Well, I had my first mammogram today. That’s not what I was expecting when I started my day, but that’s where I ended up. With my left boob smashed between two plastic plates. I’ll tell you how I got there, but I also want to ask some advice. So if you have time, read the whole thing and help me out.
In December I was laying in bed on my right side, reading a book. I had my left arm propped up on the side of my left boob to better hold the book, and I noticed a pain. Hmm, my boob kind of hurts, that’s odd. So I felt around a bit, and sure enough, a lump. I showed the Giraffe who thought I should get myself to to the doctor that very second, but I waited and had my sister check it out for me the next time I saw her. She said it was probably ok to wait until my doctor appointment in mid-January. Well, you know how that went, and I ended up not seeing a doctor until mid-February.
The doctor felt the lump during my breast exam, but seemed very unconcerned. She had me set up an appointment for a breast ultrasound, explaining that it felt more solid than cancerous lumps usually feel, and that the ultrasound should tell us what we need to know.
This afternoon, I went into the Cancer Center downtown (that’s intimidating!) and was ushered into a small room to change into a gown from the waist up. By the way, most unflattering gowns ever invented.

(Could I look any wider?)
In the exam room, they looked at my breasts, felt for the lump and marked it with a pen. Then they propped me up so my left breast was easily accessible, squirted it with warm gel, and put the ultrasound wand to work. The screen looked like nothing to me. I have no idea how they can tell anything from this mess:

(Yes I grabbed my camera and took that when the technician left the room for a moment.)
After the technician showed the doctor (who I never even met) the scans, she told me they were inconclusive.
“The doctor wants you to have a mammogram to get a better look.”
“Um, today?”
“Yep. I’ll get the room ready and we’ll do it right now.”
Three minutes later and I was face-to-face with a big shiny mammogram machine. Oddly, I wasn’t really nervous. I asked her how long I’d be smooshed, and she said no more than 20 seconds. That sounded tolerable. She positioned my left breast on the shelf of the machine, lowered the top plate, walked away to push a button, the machine made a noise for about five seconds, and it released my boob. When it was done, I literally asked if that was it because I didn’t believe it was that easy. She had to do another one with my breast in sideways, and that was a bit more uncomfortable, but still very tolerable. When she told me that the side scan wasn’t good enough and we’d have to do it again, I admit, I was a little annoyed. But truly, the mammogram was nothing like I expected based on horror stories I’d heard. Supposedly breast size makes a difference, but for anyone with a D-cup, I can assure you, it’s not bad! In fact, because the top plate is clear, I was more fascinated by the sight of my pancaked boob than I was worried about pain.
Anyway! The unseen doctor was shown the results of the mammogram, and when the technician returned, I was told that I’d need a biopsy. They think it’s a fibrous mass, and they want to do a biopsy to rule out anything worrisome. A biopsy yo! A mother fucking needle! IN MY BOOB! My mother, who has had myriad health problems in her 49 years, has never even had a breast biopsy. I’m 29 and next week I’m gonna have a needle in my boob. A needle that will take a piece of boob away with it! The ultrasound and the mammogram didn’t scare me. This scares me. Not to mention, for the last couple months I was pretty confident there was nothing to worry about. Just a gut feeling. Now even my gut is a little worried.
So here’s where I need advice. Part of me thinks that a lot of this is happening because I handed over an insurance card when I checked in. If I didn’t have insurance, would they have done an ultrasound AND a mammogram AND request a biopsy? Do they just assume my insurance will cover it, so run all the tests in the world. No problem! If insurance really did cover all this, I wouldn’t worry, but if you remember, I have a high-deductible plan, meaning I’m going to be paying for most, if not all, of this myself.
If I were to call and explain that and ask if this biopsy is absolutely necessary, would they tell me the truth? Should I do that? There is some history of breast cancer in my family, and that makes me not want to mess around here. But how do I determine if this is really necessary and worth the cost? Do I just trust what the doctor (who I never met!) says and get it done whatever the cost?