Nuts, a ball and other four-letter words. A young man’s journey with testicular cancer. Part 3

This is Part 3 in a series. Read Part 1 here and Part 2 here.

I don’t think I have ever been so devastated in my life and I never want to be again. I’ve never had to use the word devastated before, but that’s what I was. I’ve lost my left ball for fuck’s sake! I cried until I couldn’t breathe and then I cried more. My body hurt like hell from the surgery and my lungs were gasping for breath and still I couldn’t stop. At the time I couldn’t think straight and even when I could, I couldn’t get my head around it. Why would they do that? I’m only sixteen. My body hasn’t got enough testosterone to make me fully a man. One ball, that’s like half a eunuch / half a gelding – good for nothing. What if my voice doesn’t finish breaking properly? Will I LOOK lopsided? I’ve only just got most of my body hair, will that go too? Of course, I don’t want kids now, but I might, later. I haven’t even slept with my girlfriend – will I ever get to do that? Oh, Tasha! I’ve read in books sometimes that “he cried like a little girl” but I didn’t. I bawled and screamed and cried and sniffled just like a guy whose life has been cut off, just like his left nut, before he’s had a chance to do all that bloke stuff. I must have passed out again then, what was I gonna I tell Tash?

The doctor and Mum explained it to me more once I was fully awake, but it felt like the worst nightmare ever. I was trapped in it and couldn’t get out. Instead of a cut in my sack, I had stitches and pain just above where my pubes had been. That’s a story in itself, the shaving there. So, pain and stitches on what they called the ‘bikini line’ – yeah right, bikini line! But I’m getting a bit off track. It turns out that when I was fully under, the doctor had another grope around and didn’t like the feel of my left ball. Great. So, for some reason I still don’t fully get, they cut me to the left of my dick and pulled the whole ball up through there. When he saw it, the doc went straight out to Mum in the waiting room,

“Ms Brown, I think its cancer.”

I reckon he probably told her more than that. All the technical stuff that she has always known more about than me; the fact that the cyst had overtaken the whole epididymis on my left nut and that the reason it stayed enlarged was that as the swelling from the knock to the groin was going down, cancer was coming in and taking its place. Mum reckons that there had always been the concern that my cyst might go cancerous, but we hadn’t talked about it – Mum’s a ‘don’t borrow trouble’ sort of person.

Right now though, she wasn’t borrowing trouble, it was standing in front of her and Gary in surgical scrubs offering to give her the lab results just as soon as he’d finished cutting my nut off, stuffing what was left of me back in, stitching me up and dissecting the traitorous, disloyal, backstabbing thing. I don’t blame my mum, I wouldn’t have wanted to hang on to a cancerous nut, but shit it scared me when I first felt it gone. What is the world coming to when you can’t trust your own gonads?

Later, after my chemo, I was allowed to wear a beanie to school. A teacher at the Junior School called me on it when we were over there for the some assembly or service. I can’t remember exactly what she said, but it definitely had the words “disrespectful” and “inappropriate” thrown in for good measure. I could have done it any number of ways, but I thought, damn it, she’s being so rude to me, getting up in my face. So I snapped,

“I’ve had cancer!”

I felt like adding, “Bitch” but managed to stop myself. I made her feel like shit though, which felt pretty good actually. She knew who I was, I suppose stories like mine are too good to stay secret, not that it was ever supposed to be a secret.

“Oh, you’re Sam,” and she walked off, no sorry or anything. Bitch.

After my surgery and chemo, I started riding my bike again – had mates ask about that – the pressure on my groin was obviously not a problem when I stopped catching the bus and started riding to school. Mates are funny like that; maybe it’s a guy thing. We are always, according to my sister, giving each other stick about being a man, or not. She’s probably right though, way back in Primary school I remember playing footy with my mates and it was a badge of honour to be able to walk after a good hit to the groin. So most of them knew a bit about what was going on, but not much, and while I reckon they cared, what could they do? I had a third nut, and then that I’d lost my nut in surgery. Not much chat, guys don’t do that,

“You alright?”

“Yep.”

And that’s it. Miss reckons that girls would have laughed and cried about it together and talked about every little feeling. I don’t get it.

Nuts, a ball and other four-letter words. A young man’s journey with testicular cancer. Part 2

{This is Part 2 in a series. Read Part 1 here.}

So, we’re at the doctors, like I said. I’m trying to concentrate on the really uninteresting ceiling while he feels around. It’s slow going, this examination, cause even though I’m trying to relax and he’s treating me casually, there are certain physical reactions that just happen, regardless of how interesting the ceiling is. He keeps on reminding me to relax which is frustrating me even more. Doesn’t he think I would if I could? So my sack keeps tightening and shrinking up, which is bloody hopeless for the doc. Finally, either from boredom – white ceilings aren’t really much of a distraction, or from sheer dumb luck, my body does what it’s supposed to and the doc gets a chance to check out the lump I had felt not long after Craig kneed me during the game. I’m a little bit sore and that’s a bit scary, especially when the doc covers me up and tells me to get dressed and sit back at his desk with Mum.

While I’m dressing, he and Mum are talking pretty quietly on the other side of the curtain. They’re not trying to keep secrets from me, I don’t think, but I can’t hear them properly and I’m still zipping my jeans up as I walk back to the chair by Mum. I want to say something casual and funny to show that I can take it, whatever it is,

“So, no grandkids today, hey Mum?”

But I can’t and the doctor looks me over before telling me what he’s obviously already told Mum,

“Sam, I felt the same swelling that you did and I’m a bit concerned about it. Considering your previous history, I’d like to get a closer look. I’d like you to have another ultrasound and we can see what it is we’re dealing with exactly.”

I don’t really get it, but the doctor must see that in my face and continues with more explanation. He thinks that the cyst I’ve got, a damaged bit on my ball, like a blister, is changing and not in a good way. The ultrasound is going to give a clearer picture of it, an ultrasound being a bit like an x-ray for bits of the body that aren’t bones. The short of it though is that it means another trip to another doctor; another indecent exposure and another experience of gel and a kind of microphone looking thing skidding about around my scrotum. Forgive me if I’m not thrilled by the idea!

“Shit! No.”

“Sam,” Mum starts to warn me of my language, but then must realise how I feel and breathes out deeply, “Well, yes, fair enough.”

Referrals are made and Mum and I are on our way home. I can tell she’s freaking out a bit, and I am not really sure what I am feeling. Are there emotion rules on this?

Dad and I get on ok. I’ve been visiting him every second weekend for about 8 years. Best of both worlds, Mum used to say; that I could be with her and my brother and sister during the weeks and then to Dad’s every other weekend. I used to spend a bit of each weekend riding down to this little fishing spot with my step brother. We’d sit there for hours; not always catching much, but it was good to hang out. Jake is about my age, a year younger, another thing Mum said was good about going to Dad’s, and we hung out together, fishing and biking and stuff. I didn’t tell him much about the whole check up thing. If I did have to do any explaining, if anyone asked, I’d just say I had a third nut. That was as easy as it got and it was pretty much what I thought anyway. Going into detail about epididymal cysts and ultrasounds just wasn’t a topic of conversation. Still isn’t. It’s not the sort of thing you generally share with anyone, and most of the time it was just a hassle, part of the stuff I did at Mum’s house.

Mum said that she would keep the school in the loop and I wouldn’t have to say anything. She was trying to save me the embarrassment of talking about it, but you know what? After you go through what I have in the past nine months, you get pretty casual about it. What might have been embarrassing before is now just routine. Words, technical or slang or swearing, are just words and whether or not I tell a teacher that my nut had to be removed or agree with a counsellor that I do freak out about sex and getting it up makes no difference really. Not compared to what I’ve been through.

The doctors ultrasound it again and decide that the cyst has changed some and they need to go in and have a look. My understanding of the op was that once I was under the general anaesthetic, the surgeon would open me up, like cut my sack, and take out the original cyst and kind of scrape the left testicle to get the still swollen, enlarged bits off it. So that’s what I expected to have happened when I woke up; scar and stitches in my scrotum and to feel pretty sore around the balls, as you would. When I woke up and came to, that’s not what I felt like. I put my hand down to check it out, to see if I could feel the incision, but I felt nothing. Honestly, nothing. No ball on the left side at all. What the hell? Then I panicked. What was going on?

Nuts, a ball and other 4-letter words! A young man’s story of testicular cancer. Part 1.

A number of years ago, I wrote a short memoir in first person perspective for a young man who I knew through a school I previously taught at. I had recently broken both my ankles whilst on holidays in Indonesia (perhaps more about that in another post) and needed to do something that helped me look outside myself and my situation. Here’s the first installment:

Hey,
Found you on face book and thought I’d say hello and ask you a couple of things that maybe would be harder to ask in person. I’m doing a lot of writing at the moment, since walking is out of the question, and I wondered if I could ask something. I know you’ve been ill this year (that’s about all I know about it) and I wondered if you might consider sharing your story with me. I would be honoured to write it, if you feel like sharing. Maybe it’s something you want to do yourself, so that’s ok too. I don’t know you real well, so if this isn’t ok, let me know. Just thought I could ask and you could honestly tell me what you think.
Thanks for even thinking about it,
Mrs Ross

It’s one thing being monitored for a condition to do with your nuts when you’re 12. That’s one thing, that’s a Mum thing, that’s a thing we don’t talk about. Well I don’t! It’s quite another to have to say to your mum, when you are 16, that not only have you been hit there, hard, during a footy game, but you think there is something wrong. How do you say that?

“Ah, Mum, my balls are hurt. Kinda swollen or something.”

And then the kicker,

“Can you have a look?”

Not easy to ask and harder to let her do it. You can probably imagine how it went from there. Both of us a bit embarrassed, mostly me, but this is mum after all. She’s pretty cool, but this isn’t good. Did I mention we were in the car on the way to footy training when I told her? Now that would’ve been hilarious if she’d had an accident then. Just to have to tell the police what she’d been doing and why she had her hand off the wheel. Anyway, we got through it and she agreed with me that there was something else going on. So then we take it (them? ha ha) to the professionals.

This isn’t that unusual for me. Apparently I have this hormone that is supposed to stop doing its stuff when you’re about 12 and mine didn’t. It’s caused docs some concern and I’ve had to be checked out every 6 months or so, with ultrasounds since I was 14. The first thing I thought when we got referred for an ultrasound was; pregnant women have ultrasounds, don’t they? And I’m pretty damn sure that whatever these odd hormones have done to me, I’m not pregnant!

They monitored me for changes in hormones and a benign epididymal cyst that I figured was like having a smaller third testicle and that’s what I told anyone who ever questioned me. So, having to strip in the doctor’s surgery is not new to me. About now, you’re probably thinking one of a couple of things – I’ve heard most of it before:

a) Shit! I’d hate to do that, imagine if the doctor touched you and….well, you know…?

b) Oh, that poor boy. That would be very traumatic through his puberty; I wonder how it is for his self esteem?

c) No way! Not now, not ever – keep it to yourself, man!

Or some combination of the above. So, let’s leave me there for the moment. In front of doctor, flat on my back, knees up, letting the guy with the gloves feel around my balls…

As I said, I’ve been checked out more than most guys my age, but apart from that, I’m pretty average I reckon. Got an older brother, younger sister and we get on ok I guess. My mum and dad split when I was 8 and I’ve always been pretty close to my mum. Pretty into football, been playing for 4 years and this year I’ve made the A grade. I’m supposed to make this as honest as possible, so I’ll tell you that I was pretty buff then. Training 3 nights a week and games on the weekend will do that for you. So I was feeling alright. And, before you ask, yes, I’ve got a girlfriend. She’s hot. I’m playing A grade and going out with Tash for about 6 months. School is ok. Life is pretty good. Then some *#@!wit gets his shin up hard in my groin in the second match of the season. I go down, winded, and that, I reckon, is where it all really starts.

I don’t know yet where it ends, but it’s been a long journey and it’s only been nine months since it started. There have been good days and bad, ups and downs I guess you could say. Each time I go down it feels like I can’t go any lower, but rock bottom is a LONG way down. I wonder whether it’s harder to fall when you’ve been so high before that. As I said, I’ve led a reasonably average life, but I’ve had it better than some.

{More to come next week.}

Updated: Part 2 is available here.

The C Word

I wrote this some time ago and I felt that I’d like to share it tonight. Another leg of the caterpillar. 🐛 As always, comments are welcome.

Eski Caterpillar

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Six months isn’t very long. Not really. When you’re a little kid waiting for your birthday or Christmas, the time is utterly immeasurable, interminable. When you’ve been given six months to live; terminal.

Grandma must have known that she wasn’t well for a while. Surely that size of growth, that sort of invasion, you’d realise, if not recognise; wouldn’t you? But, while not one prone to impenetrable silence, she was never one for dramatic proclamations either. So even if she knew, we didn’t.

And then, just as suddenly, we did. I don’t remember the moment – not at all a movie moment where the thundering minor chords loudly announce the arrival of some devastating disease; not like that. We were all told. My cousins travelled out of season to see Grandma while she was still well. She made a point of doing things with them while they visited. I’m sure she did that for me too, but, shamed to say, I don’t think I noted it then, for I don’t recall it now.

For six weeks she was away for treatment. For some reason our base hospital was ill equipped (no pun intended) to offer the assistance she required. My uncle and my great-grandmother both spent blocks of time with her – ostensibly to help, but I recall overhearing that Nanna’s help was probably easier done without, although it was given in love.

I also overheard, not from Grandma herself, but my mother and aunt’s frustration and my Grandpa’s useless silence. Certainly not renowned for many outward displays of affection, he seemed unaware of the momentous happenings around him – surely they affected him most of all? I think though that he certainly was aware, and affected, but unable to express or even comprehend his emotions. We all chided him, behind his back of course; but I’m sorry for that now as I was sorry for Grandma because of it then. I never told her either how much I would miss her. I never spoke of love, or anything that might have been read as, “I’m admitting you’re dying.” It wasn’t consciously done – just unaware or unable to admit or comprehend what was going on.

I knew about the doctor’s sorrowful admission that all that could be done, had. I understood, but as for what I felt? Mum got it. She understood, then again, you would about your mother – I hope I do if ever the occasion arises – which I am praying not.

The last thing I did for Grandma; more for mum really, was buying a bedpan the day before she died. Isn’t it strange, the useless things we remember? Of everything, all the emotion, I remember that! But of course, by the time I got it there, it was too late; she’d died. For a week afterwards, I carried it in the boot of the car, not sure how to return it. No one asked any questions when I did.

Grandma died the day after / of my Grandpa’s birthday. That I felt sorry for him for, certainly no celebration to be had and always then that anniversary.

I wonder if people often feel entirely inappropriate planning a funeral. My sister and aunty visited the funeral directors only to be struck with the giggles, as we all were when they shared, by the man’s sincerely meant, but utterly inane question, “So, I understand we’ve had a death in the family?” Is it wrong to want to laugh at that? The comment still raises a smile today. I was proud of us, we weren’t wailers, we kept our sense of humour and practicality throughout the planning. It’s hard to mourn continually. The trite line, “Life goes on” is true. For the rest of us it did. Nanna understood. Considered more than a little old at 92 and particularly scatty at times, this time she understood. She discussed some and agreed on most points. Of course, we all cried here and there, I don’t remember it often. I can’t imagine having to plan my daughter’s funeral or my mother’s. I don’t want to imagine it – but that’s what they did, these amazing women. They carried on, smiling through tears and holding it together. It’s a girl thing in my family, I think.

I’d never been to a funeral before. I’ve been to three since and I’m not interested in having too many more experiences of it, thanks all the same. Grandma’s minister did what he did. We sang some hymns that none of us really knew the words to, but the church people did. I don’t remember what they were. Mum, Katie and I sang “Precious Lord”, which chokes me still, although I love it. I don’t understand it, maybe it’s just me, but there is kind of a perverse pleasure in outward displays of sorrow. We’re not an unemotional family, but we don’t dwell too much on the “negative” emotions. Anger has a limited place in our family and we’re ‘cross’ or ‘frustrated’ rather than angry. There’s a therapy session in that! Sorrow isn’t something I’ve had much dealing with and this was one of those few times. I was certainly ‘movie’ dramatic enough in that one moment. I never want to see anyone’s coffin be lowered again! Death I can cry about and cope with. Since believing fully in Jesus, I can learn to celebrate a little at times – but it’s still a hard thing. Lowering of coffins – never again!

Just for one moment, when the ropes tighten to lower the coffin and its silver handles – which have been for all intents and purposes useless at a graveside service. But you can’t have a plain wooden box for a much beloved family member – optional extras courtesy of the funeral director – waste of time and money but they assuage the guilt you’d feel if you didn’t do it. When the coffin lowers, I cry out – unintentionally – the term “wrenched from her throat” makes much more sense now. I cry out and stumble – almost to my knees. Silly really. Useless now she’s gone. But the feelings. Such conflict with my joyous mood later, when we went that night to a dress up charity collection. Odd, the things we do. But then it’s finished, and again, life goes on.

Reflecting, I think I’ve learned more about Grandma’s illness and her life as a person since she died. Even since writing this, mum and Katie and I have discussed more about that time than we did then. I don’t want to think that about my mum more than eleven years after she dies. Or anyone I’m close to – bit of a hit in the head – a wake up call. Talk to your family! Let them know what you’ve done, what you’ve felt. Share what you’re doing now and tell them how you feel. Take the time to do it now, while you can – my mum does that and I want to. It’s not morbid, it’s more important. Why not?