September 28, 2026
The fellow on the phone from the hospital last Tuesday sounded exasperated. “I’m Joe. Insurance denied the PET scan. We don’t know why. We’ve faxed an expedited appeal. “We hope we can get this done by the end of the week. I’ll call you.”
“Thanks, Joe,” I said. I thought he said they don’t know why.
I didn’t want to dwell on it, still drugged by the pills I took for the punishing virus, we think it was a virus, that we picked up in Idaho.
Insurance companies deny care all the time. You read the horror stories. I haven’t experienced them, through 30 computed tomography (CT) and a half-dozen positron emission tomography (PET) scans, plus MRIs, biopsies, and surgeries over the past eight years, all covered by the same insurance. Suddenly the streak is broken.
The new oncologist, Dr. Z, ordered the PET a few weeks ago. Ordered? Requested? Was it the scheduling? The cost? These things cost about $8,000. With my insurance, I pay about $350. A good deal, if you have to have it.
This was more or less following a plan set by the former doc, Dr. B, who left in July. The PET involves an injection of a chemical that adheres to cancer cells and causes them to, in effect, glow under the scan, providing a more precise view than a CT.
So what’s the problem now? A paperwork glitch? Did insurance get tired hearing about me? I looked back at my scan scorecard, kept in a notebook. I had one in February 2025. Then Dr. B ordered one back in March. That one sailed through the insurance. The results prompted him to restart me on the oral chemo pill at a low dose.
But the insurance people also keep score. They may have said, “What, another PET, just a year after the last one? Too much for this guy!”
In Wyoming that last morning we said our goodbyes. It was chilly. Just beyond our daughter’s and son-in-law’s front porch the deep green of the foothills of the Grand Tetons glistened with frost. We sped back to the airport over the nearly empty highway past the potato fields that stretch to the horizon in every direction.
The flights were tough, what with the ricochet effect of a circuit breaker failure in Jersey that shut down East Coast airports for hours. In the afternoon showers in Dallas closed one of the runways. You’re never happy, when you finally fasten your seatbelt after a two-hour delay and the pilot announces, “There are twenty-five planes stacked up waiting to take off.”
The plane smacked down at Greenville-Spartanburg International after midnight. Slouching under our carry-ons, we trudged the deserted main corridor to the escalators, then to the luggage carousels.
The plan was get the PET early Wednesday then drive to Tennessee for Sandy’s college-friends reunion. She won’t navigate the 10 or so miles of construction on I-40 in North Carolina where Hurricane Helene knocked the highway into the Pigeon River two years ago. One lane now is open in each direction, hemmed in tightly by Jersey walls. Traffic, which is heavily eighteen-wheelers, moves in gridlock through the work zone.
We scrubbed the trip. We could have thought about the PET results over the weekend until my doc appointment this week. Now we’ll do neither.
A few showers had kept the plants alive, the grass grew scruffy and thick. The end of the week was mild, life fell back into routines. We got over the sickness that attacked on the trip.

We felt the tension of the last night’s bad sleep, the grind of packing, the 60-mile drive, the hike, hefting your bag to the aircraft ramp (no jetway), strapping into your cramped little seat—aisle, center, window, they’re all cramped; the airline crackers and pretzels.
Exhaustion blasts the body and mind, creating numbness. You don’t want to walk or even stand. Cumulative fatigue, our son, the medical physicist, calls it. Athletes feel it after too much running or weightlifting. I did do pushups the first two days.
Impressions, which become memories, race back. In 2006 we got to Yellowstone and Grand Teton. Later we went back to Montana for trail races and did a couple of drive-arounds. We got to Glacier and Little Bighorn Battlefield National Monument and Devil’s Tower. All of it a spectacular, alien world.
Here, this northwest corner of a small Southern state offers the deep-green, gently rounded-down tops of the Appalachians that stretch west to the Great Smokies. The midstate piedmont is the other direction, melding with humid lowland, then beaches. Myrtle Beach, Charleston, Hilton Head lead to Savannah, Georgia’s Gold Coast, the Sea Islands. Then it’s hard-down vacation country, Jacksonville, Daytona Beach, and south. Swampland, not mountains.
The variety, the richness of all of it lifts the heart. Meanwhile we face the everyday pettifoggery of our medical bureaucracy, which pings at patients with emails and text messages and reminders and surveys. While denying procedures, someone over there wants reviews—how well did we do?
I got over the travel funk. I hauled out my two-inch-thick file of scan reports reaching back eight years and thumbed through them.
In March 2020 a physician-radiologist, in analyzing my CT, didn’t notice something. Seven months later, in October, another CT, another report. This time the reviewing physician found a “large amorphous well-defined mass … centered in the upper abdomen … suspicious for metastasis.” My Virginia oncologist, the day before our move out of the state, said, “this was missed in March. You need a biopsy ASAP.”
So we set out on this six-year journey, CTs, PETs, surgeries, drugs, procedures. Amidst all that, some nice trips, new friends, precious memories. Now another PET, or a request. By week’s end I was moving again. I mowed the front lawn, picked up the van at the shop. We went grocery shopping and got coffee. We waited for Joe’s call.











