This is the last in the series "Peg's
Legs," three articles chronicling the lives of breast cancer survivors.
The second in the series ran in our Winter 2004 issue. The first appeared
in Fall 2003. Both are archived under "Our back pages.".
Cyndi Levine is sitting in the back of a van traveling down a gravel
logging road somewhere between the towns of St. Helens and Mist in the
Oregon Coast range. Her hair is pulled back. Her thin face is lined
and taut. She checks her watch. It is 4 a.m. She hasn't slept in 22
hours.
In western Oregon, the cloud cover occasionally lifts to reveal shooting
stars racing across the night sky. They appear in August in the vicinity
of Perseids as if an archer emptied his quiver to illuminate the summer
night. It is illusion. These are not stars, and they do not come from
Perseids. They are meteors, fragmentary markers of a little known comet
the astronomers have labeled 1862 III. The comet remains a shadow, closer
to the earth than Perseids, but hidden from view.
Cyndi stumbles out of the van, her short legs just missing the running
board. At another time she might make a joke about it, but not now.
She grabs a reflective vest from the back of the van and places it over
her head, notching it securely at the waist. She takes a last drink
of water and reaches for her flashlight. Cyndi tries to stretch the
kinks from her sleep-deprived body to prepare for her leg of the race.
It's the 200-mile Hood-to-Coast Relay. Cyndi is part of a 12-woman team
of breast cancer survivors, the team called Peg's Legs. It's her turn
now, at 4 a.m. to run five miles.
Six months ago, Cyndi found a lump in her breast. Another lump. She
had already met and defeated cancer once and was past the five year
mark when many doctors consider their patients to be cancer-free. She
had no family history. She thought she was safe.
As she waits by the side of the road for her teammate, Carol, to run
by and pass the relay bracelet to her, her mind races: Peggy is having
a recurrence. I'm having a recurrence. I run. I eat right. Isn't that
what it says to do in the newspapers? Bullshit! It is hard for her
to accept that all the lifestyle changes don't insulate her or her teammates
from the cancer's reappearance.
It is the unseen comet that races across the night sky. On a single
August night, fifty "stars" per hour flame out in a hushed
thrill. There is no sound to accompany this light show. Without a skyward
glance, one could miss the whole thing.
A mammogram is a cloudy image of gray fatty tissue and milky white
breast tissue. Sometimes the film reveals a sprinkling of bright white
specks called micro calcifications. For eight women in ten the calcifications
are signs of normal aging. Calcium from bone erodes over time, moving
without notice to other places in the body. It is when the calcium particles
form a cluster in one breast that a radiologist takes note. For two
women in ten it is the marker of an unseen tumor. The cluster of calcifications
held within the tumor's orbit is often the only visible sign of its
existence.
When Cyndi was first diagnosed in 1992, she was thirty-nine and considered
too young for routine mammography. The procedure was not recommended
by the American Cancer Society until a woman reached forty and was accepted
practice only for women between the ages of fifty and sixty-nine. Cyndi
felt a lump, about the size of a pea, and went to see her gynecologist.
The meteors are only particles really, most no larger than a pea, but
their beauty belies their destructive power. The meteoric fragments
caught by the earth's gravity descend at speeds of ten to fifty miles
a second. At fifty miles high, they are "shooting stars."
Closer to earth, the minute fragments, now the size of a pin prick,
have the destructive capability of a .22 caliber bullet.
The mammogram that followed her physical exam disclosed a ductal carcinoma
in situ - a very early, not-yet-invasive cancer -- but it did not reveal
the more serious lobular infiltrative tumor. It was hiding in her dense,
young breast tissue. No calcifications had been gathered into its orbit.
This cancer was sending microscopic messengers that could later show
up as disease in her breast and at other places in her body. A slow-growing
variety of cancer with a deadly aim.
Slow or fast, in situ, invasive or infiltrative, whatever the specific
variety, more than seven hundred women heard the same news on the same
day Cyndi did. More than seven hundred American women hear that news
every day. They leave their doctor's office to pick up the kids at school
knowing that their priorities are now a step removed from their children.
They return to work focused on a different time line than their coworkers.
They tell their partners and wonder if their relationship will ever
be the same.
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