I've come to realize something in the last few days. My cancer treatment drags on, keeping me alive but not really getting me better. I continue to manage my diabetes and live with an artificial IV port in my chest. I take lots of pills and shots, get medical tests, and see doctors all the time. I can't safely travel very far.
More to the point, I hurt, and I'm tired. Many parts of my body simply don't work the way they're supposed to. Most of the time, I'm nothing close to genuinely well. I may never return to my great job. I've been like this in some form or another for more than two and a half years.
So here's what I realized. I'm a 40-year-old man whose body has become much older. I'm a youngish guy in an oldish container. There are plenty of people three decades beyond my age—including my own parents—who feel better than I do, and can do more. And the hard part (for all of us) is knowing there's a good chance they'll live longer than me too.
For the vast majority of human history, living to age 40 was an achievement in itself. Even a hundred years ago, Type 1 diabetes like I have was a death sentence too—I would have died in my early 20s, before I had a chance to marry my wonderful wife or have two great children. I'm glad I've had those chances.
If I were (for instance) 75 years old now, it would be easier to accept what cancer has done to me, and to acknowledge that living (for example) another five years would be a pretty good achievement. I'm trying to think more like that—not to be fatalistic, but to be pragmatic, to know that while I'll keep fighting, without radical new treatments or some very good luck, it's probably a losing battle. But that's not a failure.
I'm sitting on the back porch in the sun, drinking a coffee. In a few minutes I'll help my kids make some cake. It's a good life.