel different, but still friendly paths. She came to my parents’ house for Christmas and the day after but left two days ago to visit her Mom in Ohio.

Her phone rings and goes to voicemail. I’ve been doing a halfway decent job of holding myself together until I try to talk. The first message I leave is wordless, just me sputtering and my throat catching. I erase the message and start over. The second time around, I manage to spout something about having a tumor and needing to get surgery. I think it makes sense.

Nurse Marshmallow comes back in holding paperwork.

“When was the last time you had anything to eat or drink?” she asks as she sets the papers on the desk.

Why does everyone keep asking me that? I’m about to lose my right nut, and they want to know what I had for breakfast. Yeah, I like my toast slightly burnt, orange juice with extra pulp, and eggs yolky. I’m glad we could have this conversation. By the way, have you been getting enough fiber? What the fuck!?

A combination of the paperwork and the Nurse talking help me realize that this is a question associated with anesthesia. They don’t want to put me in a coma or have me wake up while my testicle is being dragged out my anus. That being settled, I have a way out, another day to cradle my diseased ball.

“Well I only had some water this morning, but I was drinking pretty heavily last night. That probably won’t go well with the anesthesia, right?” I say.

“Doesn’t matter, as long as you don’t have any food in your stomach,” she replies.

Jesus Christ on a bicycle!

Nurse Marshmallow relentlessly reads the disclaimer/waiver legal speak for the upcoming surgery. I nod, although I’m not really following.

Finally, she breaks character. “Do you want a hug?” I do. It’s unsatisfying, more like a pat on the back.

“Can I have another hug?” I hold this hug for longer, but it’s still an awkward shoulder clasp. I’m seated and she’s standing, but I try to make the most of it.

“I’d like to have you put on my church prayer list. Is that fine with you?”

I tell Nurse Marshmallow that would be OK. I actually like the idea of an entire congregation unknowingly praying over my junk. She leaves the office alcove to let me read the paper work.

The paper tells me about the possible complications of anesthesia. I don’t really read the fine print, since I know that I’m going to sign the form anyway. At the top of the form is a line to fill in the type of surgery to be performed. Someone has written “Removal of Right Testical.”

Testical!? I won’t stand for this insult. If they can’t spell testicle correctly, how do I know if they’ll even remove the right one? I consider crossing out the word and giving it the correct spelling, but I panic that may create confusion. Someone will see that word crossed out; their mind will automatically assume that Right should be Left, and by the end of the day, I’ll be a Eunuch.

Flip out cell phone – I call my girlfriend again and leave a slightly more coherent voicemail with less gasping pauses. I decide to text instead: “Lump is a tumor. Surgery to remove my right ball today.”

Nurse Marshmallow stops by the doorway, takes the paperwork, and tells me that my father’s on the phone. For some reason, I have to move to the other desk and receive the call on that phone.

I can’t remember our exact conversation, but my Dad tells me about one of his friends who had the same condition. That friend has kids today. When he mentions kids, I lose it again. That was the one thing that I was trying not to think about.

My Dad lets me know that he’ll be coming over to the Urology department to take me to the surgery center. I wait in the office for another 15 minutes, before Nurse Marshmallow comes back in.

“You know, you can meet your father at the surgery building if that works better.”

I think that’s her way of telling me to buck up and get on with it. I realize that no one’s been sitting at the desks and doing work. They’ve been patient, but now I’m becoming an inconvenience. I nod and tell her that I’ll move to the waiting room.

On the way out, I see the Urologist sitting at one of the corridor desks. I shake his hand.

“Any questions for me?” he asks.

“Yes sir, what are the chances that I’ll get to keep the other one?” I say.

“Oh, your chances are great. There’s next to zero probability that you’ll have problems with that one,” he replies. The Doctor looks trapped. I realize later that it must be pretty awkward to talk with a guy whose ball you’ll be surgically removing in a few hours.

The TV in the waiting room is set to a FOX channel and playing one of those horrible, daytime show with obnoxious female hosts. I can feel myself getting stupider, and I finally understand the urge that drives some to buy a high-powered rifle, find a clock tower, and just start firing.

I’m thinking that fire-bombing that show’s studio might be an extreme option compared to changing the channel when my Dad glides in on his Segway. He flows past me.

“Dad… Dad…Dad!”

“I heard you the first time,” he says as the Segway pivots.

The diameter of that contraption’s base make it awkward for traveling down the waiting room aisles, so I follow him back into the Urology clinic. We both talk to the Urologist again. My Dad asks better, medical-based questions, but the answers just reaffirm the need for surgery. I also find out from my Dad’s pronunciation that the doctor will be making an “inguinal” rather than an anal incision. I rub my butt in relief. Damn Southern accents – the inguinal incision is basically a bikini line cut that allows them to drag the ball from my sac rather than cutting the sac itself.

My Dad and I hug for ten seconds, and when we pull away, his face crumples for three seconds before regaining control. His parental concern gives him a youthful handsomeness.

There’s something about another person being sad for you that makes it enough. What I’m saying is I’m surprised that I’m now dry-eyed and composed. As I follow his Segway to the elevator and through the parking structure to the surgery building, I feel like a prisoner marching to his execution. Instead of “Dead man walking”, the guards and inmates are chanting “No balls knocking.”

Tuesday, January 4, 2011

Lump

I found a lump on my right testicle.

To call it pea-sized would be generous. It was just a hard mass that I could locate after fiddling with my sac for several seconds. That was early November, and it worried me enough to have an Urologist appointment set up between Christmas and New Year’s Eve during my next home visit. In the meantime, I gently fidgeted with that lump, convinced myself it wasn’t growing, and managed to forget about it for days at a time. At the very worst it could be testicular cancer, which has a very high cure rate. If so, that insignificant lump could be a life-defining experience, something I could write about. Well, there you go.

I was originally scheduled to see the Urologist on Monday, December 27th, but that was pushed back to Tuesday at 8:30. That was just fine, since I got to spend Monday night drinking with my best friend from high school and my little brother. The first place we went was Double D’s – they don’t serve pints; the smallest drink you can get there is a 32 oz, which was also just fine. My friend and I agreed that the name of the establishment was a bit of a misnomer, but the girls were still nice.

We later went to a karaoke bar downtown. At that point, I didn’t know it was a karaoke bar, but I had the balls… courage to talk to several, pretty girls who had gone to high school with me. I’m spoken for at the moment, so talking with them was another thing that was just fine that night. Several times along the way, I realized that I was drinking heavily to celebrate tomorrow’s verdict.

OK, I feel as if I’m stalling. I’m taking too much time to explain that I am solidly hung-over come Tuesday morning. This is also a clever ploy to shift to the present tense, since I am told that can make events more graphic. My Mom wakes me at 7:30 and tells me that I should shower – an unspoken, common courtesy for whichever Doctor has to fondle my balls.

Fast forward. I am in a regular patient’s room, generic except for the chair off to the side. Except for the concave footrests, the top half is similar to those reclining chairs you see in a dentist’s office, blue leather and ergonomic headpiece. The bottom half terminates abruptly over a twisted beer bong, a white rectangular box with an accordion tube connected to the linoleum floor. I’m relieved that they’ve already had me pee in a cup. A Nurse comes in and takes my blood, filling a third tube “just in case.”

The Doctor enters, shakes my hand, and we sit in the two, normal chairs in the room. He is about five and a half feet tall, and his white Doctor’s coat looks comically oversized. His short, white hair is complemented by a neat moustache, and golden rimmed glasses cover his energetic, apologetic, blue eyes. There is small talk before I unveil my two-balled glory. I point out the lump. He touches it gently and says that it is definitely cause for concern. We sit back down and go through my patient history.

“Any blood in your stool?” the Doctor asks as part of the list of routine questions.

“Yes sir – actually about a week and a half ago. It just kind of came out with the rest,” I say. I’m actually eager to give more than a one syllable answer to one of the questions.

“OK, the quickest way for me to check it is by hand to see if I can get a bit of stool. You’ll have to pull down your trousers again,” he apologizes. He also points to the hybrid dentist-beer bong chair, so I understand that I should put my hands on the footrests to brace myself.

“Now, most guys don’t like this,” he says.

I find myself wondering about the patients who do like it. How do they identify themselves? I suppose it would be something along the lines of “hey, that really hit the spot, Doc.” I hear the drawer slide open behind me – that must be where they keep the lube.

The insertion is quick, precise, and invasive. I guess I’ll side with most guys on this one. The Doctor holds out the first, two fingers of his latex gloved hand for me to inspect. They look slightly wet and there’s one curly, black hair on his pointer finger.

“Nope, it looks clean. We’ll have you get an ultrasound. I’ll step out while you get cleaned up.” The Doctor tries to hand me a box of tissues on my left. I turn right. He goes right. I go left. He decides to plop the tissue box down on the right armrest before leaving.

I have to go downstairs to wait for the ultrasound. I pick up a magazine and can’t remember the title. The only page I can focus on is an ad for silver dollar coins from 1783. These historical pieces were discovered in an underwater shipwreck and may have passed through the hands of our founding fathers! They’re also 90.1% silver. I can buy a pair for under $150, although they’re worth much more and going fast. That is nice, I think. Those are left behind and I could leave them behind too.

My hung-over brain is plodding along, trying to keep up. I have an inkling that being 23 doesn’t mean immortality; it doesn’t even mean that I’m entitled to more luck than the senior citizens scattered around the downstairs waiting area. It’s not the Doctor’s concern over my testicular lump or waiting for the ultrasound that does this. No, it has to be the memory of those two, latex fingers jammed up my butt.