The Pear

“I just have one question: Am I going to die?”

I sat in the neurosurgery office at Mount Sinai Hospital, looking at a giant screen that displayed the inside of my skull. I could see a brain with what appeared to be an inverted pear-shaped glob deep in the center of it, the smaller end sinking into my neck like a cork. I thought, I’ll never eat a pear again. I never was a huge fan of them anyway. They are either too hard and taste like nothing, or delicious but an absolute mess. Pears are sort of a metaphor for life. I guess I do like pears. Just not pear-shaped tumors.

I was strangely calm, almost numb. My husband, Jim, sat beside me and we stared slack-jawed at the screen, like it was our latest binge on Netflix; we’d just gotten to the part where they discover the thing that killed the victim was an alien that burrowed into her brain and sucked the life out of her.

The doctor’s words were floating by in the air and disappearing like smoke signals from someone trapped on a desert island.

“Meningioma…,” “or schwannoma…,” “embolization…,” “cranial nerves…,” “lengthy surgery…,” blah, blah, blah. It was all gibberish. I’m normally a note taker in everyday life, but I just sat there, passively waiting for my sentencing. Was I going to die? That was all I needed to know.

There are always those questions that you don’t want to hear the answer to, like that incredible stress you feel when you receive the letter that might be your child’s acceptance or rejection by the one school you really want them to attend. You might finger it with the trepidation of Charlie Bucket as he peels open his last chance at winning Willy Wonka’s golden ticket. Or you might put the sealed letter on a makeshift altar surrounded by candles and pray that God will change the contents to suit your fancy. You might even choose not to open it because this major thing that will change your whole life is ultimately something that you really don’t want to know about.

I probably should have felt like that, but frankly, what I experienced was the opposite. It was life or death and I needed to know right away, I guess so I could plan accordingly.

I knew the real answer to my question was “Yes.” I mean, I know we all are going to die eventually. Many times throughout my life I’d come to terms with the notion that everything dies. I had lots of thoughts and opinions about death. I’d even gone through a naive period in my twenties when I thought cancer might be contagious. I’d just never faced anything as horrifying as seeing a photograph of something in my body that could kill me. And judging from the size of this alien pear lodged firmly within my command center, what I really meant was, “Am I going to die, like, real soon?” I was directing this question to someone whom I had just met moments earlier, but seeing how nice his office was, I felt like he was qualified to answer. (You don’t want to enter a brain surgeon’s office and discover it’s a dump.)

Jim commented on the niceness of the office later. “Did you see how huge his desk was?”

I gave him my dead-eyed stare. “No, Jim, I was not looking at his desk,” I said in a tone that really meant, “Being married to you clearly gave me this brain tumor.”

But back to the moment of the answer to the whole “death” question.

The doctor looked at me carefully. I averted my eyes and looked down. I was wearing a T-shirt and sweatpants with stars on them. The starry sweats were too whimsical for the seriousness of the situation. Or the mother of five children in New York City. Or an adult. It was one of those outfits you throw on when you must leave immediately for the ER and you’re showing up “as is” because in that “I might die” scenario you’re not really concerned with fashion choices. I glanced down at my legs, which were crossed, but like really crossed, as in wrapped around each other like the string on a tetherball pole. My hands were in my lap, gripping each other for dear life. I sat up super straight, hoping my posture would make up for my outfit, and tried to act casual.

The doctor exhaled. “No. You are not going to die.” The gravity of his tone implied that this was not a black-or-white answer. Did he mean “You’re not going to die, but…” or, more specifically, “You’re not going to die, but you are going to wish you had!” Regardless, in that moment, the fact that I had heard this virtual stranger—whom I was trusting to cut my skull open like a pumpkin and dig in deep to remove a 6 cm mass caught in a web of precious nerves from the middle of the most intricate part of my being—tell me I was not going to die was all I needed. I knew everything else was going to be okay.

As the doctor explained the situation to us, he simultaneously exuded calm kindness and the frank candor of a scientific genius, which is kind of like biting into a beautiful chocolate candy filled with bitter orange goo. “The tumor is expanding into your brain stem, so there’s not a lot of room left in there. We are going to have to resect it right away with a craniotomy. It’s going to be a very serious surgery. Probably eight to twelve hours.” Serious brain surgery? Wait, is there casual brain surgery? Isn’t all brain surgery rather serious and complicated? Isn’t that why we non–brain surgeons refer to easy tasks as “ain’t brain surgery”? I was ready to hear more about seriousness when Jim chimed in.

“Can you do it today?” The question landed with a thud. Jim was trying to help. Pitching an idea. “Hey, you know all about removing tumors, but I’m a timing guy. Sooner it’s out, sooner we get back to normal.” The question sounded like Jim was proposing we just swipe everything off the giant desk and throw me on it. There had to be some scalpels in one of those polished mahogany drawers. Jim is a get-it-done kind of guy. I take more time to mull things over, consider the options. Many times, I am grateful for his quick decision-making ability and I have to admit it has helped me in my life. This time, however, it was my life. I was still processing.

Today? I thought. Who’s picking up the kids? Doesn’t Katie have tae kwon do today? Marre’s at soccer, I think the boys are at Chelsea Piers… Wait, that’s Wednesday. What day is it even?

It was Thursday. Holy Thursday. The Thursday before Easter, and it’s what we Catholics remember as the day Jesus washed the disciples’ feet in a gesture of service and humility. Was this supposed to be symbolic for me? Feet washing, brain surgery. I tried to make a connection. My mind was wandering. Maybe it was the pear’s fault. It’s hard to wax philosophical with fruit on the brain. Wax fruit. Confusion.

“No, not today.” The doctor didn’t sound the least bit condescending, though I knew Jim’s question was a perfect opportunity for a medical professional to have a superior intellect moment. “We have to get Jeannie in here tomorrow for testing. We need to do a lot of scans of her brain to map out all the nerves that surround the tumor. Then we do a virtual surgery to figure out the best way to deal with the resection.” It sounded like he was going to transform the inside of my head into an elaborate video game. I pictured a little, blurry square guy running around in there and my eleven-year-old son holding a controller, helping the doctors blast the evil zombie tumor into oblivion.

Most of these hi-tech photos would be taken in my all-day photo shoot tomorrow. Modeling ain’t easy.

Tomorrow. Good Friday. The day Jesus was crucified. Obviously not comparing myself to Jesus, but I was mystified about the timing and trying to make sense of my life. This Sunday was Easter. The resurrection. In the metaphysical reality in which I exist, I should have surgery tomorrow, die at three o’clock, rise from the dead on Sunday, then take the kids to school Monday morning.

“What about the Easter baskets?” I blurted out. Now it was Jim’s turn to look at me with a dead-eyed stare. “I have to make the kids’ Easter baskets.” I didn’t have time to die right now. The doctor’s assistant, a tall, beautiful blond woman who had been standing by quietly up until this point, chimed in:

“You can make the Easter baskets. I have two kids, I totally get you. Enjoy the weekend with your family. Do normal things. Don’t make out your ‘will,’ or try to plan anything beyond the week after surgery.”

I didn’t understand what she was saying. The “week after surgery”? I guess I’ll just call the schools and work folks and say, “Yeah, I’m going to have brain surgery, so I’ll be taking about a week off.”

Brain surgery? Now? I needed brain surgery like I needed a hole in the head. How did I get here?

The pear.

Mount Sinai Department of Neurosurgery