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So this photo popped up on my Facebook feed the other day.

There’s nothing like Facebook to give you that big surprise surge of emotions with a visual image – whether it’s a photo of your ex on his wedding day or a school photo of you with pudding-bowl hair circa 1990 that someone has recovered from their parents’ house. Or, in my case, a pic of you larking about in a photo booth mid-chemo with a completely bald head and some ill-informed eyebrow pencillage.

I hate these photos of me, but I do look at them and think I must have been brave because I can’t imagine doing that now. What a difference a couple of years makes, eh?

Speaking of bravery, it’s been so long since I’ve written this blog that I’d forgotten the password. When you’re going through cancer treatment every day and you’re off work and living it, it’s a lot easier to share everything online. You’re sort of suspended from the real world, so sharing some of the most private details about your health with the blogosphere seems kind of natural.

Back in the real world and back at work, it’s easier to pretend the whole cancer thing never happened, so there have been times over the last six months that I’ve sat down to type a few words but I’ve never pressed “Publish” because it all somehow felt too personal.

Just because I haven’t been blogging or going through active treatment, doesn’t mean I haven’t been dealing with the many ways cancer manages to continually affect my life – hot flushes, night sweats, MRI scans, aches and pains that constantly make me think the cancer has come back, and 400-mile round trips for hospital visits (yes, I know I could get an oncologist in London, where I live, but for some reason I cling to the surgeon in Manchester who I love so much he brings a tear to my eye every time I see him).

I still read some of the cancer blogs and every so often there is something that really affects me. The death of a ‘virtual’ friend diagnosed around the same time as me, or a magazine article about a newly diagnosed girl my age that brings back all the feelings and memories. But most of the time, I manage to be the same person I’ve always been. And that scares the hell out of me because in a way I kind of blame the person I am for getting cancer in the first place.

Does cancer change you? Well maybe, in some ways, but mostly, no. I am back to being the person I’ve always been. I get stressed out with work and I push myself too hard. And now I also seem to have incorporated mild panic attacks into the mix – which I think is more to do with age than having had cancer. Even though there is no medical proof, I am fairly convinced my cancer was down to stress, or maybe the way I deal with stress.

In the two years before diagnosis, I had various stress-related ailments: acne, shingles and migraines. I was working 12-18-hour days, surviving on 4-6 hours’ sleep, and training for a marathon. So it didn’t surprise me that my body got so run down that my immune system couldn’t cope with those few tiny cancerous cells that everybody gets but that most people’s bodies manage to ward off before they start to multiply.

Two and a half years later, am I managing to be that chilled out, zen, non-stressy person I vowed I’d be? Am I hell. I mean, I have made vast improvements – I always make sure I get 8 hours sleep, I average about 10 of my daily fruit and veg (no, really), and I occasionally do meditation (like, once a month, but I will start using that Headspace app more regularly). But I still allow work and other things to stress me out and any ‘down time’ seems to get eaten up by stupid but necessary tasks. Oh, and I seem to have signed up for another half marathon.

There’s a daily grapple with myself over what to do – should I just quit full-time work forever, move somewhere much cheaper and live a stress-free, no-commute life? Or should I stay where I am and keep doing what I’m doing? I figure there’s never any guarantee the cancer won’t come back regardless of what I’m doing or how stressed I am, and it’s not worth giving up my ambition and letting the Big C win. So, on I plod.

Anyway, onto the good news. I finally got the results back from my two-year MRI scan and apparently there’s still nothing sinister to report:

Further to my previous letter I have now received the MRI scan. This has revealed no sinister focal lesion. Features were consistent with previous surgery. I am happy with this and will continue to monitor progress as planned.

I remember one of you telling me right at the beginning that if I survived two years then I would be “all clear”. While I now know this is not technically the case, because you’re never really clear of cancer, I’m relieved to get those results. (Not least because the nurse kept calling me Emma during the procedure, and when I rung up three weeks later the hospital had no record of the scan.)

The MRI was a stressful affair. I was determined not to cry this time because I knew what to expect – there’d be a cannula that would remind me of the chemo but I’d be ok with it. But for some reason, I woke up that morning with a terrible headache, which, coupled with the drive over the winding roads en route to Manchester, made me feel as sick and unwell as if I’d just had a bout of chemo. That, and the anxiety, the feeling I never thought I’d have because I convince myself I’m not bothered, that the ever-so-slight pain under my left breast (the cancerous one) might be something to worry about.

So I arrived at the hospital all shaky and sickly from the car journey, and they called me straight in for my appointment. And of course, true to form, they couldn’t get the needle in, and had to call a second nurse to help out. I couldn’t help but have a little cry. And then there was the bit where they kept calling me Emma.

It was my Mum who received the results letter, because for some unfathomable reason at 32 years of age I still get a lot of my post delivered to my parents’ house. Her response, when I asked her to open it, even though I’d already had the results informally over the phone, was “I must admit I still felt nervous opening the letter. You never really know until you get the results from Mr S.”

Yep, that just about says it all really. You never stop worrying. But I’m here, two years later, and that’s all that matters.

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Thought I’d end on some selfie action to give you an update on the hair situation – see t-shirt for explanation. [The doc was slightly surprised when I turned up for my scan a few days later with red and blue paint bruises all over my arms]

Love, Emma x