Friday, June 25, 2010

Winner Take Nothing

A few days after the confusion of the last visit, I received a call from the second surgeon. She informed me she had sent the pathology reports to her pathologist whose diagnosis differed a great deal from the first report. It appeared that the second pathologist did not feel that the tumor, though unusually large, was malignant. This changed everything.

When I met with the second doctor again she felt confident that her pathologist's findings of a benign tumor were solid. This meant that, even though the tumor had to come out because of its size, I could postpone it for awhile, have only the diseased half removed, not have to take synthetic thyroid replacement and, best of all, avoid radiation treatment altogether. I was cautiously optimistic. After a lifetime of having metaphorical rugs pulled out from under me, I knew enough to keep my relief to a minimum. Again, my inherently cynical nature proved correct and saved me from extreme disappointment.

A few days after receiving that news, my original surgeon called. He said that he received the new pathology reports and did not agree with them. He said that he felt very strongly that the tumor was malignant and needed to be removed in its entirety with follow up of radiation. He personally wanted to make sure that I was going to follow up on it and not just take the benign diagnosis at face value. Well, crap.

Now at an impasse, I am confused to the point where I have dissociated completely from the situation. I will have another lymph node scan in August and pending the results, will plan for another biopsy after baby comes. I prefer to think of it as future Jen's problem and I have confidence that she will deal with it just fine. As for present Jen, I'm going to enjoy my pregnancy to the best of my ability because I know that it will be my last.

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