Cancer Always Has the Final Word

Image of a teal ribbon, which is the symbol for cervical cancer.

It doesn’t matter if the ribbon is pink, or teal, or any other of a myriad of colors. It means another person has heard those heart-stopping words: You have cancer.

Once those words are spoken, disbelief does something strange. From that moment on, you barely hear anything else that is said. Or maybe you hear it, but you don’t understand it. You certainly don’t remember it. The words bounce around the room like sound effects in a movie theater, echoing without meaning, until everything turns into a kinetic blur.

And if you happen to be alone when those words are spoken, the first time you try to say them yourself, they come out one of only a few ways.

Sometimes they are choked out through sobs, leaving the listener struggling to understand what you are trying to say, only knowing that whatever it is has shattered you.

Sometimes they come as a low, gravelly whisper, barely audible, but powerful enough to silence the room.

And sometimes, you don’t say them at all. You keep them locked inside, afraid to even whisper the words you are certain you must have misheard, even though deep down you know they are true.

The unfairness hits hard. Why me?  Reality hits.  Why not me?

All the qualifiers the oncologist offers, “We’ve caught it early.” “The chances of getting this under control are promising.” “Surgery alone may take care of things.”  They ring in your ears. But your heart and your mind hear something else entirely. They see the worst. The awful realization that your life might be ending, and that there is still so much you planned to do. Wanted to do. Needed to do.

The people you might be leaving behind.
The good you always meant to do.
The changes you intended to make.
The challenges you believed you would someday meet.

All of it floods your thoughts and your body at once. It spins together into a blinding, hopeless spiral of the life you could have had, if only you had known.

But don’t we all know that life is finite? Fragile? And yet we are stunned when that truth becomes more real than we ever imagined it could be.

Reality is something we push aside while we live our daily lives. Sleep. Wake. Dress. Eat. Work. Repeat. Over and over, without much thought.

The plans we always meant to follow through on slowly slip away with each step we take and each quiet thought we set aside. The day-to-day cycle becomes the pattern. The pattern becomes everything. It spins until we barely recognize that there was ever anything else.

Until the word, barely spoken, speaks: cancer.  And the pattern changes so quickly it disarms us.

Now the pattern is appointments. Recovery. Radiation. Chemo. Maybe immunotherapy. So much stops mattering. The world shrinks almost overnight.

Nausea.  Retching. Exhaustion.  Malaise.  Shrinking.  An endless fog of confusion.  Alternating devastation and hope.

We live for the day this aggressive pattern ends. We wait to be finished. To be well. To continue our lives. We believe that once this is over, everything we dreamed of will still be waiting for us.  But cancer always has the final word.

For some, life itself ends the conversation. For others, the collateral damage left behind by the disease, and even more by the treatment, forces life to be reordered. Reorganized. Reassembled. Reimagined.

The things we mourned when we first heard that word are no longer possibilities. We recover. We mourn. We go on. But we are never the same.

Regardless of the ribbon color. Despite the unpronounceable name that both specifies and reduces our lives. Not even when survival is the outcome.

We return to a pattern. A slightly altered one. Waking. Dressing. Eating. Working. Resting. Dreaming. A life reshaped by a single word that still echoes, long after it was first spoken: cancer.


Cancer Changes Everything – Jan Mariet’s A Day in the Life

“I’m Fine” – The Reality of Surviving Cancer – Jan Mariet’s A Day in the Life

Products That Make Life Easier When You are Battling Cancers of the Mouth, Tongue, or Throat – Jan Mariet’s A Day in the Life

Products That Make Life Easier When You are Battling Cervical Cancer or Cancers in the Abdominal or Pelvic Area. – Jan Mariet’s A Day in the Life

Where Were You? – Jan Mariet’s A Day in the Life

When Change Sneaks Up on You

An image of the author at her desk, looking out the window at her yard and garden.  This is a stylized, decorative photo symbolizing how much she wants to be out in the world, but must be on the inside, looking out.

Every once in a while, it sneaks up on me when I’m doing something ordinary: reading, writing a story, making a list, thinking about what needs to get done that day. Then suddenly it hits me that not so long ago, this same moment would have been effortless. I wouldn’t have planned it. I wouldn’t have had to pace myself. I wouldn’t have wondered whether I’d still be functional tomorrow.

What’s strange is how normal this life feels now. I’ve adapted. I’ve learned workarounds. I’ve adjusted expectations so gradually that over time, I’ve barely noticed them changing. Because of that, it can be hard to remember just how much has been lost.

I remember being able to do a full day’s work and still having energy left. I remember thinking clearly without effort. When I wanted to be social or go out to eat, I didn’t need to calculate the cost – both physical and financial. For the most part, I could trust my body and my brain to show up when I needed them.

I don’t dwell there often; you can’t survive if you do. But sometimes I miss that version of myself; not with bitterness, just with a quiet ache. And it’s not because this life has no value, but because it took so much adapting that the contrast only becomes clear in moments of stillness.

And then I take a breath, smile, and keep going, because this is the life in front of me now.  Then I settle back into the quiet rhythm of the day and I’m glad to be alive.


For more reflective writing by Jan Mariet, try Living with Invisible Losses: Finding Meaning in Chronic Illness – Jan Mariet’s A Day in the Life

When the Table Was Full – Jan Mariet’s A Day in the Life or

When the Storm Changes You – Jan Mariet’s A Day in the Life.

How to Ruin Your Kid in 20 Easy Steps

This image has a starburst background and says, "How to ruin your kid in 20 easy steps.  Just follow this guide and you'll have a 30-year-old who can't fill out a job application and still relies on you for video game subscriptions.
  1. Always blame the teacher, coach, or other people whenever your child gets in trouble, so they never learn to take responsibility.
  2. Believe your child, without question, even when all evidence shows differently, so they never learn honesty or accountability.
  3. Do everything for them, so they never learn how to do things on their own.
  4. Fight all their battles, so they never learn to express themselves clearly or stand up for what they believe in.
  5. Give them rewards for nothing, so they learn to expect praise without effort.
  6. Give them everything they want, so they never learn to choose wisely or work hard to earn something.
  7. Ignore your child’s bad behavior, or excuse it with “they’re just tired” or “kids will be kids,” so they never learn right from wrong.
  8. Let your partner treat you poorly in front of them, so they learn that abuse, disrespect, threats, and violence are a normal part of a “loving” relationship.
  9. Micromanage their every move, so they never learn independence or confidence.
  10. Never set boundaries, and let them make the rules, so they never learn respect for authority or limits.
  11. When you do give them a consequence, let them whine until you give in, so they never learn that rules matter.
  12. Never let them fail, so they never learn resilience or how to recover from setbacks.
  13. Protect them from uncomfortable feelings like disappointment, boredom, or frustration, so they never learn how to cope.
  14. Protect them from consequences, even when they deserve them, so they never learn that actions have results.
  15. Put their happiness above all else, even if it means letting them disrespect others, so they never learn empathy or consideration.
  16. Share adult burdens with them, like your financial, emotional, or relationship problems, so they never learn healthy boundaries.
  17. Solve all their problems for them, so they never learn problem-solving skills or perseverance.
  18. Treat them like your best friend instead of your child, so they never learn to respect authority or feel secure.
  19. Compare them to other kids, so they never learn to value their own unique strengths.
  20. Never apologize when you’re wrong, so they never learn humility or how to repair relationships.

Just follow these 20 steps, and you’ll have a 30-year-old who can’t fill out a job application and still relies on you for video game subscriptions.


Here are some other articles you might enjoy:

When the Table Was Full – Jan Mariet’s A Day in the Life

The Good Old Days — But for Whom?  When Schools Changed: The Forgotten Truth About Inclusion and Exclusion fore special education % – Jan Mariet’s A Day in the Life

Skirts, Sneakers, & Sports – Jan Mariet’s A Day in the Life

“Life Unworthy of Living” Response – Jan Mariet’s A Day in the Life