Week 18 – which I haven’t posted yet (I’m working on it!) had one full day of “Oh My God I’m Gonna Die” agony. It had to do with that gross extra breast tissue under my arm (which I go on about in Week 17.) I actually went to my doctor’s office and saw the nurse practitioner (NP) for it. This was the second time I had this armpit evaluated. The first was back in April before I was pregnant, because it was swollen and it hurt. My previous OB/GYN announced it was nothing to worry about, and then he proceeded to not worry about it. No follow up. Fucker. Another reason I’m glad I changed docs.
This lump under my right arm sometimes swells up and really, really hurts. It used to happen during my period, and there was a smaller, harder more painful lump inside. Since getting pregnant, it has been fairly consistently swollen, and now there are two smaller, harder lumps in there which last week after examination, the NP stated were palpable nodes. Lymph nodes. I was referred that day for an ultrasound on my armpit to take a look. (As an aside, I must note that when I used the medical term for armpit (axillary) with the scheduling person at the Radiology department she asked, “What’s that?” How confidence inspiring, really.)
“If there’s an issue with the lymph nodes we’ll follow it. If they get worse, they may have to come out, though I’m not expecting that.”
Right.
Like a lot of people, I have a whole ton of cancer in my family so talk of swollen lymph nodes without any obvious infection symptoms made me go pale. Tell me not to worry all you want. It just. doesn’t. matter.
I had the ultrasound and the tech said, “Okay, place your finger exactly on the spot where you think there’s a lymph node.” I found the spot – it’s the most painful place on my body, so not terribly hard to miss. She put the machine over it. “I see nothing – no nodes.” We looked all over that engorged lump of fatty tissue and still, no lymph nodes.
“What is it then?” I asked.
“I have no idea” she said. Comforting, right?
Apparently there was no difference between the larger lump of fleshy tissue and the harder smaller lumps inside of it, according to the ultrasound. It was all the same gross stuff. The tech left the room and showed it to the doctor, and he said “I dunno either.” She said it doesn’t look like breast tissue either – just some other fatty tissue.
“It doesn’t look bad,” she said. “You look upset! Don’t be upset! There’s nothing scary we’re seeing here. Just tissue.”
Okay, great. That’s easy for someone to say who has one iota of medical or biological know-how. I do not. Strange fatty tissue masses appearing randomly in my body do not make me happy.
I’m glad nobody is worried, sure. But I have to ask – why don’t the doctors want to find out what it is? Our medical system is mind boggling with its inexplicably bad communication with patients. If you had random fatty lumps growing in your body, even if they were not cancerous nor in any way dangerous, would you not have the curiosity to find out how the hell they got there?
I had a massage a few weeks ago and the massage therapist felt those two little hard lumps and said, “you have a couple of serious knots in here that are causing you this shoulder pain.” I let her work on them (and it hurt so fucking bad I can’t even describe it), and my nagging persistent shoulder pain did indeed decrease. But not the armpit pain.
So when the Nurse Practitioner announced they were nodes, I wasn’t happy. All kinds of things went through my mind.
I really wish I’d had the wherewithall to ask a ton of questions but I was so anxious my mind was blank. “What could this mean? What are the possible causes of this? How likely are they? What are some common reasons this could happen?” Etc, etc, etc. I didn’t ask any of those, and I take responsibility for that. But the nurse said virtually nothing other than, “Go get it looked at.”
So in the hours before I could get the ultrasound I combed the internet. Mistake! Why? Cancer, cancer, cancer. That’s why. Try googling “swollen lymph node” and “axillary” or “armpit” and see what you get. Lymphoma, breast cancer, Leukemia. These are not the things you should be reading about at 18 weeks pregnant if you don’t absolutely need to. Especially if you are like me, and in your immdediate family there’s one person who’s had breast cancer before age 40 and another who had Leukemia before age 30.
When I’m anxious I NEED information. Need it. But without doubt it would have been better to get real information from a real medical professional, instead of from the internet. Probably better to call the doctor back and ask the questions. Maybe next time I’ll be smart and do that.
Today I’m not worried. The lump has ceased to be painful for now, and what testing I’ve had doesn’t indicate any reason to worry. I know that elevated levels of stress are not good for the little guys inside and I’ve nothing to hang my worry on anyway.
A mammogram would totally rule out any scary cancer related stuff here, but obviously I can’t get that now. I had a baseline done when I was 37 because as I said, I have a lot of cancer in my family. It was perfectly normal. My breast exam last week was perfectly normal too.
When it’s all said and done I’ll get another mammogram anyway, given that some studies have shown an increased risk of breast cancer among women undergoing IVF treatment. But I’m not going to worry about it. No, really.
I’ve got maybe 19 weeks to go now before the little ones are here, and it seems if I’d like to worry, there are a great many other worries to choose from.