This is Gracie, our latest foster. She’s about 3 months old, fearless, wriggly, happy, and absolutely determined to pounce Ragnar at every opportunity. She hides under the coffee table and waits for him to walk by so she can nip at his feet. At which point he, of course, flops down on his stomach and lets her chew on his ears and try to fit her mouth around his skull. She fails at that one, but they both seem delighted by it.

I… am feeling overwhelmed. Not by the puppy. A few weeks ago my primary care doc noticed something funny when I swallowed a sip of water. So she sent me to get an ultrasound of my neck. Which took a rather long time. The impression I got was that it was longer than it should have been, but I don’t know how long these things normally go. I knew better than to ask the technician what she saw; she wouldn’t be allowed to say, anyway. And the results came back. And I saw them before my doctor’s office called. Because I’m the kind of patient who *always* logs in to PAMF’s MyHealth Online service. And I saw that there were a lot of nodules. Which worried me.

But it wasn’t until the nurse called to tell me I needed to set up an appointment with endocrinology to get the nodules biopsied that I really started worrying. I think it was her tone of voice. She sounded very uncomfortable. Very solemn.

It could just be that she’s used to patients freaking out at all sorts of things. I don’t know. I’m not prone to freak outs when discussing medical things. I think my father would have disowned me if that were the case. Well, not really. But I’m his kid. I’m not afraid of needles, I want to see everything (like my tonsils once they were removed–they were each the size of a golf ball–or my intestine pictures after they did the celiac biopsy), and I don’t freak out at test results. Also…. I have a spreadsheet where I’ve kept all of my test results going back to 1984. Which, let me tell you, sure helps with getting a diagnosis. I’m the gal who, when the ER doc asked me, “I don’t suppose you happen to know what size your ovaries normally are?” said, “Oh, yeah. This is how big they were when I was 19, and this is how big they were when I was 25, and this is how big they were two months ago.” And I showed her my spreadsheet.

So I have a bunch of nodules in my thyroid. Both sides. Both have a large main nodule. One side also has a lot of smaller ones spread throughout. People can get nodules in all sorts of places. Most thyroid nodules are benign. Even most cancerous ones aren’t a huge concern when it comes to the thyroid. When I talked to my dad his mode of reassuring me was to say, “If you have to get cancer, thyroid is the one you want.”

And maybe, at a different time in my life, it wouldn’t stress me so much. But in a year when Jay died of cancer, when my mother is still recovering from the chemo she got for her breast cancer… And I feel guilty for not doing enough for either of them… Some lizard brained part of me feels like that would be appropriate punishment.

I get that I shouldn’t be thinking that way. I get that it’s superstitious and counter-productive and my guilt has little basis in reality. But. Yeah.

I am stressed. A little scared. A lot overwhelmed. I go into shutdown mode when that happens. Kinda numb. Flat affect. I see the endocrinologist next Tuesday. It’s an hour long appointment and they’ll probably do the biopsy right then.

And I keep thinking about that Edna St. Vincent Millay line. “It’s not one damn thing after another, it’s one damn thing over and over.” And I’m very glad I have a puppy around.