This post is a guest piece from my partner Ronnie Hughes. Ronnie has written before about why we walk together, and here he shares his experience of being my carer, and how breast cancer affects his life as well as mine.
“I am in the waiting room staring at the message on my phone. The message Sarah has just sent from the other side of the doors they won’t let me through. The doors of the Rapid Diagnosis clinic. The message says ‘It’s ultrasound next’. It will be another hour before they let me through the doors to care for a terrified Sarah. But with that message, for me, it begins.
And we enter the whirlwind of cancer. The whirlwind so accurately and even thrillingly described by Sarah, in her book, that there’s no need for me to repeat the story here. But I do have things to add. Because two lives are changed on 21st February 2007, Diagnosis Day. And one of them is mine.
Early days, we cling together, shocked and ignorant, staring at Sarah’s mortality. She asks me to help her start documenting this, an instinctive artist even in the middle of the biggest crisis in her life. So the stills camera that was bought for holidays and good things, as well as our work, is cradled in my hands, focussing on Sarah’s bruised breast. And soon enough, on the scar where her breast used to be. Hundreds of photographs, and hours of filmed interviews follow. It helps me, in a way, to feel useful and objective. But it also distances me in that way cameras do, so I wonder, even now, if I’ve yet felt all the grief I’m going to?
I soon begin to realise that this isn’t an interruption that’s just happened in our lives, but a profound change. And, without knowing it at the time, I begin to over-function.
This is what it looks like. It’s a simple enough word, ‘carer’, but the carer that I become covers the stuff that you’d expect – shopping, cooking and coming to all the appointments. Together with: guardian of Sarah’s time and privacy, from all the well meaning ‘cancer cures’ people are suddenly ringing and emailing with; temporary Chair of the Allotment Committee, thankfully very temporary; research assistant on cancer and other technicalities (like ‘What’s the best way for me to start my own fund-raising website, today?’); travel agent, for the national tour of cancer doctors we embark on; comedian, for those days when laughter is the only medicine likely to work. And I work. Relentlessly.
Because we’re a self-employed, two person, company (a sense of place), and then we become just one person – me. And for what I then don’t realise will be the next four years, it will be more or less down to me to bring the money in. So I work. Too hard. Alone. Like our lives depend on it. I don’t grieve for what’s lost. I stick my head down. And I work.
We read all the books. Text books, memoirs, self-help, campaigns. And one book tells me that carers need to take special care of themselves, as many fall seriously ill while looking after people with life-threatening diagnoses. They recommend counselling, time off and asking for help. I ignore all of these, because they don’t apply to me. I’m super-human after all. I recognise I have needs, but they’re always going to be taken care of ‘some day’.
And I am achingly and howlingly lonely. Sarah and I have always been very private people and just don’t have the kind of caring network, at this time, that the books tell me to use. So I fall into a rhythm of working and caring. Years pass. Sarah on her chaise-longue in the living room, recovering from the latest surgery, or comatose on the latest hormone treatment. Me, next door to her in our studio, or out with customers, working.
There are interludes. Our friends Dave Parrish and Brendan Byrne stay close, and obviously Sarah’s not comatose all the time. But the brightest interludes are the Ellie days. Ellie, my beloved granddaughter, who comes tumbling into our lives every Monday, and gives us both a holiday from cancer. So we can concentrate on more serious things like, ‘I think there might be a crocodile in the fridge!’
Then three years in, spring 2010, I burn out. I come to a standstill and can do no more. It all gets too much for me, added to which, Ellie’s been removed from seeing us, for reasons I still don’t fully understand.
‘Some day’ has arrived. I finally start seeing a counsellor, Jo, and listening to a description of how I’m living my life, she introduces me to the phrase ‘over-functioning’ and we start to slow my life down and open it up.
I take two months off work that summer. Camp with Sarah. Walk the hills of South Wales on my own. Go to Scotland and learn to bake bread. Read books that aren’t about breast cancer. Get back in touch with my sister Debbie and my oldest friend Janet. Breathe a bit.
And it works, while I’m off. But when I come back there’s hardly any work. Because I haven’t been looking for any. So I start again, over-functioning, over-planning, mind-mapping everything. Thinking too hard, thinking that if I’m in control, then nothing will go so wrong for us again.
Then in autumn 2010, Sarah’s book comes out. And for a while we add ‘Campaign Director’ to my list of functions, as we try to get the British media and other European campaigners seriously interested in cancer prevention. We do make progress, but it’s really Sarah people want to talk to. She’s written the book, it’s her story. So I stop being a campaign director.
And this spring, during a visit to the doctor for a chest infection we both can’t get rid of, I get my blood pressure taken. It’s high and it stays high. So I have to slow down, begin treatment of my own, and begin looking after myself better. Every day, not ‘some day’.
Because I’d like us to grow old together. To not do so, after all this, would seem unfair.
And I’m still Sarah’s carer. I can’t not be. She’s the love of my life. And there’s no point looking back on these years and wishing I’d done anything differently. The only time I can change things is right now. And right now I know I am a more skilled carer than I was. I’ve put the time in. I recognise the bad days when they arrive. I know there’s no such thing as a routine test – or routine hospital appointment. They’re all checking now, checking for cancer.
But now I care for me too. This summer and now into autumn I’m getting fit, running, jumping and boxing with our friend Karen. I’m still talking and reflecting with my counsellor Jo. I’m walking the hills and coastlines of western Britain with my beloved Sarah. And I’ve just bought my first serious hat! So life is getting better.
And as for work, I don’t do nearly as much of it as I used to. (These last four and half years have shown us how little money we can really live on, so we can, in fact, work less). I’ve finally started taking my own advice and only doing work that I seriously love. To qualify for being done, all work now has to contribute to my well-being, to the deep need for joy and fulfillment that I now want from all the rest of my days. I’ve stopped planning and I’m getting better at enjoying my life, right here and right now.
The whirlwind of worrying that began on Diagnosis Day is calming down now, to the steady background worry that all cancer patients and their carers have to live with. Will the cancer come back? Because it often does. Our lives are changed forever by this, profoundly changed. Being realistic and not knowing how long we’ve got, we treasure every day, we treasure each other, we treasure the friends we’ve found, we treasure what we choose to do.
And I can live with that. We both can.”

Wow…. Wow…. Wow….
Thank you Ronnie. What a beautiful honest piece of writing – thank you so much for sharing it with us all.
AND… your last sentiment about treasuring every day, each other, friends and how to fill each day is so absolutely right and a lesson that should be learnt by everyone, with or without Diagnosis Day.
X
Thanks for the ‘Wow…. Wow…. Wow….’ As a guest blogger it’s lovely to be appreciated by those of you much more experienced than me
Ronnie what an incrediblly honest and raw account this is of the experience of the other person stuck in the cancer nightmare. I’m going to give this to my Beloved to read as well, asi know he will understand wholeheartedly everything you are saying here. Thank goodness you have been able to recognize when things have become too much and you’ve found some solace and outlets when you need to. But also understanding that sometimes doing less is more in this life. So much love to you and Sarah, my friends from across the Pond. Rachel xxxxx
Dear Rachel, thank you. Given what you’ve just written on your own blog http://cancerculturenow.blogspot.com/2011/09/planet-unicorn.html I’m honoured to have my account of my own experiences called ‘honest and raw’. You’re the queen of that, queen of the truth xx
Ronnie,
This is so profound. Your statement, “this isn’t an interruption that happened in our lives, but a profound change,” really hits home for me. Nothing post cancer is the same and when you’re part of a couple, this means nothing is ever the same again for either one of you. I feel guilty about this sometimes, but… I worry about my hubby and all he has gone through and perhaps will still go through.
I think it’s very remarkable that you shared a bit of your story here. Thanks for sharing, but more than that, thanks for being there for Sarah. Thanks for being Ronnie. Keep treasuring all those days and that little grand daughter too!
Thanks Nancy, I hope this may help your husband. There are times when us strong and silent types just want to curl up and cry. We just don’t do it enough.
Oh, Ronnie…I’m sitting here with tears rolling down my face. Thank you, both of you, for this. I wish I could do something more tangible right at this moment, but I am sending you a zillion heartfelt cyber hugs, and my gratitude for knowing you both now, a little bit better.
Yes, Kathi, I cried writing it. Did most of it yesterday afternoon, then woke up today deeply depressed, feeling like I’d put myself through the whole four and a half years again. Fortunately I have my own carer here, and Sarah’s helped me through a difficult day. Now much brightened by the lovely things people are saying on here.
Beautiful! My husband should read this.
Dearest Ronnie this is beatiful and moving expression…you may not be superhuman as none of are really however you are fully human! You and Sarah will undoubtably grow old together and I hope I will be both of your friends for the jorney! x
Thanks Karen, you will surely be our friend for the long run now xx
Ronnie and Sarah,
Before I’d even hit the fourth paragraph I’d copied the link and emailed it to my husband, Steve. He and I have been each other’s caregivers, so I know both sides of this fence. I’m here to tell you that you get more sleep as the patient:) But it’s not a contest. The journeys change you. But we can share our stories with each other, which you’ve done beautifully here. You’ve opened another window on breast cancer, and I so appreciate that.
All good wishes to you both,
Jody
Hi Jody and Steve, I am certainly changed. But so late in the story. Maybe windows like this might make it a little clearer for some of the carers who follow us. I hope so.
Thank you, Ronnie and Sarah. It’s so hard to get my husband to share his feelings about this, but I know it must be so hard. His worries are the same as mine, only he tries to be brave for me. It’s so true, as you say, it’s not just one life that changes, but two. Thank you for this. I’ll be passing it on, for sure. Love to you both.
Hi Stacey, one of the few emotional tools my upbringing gave me was being brave – ‘be a brave little soldier’ – so it’s no wonder that in a fight or flight situation, so many of us men do the ‘brave’ thing, strong and silently.
Ronnie,
I’m glad you finally came to this place of caring for the caregiver. Men aren’t raised to be caregivers, but you rallied to the occasion with great love and support. My James did the same, as did Scott Pratt, who’s written a post this week on my BreastCancerSisterhood blog. As Scott said, he’s one of the 75% of men who stay after diagnosis, not the 25% we often hear about because they leave.
So wise you’re caring for yourself as well. James began to take better care of himself, but it was too late. He died unexpectedly nearly nine months ago, the day after Christmas Day. His heart just stopped beating. I didn’t see that coming, and I’m still desperately trying to recover from it. Breast cancer pales in comparison.
Be well and continue to live life and love one another.
XOXOXO,
Brenda
Brenda, deeply sorry to hear about your James dying. And yes, early on after Sarah’s diagnosis we kept hearing about partners who had left and were bewildered and appalled. But hadn’t realised it was one in four.
Yup – tears flowed as I read (sitting here in the middle of the food court at the Hard Rock casino in Hollywood, FL. while the Love of My Life works playing poker)…I posted a link on his facebook page. My cancer journey has been much easier than many I’ve read about but I know he did so much for me /us while I’ve been going thru treatment & probably still doesn’t realize how much energy he was expending that would have turned into full blown burnout if things had to go on much longer…. Blessings & good news to you & Sarah~ <3
Thanks for the blessings and good news.
Ronnie, you are a true hero in my eyes. Kudos to you for sticking by Sarah through thick and thin. I just love to read the viewpoint of any carer who is as compassionate and loving as you are. Keep on keeping on.
Jan
Thanks Jan, I will keep on keeping on. Today, for instance, reminded by my blog of the comfort of her chaise-longue, Sarah’s only just left it. At 3:30 in the afternoon!
Ronnie,
Wow! I’m sure I’ll come up with more words soon…
No doubt your experience would resonate completely with my husband, who even years later still feels the pressure of being a caregiver. In facing my mortality, I believe he lives with the pressure to be immortal each an every day. The story of our loved ones is the one most often untold.
You and Sarah are clearly blessed in each other!
Lori
Thanks Lori, hope and trust it will resonate with him.
But though this blog’s had high viewing figures and lots of comments on Facebook and Twitter, as well as here, there have only been 3 from men, sadly.
Ronnie,
Thank you for sharing your journey and your voice. I’m so grateful to you for that, and so happy for you (and for Sarah), that you are finding your way to your own care, to putting yourself on that “over-functioning” to-do list–or even paring down the list entirely.
I’m sharing this every way that I can, in the hopes that you inspire others to make that journey, to find their Jo, and to allow themselves to be cared for as well.
Warmly,
Ann
Thanks Ann, and for sharing it as you are doing.
Anyone in or around Liverpool can find the real Jo. if they’d like!
Oh my, what an open, honest and powerful insight. I read this over breakfast this morning and drenched my toast! Such a beautiful tribute to your wonderful strong marriage and commitment to each other.
Coincidentally I recent wrote a short post on the impossibility of being a carer, prompted after my hubby caught a head cold and I found myself ridiculously short on sympathy for him. I am going to revisit that and post it very soon on my blog http://feistybluegeckofightsback.wordpress.com
My hubby was with with me throughout, and I can never thank him adequately for his love, care and attention. The challenge for us now is how to share those fears in a way which do not frighten him.
Thank you for sharing your deeply personal experience and for Being There for Sarah.
Philippa (aka Feisty Blue Gecko)
Sorry about the toast, Philippa.
I think the only thing we can do with fear is look straight in its face, which i’m sure you’re helping him to do.
Ronnie,
Your beautiful posting brought tears to my eyes. Being a caregiver is a difficult role because the caregiver him/herself often gets neglected. You are courageous and a wonderful soul. I am glad you are taking care of yourself. Cancer really makes us see what really is important in life, doesn’t it?
Thanks Beth, I could never tire of being called a wonderful soul.
Seriously, writing this has been a very emotional experience for me. Difficult to write, and then wonderful to feel so appreciated. Thank you.
Ronnie, I had to hide away while I wiped away the tears running down my face. Your story reminds me so much of what my husband endured for me.
We too now live on much less than we used to, but get more out of life spent together.
I have also shared your blog on my facebook page, so that others can read your story.
You and Sarah deserve so many years together, it is good that you are looking after yourself now.
Julie
Thanks Julie, yes just been out with Sarah to the sort of shop I’d never have gone in, buying running kit. It’s getting serious, if running round in T-shirts and tracksuit bottoms is no longer ok!
Be well and happy, both of you.
Thanks for sharing Julie… and I’ve also been having a look at your blog too and hope your surgery recovery continues to go well. All best, Sarah
Ronnie –
thanks – as a bread winner and care giver to a wife with 2 different BC your post hit home. Thanks.
Bob in Denver CO
Thanks Bob, as I said earlier, we haven’t had much response from men on this one. So, glad it made it over to you in Colorado.
Ronnie, Thank you so much for sharing this. It made me cry, but it also made me think about my partners role in my ongoing battle with cancer. He has been hit with my being diagnosed with cancer 3 times now, and I am now supposedly clear, but that is a tenuous statement if ever there was one. I sometimes think he no longer cares as much, but after reading your blog, I know that he does, he is just using my better health, as a respite from intensive caring. The aftermath of cancer treatment has been debilitating and consequently, there have been a lot of times I have been unable to work, and, like you, he has carried the load. He is tired. I see that more clearly now. Thankyou.
Regards, Heather.
Oh Heather, so many times I’ve thought ‘Stop talking to me about fucking cancer’. And in the moments when i think it, I really mean it. But it’s the cancer I’m sick and tired of. Never Sarah.
Really glad what I’ve written has helped.
Thank you Ronnie and Sarah-purely because writing is a beautiful testament to life and an action of kindness that, through reading, releases its power and empowers us all.
My deepest empathy and celebration, Gemma
Dear Gemma, you are one of the lights of my life. Working with you, and others like you who are changing the world for the better, is a privilege.
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Hi there. Not suprised reading either Sarah’s book or this blog – you just shine through – you would obviously step up to the plate and provide the practical and emotional care – that’s just who you are. But what saddened me and has brought a tear to my eye is the aloneness of it all – no friend circle to share the load and to give you the emotional bolstering you clearly needed. Really glad to be back in your life and part of your support now – the door is always open if you fancy a trip north.
JB x
This is beautiful, Ronnie. That word “over-functioning” rings true as does your new criteria for your work: it must contribute to your well-being. This is good advice for us all. To many years of love and fulfillment for both you.
Thank you Gayle.
As for work, in part because of writing this on Sunday and Monday and recognising how life is for us right now, we got on with some advice our friend Dave Parrish (mentioned in the blog), had given us, and completely rewrote our website this week. So it reflects this well-being attitude and fully looks and feels like us.
So, Friday evening now, we’re feeling content and fulfilled. Long may it continue.
Thanks Janet, glad we found each other again xx
Ronnie,
A friend of mine directed me to your blog, and I immediately was able to relate. Ours is not a mirror-image situation, but the similarities are many.
I am a husband/caretaker for my wife and we are into year 4 of her battle with breast cancer. The majority of our family is 800+ miles away, and while we have many good friends, I was the primary caregiver. A lot of what you describe could have been written by me – though I’ve been fortunate to maintain my own health without too many serious impacts.
For those of you out there who could use something positive to grasp onto – my wife was diagnosed stage 4 this past February, and after several months of focused efforts including a fully integrated health care approach, her scan four weeks ago came back with no evidence of disease.
Our doctor tells us this is very rare – but it ‘s proof that this is possible!
Keep the faith and take care.
Paul S.
Hi Paul, really glad to hear about your wife finding she has no evidence of disease. Really glad for both of you.
And glad to hear my blog post resonated so much for you. Though sorry to hear you could have written a lot of what i did. I wouldn’t wish large parts of my last four years on anyone. This level of caring is definitely not a gift, any more than cancer itself is.
But, good days and good diagnoses are worth the efforts we make, aren’t they?
We’re going to be doing a blog a day on here, for October. And I’ll be making at least weekly contributions. So stay in touch.
Ronnie
Thank you Ronnie… thank you for raising awareness that cancer affects so many more people than just the person diagnosed. Thank you for being so very open in your wonderfully human and yet so eloquent writing about your emotions.
Do I feel a sequel coming on… Being Sarah’s Carer… your writing would be like holding a mirror up to Sarah and would be so powerful in helping people to understand the complexities of a cancer diagnosis.
Look forward to reading more of your blog contributions. Best wishes to you both, Irene xx
Thanks Irene – I’m sure Ronnie will be back to comment, but I wanted to let you know that Ronnie is writing a piece each week during October for my month of blogging, so do come back. His first piece appears this Saturday. Thank you for your lovely comment. Best, Sarah
Thanks Irene! There is indeed a sequel coming on, in fact I’ve just been sitting in the park writing ‘Being Sarah 2′ which Sarah will (if approved!) publish some time during her blog-a-day October run. I’m doing 3 other blogs during the month, but the one I’ve written today is specifically a follow up to ‘Being |Ronnie’.