Well this is awkward…

‘“I can’t explain myself, I’m afraid, sir,” said Alice, “because I’m not myself, you see.”

“I don’t see,” said the Caterpillar.”’

– Lewis Carroll, Alice in Wonderland


Leukaemia, cancer; there are definitely many downsides.

The chemo makes you feel pretty grim. You’ve got a steady supply of poison being pumped through your veins. It kills off the malignant cells – or so you hope – and obliterates a good many healthy ones in its wake.

But if we leave aside all the physiological drama for a moment, all the aches and pains, the crippling nausea and the weakness, there’s one thing I really dread. To be honest, given the choice, I’d prefer an injection (a little subcutaneous one though, nothing overly invasive).

I’m referring to the moment of revelation. The bit where you have to tell someone for the first time.

It could be a close friend, it could be a minor flirtation. It could be the alumnae office from university, ringing up to see what you’re doing with your life. It’s always fraught with tension.

You do everything in your power to avoid the loaded silence. First you drop the bombshell, then you sense the utter panic on the other end of the phone; their brain goes into overdrive, ticking away furiously searching for the right words. You start talking and talking, you keep talking; you don’t let them get a word in edgeways. You’re trying to spare them the unease. It becomes a matter of boosting morale. You find yourself gushing about impressive remission statistics with all the aplomb of a failed head teacher boasting about exam grades.

When the numbers look good it gives you something to hide behind. It’s just a question of finding the right numbers. It’s not easy when there aren’t many to go on. There are only 28 recorded cases of my cytogenetic anomaly in the UK. 16 of them, I was told in the vaguest terms, responded to treatment. I don’t know what happened to the other 12.

But nothing stands in my way. I’ll do anything to avoid the shocked pause. On more than one occasion, I’ve found myself spinning out stories and statistics, ending the conversation with the slightly renegade conclusion that, really, I’m incredibly fortunate – in fact, more than that, I’m actually ingenious; I’ve somehow managed to contract the best, most treatable disease in existence, in all the ideal circumstances, surrounded by the greatest support and finest medical facilities possible. And it’s perfect timing as well. (Or as my mum puts it: ‘You’re so lucky, imagine if you’d been born 100 years ago. Or in a war zone. You wouldn’t stand a chance.’) Then I flutter on about the reputation of the haematology ward. The hospital? It’s basically a health spa – cooked meals, free foot massage (once-fortnightly, but still), a dietician, a hair specialist who comes in every Thursday.

But if it’s hard for me, it must be much more difficult for the other person to find the right thing to say. And there is no right thing to say. There are plenty of wrong things. I have some stunning examples.

More on that next time.



  1. Chris Gilbert says:

    Yes it is weird how telling someone becomes all about them. People want to support you but are stumped how to begin. Maybe easier for both parties (Hmm, this ain’t no party) if you give ’em rules on how’s best for you
    From a big fan

  2. Chris Gilbert says:

    I’m in Nice distanced from you, and so suitably placed to tussle with the awkward ‘telling others’

    Bill Clinton (I think) said in sympathy “I feel your pain” implying he could imagine himself in another in minutest detail. But I can’t imagine what it’s like now for you, nor what it’s like to be trapped down a mine; would I be more use to you if I could?

    However I have empathy – “I am attending intently to you” rather than I know what you feel. Sympathy activates one’s own ego; empathy is a rather more demanding exercise. I guess sympathy is an embrace, empathy an encounter (on your terms.).

    You tell someone and they want to embrace you, but they have to empathise (horrid word) which is harder, but has its own emotional rewards.

    I think you’re fantastic, and “doing great”, we’re in the wings really to chip in is,as and when

    Forgive the (one off) ramble – me ‘ed’s clear now!

  3. Mim says:

    Hi Hannah. You’ve articulated it perfectly. Leukaemia isn’t something people talk to each other about very often. So it’s fine to talk about yourself, and lots – we don’t know what’s going on and what it feels like.

    Keep writing. You’re amazing.

    P.S. Although the drugs (and all of the other treatment) sound really bad, ironically, they make quite pretty pictures. And I like your eggcup.

  4. Hi Hannah You’ve had a really tough and difficult journey. Thank you for sharing your story, very real, humourous and sometimes ironic. May you continue to thrive and we look forward to your reading your next chapter. You are a champ. Best wishes

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