The MRI

Two Sundays ago I underwent magnetic resonance scanning of my prostate. I was feeling well, I just had old man waterworks, nothing out of the ordinary. But there was a rise in the prostate antigen. MRI is an ominous sign: generally when a doctor orders an MRI she’s looking for a cancer.

My GP said, I don’t think this is cancer.

My specialist said, It’s probably benign.’

My medical self thought, I don’t think this patient has cancer.

So far, so unconvincing. When the appointments person said, There’ll be no charge. Medicare covers this scan… I really misgave.

Medicare means the Government. Governments are not sentimental, not famously charitable, excepting when it comes to cancer. When it comes to cancer the Government says, No charge, Howard. On the house, old fellow. Sorry for your news.

Cancer evokes awe. When someone says, So and So has cancer, we say, Oh.

Silence follows, we experience awe. True awe, not the cheapened article as in awesome Uber ride. This is the real thing: we stand, hushed; we feel a chill, we’re in the shadow of the absolute.

***

I turned up at the hospital which was a place of silence. I gave my name, I gave my phone number, I gave my excuses for being there. The man looked at me suspiciously and asked for my Driver’s License. He held it in a gloved hand as far away from his face as his short arms allowed. He photographed the document, grunted and returned it to me. The man sanitised me and allowed me to enter. I walked the empty corridors, climbed abandoned flights of stairs, got lost, retraced my steps and tried again. In the bowels of the building I found MRI. The young woman behind the perspex screen read through the lengthy pre-admission affidavit I’d completed. She read my thirty-three responses to questions: full name, date of birth, did I have dentures, did I have implants, were my hips natural, how about my knees, had I ever had an MRI before, why was I having this examination, how was my health, did I have coronary stents, ureteric stents, urethral stents, was I wearing hearing aids, did I believe in God, did God believe in me, did I have a next of kin, whom did I want notified in case of emergency, had my name changed in the last ten years, and had there been any change in my date of birth. The young woman ticked all my responses. All satisfactory, all correct. Then she noted the date of my document: ten days earlier. Sorry, Howard, I’ll have to ask you to fill out this questionnaire once again. It’s ten days old. We can’t accept it over a week. I filled out the form: same questions, same answers.

A nurse, gowned, masked, gloved, came and claimed me. What’s your full name? Date of birth? By nowI knew the answers by heart. I told him. Here, he said, passing me a small plastic tube, this is your micro-enema. The prostate is radiologically remote, hard to visualise. We can’t have any waste matter obscuring the view. 

Waste matter? Perish the thought.

The nurse, probably male, probably forty, but who knows? – led the way. He indicated a door. Here’s your bathroom. Go in there and insert the tube.  I entered and looked around. I saw no bath. I sat down above a porcelain bowl. There were only two openings for the tube. I chose the back one and inserted the tube, a novel sensation. I awaited the arrival and departure of waste. Nothing happened. I emerged and the nurse claimed me again. He lay me down, inserted an IV into an arm vein, asked my full name, and what was my date of birth.He recorded the responses and took me into the MRI chamber. I clambered into a mechanical vault whose walls were of mausoleum white. I lay down on a narrow board. A machine propelled me and the narrow board backwards into the mausoleum. Nurse placed earphones over my ears. What music do you like? I answered and he (My name’s Brian) turned a dial to ABC Classic FM. Some musicians performed some fretful baroque sounds which were free of melody. The nurse placed a gadget in my right palm: Press this button if you need to get out urgently. I’m going to inject contrast. What’s your full name and date of birth? He recorded my responses. Okay, we’ll get under way now. You’ll be in there for 40 minutes or so.

I said, there’s something I ought to tell you.

What’s that?

I haven’t discharged any waste.

Oh!

Now the board slid me feet-first out of the tomb. Back in the bathroom I sat down again. I did my honest best. My output was modest. I returned to the MRI chamber, purged and waste-free. Earphones back on, I heard mechanical sounds of the end of the world, mercifully drowning the Baroque. I napped. Brian tapped me on the shoulder, told me I was free to go. Contact your doctor tomorrow for the report.

***

I called the next day. I said I was the referring doctor – which was not entirely untrue. I gave my full name as referring doctor. I gave my full name and date of birth as patient. I waited. I don’t think the radiologist will have reported the scan yet, said the pleasant young lady. I’ll just check… Yes, I do have a report. Howard Jonathan Goldenberg?

Yes.

Born January 8, 1946?

Yes.

Normal scan. No sign of malignancy.

How are You?

My friend wrote from the sunshine state. How are you doing in the pariah state? When it’s the caller from the electricity company asking how I am, I know she is not interested, so I answer simply and briefly, I’m dying. But when a friend asks I pause to think. He’s asking because he cares. How am I doing? In general I look about me for clues. How are my loved ones? If they are suffering, I know it before enquiring. I know it bodily. My waking thoughts and my restless dreams ache with loving futility.


Well, friend in the sunshine, my firstborn is about to undergo major surgery. The surgery will disable her for a couple of months. She’ll deal with pain whenever she moves her shoulder girdle. Merely to brush her teeth will hurt intolerably. Do you wish to know more? She won’t be able to care for her children. A sole breadwinner, she’ll be unable to win her bread. How’s she doing through it all? She’s dealing with thoughts of disfigurement. She’s alarmed by stories of unbearable pain. But she reminds us, ‘I’ve got the cancer gene, but this surgery is not cancer; it prevents cancer.’

My other children? Number two child has been locked down since February. He’s working from home and he’s loving his household of women, who range down in age from his wife, to his newest, aged four months. He lives in the joy of watching his offspring bloom, and he chafes that he cannot share his loved ones. He’s the bridge between generations. He wants to share his little ones with his elders. He grieves for deprived grandparents, for a great grandmother in her extreme age (‘How many years has Nana left to enjoy, to know her little ones?’); for his siblings too. He knows his little ones are deprived. He’s a bridge and a virus has closed the bridge.

Number three lives in Sydney. Six months have passed since she last saw or touched a parent or a sibling. Six months in the life of a person permanently in exile from family. During those months she’s been diagnosed with cancer, undergone surgery, been cured. In a few weeks she’ll undergo the same cancer-preventing surgery as the firstborn.She subsists with a dozen face time calls a day, but the loving flesh, the warmth of presence, the sharing and the feeding (we celebrate her as a baker and a chef), these she aches for. And as we plan and we cancel plans, and we plan again, the novel virus comes between us. In short she suffers minor cruelties daily; she’ll suffer major surgical cruelties shortly and, God willing, she too will be saved from the genetic cancers that haunt our womenfolk. Overall, good friend, too much detail? I apologise. Our children are brave and loving and they fret for their parents. For us. Golly! Perhaps that was your question. Perhaps you really asked, How are YOU doing? Once again I look about me. I see my wife, a Jewish mother responding to threat by overcatering. Between working at home and trouncing me at Scrabble, and caring for her mother, she overfeeds me and she cooks and packs endless meals for loved ones all about. I feel cared for and loved. I feel safe.

But how am I? In myself? By temperament I tend to be cheerful, optimistic, sometimes vacuously so. But nowadays periods of gloom descend, circumambient fear visits me. My work sustains me with a rewarding sensation of being useful. I enjoy the glow of self-worth. I run a lot and I purge fear and gloom. And I drink plenty of strong coffee which transforms me into a cheery genius.It feels absurd to pity myself in a time when so many suffer so much worse. But if – as the Talmud asks – among the cedars the firestorm falls, what can avail the mosses of the wall? If happy howard is downcast, how much more suffer the cheerless many?