Hooray! I did it! I survived ten years after a diagnosis with four triple negative breast cancer tumours in my left breast. Fortunately, nobody on my medical team told me that they had all agreed I probably wouldn’t have made it past eighteen months. I don’t know if that knowledge might have changed my chances of survival but I suspect so.
I hit ten years back in July. I realised I had actually stopped counting years when I posted to social media that I was at nine years, and then Facebook showed me an image of myself around the time of my diagnosis from ten years ago. I had to go and check the dates. It’s interesting that counting years is not the big deal that it used to be. The only good thing about triple negative breast cancer is that if you make it to five years post diagnosis, your risk of breast cancer drops back to being the same as everyone else. I’ve also put a lot of time into practicing Acceptance Commitment Therapy (ACT); connecting to the present, knowing the difference between myself and the stories my mind is telling me and asking “is this story useful?” has been endlessly beneficial, but the real winner has been connecting to my values and using them as my true north for finding real meaning and direction in my life.
My book about using ACT to deal with a cancer diagnosis and fear of recurrence continues to sell steadily, even though I do very little to promote it. I have promised to do a “non cancer” version but so far life has just been too busy with other things. If you’d like to check out the book you can find it here and get if for free on Kindle: https://www.amazon.com.au/Free-Fear-Living-after-cancer/dp/1521249377
My big news is that my beautiful daughter and her lovely husband are expecting their first baby. The single greatest motivator during my treatment was living long enough to meet my grandchildren, so to say I’m excited would be an understatement. There are still mixed emotions. I think the threat of my imminent death was particularly difficult for my daughter. At one point during treatment when we thought I had recurrence we actually had THAT conversation: “Treatment hasn’t worked. I have recurrence. That means I’m not going to live much longer.” This was obviously incorrect. In the end the cells remaining after radiation turned out to be random cells from the original cancer not killed by radiation treatment (radiation resistance is my superpower!). I feel that having been to emotional hell and back, my daughter has sensibly built independence and resilience.
I had imagined being present at her birth, as my mother was at mine, and being close by to help with all the hard work involved in a new baby so that she and her husband could relax and rest. Neither of those things is going to happen. They would rather pay a doula and plan on spending their first six weeks in a bubble, with minimal interaction with the outside world. I respect and understand their decision, but I do wonder to what extent my cancer impacted our relationship and these decisions. My daughter was in her early 20’s when I was diagnosed and just finding her adult feet. It must have been horrible for her. I’m not surprised that she has created boundary around herself, but I do hope she comes to understand that it really is better to just love with all your heart and deal with the grief, than to avoid that love for the sake of minimising grieving. As hard as it is, grief can be endured, and can even help to shape our lives in positive ways.
Thinking about her choices has left me contemplating how often we inflict our own misery through expectations. There is a gap between the relationship we have, and the relationship I hoped for, but that’s nobody’s fault. We all imagine ideal situations and then live with reality. How much better to just accept reality, with all its prickliness. I wonder how many times she’s been around a loop that sounds like this: “Mum’s not dying. Mum’s still dying but just not dying yet.” Fear makes prisoners of our hearts.
I’m still hopeful that the birth of her own child will give her an insight into the great dilemma that faces all birthing mothers; they start life as part of our bodies and then gradually get further and further away from us. At each stage there is a tiny, often unspoken grief. We hope that they will not completely disconnect from us, that they will stay grateful and loving towards us, and that we will find ways to have adult relationships of mutual admiration and respect, but there are no guarantees. We all hope our children will outlive us, but we know this means that they must endure our deaths.
While I wait for her to define my role as grandmother I look back on the big lessons of the last ten years. I think the biggest one was this: NEVER LET ANYONE STEAL YOUR HOPE! Most people survive breast cancer and even people with an awful prognosis can surprise their doctors. I did. Regardless of how bad the news is, where there is life there really is hope, and each day of your life is another day to live.
I know that because of the title of this blog there are a lot of people that think I’m a fan of “positive thinking” but I’m not. What I’ve learnt over the course of my treatment is that it is completely unrealistic to expect anyone, particularly anyone dealing with cancer, to remain positive. What matters more to our mental health and recovery is honestly naming and expressing our emotions. It’s not only okay to be terrified, angry, jealous of well people, frustrated, sad, melancholy and anxious, it would be seriously worrying if we were not. How much better to just be, and how distressing it is for those with cancer to have their anxiety compounded by the thought that their anxiety might somehow feed their cancer. So my second big lesson was to feel what I was feeling, and to share it.
My third big lesson was to take responsibility for my health. I met a lot of other patients during treatment who just relied upon their medical team to “fix” them, as if they were a mechanical device that needed a service, but there are so many things that we can do to support our recovery. For me, that included meditation, yoga, good nutrition, more water than I usually drink, medicinal cannabis (now thankfully legal), lots and lots of sleep, laughter, the love of friends and family, practical help from friends and family and, perhaps surprisingly, lots of Disney cartoons. I also did a lot of online research into my illness and treatment options, I kept a notebook of questions I wanted to ask my doctors and took it with me every visit. About two years into treatment I met oncology masseuse, Maryanne Losurdo, and I still see her every week. I’m pretty sure she’s the reason I don’t have any lymphedema.
If you’re in treatment then your list might have some things in common with mine, and it might not. What matters is that you make choices you can live with. I say that rather than “good choices” because in all honesty you will find yourself in lots of situations where there is no clear good choice, and sometimes just less-shit ones.
Which leads me to lesson four: I made a commitment to never second guess myself. Having heard from the specialists, talked to family and done my own research (and I am talking actual published research papers here, not articles in magazines or online forums), I would make the best call I could, and then I would commit to not looking back. I didn’t always keep that promise, and I still wish I could go back in time and ask my surgeon to save my nipples, because it turns out they DO still have feeling even after a mastectomy, but otherwise I just remind myself that I made the best decision with what I knew at the time.
Lesson five is to say a great big yes to all offers of help. Just say yes and then figure out how people can help you later or, better yet, have a really close friend or family member coordinate your volunteers for you. The people that offer really do want to do something useful and it’s a great way for them to cope with your diagnosis. Also, you will need lots and lots of help.
Lesson six is to learn Acceptance Commitment Therapy. I’m not trying to sell copies of the book and there are lots of other great books on the subject. I also make no profit at all on the ebook version of mine because I wanted as many people as possible to be able to access this life-changing model for getting out of your head and into your life. They should teach this stuff in school. Parents should teach it to their kids. We are not broken. We have protective minds that are just trying to keep us safe, even if they sometimes don’t do that in a very useful way.
Lesson seven is to do nice things for yourself. There are people that will find this one self-evident but for many people, and I would suggest particularly women, there is a weird guilt associated with taking some time for ourselves, especially when spending money is involved. We shouldn’t have to get cancer to be okay with this one.
Lesson eight is to forgive the friends that walk away and don’t come back. I know that for the first few years after my Dad’s death from cancer I just couldn’t stand to be around cancer. We have no idea what others are going through (and yes, some people are just uncomfortable around any kind of illness).
Lesson nine is to keep a folder. I picked up this tip from someone on the Breast Cancer Australia site and it was so beneficial. I got a ring binder with plastic sleeves and paper with the holes already punched, and I just kept adding to it. I kept test results, doctors’ reports, my own questions and answers, a few really good research documents and recommendations. The folder was great for checking which treatment I had when and for double checking what doctors had recommended. You might prefer an online version, but whichever way you choose to record everything don’t let it become too much of a chore. This is why a physical folder wins; you just drop documents into sleeves and don’t need to scan them.
Lesson ten is to live your best life, every day. The term “present and mindful” never meant much to me before diagnosis, but I do think that the great gift of cancer was to force me to sit holding hands with death for a while, to realise that my life, all life, is finite, and that’s what makes it so wonderful. Now I take time to cherish the people I love, the friends I’ve made and the endless beauty of the natural world. In the last decade I have studied and taught permaculture and expanded our wondrous garden. I do spend time remembering the past and looking forward to the future, but most of my life is spent in the here and now, grateful for this bonus round of life that nobody expected me to have.
Except my husband and my daughter. I sometimes think I’m still here just because they refused to accept a world without me.

