I am now suffering my 3rd, count it t-h-i-r-d, that's right, episode (quaint way of saying ninth circle of Hell) of mastitis, and no, I am not one of those weirdos who still breastfeeds their 5-year-old.
He may still spend time in the bathroom with me, but I am not quite that perverted. Evidently, after my body experienced the 2 episodes of mastitis when I was breastfeeding, it liked it so much it decided to set out on a sentimental journey to
experience it again. Ah, memories. The infection has evidently been lurking for the last 2 months, but like a true procrastinator and phobic of doctors, I thought if I just utilized the tried and true therapy of ignoring it, it would go away. Instead, it decided to rear it's full ugly nippled head while we were on our one family vacation of the year. Fortunately, I had procrastinated my usual "female" appointment and it just happened to be scheduled for the day after we came back from vacation. By that time, I had a lovely red and swollen B cup on one side and my pathetically healthy A (well, almost) cup on the other. Conversation during OB exam:
Doctor: "I hadn't noticed your breasts were so..."
Me: "Big?"
Grinning..Doctor:
Frowning and looking at me quizzically like the infection had now migrated to my brain, "No. Asymmetrical."
Humphf. You say potatoes, I say...
Anyway, after much poking and prodding, it was concluded that I had a lump,
ooo, possibly even an abscess, and that the rest of my day would be spent at the clinic for further poking and prodding and a photo session scheduled for my breast at the radiologist's office. At least, it wasn't for a mammogram. Fortunately, since the slightest touch of said lump would send me
airborne, off the exam table, screaming obscenities (in my mind anyway), a mammogram was completely out of the question, and besides, I'm not 40 YET. Which has given me an idea: I think around the time I am scheduled for my first mammogram I will do whatever I did this time to get this infection and I'll get out of the pancaking of my
AA's and have a comfortable, cozy, bosom-friendly ultrasound instead. Yeah. That's what I'll do, for the next 40 years or so. By that time, on the heels of 80, if there were the possibility of breast cancer, I'd want comfort measures only, so no point in mammograms. Let the disease eat away at my floppy, deflated fun bags while I dine on a morphine cocktail. Okay sorry, went a little into the dark side there. I don't mean to make light of breast cancer. I'm just saying...I hate mammograms, at least my
idea of what a mammogram will be like.
I digress... The radiologist confirmed that I had
mastitis, or in her words, "Well, you definitely have some inflammation." Your first year student and now you had to crush your seemingly sharp little
doohickey (medical jargon) all over the expanse of my generous breast for the last 30 minutes to conclude
this? The radiologist also said that I had a lump (again, stating the obvious. This, my friend, is why you go to a specialist) and said, "Shall we proceed to the next suite to stick an unnaturally long needle into your excessively painful boob and slurp out whatever goodies we might find in there?" or something like that.
Next stop, Ultrasound-
Guided Needle Aspiration. (Yet another thing I like about medical transcription--sometimes I get to experience first-hand the things I transcribe. My dream is to one day undergo a maze procedure, just because it sounds so mysterious.) I agreed to the
UGNA under the assumption that I had an abscess and draining it would give me some relief, or so I was told anyway. Do I smell lawsuit? Maybe I could get some implants out of this.
I'm kidding. Many people are afraid of needles--normal-sized needles. This needle did not fit in that
category or the next 5
categories. Myself, I make a point of never looking at the needles. Blood draws: I stare intently on the water stain on the opposite wall while making friendly conversation with the
vampiric phlebotomist, "So, do you come here often?" "Enjoy your work?" "What do you do for fun?" "Does it look like the room is spinning to you?" IVs: Again, friendly conversation while trying to make out what the spot on the ceiling looks like--cow, owl, horse...
blood? Epidural: Well, my back was turned. Ha! However, very often it isn't the needle that terrorizes me so much as the operator. I'm generally holding my friendly conversations through clenched teeth, punctuated with a "That's okay" "No problem" "No worries," as they stab me again and again in an effort to find an
amicable vein. I evidently have the blood
veins of a junkie but without the fun history to go with it. I hold a special place in my heart for
phlebotomists. Now,
they are a worthwhile specialist.
With this procedure, fortunately, they had the monitor
conveniently located in such a way that if I twisted my neck just so and
thusly and so forth I could barely see it. The minute I got myself into the proper contortion, I fixated on the black and white boob tube. There was my breast, or at least I think so. Frankly, I was able to see Vaughn's penis on his 6-month-old intrauterine ultrasound easier than I could make out my breast on its 39-year-old ultrasound. I intently watched my immobile
mamilla in fascination, waiting for the action that we all paid to see. Even as I saw the needle make its appearance onto the screen, I tried not to notice the insane length of it and instead pictured the long skinny white projectile as a friendly little alien finger probing and exploring the black space that is my breast. The little alien reaches its destination, the black hole, and starts sucking its contents out,
receives its fill, and then starts back on its journey home. Goodbye, little alien. Goodbye! and then the radiologist says, "Huh. That's interesting," withdraws the needle and gives it another go. I don't know about you, but generally speaking, when someone is manipulating my breast, the last thing I want to hear is "Huh. That's interesting," no matter what the circumstances.
It turns out what they sucked out was pus and then the cavity refilled itself. They sucked out more pus, and it refilled itself again, like those damned restaurants with refillable drinks with overzealous waiters--That's my 5
th cup. I think I've had enough now. Thanks. I didn't have an abscess after all, and consequently, no fluid to suck out; ergo, no immediate relief. It's a cyst, which is "totally normal to have" in breasts, happens all the time. Mine just, I guess, coincidentally, appeared at the same time as the mastitis. Cysts,
I am told, are very hospitable to bacteria (mine being of the common staph variety) and this one was, evidently, the Martha Stewart of cysts and was entertaining guests, and it wasn't with her K-mart crap, either. Oh, no. This one used the "Living" line--the good stuff. I was on a broad-spectrum antibiotic for 5 days, still feeling like crap, when the culture results returned, and they switched me to a new antibiotic that Martha wasn't as fond of. Par-tay over, Marth.
As harmless as cysts are, they are still doing a cytology--again, radiologist "Yeah. I definitely want to do a cytology on this. We definitely did the right thing." But my PCP assures me that "I don't expect to find anything." I'm going with the PCP on this.
This is as exciting as my life gets.