I was a mother of two, a woman in my forties, and someone who thought she had too much life to live to worry about something like cancer. Then, one day, I felt a small lump in my right breast.

I discovered it almost by accident while getting dressed for office one morning.

Nothing dramatic happened in that moment. There was no warning, no reason to believe that an ordinary day would become a dividing line in my life. It was just a small lump. Something I could have ignored, something I could have convinced myself was nothing.

But I got it checked.

The time between diagnosis and surgery blurred by. Consultations, investigations, conversations with doctors, and decisions had to be made quickly. There was very little time to sit down and absorb what was happening to me. One moment, I was going about my life as usual; the next, I was being told that I had breast cancer.

Cancer-the word that changes the temperature of a room. In cultures like ours, mostly in the North, we are told not to say it out loud. Like Voldemort in Harry Potter, the thing you can't name. Some call it Badi Bimari (the grave illness); some call it Na murad Bimari (the bad disease); and some Woh Bimari (that illness). Whether deeply influenced by traditional etiquette, I believe it is more a superstitious belief about inviting bad luck.

Even when doctors explain the treatment plan calmly, even when they reassure you that you have options, the word itself carries a hard-to-describe weight.

I had two children. I had a family, responsibilities, plans, and a busy life in all the familiar ways. I was a young, vibrant woman in my forties. I did not feel like a person who belonged in a cancer ward.

But cancer does not ask whether you feel ready.

Losing a breast, and a little of the person you knew

The lump was removed completely. The treatment, however, involved a mastectomy, and that was a different kind of loss.

You can understand the medical necessity of an operation and still struggle with what it means emotionally. You can be grateful that the cancer has been removed and still grieve the part of your body that is no longer there. These feelings do not cancel each other out.

A breast is not simply a part of the body. For many women, it is connected to femininity, sexuality, intimacy, and the way they have always recognised themselves in the mirror. Losing one can make you feel unfamiliar to yourself.

There is the physical reality of waking up after surgery, the pain, the dressing, the scar and the changes you must learn to live with. Then comes the quieter adjustment: getting dressed, looking at yourself, wondering how your body will feel in your clothes, and discovering that something you once took for granted now takes thought.

I had to get used to a body that was still mine but no longer looked or felt exactly as it had before.

There is no single way to feel about a mastectomy. Some women feel relief that a bad organ is taken out, others experience grief, anger, or a complicated mixture of emotions. I don’t know what I felt; I had beautiful breasts, and was I less of a woman now? But I had to move forward before I had fully processed what had happened.

Perhaps that is one of the strange things about cancer treatment. Your body is going through something enormous, but life around you continues. The children still need their mother. The household still needs to run. People still have ordinary conversations and make ordinary plans.

You are expected to recover while also learning what your new normal looks like.

Chemotherapy: when even your stomach rebels

Surgery was not the end of the journey. Chemotherapy followed.

If a mastectomy changes the way you see your body, chemotherapy can change the way you experience it from the inside.

There is the expectation before treatment, the uncertainty about how your body will react, and then the physical exhaustion that can follow. For me, one of the hardest parts was the vomiting.

It is difficult to explain how exhausting it is to feel sick repeatedly, to have your stomach turn against you, to struggle to keep food down when you know you need nourishment. The body you have spent your life trusting to carry you through your days suddenly feels like something you must negotiate with.

Chemotherapy is given to fight cancer, but the experience can be brutal. I feel the medicine cannot differentiate between good cells and bad ones as well as it should. Once it's in the body, everything seems to flare up. Nausea, vomiting, weakness, and fatigue can make even simple tasks appear like achievements. A shower can require planning. A meal can become an effort.

My heart broke the day I got that strand of hair in my hand. That's when I decided to get rid of that beautiful brown mane. I shaved my head and made a scarf my permanent friend.

To make it worse, it was a struggle to keep this condition away from my children, who were still minors. I was always a strong mother; I didn’t want that they should see me at my worst.

With every cycle, the body became a little weaker, the hair became even less visible.

A good day can mean little more than getting out of bed and sitting with your family to have a normal conversation.

Ten years later, life goes on — differently

It has been more than ten years since cancer entered my life. Sometimes, when I look back, that period feels as though a lifetime ago. At other times, I can remember it with every thing clarity: the diagnosis, the surgery, the chemotherapy, the exhaustion and the uncertainty.

Life has moved on, as it does. My children have grown. I have grown older, too, and perhaps a little wiser. I am still the woman I was before cancer, with the same zest for life and the same vibrancy. But I also know the body can change in ways you never anticipate, and that you can adapt to more than you imagine.

Some of those changes are visible. Others are woven into the small, everyday details of living.

Take bras, for instance. Something so ordinary can become a reminder of what has changed. Finding the right fit is no longer simply about colour, design or comfort. It can mean finding a bra that accommodates an altered body, offers the right support, or works with a prosthesis, if you choose to wear one. Getting dressed can involve decisions that other women may never have to think about. Eventually, you find what works. You adjust. You carry on.

Then there is the business of looking after yourself. Dust, seasonal flu, infections and apparently minor illnesses can take on a different significance when you have been through cancer treatment. You become more conscious of your health, more attentive to symptoms and more careful about the environments you expose yourself to. Depending on the treatment received and its lasting effects, some survivors may have particular reasons to be cautious about infections.

The phrase immunocompromised is hard to hear. It sounds clinical and impersonal, but it can change how you think about something as simple as being in a crowded room or sitting beside someone who is unwell. It can cause you to pause before doing things you once did without a second thought.

And then came Covid.

The pandemic gave the words immunocompromised and vulnerable a meaning that was difficult to ignore. Suddenly, the world was talking about infection risks, immunity, masks, distancing, and people who might be more susceptible to severe illness. For those of us who had lived through cancer, this wasn't merely a conversation happening on television. That served as a reminder that our relationship with illness could be different from that of other people.

Ordinary decisions meant even more calculation. Should I go out? Is this gathering worth the risk? Who has been exposed to an infection? Can I afford to be casual about something others might shrug off?

The pandemic was frightening for many people, but it brought a particular kind of anxiety for those who worried about their health after cancer. It also reminded me that the term cancer survivor does not mean that every concern disappears when treatment ends. And being immunocompromised is not a universal, permanent consequence of having had cancer; it depends on the treatment, a person's health, and how their immune system has recovered. Still, the fear can linger, even when the immediate danger has passed.

Over time, I have learned to be careful without letting caution become my whole life. I cannot eliminate every risk, and I do not want to spend the rest of my life afraid of one.

I am not the same woman. And that is all right.

Cancer changes your relationship with your body, but it can also change your relationship with time. You begin to understand that health is precious without wanting every day to become a lesson in gratitude. You learn to appreciate ordinary mornings, family conversations and the freedom to make plans. You also learn that you can have a difficult day without feeling like you are failing at being a survivor.