Tilt Your Head Up Towards the Sun.

Happenstance or synchronicity? A remarkable thing happens: early afternoon, I’m walking around the 100-year-old building where I work, former schoolhouse, now town offices and a few random other activities. The building reflects a segment of rural Vermont: once built with pride, now crumbling, badly in need of care.

A balmy afternoon, I’m walking around the dusty parking lot. An impending cold is burrowing into my bones in the way of my post-chemo life, and I’m pushing back as I do, determined to finish this afternoon’s work. Someone I’ve met occasionally appears. It’s an exceptionally fine November afternoon, and I linger, talking, eating an apple. The conversation veers towards writing, and I mention I’m a cancer survivor. What do you know? Turns out, he worked on one of the drugs that saved my life. I repeat the drug’s name; he repeats it back to me.

I had a horrific reaction to this drug. Administered via IV, almost immediately a fist clenched my lungs and heart. The nurse cut it off instantly. For what felt like time-out-of-mind, I gasped, shook so hard the bed smashed into the wall, the nurses took my grown daughter of the room. The room was crammed with doctors and nurses who were bustling. I was so new to the cancer (just a few weeks before, I had been at work), that I begged not to have the drug. I’d taken all the other chemo drugs. Wasn’t that enough? It was explained, succinctly and clearly, that not one of these drugs was gratuitous. I know plenty of people who, for multiple reasons, distrust modern medicine. This was not my experience. Through the better part of a year at Dartmouth Hitchcock, the staff endeavored to make the treatment the most bearable for me, to keep me on the thin precipice between dying from cancer or perishing from complications.

Where I want to take this short writing is not back to the misery of enduring illness, but to the brilliance and goodness of people that lymphoma revealed to me. I survived, thus far, this disease because of the persistence of untold people who devoted their lives to medicine and the suffering of countless patients before me. I am also a woman who’s witnessed and written about the immoral and demonic actions of Big Pharma, particularly the Sackler family. This is all true. But in a nation driven to either/or, to the reductionism of labels and categories, this election offers the opportunity to pause, embrace again the better aspects of humanity, recalibrate ourselves to work that heals, rather than destroys.

We talked a little about Viktor Frankl. Then I thanked him, tossed my apple core into the forest, and headed back to work.

From Taffy Brodesser-Akner’s heartrending essay in The Best American Essays 2026.

How am I supposed to live? That’s my real question, maybe my only one. Am I supposed to enjoy the freedom that your survival and my grandparents’ survival has afforded me? Was I supposed to have more than these two children in response to the Holocaust, to replace myself and my husband and then replenish the supply of Jewish souls on this earth because the six million stories that were burned in ovens are real and more recent than I realized? … Was I supposed to do more than walk around unafraid and think to stop sometimes and tilt my head up toward the sun?

The full extremes.

The days are hurrying right up to that mark of a year of healing from chemo. After that final treatment, I lived into a little lull where I allowed myself to believe that all would be okay again, but the need for surgery roared up, too. Much as I fought against this — and, honestly, my fighting was from fear of a horrible outcome and, perhaps even more, if I’m dead honest, was my terror of YET MORE PAIN — but as I said, much as I fought against this, I eventually ended up back at Dartmouth in a hospital bed, my daughters beside me wondering when the heck this was going to end. That huddle of surgeons appeared. It was, after all, a teaching hospital.

I said no. The surgeon said, I put you on Tuesday’s schedule. Doubtlessly, he was satisfied to finally, after those months, to get to work repairing me. I stared out the window and knew there was no way I would ever make it home. So I said yes.

But a year… a year ago, I was somewhat seeing a man who was more interested in me than I was in him. I was interested in admiring the daffodils and learning to walk again. I was interested in never returning to the hospital again. I had other things on my mind, too. I was rewriting a book, and, since I had lived, I had to start earning a living again.

It’s been a remarkable year, suffused with radiant joy, with gratefulness to walk and eat and read and write and sleep—without pain. And a year filled, too, with the darkest thoughts I’ve ever experienced, as if the cancer had broken every inhibition, allowed me to feel and fear all the rottenness I’ve kept away for so long. This is not something I’ve written about here, but I keep bearing in mind my oncologist’s prescription: Go and live your life, Brett. A year later, the word that surfaces is fragility. I live in a world that bandies resilience—resilience of soul, resilience of Flood Ready Vermont!, resilience of community and systems. A year later, I know intimately the thinness of energy and health, the scantness of my days, your days, our days. All of it, I know; live all of it, such largess.

“The society to which we belong seems to be dying or is already dead. I don’t mean to sound dramatic, but clearly the dark side is rising. Things could not have been more odd and frightening in the Middle Ages. But the tradition of artists will continue no matter what form the society takes. And this is another reason to write: people need us, to mirror for them and for each other without distortion-not to look around and say, ‘Look at yourselves, you idiots!,’ but to say, ‘This is who we are.” — Anne Lamott

The Goddamn Gray, the Brilliance of Language.

A year ago, my daughter was driving me to the local ER, yet again, under the frigid winter sky. Wordless, I leaned my head against the side window of her Subaru, staring at the faraway pricks of stars vanishing and reappearing among the clouds. In the darkness, I fixated on one thought—the white hospital bed, the clear liquid drugs that would make the pain cease—and held to that, my lifeline. Cancer-and-chemo, in its infinite complexity, is a monotone landscape. In all those months, my existence was the blackness of pain, the temporary light of relief-from-pain, the crimson drug injected into my veins. Occasionally, a cardinal at a feeder, blood oranges, and then I couldn’t eat those, either, and I remained alive on Saltines and water.

I keep thinking of those below zero nights as I drive this night to the opposite end of town. There, with a friend in a place where I’ve never been, we eat drunken noodles and green curry, and then drive again through the darkness and the drifting snow that’s no threat, simply prettiness. At the Vermont Studio Center for the Arts, we settle into the dining hall with the residents. We’re greeted warmly, and the room is scented with the lingering remains of a savory dinner, of coffee and wine and the fragrance of flowers likely from the tables freshly scrubbed. This is a dear place, where I’ve been lucky to stay and work hard, meet friends and share stories about creativity, its hardness and joy.

Rigoberto González reads magnificently, his words, reminding me of when I was a teenager reading James Joyce for the first time, thinking yes, yes, this is what writing can do, push us into a place where we glimpse the world for a moment in all its shimmering and confounding complexity, its immense sorrow, utter fun, or the way a hand plucks a pebble from a river and holds it dripping and glistening to the sunlight.

At home, I stand in the darkness that is sodden with cold, a forerunner of the mighty freeze rushing this way. The crescent moon pushes against the clouds. In those underworld months, the goddamn gray occasionally scattershot with goldfinches exploding from bare branches, my fate might easily have veered another path. A storm and brutal cold loom over this nation submerged beneath political nefariousness.

This terrible disease, this exacting instructor, taught me brutal lessons. Among these, savor these draughts of warmth, recognize heart. Know this value. Do not disparage.

“Every person with a body should be given a guide to dying as soon as they are born.”
― Anne Boyer

Backaches and all.

Snow returns to Vermont; I remember an April 1st years ago when the snow fell so mightily our sugarhouse was hidden. I worried our toddler might get lost in the drifts.

These (early spring) afternoons, I walk around my garden where last autumn’s sunflower stalks still stand. The robins, those cheery birds, cluster. Redwing blackbirds sing joyously.

I’m nearly at my last chemo session – yes, counting down day by day, my simple math calculations and not-so-simple life. Mornings, I pull myself together to work; afternoons, I lie on the couch with my cat and read. The town library orders me interlibrary books. Recently, Blue, an illustrated memoir of St. Bart’s that I read in a few hours, a sojourn into a Caribbean vacation with a sweet family. I will be traveling nowhere outside the country, anytime soon, although I dream…

Where I am now is different terrain. My house has sheltered me (and my family) so warmly and kindly during this winter of disease. Now, I see where our house needs tending – paint on the barn, boards hammered back on the porch where the ice crashed. Every spring and summer, too, I plant more in the gardens, cultivating good living for birds and pollinators, not necessarily the woodchucks who come, unbidden. There will be no wars on my patch of hillside.

The bigger work for me now is healing; how happily I’ll shed medical appointments, the world of sickness, and savor my long walks again. My oncologist told me last fall that someday I’d forget I ever had lymphoma, and I’d forget him, too. Maybe someday if dementia drills into me (many many years from now). I would need to live a long long life if I were to forget this year.

In these winter months of cancer suffering, I’ve longed for many things, but prominent among these desires is to imbue this cancer with meaning. So now, as I’m beginning to contemplate my next steps, the spring and recovery phase, I’m determined to not slip into old habits or careless living. I mean nothing sentimental about this, as if plastering a gratitude sticker on my life will fix up my world.

Which way this will go is yet to be determined. Certainly, planting more perennials.

Stacking wood today

I thought how much I loved this life,

Backaches and all.

~ John Straley

Unsurpassable February.

For days, the forecast has trumpeted news of impending snow this weekend; still, sunlight floods into our kitchen this morning. Sure, it’s a few degrees above zero, nothing to sneeze at, but the icicles gleam, skinny stalactites, proof of this week’s warming. A crimson cardinal perches on the feeder.

We are in deep midwinter, the annual mark of collective cabin fever, of generalized bitching, of snow pile comparisons and, in precise detail, what is now hidden from view. It’s the season for skiing, for chocolate, for mooning over seed catalogs.

In my own cancer world, I mark the merge of days and nights in my own way, writing my thousand words a day (sometimes more, sometimes not at all), as my own shepherd’s crook to right my crooked self. In the afternoons, spent, I read and read, returning to that great pleasure of my youth. Around me, my family shifts and jostles, their own lives crammed full with their living, with jobs and classes and loves or longed-for loves. My daughters call me with stories about a grapefruit drink that I vow to drink this July and August, over smashed ice, my bare feet on the grass or maybe a sandy shore of Lake Champlain. It’s the time of year when we long for rain drops on our cheeks and clotting in our eyelashes. But February rain holds ice and sleet, not the green wash of spring, the scent of soaked earth, the tang of emerging garlic.

Every day, I talk with my old father in New Mexico. He asks, Are you sticking to the plan?

I am, I assure him, holding to the course of what the medical realm prescribes, meds and applesauce and so much water — but the here’s the refreshing, liberating, unbelievable thing: there’s no bones with anyone at all in the cancer world that this is a hard dirty blow. So seize this opportunity, turn your life inside out, remake it anew. Make no excuses. Take.

Driving, again driving in the dark to Dartmouth, the full moon hung over our shoulders the entire journey, a creamy light, brilliant on new snow, unsurpassable.

And here’s a poem from Ginger Andrews I used to read in my shut-in mothering-toddler days….

The Cure

Lying around all day
with some strange new deep blue
weekend funk, I’m not really asleep
when my sister calls
to say she’s just hung up
from talking with Aunt Bertha
who is 89 and ill but managing
to take care of Uncle Frank
who is completely bed ridden.
Aunt Bert says
it’s snowing there in Arkansas,
on Catfish Lane, and she hasn’t been
able to walk out to their mailbox.
She’s been suffering
from a bad case of the mulleygrubs.
The cure for the mulleygrubs,
she tells my sister,
is to get up and bake a cake.
If that doesn’t do it, put on a red dress.

Three things of varying importance…

Because I’m writing from Vermont, first, the weather: cheek-slashing cold, furious wind.

Second, back at Dartmouth these past few days for a consult and an infusion. Checking in, my insurance card was denied. Denied because it’s January and the new year wasn’t set correctly, or denied because some system is broken? I imagine these numerous co-pays, from ninety-cents to $750, piling up in my electronic portal. I’ll kick that to Monday, begin to straighten that out then…

Halfway through my treatments, the Good Doctor gives me the heads up about what’s to come, including the shift from what I’m calling Cancer Land back to the Everyday World. Although I’m sure he hears this repeatedly, I say how otherworldly is this cancer journey. Rarefied isn’t precisely the word I’m looking for, as so much of disease isn’t lofty or grandiose but mundane and sometimes miserable. But the journey is like nothing else I’ve undertaken, laced through at times with impending death, elevating the stakes to the utter center point of what matters. There’s nothing trivial here.

Third (and certainly not last), I’m so grateful for the lovely mail in my P.O. Box – cards and books, seeds and poems, such as this one by Danusha Laméris.

Insha’Allah

I don’t know when it slipped into my speech

that soft word meaning, “if God wills it.”

… How lightly we learn to hold hope,

as if it were an animal that could turn around

and bite your hand. And still we carry it

the way a mother would, carefully,

from one day to the next.