New Friends, Harsh Realities

Most of what a scan is, is waiting.

The PET/CT unit at Stanford was a trailer, and it had three parts. A room with the machine. A monitoring hub where the techs and nurses sat watching their screens. And a small sitting area, dim, with two medical chairs and IV poles and a single bathroom, where you waited for the radioactive tracer to move through you before they’d put you in the tube. That’s where you sat. In the low light, with the knocking of the machine coming through the wall in the next room, while the staff scurried and shuffled people through, one body after another, all day long.

I did a lot of waiting in that chair. Everyone there did. It’s the most ordinary part of cancer and somehow one of the parts I remember most clearly.

One day I walked in and there was a young man already in the sitting area. I noticed him immediately, and he noticed me, and I knew exactly why. In a PET/CT trailer, people in their thirties and under are rare. The room is mostly older. So when two young ones end up in the same dim little space, waiting on the same tracer, there’s a recognition that happens without a word. You clock each other. You think: you too. You’re too young for this too.

We sat and waited together for a long while. Eventually I said hi, and we did the thing cancer people do, which is trade stats like other people trade names. Mine: melanoma, stage IIIc. His: lung cancer, stage IV. He wore oxygen. And as I looked down, still taking him in, I realized he was missing a leg. I felt he was comfortable enough that I could ask, so I did. He told me, completely matter-of-fact: emergency surgery. “I woke up afterward. No leg.”

It should have been a shocking thing to hear. It wasn’t, quite, and that surprised me. Because I understood it. I knew that flatness from the inside. It wasn’t coldness and it wasn’t denial. It was the thing you learn to do to survive the mental gymnastics of a diagnosis, where you take the most enormous, unbearable facts of your life and say them in a level voice, because a level voice is the only way to carry them across a room. I woke up, no leg. I heard the effort underneath the ease of it, because it was the same effort I was making every day. I looked at him and saw my own armor on someone else.

I remember being angry. Not at him. For him. He was young like me, and he had it worse than me, and something in me flared up at the sheer unfairness of it, that this person across from me in a folding trailer was being asked to carry even more than I was. I’ve never entirely known where to put that anger. It didn’t have anywhere to go. It just sat in the dim light with us.

Then he told me the thing I have carried for twenty-one years. He was newly married. And he told me he wasn’t going to have children. He didn’t want to leave his wife a widow with little ones. He had looked clearly at what was ahead of him and decided that the kindest thing he could do was to not give her a family, because a family would become a burden of grief the moment he was gone.

I sat with that, and I don’t think I let him see everything it did to me. Because I was a young mother of three. I already had the thing he was choosing to give up. I was already sick, already the exact situation he was trying to spare the woman he loved. He was protecting his wife from a version of my life. And I understood his logic completely, and I have never fully made peace with it, because it touches the question I still can’t answer about my own kids. My cancer didn’t hurt them directly. The effects came later, in ways I’ve spent a lot of pages trying to understand. He was deciding not to risk that. I hadn’t had the chance to decide anything. I just loved them and got sick and hoped.

I still don’t know if he was right. I don’t think it’s a question that has an answer. But he asked it out loud in that trailer, and I’ve been quietly asking it ever since.

Then his wife came to take him home. She was beautiful, and understandably pensive, carrying her own version of everything he’d just described. And when she walked in, his whole face changed. It lit up. Whatever heaviness had been sitting on him lifted the second he saw her, and I watched something pass between them that was unmistakably, genuinely love.

It landed on me in two waves, right on top of each other. First: how lucky, to have that, to look at someone that way in the middle of all this. And then, immediately, grief, because I already knew how the story ended. Stage IV lung. Oxygen. I was watching real love with an expiration date stamped on it, and both of them knew, and they loved each other anyway, out loud, in a scanner trailer.

He left with her. And that was it.

It was 2005. There was no following someone online, no way to check in later, no thread to keep. We could have exchanged numbers, I suppose, but it felt intrusive somehow, like reaching past a line that the moment had drawn. So I let him go. I watched a man I had known for the length of one wait walk out on his crutches with his oxygen and his bride, and I never learned what happened to any of them.

I think about him anyway. Twenty-one years now. I don’t know if he made it a month or a decade. I don’t know if his wife is still his wife or has become the widow he was so determined not to make. I know only what I saw in a dim trailer one afternoon: two young people who weren’t supposed to be there, telling each other the truth in flat voices, and one of them loving someone so much he’d give up the future to protect her from it.

Cancer changes everything. That was the whole point of what I was writing, back when I first put this down. But this is the part I didn’t say then: sometimes it hands you a stranger for an hour, someone who sees you because they’re carrying the same thing, and then takes them away again before you learn their name. And you keep them anyway. You carry them the rest of your life, in a level voice, the way he taught you.

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