Fourteen
I emerged from the blackness to
discover that I was lying on the parlor couch, a cool rag on my forehead, my
father sitting beside me. He was saying soft words I could not understand, but
just the sound of them made me feel a
little better.
I opened my eyes, and the first
thing I saw was my father’s worried face.
“Vickie” he said. “Welcome back.” He
smiled. Looked relieved.
“Is it true?” I asked him. “Is it
true about Gil Bysshe?”
“You know the boy?”
“Yes, he’s my partner for the
science fair project.”
“Then he’s the one who’s been
calling you, the one who—”
“Yes.”
“Oh, Vickie, I’m so sorry. If I’d
known … I never would have—”
“I know that, Father,” I said
quietly. And now I was crying.
My father pulled me to him, hugging
me hard, swaying back and forth, gently, as the sobs tore my throat, shredded
my chest. I could feel my shudders passing through me, into my father.
Later, down in my basement
laboratory, I accessed the school nurse’s database and read her brief notes on
Gil. About all she had written was that he suffered from a form of cancer
called Ewing’s sarcoma/primitive
neuropithelial tumor. Metastatic.
I’d never heard of it. The nurse
indicated that he was under a physician’s care, was taking regular treatments
at the local hospital, and should be allowed to leave class without permission
whenever he did not feel well.
I quickly found the home page for
the National Cancer Institute and located the following information about
Ewing’s tumor:
Ewing’s
sarcoma/primitive neuropithelial tumor is a rare disease in which cancer
(malignant) cells are found in the bone. The most common areas in which it
occurs are the pelvis, the thigh bone (femur), the upper arm bone (humerus),
and the ribs. Ewing’s sarcoma/primitive neuropithelial tumor most frequently
occurs in teenagers.
What about treatments? I scrolled
down the page and found only this:
Like
most cancers, Ewing’s … is best treated when it is found (diagnosed) early. If
a patient has symptoms (such as pain, stiffness, or tenderness in the bone) the
doctor may order x-rays and other tests. The doctor may also cut out a piece of
tissue from the affected area. This is called a biopsy. The tissue will be
looked at under a microscope to see if there are any cancer cells. This test
may be done in the hospital. The chance of recovery (prognosis) and choice of
treatment depend on the location, size, and stage of the cancer (how far the
cancer has spread), how the cancer cells react to the treatment, and the
patient’s age and general health.
But what about the word metastatic? The word the nurse had written
after the name of Gil’s disease. I knew what it meant: The cancer has spread. But I scrolled down some more—just to see
what it meant for Gil. And found the worst news of all:
Metastatic:
The cancer cells have spread from the bone in which the cancer began to other
parts of the body. The cancer most often spreads to the lung, other bones, and
bone marrow (the spongy tissue inside of the large bones of your body that
makes red blood cells). Spread of cancer to the lymph nodes (small, bean-shaped
structures found throughout your body which produce and store
infection-fighting cells) or the central nervous system (brain and spinal cord)
is less common.
The treatments recommended for this
more serious form of the disease sounded awful.
Radiation
therapy plus combination chemotherapy.
No wonder Gil was absent from time
to time; no wonder he sometimes sat silent in class, his chin resting in the
palm of his hand. No wonder.
And I? I—sometimes so arrogant
about my knowledge, my abilitity to observe, to understand? I had been
clueless. I had watched Gil’s behavior, had concluded that he was just strange.
Well, maybe he was. But he was also deathly ill. And I had failed to notice—or even
imagine the possibility.
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