The in-between life and death cancer

Posted by ShellyGrayWings @shellyk89, Mar 27 4:52am

The In-Between Do you feel this way to?

I’m 36. I have two kids and stage 4 triple-negative breast cancer. I live in the in-between—not at the beginning where everything is shock and plans and “we’re going to fight this,” and not at the end where there’s some kind of closure. Just… here. In the middle. Knowing, deep down, that I probably won’t make it out.

People ask how I’m doing and I never know what to say. “Fine” is a lie. “Not fine” makes everyone uncomfortable. The truth is: I’m tired in a way sleep doesn’t fix. I’m scared in a way that doesn’t go away when the sun comes up. And I’m grieving a life I haven’t even lost yet—mine.

The nights are the hardest. That’s when the whys come, one after another, like they’re waiting for the house to get quiet. Why me? Why now? Why this kind? Why did my body turn on me? Why do I have to explain cancer to my kids when I can barely explain it to myself? I stare at the ceiling and bargain with a universe that doesn’t bargain back.

Then there are the tears. They don’t ask permission. They show up in the grocery aisle, in the shower, in the car when a song hits a memory. They show up when my son looks at me, eyes big and worried, and asks, “Mom, what’s wrong? Why are you crying? Why are you losing your hair?” How do you answer that in a way a child can carry? I try to be honest without breaking his world. “I’m sick. The medicine makes my hair fall out. I’m sad sometimes, and that’s okay.” He nods, but I see the worry stay in his shoulders.

And the anger. God, the anger. It comes out sideways—snapping at the people I love most, shutting down, being sharp when I mean to be soft. Then I hate myself for it, because at the end of the day, nobody did this to me. There’s no one to blame. Cancer doesn’t care about fairness or plans or how good of a mom you are. So the anger circles back and lands on me, which only makes everything heavier.

My life is a mess. Appointments stack on top of each other. Bills come. The laundry never ends. I forget things I shouldn’t forget. Some days I’m “productive” and feel almost normal; other days I can barely get out of bed and I hate myself for that too. I’m trying to keep routines for my kids so they have something steady to hold onto—dinner, homework, bedtime stories—even when my own insides feel like chaos.

Here’s the part I don’t say out loud often: I am terrified of being forgotten and terrified of being remembered only as “the sick mom.” I want my kids to remember the way I laugh, the way I make their favorite pancakes, the silly voices I use when I read. I want them to know I was a whole person, not just a diagnosis.

If you’re reading this from your own in-between, I see you. I see the way you hold it together for everyone else. I see the questions that loop at 2 a.m. I see the guilt, the grief, the rage, the love that feels so big it could split you open. You are not alone in this, even when it feels like you are the only one awake in the world.

I don’t have a neat ending. I’m still here. Still showing up. Still trying to stay afloat in a life that looks nothing like the one I planned. Some days that’s enough. Some days it has to be.

Interested in more discussions like this? Go to the Cancer: Managing Symptoms Support Group.

Profile picture for Susan, Volunteer Mentor @grammato3

@shellyk89: I appreciate that you have the knowledge of your illness that you can interpret the diagnostics, treatment and responses you've experienced to be an active participant in your care - and by extension use this to educate others who may be going through the same or similar journey. Regrettably, it's a journey none of us on this path had truly ever anticipated being on but being armed with facts and a certain degree of fortitude does help to navigate through the winding and seemingly ever changing path.

I've found adaptabilty is key, as is asking those key questions -- writing them down as they come to me so I can remember to ask the myriad of professionals involved in my care. Knowing where to seek reliable health information and how to gracefully respond to well-meaning friends with often unhelpful advice; knowing and honoring my boundaries. I, too, had been going about this from the time of my diagnosis in Sept of 2024 without the assistance of a therapist as I felt one I'd had in the past had equipped me with the tools I needed to support me, however as my life upended somewhat with my significant adverse reaction to pembro after 10 months requiring multiple hospitalizations, impacting my independence and activities of daily living, I did find the need for a few more sessions that were incredibly helpful. I have to add here that I'd worked for many years as a RN and had become an end of life doula (EOLD) through which I've learned of various support networks, such as letsreimagine.org which offers several good online events.

Just a thought: since you have such a knack for writing, perhaps you'd consider submitting to publications that pay for articles on health. There are several of which that do so. Freelance writing can be a more stable and faster way of generating income, with you determing how to distribute the proceeds. Let me know if that appeals to you.

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@grammato3
Sorry for late reply. Ive got so much feed back on here, its hard to keep up.
Adaptability has become my go to. Like you said, I try to write down questions the second they come up or I lose them in the rush around of appointments I have. But I still end up walking out of oncology like “dang, I forgot to ask.”

And boundaries with friends or family that one is huge. I know you care. Is usually all I say an its saved me from a lot of unhelpful advice. I do feel bad when I do that tho.
And I appreciate you seeing that knack for writing in me. 🙂 Freelance health writing is something I haven't heard of. If you have names of publications that pay and treat patient voices well, I’d love to hear them. Distributing proceeds to orgs like the one you mentioned feels like a good idea.

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Profile picture for ffr @ffr

It is a gift to feel understood and validated. Thank you for sharing so openly in this forum. I now think of my life as BC (before cancer) and after. My BC life had no clue. And despite having the support of a wonderful family and friends, I learned early on that sharing with them only brought them sadness that ricocheted right back to me. That’s when I started with a therapist and I am glad that I did.
I mostly sleep better these days, but not always. I’ll think of you at 2am. 🩵

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@ffr It really is a gift to feel understood here. Thank you for saying it out loud.

I use BC and AC in my head too. My BC self had no idea how much life could split in two like that. And I get what you mean about protecting family and friends. I learned the same thing fast their sadness would boomerang back and land on me, even when they were just trying to love me. I still haven’t called a therapist yet but I will 😉

I’m glad sleep is mostly better for you now. I know those 2am nights though. If you’re up, know I’m probably awake somewhere too, thinking of you right back. 🩵

Thank you for being one of the people who gets it.

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Profile picture for rashida @rashida

@shellyk89 you truly have a gift for expressing your thought … your words so validating to others!

Is your profile picture an avatar of you, or is that really you in the picture? If really you, you are gorgeous - and bald looks so beautiful on you!

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@rashida Thank you, that’s so kind of you to say. Writing helps me sort through all this, and I’m glad it feels validating for you too.

The profile picture is actually an avatar, but I am bald in real life. I love my wigs, though lately hot flashes have other plans. I’ve had to yank them off and stuff them in my purse like a pet gremlin more than once haha. The glamour of cancer, right?

Appreciate you seeing me either way. 🩵 here's a real Picture of me.

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Profile picture for ShellyGrayWings @shellyk89

@ffr It really is a gift to feel understood here. Thank you for saying it out loud.

I use BC and AC in my head too. My BC self had no idea how much life could split in two like that. And I get what you mean about protecting family and friends. I learned the same thing fast their sadness would boomerang back and land on me, even when they were just trying to love me. I still haven’t called a therapist yet but I will 😉

I’m glad sleep is mostly better for you now. I know those 2am nights though. If you’re up, know I’m probably awake somewhere too, thinking of you right back. 🩵

Thank you for being one of the people who gets it.

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@shellyk89
Your message is so validating. Thank you for sharing.
It can be so hard to live wearing the “normal” mask, even among my closest family & friends. On the flip side, sometimes acting normal makes me feel normal - a short blip of forgetting! - and that gives me a small reprieve from my angst and anxiety.
Other times I wonder “Will this be the last time that I….?”
It is tough to walk in these shoes, isn’t it? Our “brave” and “courageous” battles are so much more than physical.
One minute at a time!

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Profile picture for ShellyGrayWings @shellyk89

@grammato3
Sorry for late reply. Ive got so much feed back on here, its hard to keep up.
Adaptability has become my go to. Like you said, I try to write down questions the second they come up or I lose them in the rush around of appointments I have. But I still end up walking out of oncology like “dang, I forgot to ask.”

And boundaries with friends or family that one is huge. I know you care. Is usually all I say an its saved me from a lot of unhelpful advice. I do feel bad when I do that tho.
And I appreciate you seeing that knack for writing in me. 🙂 Freelance health writing is something I haven't heard of. If you have names of publications that pay and treat patient voices well, I’d love to hear them. Distributing proceeds to orgs like the one you mentioned feels like a good idea.

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@shellyk89t: Definitely hard to keep up with questions, seem the more we ask the more that pop up!

As far as publications, you can check online. Here were some suggestions to check out:
https://litworth.substack.com/p/30-publications-that-pay-for-writing-2c6
https://thesicktimes.org/write-for-us-part-time-opportunities/
https://healthjournalism.org/freelancers/freelance-market-guide/aarp-freelance-market-guide/https://writersweekly.com/marketing-secrets/13-parenting-publications-that-pay-writers
Let me know if any of these are possible leads for you!

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Oh Shelly you have made such a mark with your writing . Don’t ever think you are not seen . You possess an eloquence to put your own feelings , taken from inside your heart , and put them to paper . Then, you’ve taken the next leap and shared them . Kudos to you and thanks from my own heart . My husband wrote “ poems” for years . Mostly in time of darkness but time of happiness as well . Throughout his battle with the beast , his cancer journey he wrote , and he wrote and he wrote . Sometimes he shared, he even was brave enough to share in the chemo suite during treatment , and it boosted his spirits to read the comments from those who chose to read . In the end please know that those very poems and so many many more he wrote now have become solace , part of his legacy and when I read some myself , and I do often , I feel so very close . His most inner thoughts , put to paper and he’s here again , for me , for our grandchildren , for my children and our friends . Keep going ,keep writing keep Sharing , you have a precious gift .

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Profile picture for craigtannarbor @craigtannarbor

Dear Shelly. Your message is powerful. The uncertainty of anyone’s future facing similar circumstance as yours leave so many heavy questions in ones mind. Hang in there. You are doing the best you possibly can do. You are making a difference to those you love around you by leading with courage and thought. Your children know your love for them is eternal by your brave face you wear every day. My own father suffered from cancer and the effects of treatment. Do not give up, never, not ever in your fight. It is ok to feel the way you are feeling. To be perfect is unattainable, just be yourself is the goal. Our daughter is in surgery as I read your post. Keep the faith. A breakthrough is imminent for your cancer. I read about CAR T immunotherapy helping stage 4 cancer patients. Keep on your journey and be a believer in the medicine to come. I only wish I could do more for you. Sending love and positive energy to you and your family. Kindest wishes. Craig

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@craigtannarbor, welcome. How did your daughter's surgery go? How are YOU doing?

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Thank you for sharing your story so poignantly and purposefully--purposefully, as it powerfully suggests a response to your spoken lament: "I am terrified of being forgotten and terrified of being remembered only as 'the sick mom.'" Allow me to explain. My mother kept a daily journal from 1945 until soon before her death in 2004. While I love reading how she canned 50 quarts of applesauce in a day and purchased a coat for $9.99 back when, I am most interested in how she grappled with pain, grief, fear, loneliness, lost dreams, widowhood, cancer, and, finally, early dementia. These journal entries continue to serve as my own survival manual: how did she deal with (fill in the blank)? Throughout my adult life, I checked her journal entries which covered struggles mirroring my own. What a gift she gave me. As such, she inspired me to keep my own 5 line journal for my children. My entries are brief and real. All this to say, "Sister, keep up your writing--journaling 'in the moment.' It can truly be a gift to give your precious children for years and years. You've got this!"

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Profile picture for rmbruins @rmbruins

Thank you for sharing your story so poignantly and purposefully--purposefully, as it powerfully suggests a response to your spoken lament: "I am terrified of being forgotten and terrified of being remembered only as 'the sick mom.'" Allow me to explain. My mother kept a daily journal from 1945 until soon before her death in 2004. While I love reading how she canned 50 quarts of applesauce in a day and purchased a coat for $9.99 back when, I am most interested in how she grappled with pain, grief, fear, loneliness, lost dreams, widowhood, cancer, and, finally, early dementia. These journal entries continue to serve as my own survival manual: how did she deal with (fill in the blank)? Throughout my adult life, I checked her journal entries which covered struggles mirroring my own. What a gift she gave me. As such, she inspired me to keep my own 5 line journal for my children. My entries are brief and real. All this to say, "Sister, keep up your writing--journaling 'in the moment.' It can truly be a gift to give your precious children for years and years. You've got this!"

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@rmbruins Welcome to Mayo Clinic Connect! I see you have been a member for a while but this is your second post.

My father kept a daily journal from high school on. He was a Navy man, on the USS Enterprise at Pearl Harbor. He helped instill in me, the love of writing. He passed at the ripe old age of 96, his journal nearby. All this to say, journaling your daily story, or addressing innermost thoughts, can be so enlightening. Here is a discussion we have on journaling: https://connect.mayoclinic.org/discussion/journaling-the-write-stuff-for-you/
Ginger

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I hear you loud and clear. A beloved family member has (less than a month ago) been diagnosed with stage four cancer. I grieve every moment of every day when it creeps in -that he won’t see my niece marry the perfect guy, or be there as the great uncle for the kids she plans on. He was a marvelous influence on our niece’s life especially as a little girl. I feel cheated that we won’t travel the world together. Laugh at silly jokes or remember our mom in her last years with us.

I’m afraid for his life being one round of treatment after another-the pain and fatigue. The loneliness, the anger at being victimized by a horrible cancer. I so hope for a miracle or at least time where he can enjoy the simplest things-like a beer on a hot summers day, being on a bike with friends-just MORE QUALITY TIME,

He hasn’t had an easy life-which makes the cancer even more cruel-if possible. Our family will do anything at all to help-I have been told just knowing that is a big relief.

If anybody out there can tell us what we can do to help mentally and spiritually-please leave us a reply here. We check every day.

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