“ The origins and lessons of life and evolution are long and complex, but what they basically boil down to is, life will out. Life will always find a way to continue. Always. Life… will… out. This is a massive grade IV astrocytoma. I want you to take a look at it. Really look. Look at its size. Look at the way it invades healthy tissue. Look at its vasculature. It is blood and tissue and flesh. It’s growing… Adapting to its environment, struggling to survive, to stay alive. It is alive. We don’t like to think of it that way, but it’s nested in the womb of a human brain, feeding on its host, growing and fighting for life… almost like a fetus. No, scratch that. Let’s just for science and giggles say exactly like a fetus. Because like a healthy fetus, it is thriving. You know, there are even some types of tumors that grow teeth, hair…
[Chuckles] Have I repulsed you? It’s gross, right?
I mean, that is a problem. Nobody wants something that nasty in their head. I’d like you for one moment to consider the idea that, to the tumor, we are the problem, we are the invader. We are the danger. To the tumor, we are the cancer. And the tumor? Well, the tumor sees itself as a sweet, cute, fat-cheeked baby just trying to make its way into the world, and we want to stop it, destroy it, tear it from its happy little home like barbarians. To the tumor, we are the soulless, murderous monsters. Why do I do this? Why do I call it "baby” and talk about killing it? Because this kind of tumor deserves respect. It deserves a little humanity. It’s not just a tumor. It’s ingenuity. It’s strength. It’s adaptability. It’s poetry. It’s one of God’s masterpieces. It is alive. And like any living thing, it wants to stay alive. Like any living thing, it is going to fight like hell to survive. And when I saw open that skull and come face-to-face with it, with that tumor, with that living thing, it will be almost impossible to remove… Well, I’ll see you after. Because it would rather destroy the brain that holds it than go gently into that good night. It is alive. And what’s it all come down to? Life… Will… Out
So, our fat-cheeked-baby tumor that’s nestled in that brain, it’s a creature of habit. It has the same routine day in and day out… to grow, to spread out, to take up space.That’s it. At this point, our baby tumor is so enmeshed, so invasive, it’s touching virtually every single brain structure. It’s pushed existing tissue aside, shoved brain matter out of the way to find room for itself. How do you remove it without destroying the brain around it? How do you kill the baby without killing the mother? I stare at these scans, and the tumor stares back at me, daring me to try to extract it. I mean, this tumor is bold and brazen. This tumor thinks it’s in charge. This tumor thinks it owns the place.
Grey’s anatomy. Amelia Shepherd
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