I don’t have cancer. Not yet, anyway, or not one that we’ve found. But this morning, when I read Fred Thompson’s somewhat lame addition to this political season’s cancerpalooza, I realized that I had a story to share as well, and it happened only yesterday.
But first we have to go back, wayyyy back… to the day before yesterday. That was when I went to have my first check-up in years. Now that I’ve joined that elite minority known as “insured Americans,” I thought it was time. Plus, I had a Thing that needed looking at.
I don’t have a doctor out here in Los Angeles, so I went to the Writers’ Guild benefits page and selected the nearest one to me. The doctor was in a good neighborhood, so what could possibly go wrong?
Dr. Irma Kostok’s office was indeed in a good neighborhood, but the office itself was dingy and dank. Immediately I felt a little out of place, because when not directly addressing me, the receptionist, the nurse, and an unidentified old man spoke to each other in Russian, and many of the medical pamphlets on the waiting room table had pleasing Cyrillic typefaces (pleasing but completely unreadable - I don’t read Russian any better than I speak it, which is not at all). The form I had to fill out started with a “Miss/Mrs” blank. No “Mr.” I almost walked out. Should’ve walked out.
[I should point out that “Kostok” is not my new doctor’s name. Not even close, really. It’s a name that I made up, googled, and found was not completely fictitious. My apologies to the 30 or so perfectly nice Kostoks I found on the web.]
It was a crappy, perfunctory exam. Dr Kostok (who also speaks with a Russian accent) is competent, I think, but couldn’t care less. Cartoonish Russian fatalism oozes from her every pore. If there was a global market for pursed lips and weary shrugs, this office would have a spouting derrick in the middle of it.
So I show her the Thing I’m a little concerned about - a doohicky on my left calf that hasn’t gone away and eventually bled when I tried to MAKE it go away a couple of weeks ago. I’m just looking for reassurance that it’s nothing - a bug bite, a wart, etc. I was a little worried - we Felbers catch cancer the way other folks get the sniffles. I lost my father to cancer, and it also claimed the one grandparent of mine who enjoyed the privilege of dying of natural causes (as a family we’re also prone to accidents and the occasional genocide). So okay, I was a little more than “a little concerned” - just making the appointment and resolving to ask the doctor about it made me sort of neurotic on the subject. The Thing on my leg is probably nothing, but I need a dab of professional confirmation. Just look at it, say a word that doesn’t rhyme with Santa’s first two reindeer, and I’ll go home.
So I take a breath and ask Dr. Kostok about it. I roll up my pant leg. She takes a quick look at the Thing, bending down just enough to see it.
“Hrrmm,” she says. “You should see dermatologist, because it could be cancer.” She looked at me with a sad, resigned nod. And said no more about it.
This ruined my day.
The rest of the exam involved the doctor wandering out, the nurse taking me to another room to draw blood, being given a cup, filling the cup with the vaguely requested fluid (I hope I got it right, nobody ever actually said what they wanted in there), and then sitting in my appointed chair until 10 minutes later when the nurse strolled by and was surprised to see me. “You’re still here? You’re done.” When will my test results be in? The nurse and the receptionist weren’t really sure, and shrugged at each other and me at a glacial pace. Seriously, one fluctuation in the shrug market and Dick Cheney is going to start muttering about how the oppressed people of Dr. Kostok’s office are yearning to be liberated…
And they didn’t know when the tests would be done. “Friday, you call. Maybe Wednesday.” The office was filling up as I left. With elderly Russian men and women. Dr. Kostok, who had wandered out of the examining room without comment, as though summoned by the strumming of a distant balalaika, never reappeared. I hope she found her cherry orchard.
I took my cancer home. Immediately, I started locating dermatologists (same method, even more stringent neighborhood requirements). I found one who could see me the next morning. And then I spent the rest of the afternoon cruising WebMD and other sites, attempting to self-diagnose. Fretting. I soon learned that a late-stage melanoma has a 50% survival rate… of 5 years. There’s no real way to figure out the stage visually, so I soon had aches in all my lymph nodes, where the cancer had suddenly spread on its way to my brain. It took a little bit of research to determine where exactly my lymph nodes were so that they could start hurting more accurately, but it was worth it.
But by nightfall I was pretty convinced that I didn’t have a melanoma. The pictures and other info didn’t match what I was looking at. It was almost certainly a wart, I thought, just in an odd location. Possibly a squamous cell cancer, which is very curable, usually. But a wart, probably. Maybe a cyst. No, a wart. Or the squamous cell thing, which wouldn’t be that bad, really… I went to bed a little reassured, but didn’t sleep too well…
The dermatologist turned out to be a nice, young Indian guy. He takes a look at the Thing. “I think it’s a wart,” he says instantly. “I’ll take it off right now, and we’ll test it, because sometimes what we call a ’squamous cell cancer’ can look like that too. But I’m 90% sure it’s a wart.”
He applied some anesthetics, sliced it off, burned the root. The whole thing took a minute or two. He said he’d call in a week if the tests showed anything, but otherwise he wouldn’t bother, and that I shouldn’t be too concerned. Game over, from a panic perspective. Breathable air rushed into the bubble of vacuum that had surrounded my head. My lymph nodes stopped aching and quietly went back to doing whatever it is that they do. I paid half of my annual deductible and went home.
–
Chalk it up to poor selection criteria, I guess (both in my doctor-finding methodology and for Felbers from an evolutionary standpoint). I don’t even blame Dr. Kostok, really. Between a slight language barrier and majorly awful bedside manner, she scared the living fuck out of me. But what she said was technically correct: When you find a new spot on your skin and it doesn’t go away you could see a dermatologist because it could be cancer. True enough, Dr. Kostok. True. And because I don’t expect to see her again, I’m sure she’ll assume the cancer took me. I hope she gets at least one long, weary, infinitely melancholy shrug out of it.
Barring unexpected test results, that’s my brush with not-cancer. Is it enough to get me a few votes, or at least get me into the conversation, like Fred Thompson? I like to think so - after all, I was scared shitless by it. That has to count for something. Also, if anyone needs a diagnosis, it turns out that I’m pretty good on WebMD.





37 comments
ginny
April 11, 2007 at 12:06 pm
1Congratulations on your not-cancer. It turns out I’m pretty good on WebMD and similar sites too, although my ailment seems to be the same old sinus infection/asthma with cough instead of wheezing/allergies with various triggers thing I get most winters.
I also had an unfortunate, yet eerily similar experience at the doctor’s office yesterday, but this is a guy I’ve been seeing for upwards of 10 years, and David and I have decided that this time we’re really going to find another doctor, because we’ve had it with offhand care that seems to be run more by the scheduling staff rather than “Doctor” and his practical nurses.
Think I’ll have to tell my story in more detail at my own place. But again, hurray for having not-cancer! I should take your example and have various moles and warts and things checked, because my doctor shrugged them off a couple of years ago and handed me a business card for a dermatologist, which I promptly lost.
Scooby
April 11, 2007 at 12:40 pm
2Statistically, 3,400 Americans were diagnosed with cancer today.
Do I care about Fred, Tony and Elizabeth (and Adam)? Sure I do.
But I think the real story here is the significant number of these people who will have to go to the poorhouse to save their lives because of our broken health system - both in terms of treatment and prevention.
Murray
April 11, 2007 at 12:55 pm
3Cancer is a bitch. It and hospital incompetence took my father.
Glad to hear that yours isn’t real. (Or really isn’t).
30 some years ago I was visiting my brother and his then wife who was interning at Sloan Kettering when Hubert Humphrey was diagnosed with cancer. We were watching the news and they led off with “Humphrey told that cancer is not serious”. She snorted and said that she talked with his doctor and he said that Hubert had cancer in his body from head to toe and wouldn’t last more than a few months. He died several months later.
I take politician cancer announcements with a grain of salt now.
Pat
April 11, 2007 at 1:20 pm
4Ginny, go find a dermatologist now. Especially if youare an ultra whitey (like me).
Ann
April 11, 2007 at 1:36 pm
5Fred has “indolent lymphoma.” I actually had to Google that, because I couldn’t believe that “indolent” was a medically valid category of disease! But I guess if there can be an agressive form…
Still it would be kind of shameful to fall victim to anything that’s “lethargic and not showing any interest or making any effort.” (AHD)
If I’m going to be attacked by something, whether a disease or an animal, by Lobster I’d want it to show some interest!
Harold
April 11, 2007 at 2:20 pm
6Adam, I’m surprised that you couldn’t get Spike Feresten to arrange a complete on-air physical for you. Katie Couric only had a colonoscopy, you could do the whole shebang! (Hah, Katie Couric never got an on-air prostate exam!)
Say, that reminds me: did you get that asymmetrical mole on your back looked at? The one that was on display when Spike was selling advertising space on your backfat?
becca (and brian)
April 11, 2007 at 2:21 pm
7Ginny-
I second Pat (shouldn’t that be “It’s Pat!”?).
Do go see the dermatologist. It’s important. Even if nothing’s the matter, establishing a baseline for annual checks is important. And if it is something, getting it off earlier is huge.
My family has had similar experience to Murray’s except the incompetence unfortunately went all the way to negligence. Somehow my Mom beat those odds Adam quoted above. She just passed 5 years after advanced/Stage 4 mis-mis-mis (and yet again mis) diagnosed melanoma.
Here’s to ending up on the high side of averages….
Becca
cooper
April 11, 2007 at 5:22 pm
8Since we’re checking in with our cancer stories, that’s what got my dad. Of course, he smoked cigarettes for 60 of his 70 years. If there are smokers among us, you should consider quitting. Those bad boys will flat kill ya’, for sure.
hedera
April 11, 2007 at 6:03 pm
9Adam had a clearly identifiable disease, although fortunately not cancer. He had Medical Student’s Syndrome. This is a mental disease which comes of reading detailed lists of symptoms and convincing oneself that one has all of them.
M. Moskowitz
April 11, 2007 at 6:50 pm
10Hey, Adam, GREAT NEWS!! about your cancer scare and, while we’re on the subject of this grizzly disease, let me take this opportunity to introduce my new line of “Cancer-Be-Gone” cover-ups and burkas just in time for the high UV and Gamma ray season. Direct to you from the smoky steamer ships of Mumbai, with rave reviews from all the finest glamor magazines of Andhra Predesh and Gujarat (note to self - check to see if there ARE any glamor magazines in Andhra Predesh or Gujarat). Hi gloss and haute couture, it’s aluminum foil like you’ve never imagined and each outfit comes with its own roll of 2″ duct tape to make quick work of those pesky snags and tears. Heh, heh!! These garments are hermetically sealed at the wrists and ankles and double as weight-loss sweat outfits, if you just can’t drag yourself to the beach. Be the first in your group to latch on to the only garments with the latest look in Hindi solar-seal technology. And when you’re through for the day, don’t wash them - use them wrap the Easter ham that’s still oozing fat onto your kitchen counter. (You may want to refrigerate that soon - just a thought.) “Stay white and all right” in our new Cancer-Be-Gone clothing line.
bri
April 11, 2007 at 6:55 pm
11Breast cancer - 1 in 7 women will get it here in the US.
Do your checks, get mamograms, MRI if your family has a history.
Support the Susan B. Komen Foundation and the ACS.
One of the worst days of my life was sitting in the waiting area as the doctors “removed” my wife’s breasts and some lymph nodes. Then there’s the chemo. The best we can hope for is that it doesn’t return. This is only a fraction of the story. May none of us have to experience any of this.
Glad to hear it was not cancer dood.
Real men wear pink.
OBTW - men have a breast cancer rate of 1 in a 100 gents.
Fran
April 11, 2007 at 7:25 pm
12My best friend died of breast cancer almost exactly four years ago at the ripe old age of 46. I learned a lot about doctors during her illness, and I learned a lot of wonderful things about hospices.
So congratulations, Adam, on not needing either, and also congratulations on getting it looked at and not postponing it due to being afraid of getting bad news!
Now then, am I the only one who’s a bit cynical about Thompson’s sudden revelation? Does he think it’ll make him more sympathetic to counteract the Edwards charisma?
siobhan
April 11, 2007 at 7:35 pm
13Maybe he doesn’t feel like running and this gives him a graceful way to bow out, without closing off his options entirely. With the mess to be cleaned up right now, who in their right mind would go for it?
siobhan
April 11, 2007 at 8:03 pm
14Kurt Vonnegut, RIP.
:-(
SeattleDan
April 11, 2007 at 8:20 pm
15Thanks, siobhan. I was just about to post. A sad day for book lovers. So it goes.
Dale
April 11, 2007 at 8:51 pm
16Oh, no: K. Trout? You okay? Do rules of postmodernism allow you to keep posting?
another Matt
April 11, 2007 at 9:14 pm
17Hi-Ho.
K.V. is not really gone. He’s just in the 5th dimension.
I hope Kilgore T. is still with us.
K. Trout
April 12, 2007 at 3:20 am
18I feel a disturbance in the Force…
Sharon
April 12, 2007 at 5:22 am
19Ginny, I enjoyed reading about your Easter Vigil service. I was an Episcopalian for many years, and they have really learned how to do Easter Vigil–still not as dramatic as the Greek Orthodox, but head and shoulders above your typical Protestant church.
Is that Hypatia, patron saint of librarians and scholars, at the top of your blog?
I was so sorry to learn of the death of Kurt Vonnegut. I read his last book of essays, Man Without A Country, and I could empathize. For the last five years, until the 2006 elections I, too, felt that I no longer recognized this as the country I grew up in. And not in a good way. Vonnegut was a tired man, and no doubt he’d had enough, but we could never get enough of him. We need more people like him, and Molly Ivins, and Ann Richards…
Adam, very glad to hear that your skin Thing was just that. And thanks for reminding me, and all of us, that it’s time for a mole check.
Chris C.
April 12, 2007 at 8:10 am
20Good to hear that it’s not cancer. One of my friends just got a clean bill of health after his bout with lymphoma at the ripe young age of 23. When he went in for his first treatment, the nurse asked him: “do you have Hodgkin’s or non-Hodgkin’s?”
“Hodgkin’s,” he replied. Hodgkin’s is the more treatable types of cancer, and was one of the first to become curable.
The nurse exclaimed, “oh, that’s great! You got the GOOD kind!”
My friend was not amused.
Sharon
April 12, 2007 at 9:42 am
21A KV essay from 2004.
http://www.inthesetimes.com/article/i_love_you_madame_librarian/
cooper
April 12, 2007 at 9:52 am
22Thanks for the link Sharon. I’m really going to miss him.
cooper
April 12, 2007 at 9:59 am
23Hi, Dan/Tammy. While we are today lauding our important and insightful authors, I hope you were able to hear Sherman Alexie on TOTN yesterday. Good interview, but sadly just for 20 minutes.
piglet
April 12, 2007 at 11:00 am
24Whew, Adam!
Once upon a time I had a “beauty mark” on my arm that was trying to kill me. Luckily, that was back in the days when my GP was able to spot it, slice it off, and send it to lab to find out it was melanoma all by himself before we ever had a chance to freak out. Of course, I’ve been freaking out ever since. But in a “still living” sort of way.
piglet
April 12, 2007 at 3:41 pm
25BTW, here’s the quote my son chose to remember Kurt Vonnegut today:
“I tell you, we are here on Earth to fart around, and don’t let anybody tell you different.”
Amen.
Ann
April 12, 2007 at 9:39 pm
26My beloved Japanese tabby died of lung cancer a couple of years ago. I didn’t even know she smoked.
cooper
April 13, 2007 at 1:10 am
27Ann, I’m finding out that you can’t trust cats at all. Those little buggers will slip out behind the barn and smoke a few, just to spite you. Shave their fur for an operation and you find what? - that’s right, tattoos and piercings.
It's Pat!
April 13, 2007 at 7:24 am
28All this cancer talk reminds me that it is a beautiful day in Minne-so green-ta, we have a Senator named Norm (”I didn’t leave the Democratic party, it left me”) who is trying to act like a Democrat (soon to be called “I didn’t leave the Republican party, it left me”), and we are in a ludicrous position on stem cell research. Bah.
Timothy Moriarty
April 13, 2007 at 9:08 am
29It cost you half of your annual deductible just to find out nothing was wrong? Isn’t that nice.
Then there’s the 50 zillion Americans who can’t even afford to go to Krazy Doktor Kostok to find out nothing is wrong… so instead, they go to the emergency room when the thing that is wrong is so wrong that they can never make it right. Healthcare in this country is so busted.
Anyway, preaching to the choir, I am sure. Glad to hear you’re okay.
Ann
April 13, 2007 at 10:03 am
30Timothy, next you’ll be suggesting we follow the health care plan of those crazy Canadians, who want to CUT YOUR HEAD OFF!!
siobhan
April 13, 2007 at 11:02 am
31After Corzines’s accident, I bet healthcare moves up in the queue in New Jersey, at least.
Harold
April 13, 2007 at 3:35 pm
32Ann, healthcare is so much simpler if they just CUT YOUR HEAD OFF! Plus it’s a quick & easy weight loss system.
siobhan, I am grimly left wondering lots of things about seat belt laws in New Jersey. At a time like this, it seems like saying something like “Why wasn’t the goddamn Governor wearing his goddamn SEATBELT? So much for a goddamn SUV offering any degree of goddamn protection to unbelted goddamn passengers!” would be in poor taste.
But we’ve had this conversation here once before, not so long ago.
Ann´s cat
April 13, 2007 at 3:44 pm
33Ann, there was so much you didn´t know…
hedera
April 13, 2007 at 7:48 pm
34Harold, not to mention that the goddamn unbelted governor was in a goddamn POLICE CAR. That was the point the struck me…
Maximum Bob
April 13, 2007 at 9:51 pm
35You’re right, cooper: the vet had to shave my cat for a sonogram, and that’s how we found the “Death Before Distemper” tattoo.
Adam, I’m sorry for your experience. I have a lot of respect for most of the health profession, but damn, there are some inept doctors out there.
Dale
April 13, 2007 at 11:39 pm
36My dog has a ¨Who´s the bitch now?¨ tattoo. Rub-on, of course.
David
April 15, 2007 at 4:33 pm
37If it ever is a runaway melanoma, get your ass to Duke. Ain’t nobody better on the issue of melanoma, although my sweetie’s mother is a survivor of three bouts with melanoma because of a very competent local dermatologist and, when the third metasticized, an even more competent local oncologist. She was in denial over the first one for nearly a year, so she is beyond lucky. It is now nearly fifteen years since the first one.
Assume Fred Thompson is telling the truth, and never make light of non-Hodgkin’s. It may be slow, but it is still cancer, and it is no friend of your body’s ability to maintain a properly equipped blood supply. And it does kill.
And the advice to anyone with a fair complexion who lives in the skin-cancer belt (which ironically is also the Bible belt) is dead on.
Kurt Vonnegut, Molly Ivins, and Ann Richards - yeah!