Conversations with Friends(67)

Well, your ultrasound is clear, he said. No fibroids, no cysts, nothing like that. So that’s the good news.

What’s the other news?

He smiled, but it was a weird smile, as if he was admiring me for being brave. I swallowed, and I knew that I had made a mistake.

The doctor told me that I had a problem with the lining of my uterus, which meant that cells from inside the uterus were growing elsewhere in my body. He said these cells were benign, meaning non-cancerous, but the condition itself was incurable and in some cases progressive. It had a long name which I had never heard before: endometriosis. He called it a ‘difficult’ and ‘unpredictable’ diagnosis, which could only be confirmed with exploratory keyhole surgery. But it fits with all your symptoms, he said. And as many as one in ten women suffer from it. I sort of chewed on my scalded thumb and said things like, hm. He said there were some surgical interventions possible but they were only recommended in particularly severe cases. I wondered if that meant I wasn’t a severe case, or just that they didn’t know yet.

He told me that the primary problem for sufferers was ‘pain management’. He said that patients often experienced pain during ovulation, menstrual pain, and discomfort during sexual intercourse. I bit down into the side of my thumbnail and started to peel it away from my skin. The idea that sex could hurt me felt apocalyptically cruel. The doctor said ‘we’ wanted to prevent the pain from becoming debilitating or ‘reaching the level of disability’. My jaw started to hurt and I wiped at my nose mechanically.

The secondary problem he said was ‘the issue of fertility’. I recall these words very clearly. I said, oh, really? Unfortunately, he said, the condition does leave many women infertile, that’s one of our biggest concerns. But then he talked about IVF treatments and how rapidly they were advancing. I nodded with my thumb in my mouth. Then I blinked several times quickly, as if I could blink the thought out of my mind, or blink the entire hospital away.

After that the consultation was over. I went back out to the waiting room and saw my mother reading my copy of Middlemarch. She was only about ten pages in. I went to stand beside her and she looked up at me with an expectant face.

Oh, she said. There you are. What did the doctor say?

Something seemed to close up over my body, like a hand held hard over my mouth or my eyes. I couldn’t begin to phrase the explanation of what the doctor had told me, because there were so many parts to it, and it would take so long, and involve so many individual words and sentences. The thought of saying so many words about it made me feel physically sick. Out loud I heard myself say: oh, he said the ultrasound was clear.

So they don’t know what it is? my mother said.

Let’s get in the car.

We went out to the car and I strapped my seat belt on. I’ll explain more when we get home, I thought. I’ll have more time to think about it when we’re home. She started the engine and I ran my fingers through a knot in my hair, feeling it stretch and then give way, the little pieces of dark hair snapping off and falling away through my hand. My mother was asking questions again and I could feel my mouth formulating responses.

It’s just bad period pain, I said. He says it’ll get better now that I’m on the pill.

She said oh. Well. That’s a relief then, isn’t it? You must be feeling good about that. I wanted to be hard and frictionless. I produced some kind of facial expression by reflex and she indicated left out of the car park.

When we got back home I went up to my room to wait for the train while my mother stayed downstairs tidying up. I could hear her putting away pots and pans into kitchen drawers. I got into bed and looked at the internet for a while, where I found a number of health features on women’s websites about this incurable disease I had. Usually these took the form of interviews with people whose lives had been destroyed by suffering. There were a lot of stock photographs of white women looking out windows with concerned expressions, sometimes with a hand on their abdomen to indicate pain. I also found some online communities where people shared gruesome after-surgery images with questions like ‘how long should it take for hydronephrosis to improve once a stent is in place?’ I viewed this information as dispassionately as possible.

When I had read as much of this as I could, I closed my laptop and took the little bible out of my bag. I turned to the part of Mark where Jesus says: Daughter, thy faith hath made thee whole; go in peace, and be whole of thy plague. All sick people were good for in the Bible was to be healed by people who were well. But Jesus didn’t really know anything, and neither did I. Even if I had any faith, it wasn’t going to make me whole. There was no use thinking about it.

My phone started to ring then and I saw it was Nick calling. I picked up and we said hello. Then he said: hey, I should probably tell you something. I asked what, and there was a short but perceptible pause before he spoke again.

So, Melissa and I have started sleeping together again, he said. I feel weird telling you about it on the phone, but then I also feel weird keeping it from you. I don’t know.

At this I lifted the phone away from my face, slowly, and looked at it. It was just an object, it didn’t mean anything. I could hear Nick say: Frances? But I could only hear it faintly, and it was like any other sound. I put the phone down carefully onto my bedside table, though I didn’t hang up. Nick’s voice became a kind of buzzing noise, with no identifiable words in it. I sat on my bed breathing in and out very slowly, so slowly I almost wasn’t breathing at all.