(Well, if everyone else gets to make pea puns, I don't see why I shouldn't.)
Nathalie, Diane and I arrived at Breast Clinic at 1pm and I was called to see Joe, the nurse practitioner who was my first point of contact when I went through the diagnosis process at St George's in 2008. He confirmed that there was a lump, checked my breasts, armpits and clavicle, and found nothing untoward, apart from the pea. He did a fine needle biopsy and put his money on the pea being a cyst. (Cysts are good, not least because we don't need to do anything about them.)
Then Joe told me what would happen next: he would send me for a mammogram then an ultrasound scan, and if the doctor who performed the ultrasound was concerned about the pea in any way, she would whip her Big Biopsy Needle out there and then and take a cross-section of the lump for analysis. (That's a slightly more involved process involving local anaesthetic, a spring-loaded hollow needle, and a nurse to hold your hand and make sure you don't look.)
Here's part of the form I was given to take to mammography/ultrasound:
Scientific, no?! The breasts are already printed on the form and then Joe gets to draw bits on it. The representation of the pea is, I think, a good one, but there really isn't that much cross-hatching on the scar.
Anyway. We decamped to the X-ray department. (This all happened within 20 minutes of our arrival. Clearly where I have been going wrong with lengthy hospital waits in the past is to actually have made an appointment.) Mammograms were first. People complain about how painful mammograms are, but I find the discomfort of having each breast squashed first horizontally and then vertically is mitigated by the comedy aspect. Ask a stranger - preferably one with warm hands - to stretch and knead your breasts, one by one, onto a sheet of glass. then get them to put another sheet of glass on top and stand on it while making a buzzing noise. I think you'll find it hard not to giggle.
I had one lot of mammograms, and then was asked to go back and do a close-up. Then I got to get into a lovely hospital gown.
Blue is sooooo my colour.
When I was called in for the ultrasound, I found Dr. Wilkinson was still in charge of the cold gel and the magic stick. She, too, was involved in my diagnosis for breast cancer and was unfailingly kind and clear. So, I liked her anyway. I liked her even more after this conversation:
Dr. W: Oh, yes, I feel it. It feels like a lentil.
Me: Actually, I thought a pea.
Dr. W:(considers) Oh, yes, a pea. Very like a pea.
She had a look, and told me that once a fine needle biopsy has been done it's very difficult to get a clear reading from an ultrasound, because the biopsy process (which involves sticking a needle in and jiggling it about a bit to loosen some tissue, which is then extracted via the needle and syringe) disrupts the tissue. But her opinion was that the pea is a (charmingly named) 'fatty necrosis': an area where damaged fat in the breast has partly broken down and formed a lump. It's not uncommon after surgery or radiotherapy.
The Big Biopsy Needle stayed in the drawer, and I was free to go.
In due course - I won't be looking for it for a week at least - I will get a letter with the biopsy results. I will then know whether the winner of the Name That Lump competition is Joe or Dr. W. I'm assuming that one of them is correct and the pea is nothing nastier. Please do the same.
Now the tests are over, I feel a little bit wrung out by the experience. I'm going to have a bath, and then I'm going to knit myself better. But before I go, there's one more thing:
Since my post on Sunday evening, there have been comments on the bog, text messages, Twitter messages, emails, and phone calls, all telling me not to worry and reassuring me that the chances of cancer being back are laughably small. A lentil in a haystack. A pea in a hailstorm. Thank you, everyone. You're right, and I look forward to receiving the official confirmation of your wisdom from Joe soon. Again, thank you.