"Okay, Miss MacDonald, just climb up on here and lay down for me."
Joyce does as she's told.
"Great." The technician kindly touches her shoulder. "Now get comfortable because we'll need you to lay very still during the scan."
"I'll add this support cushion under your knees." He hoists up a square piece of foam and waits.
Joyce hesitates until Mr. Maseko slides a dark hand beneath her right knee and lifts it gently. She complies, lifting the other knee, and he puts the cushion in place.
"And these side rails will help you relax your arms."
Joyce was instructed that she could not wear any metal for her MRI tonight, so she chose her favourite and most comfortable loungewear set: a soft pink pullover with a large cat face on the front, and matching sweatpants with the word "Purrfect" along the butt.
"This is the panic button." Maseko pulls a type of squeeze ball attached to a long pneumatic tube from the wall and hands it to her.
"If at any point you need to stop, just squeeze this and we'll come let you out, okay?"
"I am nervous, Dr. Maseko." Joyce admits.
"Oh, it's just Mr. Maseko. And that's okay, it's normal. But everything will be fine, and we're here to look after you."
It's late. Joyce's appointment was set for 11:15pm. Normally, she would be at home watching television with her cat, Phillis, after a long day at the department store. They both love detective shows and true crime documentaries.
"Let's put these on your head. They'll block out much of the noise from the machine, but also allow you to listen to the music you've selected, and to hear me over the intercom in the booth just over there."
Joyce wiggles her ears under the large headphones. Earlier, she asked to hear Alanis Morissette's "Jagged Little Pill" during the scan. Alanis always makes Joyce feel strong and free, and she figured it would help in such a space that makes her feel scared and constrained.
Her relationship to healthcare spaces has always been complicated. Hospitals and other such places, in which guests are generally referred to as "patients", make her terribly anxious. And yet, she's always been attracted to doctors and men in healthcare. She feels relaxed by their warm authority and sense of control in a space that is so often sterile and cold.
"Finally, I'm going to put this frame piece over your head that will improve the brain scan. All this will help us determine what might be the cause of your migraines, okay?"
Maskeo touches her shoulder again.
"Okay, Dr. Maseko" says Joyce.
"Mister. Now I'll ease you into the machine..."
Joyce's bed-like platform is slowly inserted into the large, cylindrical machine. It's a very tight space. She takes a deep breath.
"Okay, Miss MacDonald, are you ready?"
"I think so."
"Great, I'm going to head into the booth, and you'll hear me through the intercom in a few moments."
At the lower edge of her sight, she can see the warm pink colour that she chose for the lights in the room. It brings her a little comfort.
"Can you hear me, Miss MacDonald?"
"Mhm."
"Good. Now we're about to get started. You'll hear some odd noises from the machine, but that's all completely normal. Just lie very still for me, and try not to move your head or face, okay?"
"Yes, Doctor."
"Um--here, I'll put your music on now."
Joyce closes her eyes and hears the familiar opening of her favourite album. Electric guitars play around each other as a harmonica fades in and out. Then Alanis sings.
"Do I stress you out? My sweater is on backwards and inside out and you say, 'how appropriate'."
Hearing her old friend, Joyce feels a little more at ease. And she thinks of her teenage son. Mark lives in a neighbouring city. He moved in with his father after he and Joyce split up. There was no resentment in his choice; Mark simply wanted to follow his boyhood idol. But it still stung. She felt doubly abandoned and desperately uninteresting. Joyce remembers how Alanis helped her through that time. How she helped her regain some confidence.
"Okay, Miss MacDonald, I'm going to--"
"Please--Call me Joyce."
There's already something deeply intimate about the experience. Dr. Maseko's soft, low voice in her ears, the tight space, the dim lighting, the late hour, and her overwhelming sense of vulnerability.