“One in six men will get prostate cancer in their lifetime. Most of them will die of something else before the prostate cancer would have killed them.” The urologist sat on a swivel stool and looked at my husband, who was perched on the edge of the examination table. “But here is where it gets tricky,” Dr. G. continued. “How long are you going to live?” He glanced over at me, flashed his steel-blue eyes. I felt like he was gauging my reaction to see how open he could be, whether I would get up and run out of the room. He looked back at Buck. “Because that’s a big factor in determining how, or whether, we treat it.”
Buck doesn’t have prostate cancer, or at least if he does we don’t know about it. Yet. But his Prostate Specific Antigen (PSA) numbers have turned erratic. A chart he and I made last night from 2008 to December of 2013 looks like a nascent Bull stock market beginning to make a run. And the doctor’s question goes to Buck’s age. “You’re an unusually healthy guy for 76,” he said. “Extremely fit. No meds. Most likely good for what? Ten to twelve years? Maybe more?”
My ears began to buzz, and I had to concentrate on breathing to keep my hands from clenching the chair arms, to keep my face impassive when I wanted to scream. I felt like an atomic clock was in the room with us, counting down seconds.
Buck laughed easily. “Oh, more, I think. Maybe a lot more.”
We talk about death sometimes, and he makes me swear to stay healthy and safe. I swear. I make him swear to live forever. He promises to try.
The urologist explains to us that Buck’s PSA numbers aren’t alarming in isolation, but have begun to show a certain velocity that can be a danger sign. He wants to be sure if there are any cancer cells present, he knows which type they are. Apparently some are quite aggressive and some are not. The doc recommends an ultrasound examination and biopsy. Buck agrees and a time is set for next Wednesday.
We’re back home now. It’s raining and dark, with deep, nearly continuous rumbles of thunder. Buck is downstairs in a room we call “The Lodge,” writing away on the revision of a book he has just completed. I’m upstairs in an open area we dubbed “The Treehouse,” drinking spiced Chai and writing too many words in a bright circle of light. The curtain of rain outside the windows when it hits the concrete patio below makes a sound like tin foil crinkling.
A woman acquaintance warned me once that I was unwise to be so close to my husband; that in time it would bring me grief. Can you believe that? Foolish woman.
Besides, grief has been my close companion since I was 13, and I am unafraid of it. It is like that inner part of a ripe tomato skin, the part I call the velvet, the part where meaning dwells. You can only get to it by dropping the ripe tomato into boiling water for thirty seconds and then lifting it out with a slotted spoon. The peel slips off, revealing the gem-like velvet. Grief is always in the room with us. Grief, I think, is also the kernel of love.
A happy postscript: Dr. G’s nurse, Patty, called Friday morning, to advise us there were no aggressive cancer cells, no passive cancer cells, not even any passive-aggressive cancer cells, none at all. When I looked at Buck, he suddenly seemed years younger. When I caught my own eye in a mirror later in the day, so did I.