The idea of living well has changed many times for me. I used to think it meant eating clean, exercising regularly, making time for my mental health, excelling at work, and planning for the future. Life felt so much simpler then. Back then, part of living well meant being proactive, which is why I scheduled a prophylactic double mastectomy at age 29 after testing positive for a BRCA1 mutation. But that idea of living well was shattered the day before my scheduled surgery, when I was diagnosed with Stage III triple- negative breast cancer.
Suddenly, living well was no longer about balance or success. It became about prognosis. Managing side effects. Injecting hormones. Making impossible choices about fertility and my future. The chapter that followed was terrifying, painful, and uncertain. Time moved in a blur, yet also felt endless. Even now, some of it is hard to remember, and other parts I’ll never forget (no matter how hard I try).
I thought that once treatment ended, I’d feel free again. I thought I’d go back to work. I thought I’d return to the life I’d paused for treatment. But I didn’t. My energy never came back the way I’d hoped. My priorities shifted. I no longer fit into the old version of myself. There was no return to “normal.” That was a heartbreak I didn’t see coming.
That’s because survivorship is not simple. There’s a terrible misconception that once the fight is over, survivors should be healed, happy, move on, and be simply grateful. But the truth is more complicated.
I am grateful.
AND I want more.
I’m living the life I dreamed of, married to a wonderful man, with two beautiful daughters, and I still want more.
More laughter.
More time.
More memories.
Maybe even more children.
And that wanting doesn’t make me ungrateful.
It makes me human.
Postpartum as a cancer survivor is different than I expected.
It’s heavier.
It’s layered in ways most people don’t see.
I live in a constant state between gratitude and grief. I’m so thankful to be here, to hold my babies, and yet, I still grieve my past (and a future that could have been). I want more time, more love, but I also want to protect what I already have.
And now, I face the decision to undergo another preventive surgery, a choice that might protect my future but could also mean closing the door on having another child.
It feels like I’m walking around with a ticking clock inside me. Even when I’m healthy, there’s always the “what if?”
What if I’m not here long enough?
What if choosing to grow our family puts me at risk?
I think about the child I may never have, and I grieve them deeply.
Not because what I have isn’t enough, but because the love in me still has space for one more.
This is the part of survivorship no one prepares you for:
The grief tucked inside the gratitude.
The longing wrapped in responsibility.
The heartbreak of loving fiercely and choosing carefully.
Some of us became mothers after what felt like a lifetime of waiting. After illness. After heartbreak. After hope that almost gave out.
And when the miracle finally came, no one quite prepared us for how complex it would be.
You can be overwhelmed and deeply thankful.
You can be living your dream and still feel like you’re breaking.
It doesn’t mean you’re failing. And it doesn’t mean you are weak.
And you are not alone.
There are still days I spiral. Days when I fall short of the mom, wife, and friend I want to be.
Days when fear creeps in and I wonder how many birthdays I’ll get to see.
But then I come back to the moment. This life, and these babies who call me Mama.
This is the life I get to live.
It’s messy. It’s loud. It’s painful. It’s ordinary. It’s blessed. And I’m living it well.
Not because it’s easy, but because I’m still here.
Because my daughters are here.
Because the man I love rode the storm with me and built a life with me in it.
And that, to me, is living well.
There’s a quiet kind of grief that comes with motherhood. It’s grieving the woman you used to be and I think most moms feel it, in one way or another. But I grieve two past selves. The woman I was before I became a mother, and the woman I was before cancer.
Sometimes I don’t know which one I miss more.
There are days I long for the carefree, energetic girl who could make plans without fear. The one who believed her body was strong and beautiful. The one who didn’t carry the weight of what-ifs.
And there are days I miss the version of me who hadn’t yet known the struggles of motherhood. The one who hadn’t yet been stretched so thin, and touched by love so consuming, it changed her
entire identity.
But then I look at what my body has done.
This body: scarred, poisoned, stitched back together. It found a way to grow life, not once, but twice.
It carried two healthy babies. It endured the weight of pregnancy, the pain of labor, the overwhelming intensity of birth. It made space for something bigger than me.
And that kind of strength can’t be seen in a mirror.
That, too, is living well.
In the quiet moments of feeding my baby in the middle of the night, when the world seems to stand still, or laughing with my toddler as she dances around the kitchen,
I see them: the woman I used to be, and the woman I am now.
I see the planner, the professional, the organizer, the healthy, the energetic.
I see the woman with the color-coded schedule and highlighters in every shade, who believed control meant safety.
I see the fighter, the patient, the one who lived in chaos and learned to survive it.
And I see this version of me: the wife, the tired, devoted mother who is somehow holding it together (at least most days).
In the calm of feeding my baby,
in the chaos of chasing my toddler,
in the exhaustion of pushing through sleep regressions, in the shadows of “what ifs,”
and in the joy of celebrating tiny milestones,
they all show up.
They’re not gone.
And maybe that’s what living well means now:
carrying all the versions of myself, through the mess and in the beauty of our day-to-day life.
If you’re carrying multiple versions of yourself too, know you’re not alone and that living well means embracing them all.
Carmela Giles • Diagnosed at 30. Stage III, Triple Negative, BRCA1+.
Carmela is a former teacher turned full-time mom of two under two. Carmela was diagnosed just a day before her planned prophylactic mastectomy. She writes to give voice to the invisible layers of survivorship, grief, joy, fear, and gratitude, and to offer connection to others walking a similar path. She is passionate about raising awareness, reducing stigma, and helping others feel less alone.
Rethink was honoured to be the guest editor for Wildfire Magazine’s Living Well issue in August 2025.
This piece has been republished with permission from Wildfire Journal. It first appeared in the “Living Well” issue, published in August 2025. Find the full issue and learn about using writing to reclaim and heal your own story in a writing workshop at wildfirecommunity.org.