There’s one question I tend not to get asked. Well, that and ‘Can I offer you a contract worth half a million quid?” A lot of people tell me that oh, I’m so brave to live with terminal cancer. I’m oh, so not. They don’t see me at 3 in the morning, trying to fight off a panic attack because I’ve stupidly forgotten my lung’s limitations, have trotted off to the loo and now can’t get enough air into my chest. Or in hospital, close to tears, begging for more pain relief. Bravery is a choice. (And don’t even get me started on the PDSA’s awarding of a medal ‘for gallantry’ to a dog. If you want to reward an animal for such work, make it the Dickin Bag of Jumbo Bones for a start – not a bloody medal.)
Bravery is one side of the coin. The other is fear. People tend not to ask about the fear. And I don’t hear a lot about cancer and fear, mainly, I suspect, because people don’t want to go there. Cancer sufferers are always ‘brave’ (have you noticed?). I’ve promised to be honest in my blogs, so here we go. Yes, I get scared. I would hazard a guess that other people with cancer reading this do too. The nasty little cynical side of my brain says bravery is encouraged to make life quieter and easier for those dealing with cancer victims. And the nicer, happier side says it’s a natural, human reaction, to try to deal with the reality of what cancer can do to someone.
I’d expected to be afraid of dying, but I’m finding that the fear is spreading to touch other parts of my life that I hadn’t bargained for. I saw it in my brother’s eyes today as we had a family lunch. I’ve been ill for a couple of days, and was on the sofa, trying to look ladylike while puking into a bucket. (The upstairs toilet is a very, very long way off when you can only move at the speed of your average glacier thanks to severely crocked lungs. Thank god the threatened chemotherapy side effect of rampant diarrhoea hasn’t happened yet. We’ll need a bigger bucket if it does.) He hasn’t seen me like this, and he started to cry. He’s going to lose his sister. My kids are going to lose their mum. My husband’s going to lose his wife – the only woman on earth, he told me, stupid enough to marry him, so what the hell’s he supposed to do next, hmmm?
My own fear is something I’m trying to get to grips with. The idea of becoming more and more oxygen dependent fills me with horror, and I try to push down the surging feeling of panic when I think I can’t breathe enough. Strangely, I don’t think I’m afraid of death itself, but am not looking forward to the process of dying. Woody Allen said it better of course: “I’m not afraid of dying. …I just don’t want to be there when it happens.” There was a brief moment a couple of days ago, when a chest infection meant I was so breathless that I’d be puffed, panicking and reaching for the oxygen just getting out of bed. And I did wonder for a few seconds whether this was the way life was going to be – scared to move in case the breathlessness sparked panic. And in that brief moment, I could perfectly understand why some people choose to end their lives rather than live with pain and fear. I’m not sure I’d have the courage to do that, actually, and anyway my husband says if I top myself, he’ll kill me, so I have to respect that. But I was much taken with Sir Terry Pratchett’s strong advocacy of assisted suicide.The only thing I’d change would be the music. Vaughan Williams instead of Tallis, I think. (Although the teeny tiny ‘sod you’ part of me quite fancies insisting on something spectacularly inappropriate to make everyone laugh. ’99 Problems’ by Jay Z would fit nicely. You must come to my funeral. The music choices are going to be quite striking.) And perhaps a good whiskey instead of brandy.
The fear I’m having less success coping with is everyone else’s. What can I say to my children? I lost my mum at 24 and it haunts me still. I know what losing a parent can do to a family. I have an inkling of what they’re going to go through, and am pretty much powerless to stop it. I am going to be the author of the biggest pain in their young lives to date. That’s not what parents are supposed to do.
What can I say to my husband? He’s the love of my life. I’m his. I blithely talk about funeral arrangements, of which family member should get what to remember me by, and he just has to put up with it. I’m going to waltz out of his life soon(ish) and leave a gaping hole. He’ll have to cope with looking after my children’s grief. He’ll have to get on with life, pay the bills, not bore his friends too much with how he’s feeling, make our double bed alone, cook, clean and wash and miss me. And miss me. And miss me. And all because of me.
What can I say to my elderly father? My extended family? My friends? I’m overwhelmed with their love and feel so utterly unworthy of it as I’m the one that’s causing all this extra work and grief. My nature is to look after those I love. It’s already getting to the point where I can do very little to be of use to anyone. Well. that’s how it feels. It irks me that I can’t return the favours! Although I am plotting….
Perhaps Roosevelt was right: “The only thing we have to fear is fear itself” ?!
PS I keep meaning to say that if anyone reading this is on Twitter, please feel free to follow me.

8 comments
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March 1, 2010 at 10:06 am
Brennig
*sadface*
March 1, 2010 at 11:02 am
Tim Lyon
Hi Ali
Thank you for this as always. I must admit to a pretty complicated belief set surrounding life and death. For example, I am convinced that this life is only a brief interlude on an infinitely longer spiritual journey. I believe that I signed up for this existence because there were lessons I need to learn and experiences I need to experience. As a result I have a problem with suicide in any form because I happen to believe that it results in instant reincarnation. I have always, since childhood, felt that grieving for the dead is a selfish activity (it couldn’t be anything else) and one which must bring great sadness to the soul that has passed over. I read in your blog that you are already feeling guilty about those you are leaving behind, how much worse to look back and see them suffering grief because of your death? Well, OK, it would be disappointing if no one cared! I know people find it hard to understand me but when someone dies my honest reaction has to be to feel great sadness for me but great joy for them. For millennia the priesthoods have used the fear of what might be after death to secure their positions and to control the populace. As a result we are burdened with the belief that ‘life is good, death is bad’. How much better the mindset that says ‘I am here for a purpose and that purpose must always positive’. How much better the mindset would be that says ‘I will make the most of this life but look forward to the life to come, reunited with all those that I have loved in a million years’. Here is a thought that has just occurred to me, although I don’t want to put too negative a spin upon this life. Suppose this existence is like a prison sentence, we have lessons to learn whilst we are ‘inside’. Trying to escape is futile because we will be caught and sent straight back. All the sentences are of different lengths but some get to go early. They are sad to leave their friends and their friends are sad to see them go but they are happy for them because they will be reunited with their friends and family. They know that the parting is only very temporary and that they will soon all be together again.
Ali, as a result of all the above, I try to live this life well and to the full but still look forward to the day when the warder unlocks my door and lets me out into the warm sunshine and love of the life to come.
March 1, 2010 at 5:16 pm
Huby
I cried when I read this. Then I smiled because I remembered our first kiss, first holiday, first Christmas…We’ve loved, laughed and cried together. Sometimes at each other. But always together.
Grief comes because we love. No love and no grief. I’ll put up with the grief, when the wretched time comes, to have the love now. And boy do I love every minute of every day being by your side! One day life will be utterly unbearable. But that day has not come and today is a bright, glorious day – and I’m coming home early to enjoy it with you!
March 1, 2010 at 6:19 pm
Jan Pickel
Ali, I never know the right things to say in times of grief and loss. So I tend not to say anything. How does that quote go? “Better to say nothing and be thought a fool, than to speak and remove all doubt,” or something like that. But I just wanted to tell you how glad I am to have found you on Twitter (your using the word ‘wowser’ tickled me) and then to have discovered your blog last month. I’m so sorry that one of my favorite tweeters is “going to waltz out of [my] life soon(ish).” And I hope that day is later rather than sooner.
March 1, 2010 at 10:10 pm
Karen
I cried too. My father is receiving chemo(early days), and whenever I ask him how he is feeling he usually says non committal stuff about being okay. I have no idea if this is the truth, but I must respect his wish to tell me what he is ready to tell me. Maybe he is protecting me, his approaching 40, but still his baby daughter.
Thank you so much Ali for your honesty. It is a subject avoided by all, I suspect many think it is morbid and a subject to be avoided. I wish you all the best.
March 1, 2010 at 11:04 pm
Brennig
I couldn’t offer a real comment earlier. I don’t do death very well. When my daughter died (suddenly and totally unexpectedly) something got broken inside me and it’s never been fixed; the whole dying thing has been painful for me ever since.
I love the love between Ali and Tim and I love them for showing us their openness and honesty.
I am still a borderline depressive because of something that happened two decades ago yet reading Ali’s thoughts on death have had a moving effect on me.
In a good way.
Thanks.
March 2, 2010 at 8:33 am
Vikki Watmough
I always fancied the Benny Hill theme tune for my funeral, with ‘Firestarter’ at the crem….if you’re going to bow out, do it disgracefully. There’s nothing you can say to your family that will make it easier. All you can do is make the most of the time you’ve got left and leave them with the memories and the knowledge that you loved them. My cousin lost his wife in childbirth when they were 30 and he never forgave the fact that he didn’t get to say goodbye properly and tell her how he felt. You can do that. It won’t help them any in the short term but long term it might. Sometimes really shit things happen to people that really don’t deserve it and it’s so very unfair.
March 2, 2010 at 7:42 pm
Clare
Ali, this is very moving.
Calling people with cancer ‘brave’ is ghastly, you’re right. It’s a much misused term.
No, what you are my girl is Dignified (with a capital ‘D’). Even with your bucket, and cobwebs in your hairbrush.
Thank you for writing.