Harry, with a hint of defiance, said, “I’m not going to cry.”
“No harm in it, but I know you’re not a crier, and I also know you’ll fight.”
“I will.”
“All right. Stage One breast cancer means the cancer is in your breast. Although it doesn’t look like it, there’s the possibility that it has spread to your lymph nodes. We remove them, because they are the body’s dispatch stations. However, I don’t think your cancer has spread, and I’ve seen a lot of breast cancer. Far, far too much, really.”
“It’s an epidemic, isn’t it? An unacknowledged epidemic.”
“That’s a later discussion, but”—Regina leaned back in her seat, taking her hand off the mouse—“something is wrong. It isn’t just breast cancer, Harry. It’s all forms of cancer. Well, I’m already getting off the track. Stage Two. The eight-year survival rate is seventy percent, quite good, and you are an excellent candidate as you have Stage One. Better survival rate.”
“Do I have to have surgery?”
“I would suggest it.” She paused. “The two best surgeons, I think, are Cory Schaeffer and Jennifer Potter.”
“I’d have a hard time trusting myself to a man who bought an electric car.”
Dr. MacCormack burst out laughing, for she knew of Harry’s fascination with cars. “He’s in love with that car.”
“Yuck. Besides, if someone is fooling around with my boob, I want it to be a woman.”
“Many women feel that way. But there are some fabulous men out there, and they are as sensitive as any woman oncologist I know.”
“Cory Schaeffer isn’t one of them,” Harry posited.
Dr. MacCormack lowered her voice, even though it was only the two of them in her office. “He does think highly of himself. You already have a relationship with Jennifer Potter. You’ll need to consult with her before your final decision, of course.”
“All right.”
“We can make an appointment for you,” Dr. MacCormack offered. “Let’s consider what’s possible. Obviously, the absolute safest course is always a radical mastectomy, because everything goes. No nasty cancer cell escapes if the cancer is contained in the breast. This is such radical surgery. But I must say, it is the most complete, and you can have the reconstructive surgery done while you’re on the table. Saves two surgeries. I don’t think you need a mastectomy, however.”
Harry slumped a little. “Thank God. I know there are worse things. I think about the men and women coming back from Iraq and Afghanistan who are blown up. This is small beans, but then again, it scares me even though I know there’s a lot more bad stuff that could happen to me or anyone.”
“You’ve got the right attitude. I knew you would. What I think will provide you with the least trauma is a lumpectomy with post-op treatment A lumpectomy means the tumor and some surrounding tissue are removed but not your whole breast.”
“That means chemo and radiation, doesn’t it?”
“Depends. It is possible when your tumor is removed you may not require chemo and radiation, or you may not require chemo.” Noticing Harry’s quizzical look, Dr. MacCormack continued, “Based on your biopsy, the location of the tumor, it will definitely grow if unchecked. Stage One is a proper diagnosis based on the size of your tumor, just shy of one centimeter. Again, I don’t think the cancer has spread to your lymph nodes, but we won’t be one hundred percent sure of its size until it’s out. If the tumor is over one centimeter, then you are considered Stage Two. It’s not as bad as it sounds—Stage Two, I mean. We won’t know until the tumor is actually removed. But—and I emphasize but—to be as safe as possible, a regimen of radiation and possibly chemo after surgery is prudent. If the surgeon missed any cells or some actually have migrated—it only takes one—the treatments will kill them.”
“Might kill me, too.”
“No. You’re forty, strong, not overweight at all, no diabetes or any conditions that could compromise healing. You’ll live through it, but I’d be a liar if I said it won’t have a cumulative effect. The farther along you are in those treatments, the worse you feel. Some patients report nausea, especially with chemo, but some also feel a bit off that way with radiation. Both radiation and chemo make you tired. And I repeat, it’s cumulative.”
“How long must I submit to treatment?”
“Again, Harry, we won’t know until we have the tumor. I hope it will be a short course.” Dr. MacCormack’s voice, soothing, was a tonic in itself. “Let’s just knock this right out of you.”
“I’m for that. Is there a course of treatment that doesn’t have such awful side effects?”
“Herceptin is a new drug used to treat women with metastatic breast cancer who are HER-two-positive. You aren’t HER-two-positive.”
“Should I be glad about that?”
Dr. MacCormack nodded, then added, “About twenty-five percent of women with cancer have an excess of the protein which makes the cancer spread quickly. Called HER-two. You don’t fall into that twenty-five percent, which I know from your bloodwork.
“However, you are premenopausal, so your body is still pumping out lots of hormones. There are drugs to inhibit the cancer getting the hormones it needs to grow. But again, you’re lucky because you don’t have hormone receptor–positive cancer. You’ve got a straightforward type of cancer. We can treat it in a straightforward way.”
“Well, it’s hard to think of myself as lucky at this moment, but I guess I am.”
“You have no idea.” Dr. MacCormack looked serious. “Again, we’ll know a lot more after the surgery, and I am already assuming you will have the tumor removed.”
“I will. I want to talk it over with Fair, but I will.”
“He’s a vet. He knows a great deal. In fact, some of what we have learned we’ve learned from cancers in dogs. Some breeds are especially prone, like golden retrievers and boxers. You’d be surprised how much veterinary medicine helps human medicine. An obvious example: The research and surgeries on dachshund back problems have proved invaluable for human treatments.”
“Sounds like you think I should go under the knife straightaway.”
“I do. I’ve seen so much, Harry. Get it out.”
“All right.”
“We’ll make you an appointment to consult with Dr. Potter. We have a roster of wonderful surgeons in our area if for some reason you don’t click with Dr. Potter on a patient level.”
“She’s been great about the five-K. I’m sure I’ll be just fine with her.” Then Harry laughed. “Annalise Veronese’s been great working for the five-K, too. Don’t want to wind up with her.”
Smiling, Dr. MacCormack stood up. Harry did also. “I’m sorry to give you the news from your biopsy, but I’m glad it’s not more serious. Your chances of full recovery are excellent. I do, however, think you should opt for the radiation, even if Dr. Potter thinks she’s removed all the tissue. She’ll think so, too. Unpalatable as it is, once it’s over, you bounce back and you can rest knowing you’re on the road to full recovery.”
• • •
When Harry walked into the kitchen, Fair was drying a glass. He felt she would be getting bad news, and he wanted to be home. Harry would never tell her husband about her diagnosis on the phone. It had to be face-to-face.
The two cats and dog immediately knew, because they could smell the tension.
“Well.” Her husband tried to look bright.
“Stage One breast cancer.”
Fair dropped the glass, which shattered on the floor. He bent down to pick up the shards.
“Honey, don’t.” She knelt down, grabbing his hand. “I’ll sweep it up.”
As they stood, he hugged her. He couldn’t speak. Then he found his voice. “I broke it, I’ll sweep it up.”
“Your hands are shaking. Let me do it.”
“I’m supposed to comfort you.” Sorrow filled his voice.
“I’ve had the whole drive back from Charlottesville to adjust. You sit down.”
> As soon as she swept up all the pieces, putting them in the metal trash can, she sat across from her husband at the kitchen table. “I’ll tell you everything I know.”
Tucker, listening, said, “If only I could bite this cancer thing, I’d kill it.”
Pewter, puffed up, said, “I could scratch its eyes out.”
Mrs. Murphy looked up at Harry, leaning forward toward Fair, at the table as he held her hand tightly. “Now we have to trust our human to people we don’t even know.”
Where does the time go?” Harry leaned on the three-board fence of the pasture behind the barn.
Twilight lingered, a languid, early-May twilight enrobing the Blue Ridge with cobalt velvet.
The cloudless sky—backlit, for the sun had set a half hour ago—promised a crisp night.
Matilda, the blacksnake who lived in the hayloft, had finished her hunting and slithered back to the barn. She paused for a moment, flicked out her tongue, emitting a little hiss. This was not a comment on anything; it was more of a little salute to Harry, whom she recognized.
Like all farmers, Harry focused on weather with intensity. Too much rain, crops rotted in the field. Too little, they burned up. If one could afford an irrigation system, one could fight a drought. Nothing could combat too much rain.
Her tough sunflowers continued to grow. Her grapes, in their second year, sported leaves, ever enlarging, on the trained vines, which thrilled her. She had worried because of the ferociously cold winter, the worst winter for one hundred years. Spring, remarkably cool, was wet.
So wet, she’d rented a drill seeder only a week ago. Usually she over-seeded her pastures in early to mid-April.
Since Mother Nature was her business partner, she did as Mother dictated. Harry limed the fields in the spring. Sometimes she put down weed-and-feed fertilizer, but usually she put down chicken poop or commercial fertilizers in the fall. When the oil prices climbed through the sky, non-manure-based fertilizers skyrocketed to nine hundred percent of their former cost. This did not make the news. Agriculture economics rarely did. A frost in Florida’s orange groves might get coverage, or a terrible drought in the Midwest, but the distressing effect of oil prices on your everyday small farmers wasn’t news. They suffered plenty, whether that suffering was reported to their fellow citizens or not.
A nine-hundred-percent price rise is beyond comprehension.
She hadn’t fertilized for two years. The price to spread chicken poop floated out of reach, too. You burn gas putting it down.
It made Harry miserable. Just thought it was the worst. She laughed at herself as she watched Venus begin her majestic ascent, shining her lovelight over all living things, fascinating Harry as she had fascinated people since they cast their eyes upward. Another hour and Harry would be able to identify the constellations.
“Why she’s doing that chuckle thing people do?” wondered Pewter, sitting on the fence next to Mrs. Murphy, who sat next to Harry.
“Don’t know.” Mrs. Murphy put her paw on Harry’s forearm.
Wedged next to Harry’s leg, Tucker was determined not to let her beloved human out of her sight.
“Someone wants their chin scratched.”
“I prefer tuna,” Pewter replied.
“Do you ever think of anything other than your expanding stomach?” Mrs. Murphy said.
“World peace.” Pewter giggled, making the odd little intake of breath that accompanies the feline giggle. Tucker howled with glee.
“What’s cookin’, kids?” Harry scratched Mrs. Murphy’s chin.
“If only you could understand us, you’d be laughing, too.” Tucker sighed, as she often felt frustrated with human limitations.
“You know,” Harry spoke to them, “what a clear crisp evening. Must be about fifty-five degrees, and it’s seven-thirty. Glad I wore my sweater. Of course, you all are always dressed just right for the weather.” As she rubbed her hand over Mrs. Murphy’s back, her undercoat shed out.
“Murph, you shed too much,” Pewter grumbled, as some of the undercoat landed on her lovely gray fur.
“You shed as much as I do.”
“Do not. No one sheds as much as you do. You’re like a dalmatian.”
“Pewter, you’re trying to start something.” Tucker stood on her hind legs to get closer to Pewter.
Harry—even on her two legs—recognized the signs of Pewter gearing up to be a bad girl. Sometimes she’d taunt the others. Sometimes she’d be asleep, wake up, shoot straight up in the air, race around the house, then pounce on Tucker. The dog suffered endless abuse from the cat, who would wrap her front legs around the corgi to wrestle her to the ground. Truth be told, the dog loved it. Tucker would growl, but she’d flop down as though the cat really had thrown her. Sometimes Mrs. Murphy joined in, but usually she watched, because with her Pewter sometimes unleashed her claws, if only for effect. Still, it made the tiger cat mad.
“You know”—Harry folded her hands together as Venus, bright now, seemed a pure beacon in a deepening sky—“I fretted so during the oil crisis, which corresponded to the tail end of those wicked drought years. My hay burned up in the fields, too, from that unremitting heat. Thought it couldn’t get much worse.”
“We remember.” Tucker dropped back down.
“We remember because you kept us up at night, walking the floor.” Pewter relished the negative detail, as always.
“Now I wonder if the rains will water down my grapes, so to speak. Remember, this is the second year, so I can harvest them and sell them to a vintner. Boy, I hope I can make a little money. I must have been out of my mind to put in a quarter acre of grapes. Hardest work ever, and there’s so much to learn.”
“They look good,” Mrs. Murphy hopefully meowed.
“Now this. Before, I worried about my crops; now I’m worried about myself. I know I’m going to live. Really, you all, I do.”
“Of course you’re going to live!” the two cats meowed in unison.
“You can’t die, Mom. I couldn’t live without you.” Tucker’s soft brown eyes looked so sad.
“Sounds funny, but I believe I’ll know when I’m going to die, and it’s not now. But I am so scared of being cut and then radiation. God, I don’t want to do it.”
“You’re doing it,” Tucker firmly ordered her.
“I feel betrayed by my own body, and then I think about Paula Benton. Dead, sitting on the stool at her potting shed, head down on the table. She was about my age. I don’t know. Dumb things are running through my head.”
“That’s natural,” Tucker consolingly murmured.
“Certainly is. Dumb things are always going through her head.” Pewter giggled again.
“Pewter, you’re a pill tonight.” Mrs. Murphy rubbed her cheeks against Harry’s arm.
“Hey, I love her. But she is what she is, and humans can’t help it. They’re, well, limited. And I think she does know when she will die. This isn’t her time, but from what I hear everyone saying, sounds like she’ll be pooped out before the treatments are over.”
As the sky turned Prussian blue, Harry looked back at the farmhouse, her birthplace. The light went on in the living room. She saw the glow through the kitchen window. Fair would be building a fire, since the temperature would dip into the low forties tonight.
What a wonderful man, she thought. Just a good guy. She needed this time to herself. Harry thought best when it was just her and her animals.
Tomahawk, her old Thoroughbred, still in great shape, lifted his lovely head to watch a great blue heron fly high overhead. “Going late to the nest, aren’t you?”
“Fishing was too good to leave,” the large, beautiful bird called down in his harsh voice, so at odds with his body.
Shortro, a five-year-old Saddlebred, given to Harry by Renata de Carlo, a client of Joan Hamilton’s at Kalarama Farm, also followed the bird, its huge wingspan impressive as he dipped lower, his beautiful colors more visible now in the twilight. “Can you imagine flying?”
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p; “Sort of,” the older horse replied. “I don’t think anyone below me would much like it.”
It took Shortro a minute to get it, then he laughed. Both horses walked over to Harry to have their heads rubbed. Mrs. Murphy, on excellent terms with all the horses, daintily stepped onto Tomahawk’s back.
Harry observed her four-footed friends and thought how fortunate she was to have them and how lucky she was to have her human friends, too.
Last week she’d told Susan the minute she received her results. Tonight all her close friends and even a few close acquaintances had come out to the farm with food.
Even Aunt Tally, at one hundred years of age, arrived with her best friend and former William Woods University classmate, Inez Carpenter, D.V.M. As Inez was a mere ninety-eight, she rubbed this in.
Inez hired Fair shortly after he graduated from Auburn University College of Veterinary Medicine. As one of the nation’s best equine vets, specializing in reproduction, she had taught him so very much, and his association with her had also enhanced his own reputation. Inez did not suffer fools gladly. Her unique skills garnered her a reputation in what was once an exclusively male field. Young women vets worshipped Inez as a groundbreaker. Also, throughout her career, Inez was happy to help a young vet who showed promise and was dedicated. While she was as happy guiding a male as a female, she understood the barriers the women faced. Her low-key, sensible approach prevented many a meltdown.
Inez had been going to live with Fair and Harry this year, as she had lost a lot of money in the stock market. Also, age was taking its toll. But Aunt Tally threw a major hissy, so Inez had moved in with her.
In the living room, Harry asked her how she liked rooming with the ultra-rich Tally Urquhart. Inez answered, “I’ve sat down in the lap of luxury, and I don’t want to get up again.”
Franny Howard showed up, a surprise. Susan had called her. Harry had bought a set of BF Goodrich all-terrain ten-ply tires the day after her diagnosis. She had not said anything, even though Franny would likely have been helpful. Harry was reticent to talk about herself. She’d talk about the weather, farming, books, horses, world events, but she talked about herself only with Susan, Coop, BoomBoom, and, of course, her husband.
Hiss of Death: A Mrs. Murphy Mystery Page 8
