But What If Everything Goes Right?

(Title image: Photo by Aaron Burden on Unsplash)

Friends, I am a worrier. You’d be hard-pressed to find something that I wouldn’t worry about.

I know better. And I’ve actually gotten better.

But even with practicing mindful self-awareness, those foreboding thoughts of “what if everything goes wrong” creep in, particularly at night.

Because 2025 is a year of big changes for me, there have been many opportunities to awaken in the darkness, worrying about how this and that can go totally downhill.

A few days ago I was on the same train ride, hurtling through fears, when it hit me that, in the same way that I can imagine everything crashing and burning and my life being miserable and terrifying, I didn’t have to fear the worst. Things could work out.

Call that the “Schrodinger’s Box” philosophy of life. At the same time that things could be awful, they can simultaneously be fabulous—or somewhere along that spectrum. No matter what you’re anticipating, it won’t be until you finish the exam, give the speech, get the biopsy results or have the conversation that you will really know how things turn out.

Fear and avoidance are not the way to go through life.
(Photo by Alexander Grey on Unsplash)

So if you don’t know, you might as well think positively, tempered with a healthy dose of realism. Things are rarely black or white. Just as we shouldn’t be “all negative”, we shouldn’t be “all positive” either.

Ok, so right here I need to backtrack and say a word about “positivity” and “negativity”. When we practice mindfulness, we strive to release expectations, to not attach ourselves to an outcome. Yes, I get that.

That is an ideal. Our minds don’t always allow us this.

But if there is a choice between being morose or upbeat, you are still better off being upbeat. Realistic and upbeat.

I’ve heard people justify constantly being negative by saying that at least they will be “prepared for bad news” so that it’s not a shock. I used to think that too, fearing the precipitous drop in spirit when you’re expecting something good and get something bad instead. But I’m no longer convinced that doom-and-gloom saves you from anything.

Consider the “coward dies a thousand deaths” adage. Perpetual pessimism can lead to all sorts of health issues, mental and otherwise. For example, living in constant fear may result in anxiety, depression and high blood pressure,among other things. And with enough time, those can turn into something worse.

Again, the ‘ideal’ is non-attachment. But if you cannot completely disengage from imagining an outcome, your mind and body will be better served by considering that everything will work out in the end. At least you’ll be able to sleep better at night.

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And what is recognized as the optimal way of thinking? There exists the concept of “short-term realism, long-term optimism”. This means that you take care of the tough stuff in the present, facing challenges head on, but keep your chin up and not lose hope for the future.

“So, What Should We Talk About?”: My Six-Year, End-of-Chemo Appointment

A little over a week ago, I had another oncological appointment. This one marked my six years since completing chemo for triple positive breast cancer.

Honestly, at this point, the conversation between my doctor and myself has turned much more social. There are not as many pressing matters to discuss. My bloodwork is normal and boring. I don’t have side effects to speak of, at least not any that I can attribute solely to cancer treatment (hello, menopause, ugh). And even my oncologist is openly positive about my future.

Wow, have things changed.

Six years ago I was dealing with the effects of a nasty fingernail infection that landed me in the ER (be forewarned before clicking that link: it was pretty gross!). But for this appointment, I was asking my doc how HE was feeling.

Our conversations have become pleasantly mundane and I enjoy catching up with him. Also, I am panicking less.

As a cancer survivor, I do not like surprises. When my doc says to schedule an exam, I’m going to do it fast!

Much less. Even when I do lapse into micro-panic, I have accompanying moments of calm. That is a definite improvement. At the same time, cancer is cancer. So when my oncologist noticed that I hadn’t had a pelvic exam this year, he told me I needed it. And then before our appointment ended, he repeated that I should get one.

For a brief instant, my emergency alarms went off.

Maybe it was the fact that he repeated himself and seemed very serious about it. After six years of hypervigilance, I still get unnerved by slight shifts in tone of voice. I think that’s hard-wired in me, seared in via anxiety, even though my days of being a hot stress-mess are behind me.

It’s so tempting to wipe my hands off and pretend that everything is normal, but cancer teaches us that some nasty stuff might be lurking under the surface of, “I’m sure it’s nothing”. My days of innocent ignorance are gone.

So, yeah, I’m fine. Still no recurrence of a cancer in my breasts. Probably not anywhere else either. I’ll remain optimistic and look forward to seeing my oncologist in six months and chatting again.

But I’m going to schedule a pelvic exam soon.