My story, this story, will end the way all of our stories will end: I will die. The end.

How we get there usually isn’t really up to us, but obviously there are choices. Right now, I’m usually in pain from my tumors, and I’m often dehydrated and a little fatigued. I’m definitely tired of the daily IV infusions and having the Mediport accessed all the time. I try to keep up with electrolytes but it’s still a battle. Hospice has been looking more appealing.

I still have things to do that have been keeping me here. Some of them have been fun things: my birthday, my boyfriend’s birthday, hosting a Halloween party, friends in town. Others are painfully boring: Setting up disability logistics, trying to get myself to be declared permanently disabled so I can access my IRA early without penalties, scheduling nurses and IV deliveries with OptionCare, which has become increasingly and noticeably less efficient within the past month.

I feel terrible, but my last scan doesn’t show many tumors. The tumors that I have, however, are aggressive and producing a lot of VIPoma, the hormone that makes me sick. Drugs and octreotide shots don’t even really help much. My body just seems to be wearing out from the stress of being sick. I’m bewildered that such tiny tumors can cause so much pain.

Walter White: Me.

As I mentioned in a recent previous blog, my body has been trying to kill me, on and off, since 2012. Doctors have bought me time since then, but it’s like I’ve been on the run from cancer, first Hodgkin’s lymphoma and then neuroendocrine tumors. It’s relentless in hunting me down. It wants to win. It’s going to win, eventually. I made the analogy of being on the run and now cancer has surrounded me, like the authorities closing in on a criminal on the lam. I have been ready to come out slowly with my hands up and surrender to hospice.

Or am I? I would do anything for even a few months of normalcy. After the tumor board discussed my case, there is one more outside-the-box thing they can try. It might work. It might not. I met with the surgeon on Monday. I have three spots on my liver, one on my pancreas, and two in my bowels. My pancreas tumor is inoperable. It’s too close to a duct and they would do a risky surgery only if it were the only tumor and it could possibly cure me; that’s definitely not the case here. The liver tumors can be lopped off and it’s very likely the bowel tumors can be removed as well, but he won’t know the extent until he gets in there.

I had thought I also have a chest tumor but that wasn’t mentioned, so I am asking about that.

It’s not a small surgery. They would re-open my Whipple incision and then cut even further down. They wouldn’t offer it if there weren’t a chance of working, but there’s a chance it might not work. It won’t be as big of a deal as the Whipple, but it’s a month of recovery.

So it’s up to me.

I’m obviously going to do it. I can either go to hospice in a few weeks or try this. The way I see it, either: 1) I’m going to go into hospice and die within a month, 2) I can try this and it won’t work and I’ll still go into hospice and die, 3) I can try this and feel better for a little bit and then die.

Tony Montana: Also me.

Instead of coming out with my hands up, I feel more like Tony Montana in Scarface with a grenade launcher. When I made this analogy on social media, several friends have promised to have my back. “I love the comparison,” noted one friend. “You need a giant bowl of cocaine like right now.”

For all the tough talk though, I might be saying you need an army to take me, but that’s not quite true at all. Sometimes I feel so tired and weak, I can’t imagine making it to November 12 for my surgery.

And I could always get hit by a bus. People say that sometimes as in a you-never-know way, and then it almost happened yesterday. It wasn’t a bus though. After attending the premiere of Last Christmas with my friend visiting from LA last night, we ordered a car home through an app. Our driver appeared to be tired and we had to locate him half a block away. I rarely pay much attention during rides and so when we were on the FDR, I didn’t notice that we were in a lane heading full speed toward an abandoned car with its hazards on. Luckily my friend noticed, and she screamed for the driver to stop. He stopped just in time, leaving inches between us and the stopped car. The car behind us was inches away from us and luckily swerved in time. The driver also almost went the wrong way down a one-way street close to my apartment but I noticed and stopped him. I feel bad because he almost killed us but it was clear the driver was really tired. I think he shouldn’t have been driving but needed the money. It was sad.

So after all that worry about the surgery, I almost met my end yesterday on the FDR. I think it’s a message from the simulation runner not to speak of the simulation.

I am almost positive I’m going to go through with the surgery, unless they can’t do anything about the other tumor. But you never know: I could get hit by a bus tomorrow. I hope I can buy myself some more time.

A few of my friends and I often posit that this world is clearly a simulation, and we’re some sort of experiment.

My personal theory is that we’re in a jar in some alien teen’s bedroom and his little brother has stolen his science fair experiment and things have gone off the rails. I think the shift happened when the Chicago Cubs won the World Series over the Cleveland Indians. (What sort of dastardly deal did they make to win?)

One of my other friends thinks that there are a series of simulations, and we’re saved in the cloud and entered in various worlds.

Sometimes, I think the simulation is so obvious that the people who are running the situation are just messing with us. How do you explain Vanilla Ice on a quarantined plane from Dubai? It’s like when something ridiculous happens and you realize you’re in a dream. Sean Spicer on Dancing with the Stars? The smoking cockroach?

Maybe we know too much, we worry, while (mostly) joking about our simulation theories.

The other day, one of my friends I went to high school with had a very detailed dream that he was guiding me through the end of my life, but that he woke up in his dream to learned I had died. I spent the day kind of worried I had died and didn’t realize it, like Cary Grant and Constance Bennett in the beginning of Topper.

Then one of my friends got stuck in an elevator, on a high floor, for 10 minutes. “I’m not sure I made it,” she texted.

“We probably both died in some other simulations,” I noted. We went to a seance for fun early last week and the spirits had messages for everyone but us probably because they sensed we were already crossing over into their realm.

Following my crazy theory, I mentioned that maybe you die in another simulation when you have that feeling you’re falling when you’re about to go to sleep. “That’s just you rebooting,” replied my boyfriend.

Sometimes I find myself thinking about my crazy theories for a little too long. A few weeks ago, my hemoglobin was low. I was pale and tired and needed blood. I was always cold.  Am I turning into a vampire? I wondered. Being undead would be better than being just plain dead.

I wondered about my possible vampirism on social media after I slept in the bathtub with my black cat, Lux, after a night of not feeling well. “Depends… was the cat in the tub too?” asked one friend. “This is a very important part of the spell.”

Often we wonder how to get in a better simulation. I need to find one where I don’t have cancer.

Sometimes I find myself planning for the next life. “If I get rebooted into a new simulation, I’ll find you,” I tell my boyfriend. “I’ll find you before I get so sick this time, so you have time to get tired of me.”

I have to remember to avoid some people and situations. I’ll get my neuroendocrine tumor spot checked out earlier. Will Ziggy my cat still be a cat? I have a lot of questions, then I remember that I’m not actually in an episode of Black Mirror.

I have this life as far as I know. Yet I still hope I can get a better reboot situation.

 

When I have been in the hospital, I have been seen by a variety of teams: the dewy-skinned dermatologists, the inexplicably large neurology group, the gastro doctors. In August, the kidney doctors visited me several times. “We just have to stop the diarrhea,” they said matter-of-factly. It made me laugh because that’s all we’ve been trying to do for years. If it were that easy, we would have done it.

The PRRT helped a lot for a year, until it didn’t. Now I’m reliant on daily IV fluid for hydration and balancing electrolytes, replacing all the potassium, magnesium and sodium bicarbonate I’ve been losing. My type of neuroendocrine tumors are not only particularly aggressive (my ki-67 markers are 40% when most other people have 1% or 10%), but they also are a rare subset that produce VIPoma, a hormone that causes Verner-Morrison syndrome, which has a cholera-like effect.

It’s a particularly humiliating way to go, but I’m constantly reminded when I see other cancer patients that there’s no such thing as a good way to go. Every cancer is uniquely horrible: the brain cancer patient who had to have things manually expelled from her chest, the head-and-neck cancer person whose facial bones were painfully eaten away. People holding bags of bodily fluids, oxygen tanks. There’s no beautiful Hollywood death where you just get a nose tube or an IV bag. Cancer is messy and disgusting and like snowflakes, uniquely terrible for every single person who has it.

I actually read an article about how neuroendocrine tumor patients, who often have pancreatic tumors, don’t have the weight loss of the pancreatic cancer patients. People often say I don’t look sick. (Though now that I’m down to 86 pounds, I do look a little gaunt.) Steve Jobs, Aretha Franklin, and Rainè Riggs (Bernie Sanders’ daughter-in-law, who died two days after her cancer diagnosis), all seemed to look OK up until the very end. I mean, Aretha Franklin had three outfit changes at her own funeral and looked better than most of us while we’re still alive. So at least I look OK for now?

I had a CT and a dotatate scan on Monday, and I met with the doctor to discuss it yesterday. My lymph nodes and tumor sites have been hurting, and it seems as if the Keytruda (pembrolizumab) hasn’t been working. The scan results weren’t quite ready for review, but it looks as if things are kind of holding steady. It’s not the “cancer everywhere” report I was expecting. This would be good news if I felt better. But my quality of life is just OK at best.

So what now? I’m slated for another Keytruda appointment in two weeks. Something’s happening. I just don’t know what. Last night, I had to take a oxycodone in the middle of the night because my tumor sites hurt so much. Are they just inflamed because of the immunotherapy? Are they growing? Are they shrinking? No one knows.

I’m in pain. The doctors are trying to manage my electrolytes and balance them so I’m not so fatigued. I don’t know what to do. The other day I was so miserable I was ready to go to hospice right away. My plan was for hospice in mid November; I even started packing up my stuff to give away.

I wish it would it were to stop the diarrhea. It’s what we hoped to do with the last dose of PRRT. It seems impossible to do with these tumors.

I know that my cancer is aggressive and that any time purchased may not be of good quality or for very long. I just want a few months of normalcy, but I don’t think I’m going to get it. I would eat radioactive spiders. I would go to a creepy mansion on a hilltop and be sewn into a new body. I’m in the process of hanging on and letting go.

“Dear you.” I’d been composing the letter in my head for weeks, but the first few words were the only ones I’d committed to screen.

Then they were all gone. I didn’t write any more.

They’d never been alive, really. They were five clumps of cells in vials or petri dishes. I don’t even know how they were stored. Nothing survived the thaw. What really died within 48 hours was hope I’d been hanging onto for more than six years: a feeling of assurance that I would have genetic offspring. Since my cancer became terminal cancer, I realized I would be unable to use my frozen eggs and embryos. I was donating them to two hopeful families. They were going to implant the embryos and thaw the eggs and then create embryos. The letter I had been composing was to the people that I’d expected would come from the eggs and embryos.

Sometimes I refer to the sad thing that happened in February. This was the sad thing. I don’t talk about it much.

It never occurred to me that the egg and embryo donation wouldn’t work. I guess eggs and embryos don’t thaw correctly all the time. I had been relatively healthy—at least fertility-wise—when was 35 and froze five embryos, created with my boyfriend at the time, and 11 eggs with the help of Livestrong cancer charity and NYU Langone Fertility Center. I was about to start chemotherapy at Memorial Sloan-Kettering Cancer Center for Hodgkin’s lymphoma: six months of chemo, which then turned into rounds of high-dose chemo, radiation, and a stem cell transplant that put me into early menopause.

With modern medicine, however, I could still potentially have children using the frozen embryos and eggs. A few months before I could get the green light to use the embryos, the doctors discovered that a spot that kept lighting up on my scans was a different type of cancer: neuroendocrine tumors. I had a Whipple procedure to remove the tumors and parts of my pancreas, stomach, intestines, lymph nodes, and gallbladder. It wasn’t until more than a year later that I learned my cancer wasn’t going to go away, and I would never be able to use the eggs or embryos myself. Even more recently, I had discovered my tumors are pretty aggressive. I measured my life in months.

Still, I’d had hope for the embryos. A friend even offered to carry and raise one alongside her own child, so I could be involved. My boyfriend wasn’t mentioned, because he didn’t seem to want anything to do with it. Then he disappeared as well; cut off from my savings account he regularly dipped into, he left me for an old friend of his, a recently separated Pilates studio owner he “reconnected” with on a business trip to London.

After so much time and expense—and hope—I decided to try to donate the eggs and embryos. I have to admit, it felt like something selfish. It’s always made me sad when people don’t have children. I needed to leave a genetic legacy. I wanted to be like Genghis Khan (without the pillaging) or Ben Franklin. I needed to leave something of myself behind.

When you’re told you don’t have much time to live and your boyfriend of 12 years has just left you, people are afraid to tell you no. It would have been helpful, in retrospect, to not have quite so much optimism thrown my way, but that’s hindsight after a crushing loss.

Until recently, I felt completely alone in embryo donation. I had no roadmap and I was actively discouraged by NYU. Though it’s been around for decades, embryo donation seemed like uncharted territory. Knowing that my ex didn’t want anything to do with the donation, I told NYU in June I wanted him to sign over the rights to the embryos entirely to me. Initially, they said he just had to write something on the existing contract, but when we got to the clinic, there was a lot of confusion. They sent us away and said we needed to talk to their legal team. I called repeatedly, and the NYU clinic advised me to get a lawyer and draw up a contract.

My attorney and I then spent the summer trying to follow up with them about the contract. By August, everyone was on vacation. In the meantime, my ex and I did the physical exams required by the FDA. (New York State law treats egg and embryo donation like tissue donation so you have to go through exams as if you were donating an organ, even though the material had been frozen years ago.)

In October, the clinic said I needed to speak to the on-staff psychologist. I felt like she was designated to talk me out of it. She told me that to release the embryos and eggs, I needed to have recipients—and I wouldn’t need the contract that I had paid the lawyer to draw up. Why had they told me I needed a lawyer? I asked.

“Who told you that?” she kept asking me.

“You did,” I replied. “This clinic. NYU.”

Finding someone who would want them would be difficult, she told me, especially with my cancer history. “You’re telling me that no one wants my terrible genetic material?” I asked, on the verge of tears.

“No one is saying that,” she said.

“Steve Jobs and Aretha Franklin had this cancer,” I countered. “Are you saying they shouldn’t have been born?”

I hadn’t been looking to recipients because I had been focusing on getting the rights to the embryos first. The NYU person said the only group that might want them was a Christian organization but I was put off a bit by the group, even as I asked for the necessary donation paperwork. By this time it was late November.

Search engines led me to baby sites and just a few organizations. If I couldn’t have Google to guide me, who could I trust? Frustrated, I told someone I was just going to put up fliers with my phone number to tear off at the bottom, like I was giving away kittens. Maybe I’d stand outside fertility clinics in a trenchcoat. “Hey, lady, you want some babies?”

Finally in early December, I found some Facebook groups: And the perfect recipients. I felt these families would do a better job that I even ever could.

Those little cells gave me so much comfort and insurance throughout the years. I never knew if I wanted to have children or not. I definitely felt like I needed them to make my life matter, but I didn’t yearn for babies, like some people. I always wriggle out of holding babies, tucking my arms behind me or jumping up and filling my arms with sharp objects. Babies make me nervous.

Me putting baby powder on a doll

Look at this childcare situation.

As a little girl, I always preferred my stuffed animals over dolls. A photo of me when I am about two shows me “playing Mommy,” according to my mom’s caption, with a doll on the floor. Her face is covered in baby powder. I put another doll in the laundry hamper and her tangled hair stood straight up from then on. It was handy for holding her by. Perhaps I was a better cat lady, caring for my three felines.

The clinic the embryos and eggs were shipped too said there was something abnormal about the embryos and eggs. NYU had considered them a “medical freeze” and were frozen at day one instead of three or five. I never knew this. I’ll never know what went wrong and why. I still paid the same storage fee. I picture them stored in an old lunchroom freezer along with other charity jobs.

I’m not saying that NYU Langone messed up for sure. I’m just saying they were extremely obstructive and weird about the whole thing, and then nothing survived the thaw.

I felt incredible guilt for allowing the people I’d selected to receive eggs and embryos hope with me. I’ve been focused on the end of life for so long, I don’t know much about how fragile the beginnings are. I am sad that we went through this together, but I can’t think of any other people I would have rather have gone through this with: kind, compassionate, generous people I can now count as friends.

Another reason I wasn’t sure if I wanted children is the risk of having my heart out there, inside other being that I would be expected to put out in the world. How could I protect them? How could I survive the first time they’re bullied, their first heartbreak? How could I let them go? Egg and embryo donation seemed like a good compromise for me.

I found out about the embryos first; the recipient messaged me to tell me the news. I realized I was waiting all day to hear that the lab made a mistake. That call never came. Instead I got a message from the egg recipient the next day: None of the eggs had made it.

I was midway through a French cream doughnut when I opened an email from the egg recipient. That was it. After six years of mistakenly believing that I would have some sort of genetic ancestors, it evaporated in a little more than 24 hours.

I had started to eat a doughnut as one woman and finished it as another. I kept chewing, thinking about how I wish I could go back to the beginning of the doughnut. Frozen in time and hope, like the embryos.

It wasn’t the prolonged years of infertility that some face. In a way, it wasn’t even my loss. But it was packed all into one powerful punch.

I cried. I actually almost cried my eyes out. I had to go to the eye doctor because my corneas got dried out and my vision was always blurry.

Some days I couldn’t get out of bed, the heavy blanket of sorrow weighing me down. I finally had to because one of my three cats took preliminary nibbles at my inert form. He stuck his nose in my ear and up my nose. He put my heel, which was sticking out from the covers, in his mouth, his teeth gently touching my skin but not biting. Finally, he got on my headboard, like a professional wrestler mounting the ropes to finish his opponent, and launched himself onto my chest. It was time to get up and stop wallowing in my self-pity. I am still necessary to other beings.

I talked to a friend about legacy. “I know how excited you were, but I promise you you are worth way more than just your eggs or embryos,” she wrote. “You have such an impact on your friends.”

I needed an angel who needed its wings to show me my life like George Bailey in It’s a Wonderful Life. What if everyone’s life would have been better? I feel like maybe I didn’t matter.

I wanted to pass along my family stories somehow too. Over the holidays, my mom and I pulled out some of my grandmother’s handwritten recipes. On notebook paper, she’d written out her recipe for chicken paprikas and the following note to me. “Don’t be disappointed if it’s not a success—many cooks fail. Next time you’re home we can make it-—so you can really be successful. It’s easy. Good luck. Love, Grandma.” When I posted the image on Instagram, a friend who is a chef said she was going to share it with her team. Maybe those words will help a young chef whose rice burnt or whose pasta fell apart to keep going.

I wish my mom could have been a grandma. She would be good at it. People talk about her kindness as well. A friend from grade school told me that she remembered when the Care Bear craze was going on, all the stores were sold out of them. My mom, who sews a lot, made her a Care Bear so she could have one. I remember my mom even sewed those little hearts onto the bears’ bottoms.

When I was in the hospital fairly often last year, people kept trying to cheer me up with old memories. A friend took a photo of a bunch of old mix tapes I’d made him in high school and posted it. One was titled “Cool Music.” It wasn’t cool after all, looking back. I’m sorry I led him astray, but he seems to be doing OK.

I introduced a few couples, so there are a few people in the world who owe their existence to me, at least a little bit. I can claim them at some point, like Rumpelstiltskin.

Someone recently told me a quote. “There are three deaths,” writes David Eagleman in Sum: Forty Tales from the Afterlives. “The first is when the body ceases to function. The second is when the body is consigned to the grave. The third is that moment, sometime in the future, when your name is spoken for the last time.”

I’m so worried no one will speak my name. What will I leave behind? Not a computer empire or a singing career like Steve and Aretha. I have all the good people I’ve surrounded myself with.

At my living wake/extreme going-away party, I felt as if I truly had a legacy to leave behind. People left messages and spoke about how I’d affected their lives. It was the George Bailey moments I needed without the angel. People spoke of being inspired to go out and do things and enjoy life, because it’s short. I got a lot of nice feedback from people who read my New York Times op-ed and are working on relationships or starting to date. I’ve received messages from strangers about how they’ve shifted their perspective and want to enjoy and appreciate life more.

In the end, it’s not a bad legacy to leave behind.

Like the end of It’s a Wonderful Life, I am reminded, “Remember, no man is a failure who has friends.”

Years ago, I dated someone whose family ran a funeral home. Long before my cancer, I shared one of my fears about death: That frenemies would show up to my wake or funeral or that people who weren’t nice to me in life would show up and pretend to be sad, and I wouldn’t be able to do anything.

He promised to tie a string to my middle finger and pull on it when someone I disapproved of stopped over my coffin so that I could send one final message to people who I didn’t want at my wake.

I guess I always have to have the last word.

Now that it’s time for me to actually die, I have other things to worry about. And yet… I find myself irritated by a few people who would insincerely pretend to care. The first person that comes to mind is my ex-boyfriend, the one who left me last year. Every now and then, I would receive an email that was a halfhearted attempt to ease his conscience. Sometimes he acknowledged that I didn’t want to hear from him. In his last message, before my Times article, he said, “Know that I am here if you need/want to reach me.” Here. What does that mean? London.

I was tempted to tell him to read the Sunday New York Times to read how I felt. Instead I told it would be helpful to pay me back for my GoFundMe and his student loans on time every month. I don’t know if he’ll be able to muster faux sadness after my article. I think he might feign a sadness that we grew apart for the benefit of others. I’m aware this is a terrible thing to say, but when he tries to be deep, it’s like jumping into a pool and hitting your head on the shallow bottom: painful and embarrassing.

Shortly after we broke up, I found a note that he had written to himself, outlining his version of the story. I think it may have been a draft of a letter to his London lady. It detailed how I was kind of a terrible person before devolving into four lines of unforgettably bad poetry. I will tell you about my broken finger, the money he stole from my savings, the GoFundMe money he tried to take, but I can never share the poetry. It’s too cruel. Even I have a line I won’t cross. (Unless I was intoxicated last summer, when I would occasionally do dramatic recitings aloud.)

One night he fell asleep, after blowing me off to eat pot chocolate, with his phone in his hand. I put the phone on my nightstand. When his alarm went off, a series of flirty texts from London appeared. Furious, I started typing back, but then the phone locked up on me. I went back to where he was still sleeping. “Get out!” I screamed, throwing a pillow at his head. He woke up, confused. “I know about her!” I announced. “I know more than you think.” (At this point, he was unaware I’d heard his lascivious description of their time together in England and his plan to stay with me to “take care of me” while I was sick while pursuing her.)

“I know you’ve been writing her terrible poetry!” I thundered, throwing more pillows.

“No…” he started to protest.

“Are you trying to tell me,” I screamed, “that that poetry wasn’t terrible?!”

He had no response.

I recently watched The Marvelous Mrs. Maisel, and when she’s throwing out the jokes at her fleeing husband, it struck a chord. I think sometimes people don’t realize how hurt I am because I either make jokes or come across as angry.

The latter has particularly left me misunderstood, especially when it comes to friends who have stabbed me in the back. Once, mutual friends called me after a “friend” had spent the entire night drunkenly tearing me apart in front of someone I was dating, and asked me why I made her cry. All I’d done is say it wasn’t nice and ask if she was OK, but she turned it into an attack and turned some other “friends” against me. I cried for months. (Small voice: I also may have tried to punch her in the face but I missed.) “You know how she is,” these girls say about me. I “lash out.” I’m so mean and scary. I’m painted as a villain.

It’s better to be the villain than the fool I feel like when my trust is broken. “I’m hurt!” I sometimes exclaim to others, veins bulging from my forehead. “I’ve been wronged. Don’t you see, she’s trying to destroy me?” I sound crazy. It’s so easy to make me look crazy. I worry that I’m crazy. In the mid aughts, I had to go to therapy for years after the friend debacle, because she would goad me and I felt like I was losing my mind. I stopped talking to most of our mutual friends and it ended up being a good decision.

My old frenemies sigh and pout and bat their eyelashes and say that I’m unreasonable in plays for sympathy. Lots of people believe them. This has happened to me at least three times. I never learn with a certain type of insecure girl.

I don’t get the sympathy. Instead I get the laughs. I’m tough; I’ll make it through. I’m not going to be a simpering victim. It’s OK. Sometimes I just feel misunderstood. All my old frenemies will be relieved, I guess.

My uncle has been progressively meaner to me over the course of my life. He is a stealer of joy. He’s also an actual thief, who convinced my mom to give him money even after my grandmother warned me to look out for him. Then he turned us into villains. He recently contacted my mom, no doubt because he heard that I’m dying and he’s eager to weasel his way into inheritance money. He would always appear at the doorstep of the sick and dying.

Why am I so angry? Why am I wasting my precious time worrying over these people? Why do I turn my thoughts over the people I feel hurt by: friends who have turned, people who have said I’m like family then ditched me, people who I’ve felt abandoned by?

I need to let it go. But as Kim Gordon of Sonic Youth said of her ex, Thurston Moore, “You can’t really forgive someone if they don’t say they’re sorry.” According to Gordon, the Dalai Lama said you don’t need to forgive if you have empathy for the person.

I don’t understand these people though.

Yet I’ve thrown so much shade, I’m sitting in the cold. I want to be in the sunshine. Is that a selfish reason to want to forgive? Is it any worse than being like them, wanting to appear kind in the eyes of others by pretending to feel something other than contempt for me?

I call them Deathbed Tourists. My illness is a backdrop. It’s so sad that I’m dying, but it’s definitely my fault that our relationships ended. Isn’t it? I broke up with my ex via email. This is true. I broke up with him after he booked a solo trip to Iceland and then said I needed to pay $1,000 of his COBRA insurance coverage. I stopped talking to those girls after being humiliated, after being stabbed in the back. I stopped speaking to my uncle, tired of his verbal abuse every single holiday, when his goal seemed to anger me and make me cry, so much so that my grandmother said something to me and I was absolved from having to be around him anymore.

I’m a photo op. A shame. Something to shake your head at sadly. They tried to be there for me, but I turned them away.

But do I miss any of these people? No. My life is much better now. Why do I dwell here, in this dark place of hurt? I want to really let them go before I go. I don’t know how.

When I was a little girl, one of my favorite children’s stories was about the three little kittens who lost their mittens. I have always loved cats. My dolls sat languishing in their doll beds while my stuffed animals got all the attention.

Before Instagram, I had to make my own photo layouts of cats when I was about 10. Pictured are Pretty and Perky, my grandpa’s cousin’s cats, and Morton, the beloved black cat who lived next door to me growing up.

We would sometimes visit my grandpa’s cousin in southern Ohio, a widow. I was told she didn’t like children and so I had to be on my best behavior. I spilled milk on her before a wedding and I realized then why she didn’t like children. She had two cats: a ginger tabby named Perky and a white fluffy cat named Pretty. I loved them. I knew deep down that one day I would be a cat lady.

When I realized I would die soon, I worried. What was I going to do about my three cats? My ex had initially said he would take them, but I knew that he would move to the U.K. to be with the Pilates instructor he left me for. And I knew that she already had pets, a dog and some cats, because she mentioned them in the flirty texts she sent to him. (Maybe he replaced me with a woman better suited to him and his extravagant tastes, but I take great satisfaction that his British cats will never be as great as goofy Ziggy Stardust, cool Lux Interior, and sweet Lulu.)

I started this post last year when I was dying, then I was too busy living to finish it. The question of pets comes up in support groups and among the terminally ill. What do we do with the animals we adopted when we expected to outlive them?

Thankfully, someone has agreed to take in my three cats all together. It’s such a relief. Right now, the cats also have a catgodmother who comes and cares for them during my hospitalizations.

My cats have a lot of personality. Everyone who visits has a favorite. Ziggy, a friendly good-looking tabby, needs lots of attention, and turns on the charm for all visitors and is a popular choice. Lux, a black cat with a hearty appetite and a goofy personality, has his own distinct fan club. Lulu, a small somewhat shy tabby, cultivates fiercely dedicated devotees with her sweet and gentle disposition.

Ziggy Stardust

A friend took a photo of Ziggy at his birthday party.

Ziggy is the cat who greets people at the door. He needs to charm everyone, whether you are sleeping on the daybed for a few days or over to fix the printer or the pipes. He is a ham. He poses for pictures. He’s a handsome cat, with big velvet painting eyes and a pink nose, and he knows he’s attractive. Some people say he’s a dandy.

We have a special bond because his sister, Charlotte Sometimes, was very sick with FIP as a kitten before she died. He would try to play with her but she was too weak and my ex would often lock Ziggy in the bathroom when he would try to play too rough with Charlotte or when Ziggy would mess with his record collection for attention. So sometimes I would spend time in the bathroom with him, during his exhile. Ziggy’s also really smart, so he figured out how to open the bathroom door, so if he got bored enough, he would let himself out.

Ziggy was sick at the animal hospital and I went to visit him. A photographer friend took this Madonna and child photo.

After his sister died, he didn’t have anyone to play with and so he would jump out from behind things and puff himself up like a Halloween cat to try to get me to chase him. I would chase him and catch him and then hold him and he would purr. We still play that game when he wants attention. Confused guests asks why he’s puffed himself up, but he’s just trying to play the little game we played. You have to try to pretend you’re going to get him and then hold him. He’s been doing it more and more lately, adding a little jig. His catgodmother calls it his “heed me” dance.

He loves attention so much that he’ll put up with me dressing him up and taking pictures sometimes. He’ll endure an otter hat or being dressed as a cow for attention. He’ll wear his bow tie for special occasions.

Ziggy is uncannily smart. When we were trying to keep him from my ex’s record collection, we got a scat mat, one of those mats that sends a slight shock, and put it in front of the records. In the middle of the night, he found the connector piece didn’t shock and was dragging it to the middle of the room with his mouth, to a place where we would step on it instead. Our eyes met as he moved the scat mat into my path. I didn’t care about the records and admitted defeat, proud that I have such a smart cat. The other day, he tried to figure out the cabinet door so he could get one of his favorite toys.

One day, I caught him on the cat cam trying to dismantle it before he knocked over a lamp. (This makes him smarter than my ex, who left the cat cam on when he called his brother to tell him about the London woman and talk about how he was tired of dealing with cancer.)

He is a sensitive soul and has to be on anti-anxiety medication. Because of his anxiety, he is prone to urinary tract infections and has to have a special diet. Of all the cats, I worry about Ziggy the most, because he lost his sister and he’s going to lose me too. Ziggy is my whole heart. He loves me too, I think. I bought a card with nine cat faces on the front for my boyfriend that said, “I would spend all nine lives with you.” Ziggy chewed the corner of the card. He likes to eat plastic, but it’s as if he was sending a message: I will always be his.

Ziggy’s major flaw is that he eats Apple chargers. Not all chargers, mind you, but Apple brand in particular. I think he has stock in Apple. I have a special case for my charger so I can wrap it up when not using it. He also loves to eat tape and adhesives.

He often sleeps on my neck, like a scarf, purring, his pink nose close to my cheek. I have a painting in my childhood bedroom that looks just like Ziggy. I feel like we were destined for each other.

Lux Interior

Lux was originally a set of ears mostly.

For my 22nd birthday, my boyfriend at the time surprised me by taking me to Cat Welfare in Columbus on our lunch break to pick out a cat. I was still a little bit goth, and after looking at a litter of little black kittens, I picked out a big spooky black cat that my boyfriend thought was ugly. It ran away from me and hid. He had to get back to work, but I needed a cat that very day, and so I took home instead the cat who stuck by my side when he meowed to be let out of his cage: A goofy white cat with tabby spots and tabby tail. One of my friends called him a “Frankenkitty, like someone took a bunch of different cats and sewed them together.” He did look like he was the last cat made at the factory that day and they used the last scraps of fur. I never regretted adopting sweet, goofy, clumsy Maceo.

Now Lux is mainly eyes.

I finally got my black cat a few years ago, at Urban Outfitters. They were picking up the tab for Best Friends animal adoptions, and we were on a search for companions for Ziggy. They hadn’t even put out Lux and his sister, Lulu, yet. They were barely three months old, and when we took one out to look, the other would mewl for its sibling. Lux was mostly a set of ears on skinny kitten legs. He had a tiny white spot on his chest. Both of them have their tails on backwards, so they curl forward. Another cat factory mishap; someone new on the job put a bunch of tails on backwards.

Lulu loves Lux. Ziggy loves Lux. Lux loves everyone. He’s very relaxed, except for when he’s racing around or chasing a spring. He likes to tear apart boxes. He looks at the window and stares at birds and makes clicking noises at them. I can’t tell if he’s impersonating the cats or if he’s telling them that he’s going to eat them.

Lux sincerely believes that no one can see him while he hides behind this curtain.

When he was a kitten, Lux would insert his entire face into your open mouth if he could. Now he is more polite and just inserts his snout. Food is his favorite thing.

Master of disguise. Stealth.

Sometimes I think he would be OK to live on the streets, but one of his favorite activities is to hide behind the sheer curtains. He can see out but he doesn’t think anyone can see in, nor does he realize his feet and tail are clearly visible below the curtain. He jumps out to surprise you and I have to act surprised. I think he’s convinced his sister, Lulu, that you are invisible behind the curtain. One of my friends who is a Lux fan uses a hashtag when he does things like this: #classicLux.

Now that I finally have a black cat, he’s the least goth cat you can imagine. He’s weird, but he’s definitely not spooky. That’s OK. I was also too goofy to be a real goth anyway. He’s the perfect black cat for me.

Lulu

Lulu is little camera-shy and a bit shy in person as well. Ever-cautious, she hides for a little before emerging, unlike the boys begging visitors for attention the minute they arrive. She establishes deep connections. “I love sweet and gentle little Lulu the best,” declared one of my best friends.

She’s a sweet and gentle soul.

Lulu has special meows and language for her favorites, eating on a shelf for her cat godmother. She follows my boyfriend around and meows at him for kibble.

Like my old cat Maceo, she answers to her name, to “Lulu” or “Lulululululu.” I didn’t know what to name her and when my ex suggested Lulu, I had my doubts. But I called her name and she immediately answered, so she picked her name.

She prefers kibble to wet food. Every day she buries her wet food by pawing the hardwood floor around her dish. Every day, the other cats find it.

Sometimes she watches TV.

Even though she’s so shy and timid at times, it seems like she craves adventure and travel. She often tries to sneak into her catgodmother’s bag and see the world.

Lulu suns her belly. Her front paw pads are all black except for one pink toe. Like her brother, Lux, she has a white spot on her chest, as well as an orange patch. She has a black ring around her neck that makes it look as if she’s wearing a necklace.

The person who is going to take care of them when I’m gone came to visit a few weekends ago. It was bittersweet. I know she’ll take good care of them. I told the cats to be good and impress our special guest. Ziggy was sweet and charming. Lux was soft and friendly. Lulu cuddled and even brought out a toy mouse to show off what a fierce huntress she could be. I’m so proud of my little cat family. I will have to say goodbye to them soon, and it will be one of the hardest things. Until then, I treasure my time with three of the very best cats.

I usually take 12-15 potassium a day but my insurance won’t let me get a refill until Oct. 31. At this rate, I would have six per day. The doctor and nurse were trying to get me a decent amount but it’s a struggle. I know it will work out but I am extremely annoyed.

I’m trying to stick around until mid November but it doesn’t really matter. The Keytruda isn’t working so I plan to do hospice in mid November. I really want to make it through my boyfriend’s birthday, Halloween, and a few friends’ visits. Then I can go to hospice.

We are out of options. I am so sad. I don’t want to say goodbye to the cats. To the people I love. But I don’t have a choice anymore. I tried so hard to stay for just a little bit longer and in the end, I couldn’t. Everything hurts. My electrolytes are all messed up. I am going to try to stay as long as I can with electrolyte boosts but my body is dying and it is hard to keep up.

It’s also handy to die in November because that’s right before my disability stops paying. I know this is the best possible outcome, but I am sad. I don’t want to go but my body is giving up. It will feel good to stop hydration and postassium when the time comes.

Also our system is broken so my dying wish is that you vote for Warren or someone good.

My birthday was Saturday. It’s my last birthday.

Three years ago, I was in celebrating my birthday in Glasgow, Scotland. Two years ago, I was in California to see my friends and Depeche Mode, and my boyfriend at the time got upset and tried to leave me and a friend at the Hollywood Bowl and my finger got broken and I realized that he charged my birthday dinner and $500 worth of hotel rooms to my credit card and had been funneling money from my savings account. That birthday could have been better, but I managed to have fun without the spectre of his anger hanging over me, and it put me on the road to independence. (Sadly, I wasn’t strong enough to leave then, and I am forever grateful to the London Pilates instructor with whom he now lives. I sometimes feel bad for her, but I figure an op-ed in the New York Times is a fair warning.)

Last year, I was at a resort in Bermuda with a friend. I had always vowed to get back to Bermuda, and I’m glad I got to see its pink sand beaches one more time.

For this birthday, my boyfriend got me and some friends a boat trip down the East River, sailing to the Statue of Liberty, misidentifying New York City landmarks. A friend made a cat cake. It was such a good birthday with some of my favorite people. I couldn’t stay out too long though, because I felt fatigued. It lasted through Sunday and Monday, and I’ve spent a lot of time sleeping.

Overall, it was a nice last birthday. Time stops at 42. It’s strange.

I’ve been trying really hard to hang on, but ever since I got a cold and then pneumonia a few weeks ago, I’ve felt like I’ve been inhabiting a corpse. I’d promised that if I ever got to this point—to daily IVs that require a needle in my chest, to diapers, to crippling fatigue—I would go to hospice. However, I’ve had things to do. I wanted to live through my birthday. I want to live through my boyfriend’s birthday and Halloween and a friend’s visit.

Then I can go.

It’s strange after this past year of thinking this could be the last to this is definitely the last. Some things snuck up on me and I didn’t notice. My last yoga class. My last plane ride.

I feel like I’m dragging a corpse around. I’m so tired. I look at emails and can’t answer them. My lymph nodes hurt. My stomach and intestines hurt. My neck hurts. Everything hurts and I’m tired. Physically, I’m ready to go. I just have a few more things to do.

After my New York Times column in the Disability section, “Dating While Dying,” I got a few requests for interviews. One was from healthy living expert Dr. Pamela Peeke, a name I’m familiar with from my women’s magazine editor days. Dr. Peeke hosts the popular HER podcast on the RadioMD network. I talked to her about life, death, fear, relationships, and how online dating is more daunting than terminal cancer at times.

One thing that struck me as I listened to the podcast was how many people reached out to me via Twitter and email in response to the column. I haven’t even had time to write back. However, I hope that I inspired people to get out there and stop being afraid to do things, particularly after a cancer diagnosis. I know it often seems like after cancer, you’re waiting for the other shoe to drop. It might. It might not.

Also, dating is terrible. Fear of rejection is the worst. If I hadn’t gone into it as a fun extracurricular hobby, I don’t think I could have done it. Dating with a disease or disability is hard, but after I realized it kept me in a bad relationship, I realize my fear kept me from being free and happy. Before I had cancer, I didn’t think I was pretty enough or thin enough or cool enough. My nose is funny-looking. There’s always going to be something.

Dating is one of the scariest things I’ve ever done. If I didn’t have my dating app sherpa to share what he calls his “best practices” and to commiserate, I don’t know that I could have done it. He made it fun. And I found love, of all places, on Tinder. That’s crazy.

Please check out the Dating While Dying episode, and if you listen to it as an Apple podcast, don’t forget to rate and review the show. My headshots are old, so I just submitted a recent photo for the HER page. It’s me in a pool during a recent staycation. You know what they say: Dress for the job you want, not the one you have. Happy listening!