On Biopsies

The first biopsy was said to have been performed
by the surgeon and physician Albucasis of Córdoba
in Moorish Spain, in the Middle Ages— Some of his
areas of specialization included cauterization
and the removal of foreign objects from the ear,
throat, and other parts of the body. Considering
surgery to be the highest form of medical practice,
he invented hundreds of surgical instruments
which are illustrated and described in his thirty-
volume medical encyclopedia, translated into Latin
as Liber Theoricae: clamps and scalpels, raked
retractors, stents and saws. He tells of attending
to a slave girl who had tried to end her life—
he found her bellowing like a sacrifice that has had
its throat cut, and straightaway worked to suture
the wound. Eventually, the cut healed; the girl
was restored to health, despite a lowering
in the timbre of her voice. What amazes me is not
how many branches of medicine the good doctor
practiced, but how much of an authority he had in each
one. Years ago, when my doctor became concerned
about a rubbery area in my right breast, she sent me
for a fine needle aspiration; when that did not apparently
yield anything obvious, I was sent for more scans and tests.
More recently, my husband had a surgical biopsy for which
he was put under general anesthesia. He spent over
a week on a soft diet, and could barely mumble words.
The results came back inconclusive—meaning
there's no certainty that the excision site harbors
anything more malevolent than a grainy dullness. Of course
there was pain, pain being the measure by which we continue
to be reminded that we are not gods, that we are made of flesh.

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