The Princess and the Plague : 31

The Princess and the Plague
Part 31
By Anistasia Allread
Edited by Edeyn

"Why do you hate me so much?" she asked the heavens, "You grant me just what I've always wanted, and just when I start getting used to it, you rip it away? Why?"

     
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Erika stood next to her mother's car, looking at the doctor's office. The last time she had been here she had been snickering over Dr. Lipdick's name. Now, he wanted to see her. Was it pay back time? Was he going to take out on her all the years of teasing he had to endear over his name? What was wrong with her? What could possibly be wrong, other than she was in the body of a guy?

Erika's father's truck pulled up and parked next to the car.

"I had to reschedule my afternoon appointments, sorry it took so long to get here. What is this about?" Mr. Martin asked.

"Dr. Lipdick wouldn't say," Mrs. Martin shrugged, "He just asked that we come see him."

"What's wrong with me, Daddy?" Erika voice was bordering on a frightened whine.

"Where do I start?" her father cracked a smile.

Erika let the jest roll off her back. She had more important things to worry about right now.

—o0o--

"Come on in," Dr. Bob welcomed the family into his office.

Oh shit, Erika thought, Good news never comes when you are invited into "the office."

Dr. Bob and her father quickly introduced themselves and settled down into chairs.

"Thanks for coming on such short notice," Dr. Bob sat forward, "The results of the CAT scan and MRI show that Erika has a small tumor."

"Oh dear God!" her mother gasped.

"Where is this tumor?" her dad asked.

"It's pressing on the pituitary gland," Dr. Bob answered.

"A brain tumor?" Erika's mom asked.

Oh my God! I have a brain tumor! Erika's brain screamed.

"Am I going to die?" Erika asked, her voice seemed a thousand miles away.

The room went silent as everyone looked from one to the other.

"I don't believe you will die," Dr. Bob told her calmly, "It's too early to determine anything of that sort. The tumor looks to be encapsulated and is about the size of a small grape."

"Is that why I don't have testosterone?" Erika asked.

Dr. Bob nodded before replying, "The tumor is sitting between the hypothalamus and the pituitary gland. I believe that the tumor is obstructing the signals the hypothalamus is sending to the pituitary gland to release hormones."

"So it's the tumor that's blocking Eric from going through puberty?" Erika's mother inquired.

Dr. Bob nodded, “In most cases of this kind of tumor causes the opposite problem that Erika is experiencing. Most people with this kind of tumor suffer from a massive increace in hormone production resulting in giantism. There however have been a few documented cases where the tumor practically shuts off the hormone production.”

"So is this tumor operable?" her father asked.

"It is."

He reached behind himself and pulled a plastic head off from the shelf behind him. One half of the head was missing to illustrate the sinus cavity and brain.

"I spoke to the neurosurgeon this afternoon. He says that they can enter that part of the brain through the sinus cavity behind the nose. Basically they drill a hole in the back of your nose and probe into the base of the brain. They will cauterize it or more likely, try and excise it."

"Will he then start puberty?" Erika's mother asked.

"Once the tumor is removed, the signals from the hypothalamus should begin to trigger the pituitary gland into releasing testosterone, and then yes, puberty will take place. If it doesn't we can supplement the system with hormone treatments."

"Does that mean I have to go back to being Eric?" Erika asked.

"Your body will want to take on more masculine attributes, yes," was Dr. Bob's response.

"What if we leave the tumor in?" Erika asked.

"What are you saying?" Erika's mom asked, "Leave the tumor in?"

"If I decide to leave the tumor in, can I remain Erika?"

"That is a question only you can decide," Dr. Bob told her, "Even if we take the tumor out and you wish to remain Erika, I, along with Dr. Barts, can help you achieve that end."

"Doctor, do you think that this tumor could be causing Eric to have this Gender Identity issue?" her mother asked.

"I think that this tumor is only part of the equation," he said, "The lack of testosterone in Eric's system has kept him from developing normally, but," he held up his hand to ward off interruption, "Many genetic males who have testosterone coursing through their veins have Gender Identity Disorder."

"So it may be the tumor and it may only be partially the tumor," Erika's father summed up.

Dr. Bob nodded, "It goes back to that whole nurture or nature argument."

"We did not raise Eric to be a girl," Erika's mom protested.

"I didn't mean to infer that you did."

"My Uncle is Transgendered, could it be genetic?" Erika's father asked.

"To tell you the truth... we just don't know for sure."

"Why didn't they say anything when I had my CAT scan this last summer?" Erika asked.

"What CAT scan?" Erika's dad asked.

"I hit my head on a diving board and had to get stitches," Erika waved vaguely as she answered, "They did a CAT scan then."

"I've had a radiologist look over those scans as well," Dr. Bob explained, "They were looking for hematomas and skull fractures, not brain tumors. It was done in an E.R. setting with no indication that there might be a tumor."

He tried to explain why it was missed.

"CAT scans also don't show the brain as well as MRIs do and it wasn't very visible. The radiologist who looked over the films said that with the quality of the scan, he'd say that the tumor hasn't grown or changed much in the past few months."

"So it's not spreading or growing then?" Mr. Martin verified.

"No. If it is growing it is doing so very slowly. You may have had this for a few years and not even known it," Dr Bob looked at Erika.

"So when do we schedule to have this removed?" Erika's mom asked.

"If it's not growing, or doing anything to me, I don't think I want to have it removed," Erika stated firmly.

"How can you say that? You have a tumor in your brain!" Erika's mother sputtered.

"If it's not doing anything to me, then why should I have it removed?" Erika asked.

"So that you can go on living a happy normal life," her mother answered exasperatedly.

"For the first time in years, I am happy, and living a normal life," Erika countered.

"You're trying to be a girl, Eric."

"You two need to hold this for some other time." Mr. Martin cut in, giving his wife a stern look. He looked back to Dr. Bob, "What are all of our options?"

"Surgery is the best option at this point." He stated. "You could opt for localized radiation treatments. It's less invasive."

"Chemo?" Erika's father cringed.

"Chemotherapy would be overkill at this point," Dr. Bob shook his head, "If the tumor starts to grow at an alarming rate or travels, then chemotherapy following surgery would be an option."

Erika as well as her mother and father all breathed a sigh of relief.

"I will want to have you get an MRI again next week, and then perhaps a couple of weeks after that to see if it is progressing at all," Dr. Bob told them.

"What if we opt for surgery?" Mrs. Martin asked.

"Then we'll need to schedule you with an appointment with Dr. Boasso. He'll want current MRIs as well. If you decide to go ahead with that route, then you could schedule surgery within the next four weeks."

"Dr. Bob?" Erika asked, "What would you do if it was you?"

"I can't answer that," Dr. Bob's lips tightened, "This is a question for you and your family to decide upon."

Erika nodded. Her mind was a whirl. She had a brain tumor. She had a tumor that could be causing her to want to be a girl, but that wasn't necessarily true. Dr. Bob said that there were normal guys out there, with testosterone pumping through their veins who wanted to be girls. Could this tumor be causing this whole thing? What if she had the tumor removed and she had to go back to being Eric? Would her parents let her switch schools? Or better yet, move to a different state so that no one could recognize him? What if the tumor got bigger? What if she had no choice but to have it removed? Could she just let it be? Could she really lead a somewhat normal life, knowing that she had a grape-sized growth in her brain?

Erika wanted to scream. The rest of the meeting was a blur. Options were put out on both sides, but she was in too much inner turmoil to pay attention.

She vaguely remembered following her parents out of the office and into the parking lot. She followed her dad to his truck.

"Ride home with me," her mother directed, "I want to talk to you."

"I'm too messed up right now. I want to ride home with Dad," Erika muttered.

Her mother huffed and slammed the door of the car before driving off.

Erika, on auto-pilot, buckled her seatbelt and stared out the window.

"I've got a brain tumor?" she mumbled.

Her father looked at her with worry and love, "It'll be alright, honey."

Erika just stared out the window. A brain tumor.

—o0o--

Erika followed her father into the house.

"We need to talk about this," her mother stood in the foyer with hands on her hips.

"Not now, honey," Erika's father told her.

"Our son has a brain tumor causing dysfunctional behavior. We need to talk about this... NOW." she demanded.

"Our daughter has just found out that she has a tumor. She is in shock and freaking out. Let her grasp the concept of this first," her father ordered, very nearly angrily.

He turned to Erika, "Go on upstairs and take a shower."

Erika nodded and gladly retreated from the war zone. As she climbed the stairs she heard her parents' arguing drifting on the other end of the house. She shut the door behind her and sat on the end of her bed, staring off into space.

A brain tumor. Didn't just old people get tumors? How could she finally get accepted by her peers, make friends and start to be happy only to find out that she had a brain tumor?

"Why do you hate me so much?" she asked the heavens, "You grant me just what I've always wanted, and just when I start getting used to it, you rip it away? Why?"

She found herself twirling a finger through the ends of her hair, the shiny finish from the longer nails caught her eye. With a heavy sigh, she pushed herself up and stepped into a shower to wash away the sweat away.

Erika lifted her fingers to her head and began to feel it, as if feeling for something odd, something that wasn't supposed to be there. As if, somehow, she could actually feel the grape-sized lump.

Erika bellowed in frustration and dried off. She worked a towel through her hair, slipped into her nightgown and flopped on her bed.

"What am I supposed to be?" she asked her ceiling, "Do I get the tumor removed and go back to being Eric? I'd go through normal puberty and end up some hairy, nerdy guy. Or do I keep it and live the rest of a short life as a girl?

Her phone sounded. She ignored it at first but decided she needed a distraction.

"Hello?"

"Erika, are you all right?" Samantha's voice asked, "What happened?"

"I had to go see the doctor."

"I thought you spent the day at the doctor's."

"It sure felt like it."

"And?" Samantha asked.

"He says I have a brain tumor," Erika winced as she said the words aloud.

Silence fell over the phone.

After a moment, "You have a what?" Samantha asked for clarification, disbelieving she'd heard correctly.

"The doctor says I have a brain tumor."

"Oh my God..." Samantha's voice was distant, her tone filled with shock, "How bad is it?"

"They want me to go have surgery to remove it," Erika explained.

"Well, duh," Samantha agreed, "When do you think they will do it?"

"I'm not sure if I want them to."

"What? You can't be serious," Samantha sounded worried.

Erika explained what had been told to her just that afternoon.

"Shit," Samantha swore.

"Are you okay? I mean you can still go to school, and cheer and stuff, can't you?"

"As far as I know."

"Does it hurt?"

"No. The doctor said that I might not have even noticed for a couple more years."

"So are you still going to Homecoming?"

"I think so. I don't see why I couldn't."

"Erika, I don't want you to die!" Samantha blurted out, "I'd rather you be my guy friend and live then be a girlfriend and die."

It was Erika's turn to be silent.

"Have you told Tricia yet?"

"No. I just got home and took a shower. You're the first."

"I'm so sorry, Erika," Samantha snuffed.

"Me too," Erika muttered.

"Call, Tricia. I'll see you at school tomorrow, right?"

"I think so."

"Okay, call me if you need anything," Samantha offered

"I will."

Erika ended the call and lay in bed. She felt drained, tired. She picked up her phone again and called Tricia.

Tricia, like Samantha was in shock. By the end of the conversation, both girls were crying.

"I'm coming over," Tricia told her.

"It's kind of late."

"My best friend, who is also my girlfriend, is having an actual life-and-death crisis. I'm coming over," she repeated firmly.

"My parents are arguing downstairs. It's not the best time," Erika explained.

"Then maybe my presence will make them behave a little more civil to one another. Do you need anything?" she asked.

"Just a hug."

"See you in a tick."

Erika slipped some socks onto her manicured toes and padded half way down the stairs.

"I just got off the phone with Tricia," she called out over her parents' harsh, yet quiet tones, "She's coming over to give me some company."

"This isn't really a good time," Erika's mother growled.

"I told her that, but she's coming anyway," Erika turned on the stairs and went back into her room.

Erika was staring at herself in the mirror when her door opened. Tricia dropped her purse on Erika's bed and marched across the room with her arms open. Erika was enveloped in a tight embrace.

"I love you, Erika," Tricia cried.

Erika buried her teary face into Tricia's soft blond curls, "Thank you."

"What for?" Tricia asked.

"For everything... For loving me."



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