Although the technician starts out by apologizing (in my experience, this is never a good thing when coupled with medical procedures), the mammography process is not horrible. It is, however, a bit weird to sit on a stool whilst each of your breasts is squished as flat as a pancake between two plexi-glass trays. The process is then repeated with your breasts being squished from each side. I can live that. What I find daunting is the written exercise that must be completed by patients before the procedure even begins.
This morning the process began when I walked into the waiting room. I went to the clerk and handed him my admitting form.
"Mammogram?" he boomed.
I'm sure didn't mean to make me feel that I was the centre of attention, but I cringed a bit. The squishing of the breast thing is not a secret and I couldn't help but think that maybe some of those in the waiting room were looking at the tee-shirt covering my sparsely endowed chest and wondering just how thin a pancake each of my A-cups would make. He handed me a clipboard and asked me to fill out a questionnaire. I headed over to a seat I spied in the far corner of the room. The questions were the same as last year, and started out with the easy ones, like "Have you had breast cancer since your last mammogram?" and "Are you currently taking hormones?" But then they move on the hard ones.
"Do you drink alcohol more than once a week?" What makes that one hard is that there is no "sometimes" box to tick. Similarly, there is no "sometimes" or "it really depends on whether or not the Failed Mommies had a meeting" box to tick in response to the question about the quantity of alcoholic drinks consumed.
When asked how long its been since I last smoked cigarettes, am I expected to count the two times in the last 16 years that I just couldn't help myself? Then there's the BMI question. Will they know if I shave five pounds off of my official weight and add another half an inch of height? It doesn't actually make a difference to my BMI, it's just a way of rationalizing my desire to skip my run today.
Alas, this exercise gets me wondering about why these questions are being asked in the first place. Sure, we're told that it's for the purpose of collecting statistics on breast cancer and determining with greater certainty who is at risk, but would being an alcoholic, or being overweight, have a bearing on the treatment I received if I were to be diagnosed with breast cancer? Is there a risk that the information might be used to decide who deserves treatment and who "deserves" breast cancer? Moreover, I can't help thinking that everyone I know who has had breast cancer has not had any of the risk factors, and this, in turn, leads me to wonder why I have to continually answer these questions. Can the experts not accept the premise that "shit happens?".


