THE FALLEN NIPPLE

I’m examining a part of myself that has been with me all my life, now detached and between the tips of my tweezers. It’s surreal that this blackened, shrivelled raisin of a thing once served as my daughter’s comfort and source of nourishment, nurturing her growth for over two years.

“Should we say something?” my husband asks. My stomach churns in a strange brew of fascination, disbelief, and horror. My nipple has fallen off and it is no longer a part of me.

There have been so many levels of letting go. A year ago, I was finally ready for a mastectomy only to learn I wasn’t eligible. For the last six months, my body has been breaking down this fist-sized ball of unruly cells in a painful, gruesome process—my body’s own way of giving me a mastectomy.

The fleshy crevice is nearly closed, and the sheer force of tissue pulling together brings the most intense pain, surpassing even the avulsion fracture in my left humerus from my recent fall. After my third staph infection due to this open wound and low immunity, I’ve accepted antibiotics as part of my treatment plan. Once my foe, antibiotics are now my ally—a testament to the softening of my once-rigid way of thinking.

The right side of my torso and arm feels like it’s rusting—heavy, creaky, and persistently achy. It’s a diversion from the new lump growing in my other breast. This unwelcome newcomer has a genetic twist, playing by a different set of rules from the other side. I’m not sure if experience has lessened the shock of another cancer or if I’ve simply become immune to adversity. Either way, there’s nowhere to go but toward acceptance, mustering the fortitude to keep going.

“Thank you for being a part of me. Go in peace,” I say. I package up my nipple to be buried with our son, whom I miscarried years ago. What I’m sharing may seem like tragedy and hardship, but I’m seeing it differently. I’m recognizing how much I’ve let go of, which has helped me grow in ways I may not have otherwise. I’m finding confirmation of this in how I navigate these experiences.

There are only two ways of being. In this cocoon of metamorphosis, I can be trapped in darkness or held in light, depending on how I perceive my experience. I’ve started simplifying my approach to life: whatever is not of peace must be examined, and it’s my work to practice finding my way back to peace if it’s absent.

Some days, I crumble under the weight of it all. In the catharsis of unyielding pain and exhaustion, I cry out for mercy. There are thoughts I dare not voice—because if I say them aloud, they might become real. My mind swings like a pendulum between what I have gained and what I have lost. Tonight, I mourned the loss of what was once my perky pink nipple. Tomorrow, I hope to gain something that will illuminate my way forward.

I’m managing my pain while readying myself for the next stage of treatment. There are many moving parts, and they can only be organized from an eagle-eye perspective. Looking back over the last five years, I see that my milestones of growth have come through loosening my grip on what I think I know, acceptance, and my willingness to see things differently—to choose a perspective that doesn’t trap me with nowhere to go.

Now I’m waiting to have my sternum biopsied. We need to determine if the metastasis there is related to the hormone-driven cancer or the new one. If it’s connected to the original cancer and the other is contained without spread, surgery may be recommended. If there is spread, I’ll need to consider systemic treatment for both. The thought of surgery no longer terrifies me. My attachment to appearance no longer enslaves me. Accepting help no longer feels like defeat.

I’ve decided to be proactive and use the remaining funds that this incredible community raised for me towards genetic testing. If I’m to have faith in conventional treatment, knowing that guesswork is minimized would be helpful. FoundationOne, an FDA-approved lab, uses biopsied tissue to identify mutations, amplifications, and other alterations to match targeted treatments. Though it’s unfortunately not covered by our healthcare system and comes at a high cost, this step feels essential for my peace of mind and the best way forward.

I didn’t want to fight to get my oncologist’s sign-off on this or to help me apply for the grant. Her support is essential in moving forward and incorporating this information into my treatment plan. After a four-hour drive and praying for a smooth meeting, I was met with warmth and her full support.

I’m not the same person who once held strong judgments and rigid beliefs. Reflecting on who I was, I see how much I’ve softened the boundaries of what I thought I knew. On a good day, I as Spirit feel more real than I as body. In surrendering my attachments—to appearances, outcomes, and certainty—I’ve discovered that guidance often arrive in the most unexpected and affirming ways. I yearn for connection, to bridge the gap of differences, and to find refuge in the love that unites us all. In this way, I feel closer to God and all of creation, and in this connection, I find my peace.

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