A Prayer for the Dying

Emily and I were about an hour into our telephone conversation, gossiping about our lives and the people we know. Work was going well, she said, though she was stressed. Still, she was making a good living. She said she was breaking up with a guy, and it was painful, but there were other things that took more of her attention. I didn't press it because this was one of those great talks, precious, profound and silly, when the hundreds of miles between you disappear and you can hear a smile.

Then Emily said, "I'm trying not to worry about my ex-boyfriend because I'm trying to heal the lump in my right breast. It's twice as big as the left breast."

In our seven years of friendship, Emily and I have talked about our "boobs" many times. But until that moment, we had never talked about our "breasts." I knew it was serious.

I peppered her with questions: What's going on? What do you have? What are you doing about it?

"I'm praying about it," she said.

I said nothing.

Emily said she knows she has something, that she has known for months and that all she has done is pray about it. She said she hasn't told anyone but her 85-year-old mom and her loser ex-boyfriend. She said they are both praying about it. Then she asked me, "Would you pray about it, too?"

Pray?

Breast cancer is one of our most prominent health issues. Everyone from doctors to B-list actors talks about it. They talk about its symptoms, its treatments, its survival rates. There are telethons and 10K runs to raise money and awareness. By now, every woman knows about the little pink bow. They check their breasts in the shower. If they find a lump, they go to the doctor and get a mammogram. This is 2002, for—well, for God's sake! Women don't just pray about breast cancer anymore.

Not women like Emily, anyway. She is not some New Age breezehead, some homeopathological nutball who pits her faddish herbal homebrews against centuries of Western medicine. Emily is well-educated, runs her own business, speaks several languages, owns four homes and makes heavy financial decisions daily for dozens of clients. She goes to the doctor.

In fact, Emily said she had gone to see two doctors about her breast. She said they told her that her situation is urgent—that she must be tested immediately. But Emily never followed through. I asked why. She told me that she couldn't imagine the pain of a mammogram. I told her she could get an ultrasound—I knew because I had just felt lumps in my own right breast and I got an ultrasound instead of a mammogram because I was nursing my four-month-old son. She was impassive.

We talked on, but I got nowhere. She put up a wall. She said she had a work-related function to attend and that she was late. I thought of all the colleagues Emily would see that night, all the people who would watch her walk into the room and be oblivious to the fact that her days are numbered.

Before we hung up, Emily said she would soon be in San Diego and promised to stop by to see me on her way back to northern California. I hung up, cried and made a decision. I decided that Emily had told me about her breast because she knew I wouldn't just pray for her. She knew I would help her because she isn't helping herself. I resolved not to let her down.

I phoned the imaging center in Newport Beach I had just gone to and explained the situation to Lily, who has been the office manager there for many years. My plan was to take Emily to the center when she arrived for her visit with me. I told her Emily had no clue I was doing this and she might be angry and might never talk to me again, but at least someone in her life was doing something.

Lily listened compassionately to the story. She said she would fit us in whenever we walked through the door.

My dad is a two-time survivor of cancer. He would have been dead in 1984 had he just gotten on his knees and looked at the sky for healing. He went to the doctor. He followed the doctor's advice. But my dad is a man. He did not have breast cancer. That is the difference between him and Emily. And, frequently, that is the difference between life and death.

"This is what often happens when a woman discovers a lump in her breast," said Lily, who was not surprised when I told her about Emily. "I see it all the time, and it is really sad."

My father was a professional drummer and singer when he got cancer of the mouth. Survival required him to have part of his tongue removed, and in the process, a nerve was severed in his neck, and he temporarily lost use of his left arm. The cancer and the operation ended my father's drumming and singing career, but he's alive.

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