It’s been a rough week…a rough month, to be honest. I don’t normally share this sort of thing, but it ties into something important, so I’m going to.
My body is strong – a bit busted up, but strong and faithful and generally trustworthy. That’s why I was taken by surprise when I got a “concerning” (ie: abnormally abnormal) result on a cervical biopsy last month.
I took it for granted that the biopsy would come back clear. I had no basis for that assumption – there’s a history of cervical cancer in my family, so abnormal results shouldn’t have surprised me, but there you go. Nothing blinds like optimism.
Unfortunately, I was also in the tiny minority of women who get a cervical infection after a biopsy (not fun, in case you were wondering), which is why they waited a month to do the procedure that eradicates suspicious cells – the very same cells that took advantage of the delay to grow like the ambitious little bastards they were. As a result, this fairly simple procedure ended up being a lot more involved (and painful) than it usually is, which is why I’ve spent the week laid up. Lots of time to think.
Aside from really wishing I’d had (even) more drugs during the procedure because wow, A LOT just wasn’t enough, I’m trying to take it in stride. It’s a common procedure and they caught the cells before they had a chance to become a problem. So, why am I feeling so fragile and emotional? You’d think my head fell off….
It’s to do with a few things I suspect. The first is that a woman’s cervix is freaking sensitive and having it messed with, even by a doctor for the very best of reasons, is unsettling. I’ve also experienced sexual trauma so I’m extra protective of that area, which made it upsetting in that way too. And then there’s the last thing, which is what I want to focus on – the feeling of having dodged a bullet through sheer, dumb, circumstantial luck.
This isn’t about mortality – that’s a whole other thing. It’s about **resources and who gets access to them. I had a relatively straightforward procedure that, even with complications, worked out to my benefit – no cervical cancer for me, thanks! The price I had to pay was worth it, and I would gladly pay it again. But some people aren’t so lucky. Some people don’t have a choice.
The procedure I had is routinely available in 2016. So is the Pap smear that led to the biopsy that led to me sitting in stirrups while a surgeon did surgical things to me. And because I have medical insurance, I was given the choice of having those things done. A lot of women would happily make the same choices, but without access to comprehensive medical care, they can’t. And that’s a horrible thought.
I’m thinking about all of the women who try (and have tried) to end pregnancies in ways that are as dangerous to them as they are to the fetus. I’m thinking about breast cancers that metastasize and the daughters who lose mothers because something is wrong but no one knows what – not until it’s too late. I’m thinking about all of the people who die from preventable diseases because services aren’t available when they’re needed.
I am not equating what my cervical experience with an abortion. Not even close. What I am doing is pointing out that, while reproductive health is something that we advocate for, fund and defend, there are a lot of people who don’t enjoy the benefit of those resources because they can’t afford them. That makes it frustrating and all the more tragic in a different way when people who do have access don’t use them.
Everyone is physically vulnerable. Our mortality guarantees that. But if you have access to resources and education, use them—get STI screenings, get Pap smears, do breast exams. They are crazy-amazing interventions. While nothing in medicine will prevent you from eventually kicking off, access to care buys you choices, and that’s something I wish everyone had more of. Unfortunately, in practical terms (at least, in the U.S.) health coverage is still not universal, despite the political progress made in this area, and that’s nothing compared to the lack of basic medical care in Third World and developing nations.
Our bodies, whether we like it or not, are political objects, and medicine is a political issue. I’m not saying you have to rally for universal health coverage, abortion rights or fundraise for breast cancer awareness. All I’m saying is that a great deal of the world’s population does not have access to good medicine. In fact, for the bulk of human history, no one did.
So, if you do have access to health care, don’t take it for granted and definitely don’t waste it. Use the educational and medical resources available to you. It’s one very basic way to advocate for more. And when you vote on issues pertaining to medical assistance, try to let empathy guide you as much, or more than, economics or political allegiance. There are so many resources regarding reproductive health, from birth control to cures for abnormal cell growth. It breaks my heart that, whether due to insufficient sexual education or insufficient funding, so many people have to do without.
That’s why I feel lucky (and ridiculously emotional) – I got to have a procedure that hurt like hell, thoroughly rattled my cage and may have saved my life somewhere down the line, and I got it because I have a lovely little card that means I’m part of an HMO with a co-pay I can afford. That’s an incredibly privileged position to be in, especially in a world where people still die from curable diseases. Given all that, I don’t mind being reminded how lucky I am.
** While this post is generally about women and reproductive health, the same applies to all areas of medical concern, from vaccinations to urology (fun! sorry…not fun…). If you have access to health care, use it, even if the resource you need makes your five-year-old cry. Even if it makes you cry. It’s better than not having the choice.