Monday, December 24, 2007

Translating Pathology Prose

This morning we played a medical appointment double-header.

10:30 am, Surgical Oncologist. Dr. Cocilovo gave us a copy of the full pathology report. In summary, she stated that everything looks great. For those of you fluent in pathologese, here is the unmediated summary:
Tumor Type: Infiltrating Ductal Carcinoma, NOS, associated with a component of Ductal Carcinoma in Situ, High Grade
Tumor Size: 1 cm

Elston's Grade: Poor (Score 8)

% of DCIS: Less than 30%

Margins: Negative

Lymph Nodes: 0/2

ER/PR, HER-2/NEU: Ordered on paraffin block "A11"
pTTNM Classification
: T1b N0 Mx
For those of us who are not fluent in the medical sub-dialect of pathology prose, I can offer,
after speaking with Dr. Cocilovo, a tenuous translation of the pathology report summary. The Elston's grade score of "8" means that this is one ugly bad-ass type of cancer...it is aggressive. The good news is that they got it all. (There may be a cell or two of metastatic breast tissue left behind, but the chemotherapy will take care of them.) Now, back to the Elston's grade score...the most efficient visual interpretation I can offer is a portrait, in triplicate for emphasis, of the Pale Man.
The Pale Man is one of the characters in the Academy-award winning film Pan's Labyrinth, his fingers an apt metaphor for the ganglial spurs radiating from Daniela's former tumor. If you've had the experience of immersing yourself in this cinematic fairy tale, you will recall that the movie's main character, a young girl named Ofelia, does escape from the clutches of the Pale Man, albeit after a tension-filmed pursuit.

11:00 am, Plastic Surgeon.
After shrouding herself in hospital hijab couture, Daniela decides to look in the mirror. I capture the image of Daniela...looking in the mirror...looking back at me.
Daniela was hoping that today, they would remove the two remaining drains. They removed one drain, the one on the right side. This was the drain that caused the most discomfort. The appointment to remove the solitary silicone leech is this Friday...11:00 am.

1 comment:

Motownrunner said...

Hola Kenny Luis y Daniela, No sabia nada pero Amalia me entero' hoy.... Estoy pensando mucho en ustedes y deseandoles un 'speedy recovery.' Gracias por compartir las noticias y escribir estos updates con nosotros. Muchos carinos desde Michigan. I'll be following along. Se les quiere, Margara