Last month, I published a short quote from a friend and client that is dying from terminal leukemia. In the days thereafter, I received a number of heartfelt emails from blog buddies around the world; I knew that I had to invite Theresa back to share more. I thank Theresa for using her precious time to put together this post. She wrote it for you, and it just may be one of the most important things you’ll ever read.
My name is Theresa, and I have terminal leukemia. I am also a wife, a mother to a seven-year old son, and a Physician Assistant who practiced medicine in the Hematology-Oncology field prior to my own cancer diagnosis at the age of 32 in 2004. Since 2004, I have undergone two bone marrow transplants and now, this March 2010, a final third relapse. It is finally time to say, “I did all I could do to keep this disease away. I don’t need to fight anymore.”
So now, I find myself in the process of saying goodbye to my life. And it isn’t as bad as you might think.
Throughout our lives, many of us find ourselves searching out who we are and what those things are in our lives that can bring us the highest degree of happiness – or perhaps the most ego gratification, as sometimes that line is very thin. Many of us turn to the meritocracy that is so pervasive in our society, the obtaining of the highest degree, the prestige that comes with a job. Others may turn to the collection of material items; the more stuff we have, the more value appointed to our lives. Others may find gratification in acting oppositional towards others, thinking that this may afford oneself more personal power in some way. Doing so is only human; we all want to feel powerful. Still others may seek attention through lamentation of sufferings, which is also very human; no one wants to feel alone when they suffer either physically or emotionally. And for these people, sometimes the question becomes what is useful to say and do to mitigate the suffering, while others may find themselves rather stuck and hopeless in predicament and tribulation. In any case, it is messy out there, indeed.
When you find yourself in my position – anticipating the transition – things become much more simple. The material and the physical melt away – I am thinner, hairless – but my spiritual being has enriched in ways you could never imagine. My interest in material things has all but vanished. And when I see people being mean to each other, I must look away; I can’t fix any of that, and I feel so sorry for those who expend energy attacking others. It is a squandering of energy, and it is a compromise to one’s character. And in the end, it doesn’t mean very much.
Many people ask me if I have regrets. Things I feel like I need to go back and address in some way. The answer I give is that I do. Places I never went to, experiences I never had. Not being able to raise my son; the heartbreak there is immeasurable. And all those patients I will not be able to impact or care for. Those plans to help shape my little slice of the world in a positive way. There will never be enough words or time to give to the regret over a life cut short.
But interestingly enough, I feel in a place of peace. Over the years since initial diagnosis, I have faced a degree of physical suffering with this disease that is hard to put into words. And somehow, knowing this suffering, I can now know true peace. Furthermore, I find that the place in which I am now is all about the giving and receiving of love. It is a place in which connection with others is paramount, when the connection has something to do with the expression of love and care.
I often contemplate how we can get to a place of peace within ourselves when we don’t face illness or other limitation, how we can find that satisfaction in our lives within a more “normal” context. How we access that which is beautiful and simple in this world, and how we can feel this with our hearts and our minds. How, in the words of Walt Whitman, we experience “Happiness… not in another place but this place, not in another hour but this hour.” How we can live our lives in the present, and in a more simple manner, where we recognize mostly the good, and when we register the bad, we are able to reach out to one another in ways that are constructive and soul-building.
Because in the end, it is the soul – those things that comprise one’s spirit which can’t be seen – that becomes important. The simple things like love and the ability to recognize the small joys in this world are now significant. No longer is it about the external, complicated things like one’s status, material possessions, or looks. These are temporary.
This other place? The place where the soul builds? It is glorious. No matter what your circumstance may be.
Update: Theresa is deeply moved and grateful for the many comments that you all have left on this post. She asked me to thank all of you on her behalf. Thank you.

May 22, 2010 at 6:41 pm
I’m speechless.
May 22, 2010 at 6:46 pm
Thankyou for sharing this with us Theresa. I hope that we can all find a small measure of the strength you have. Your story goes to help remind me of how lucky I am to have the opportunity to continue to live a healthy happy life. I am so glad that you have found peace and thankyou for helping all of us here who are seeking that peace in our lives as well.
Sincerely,
Storm
May 22, 2010 at 6:52 pm
This was an amazing post. Thank you so much for sharing your story, Theresa. I had a friend who passed away a few years ago from leukemia. I know everyone’s story is different, but somehow this put me at peace and gave
me some sort of a closure for him. I found a
lot of messages that I can personally take from your post, and I know that others will do the same. I wish you the best of luck, and nothing but happiness. Thank you for taking the time to make a difference for others.
May 22, 2010 at 7:00 pm
I want to thank you for posting this. I feel affirmed that there is no better thing than to just love. We live in a world filled with hate and envy. And we need now, more than ever, to try to make this world a little better by just being. Just being nice to each other and appreciate someone for who he is. Disregarding status, wealth, class or anything else, which defines us as human beings. Because in the end….. hating people is just a waste of time. It’s just idiotic to let hatred consume us and drain us of our energy.
So again, thanks. I hope you’ll be given the chance to make only the best of the days left in front of you. I hope you will not need to suffer. I hope only the best for you on the journey you’re about to embark on.
May 22, 2010 at 7:39 pm
I actually cried.
May 22, 2010 at 8:10 pm
Thank you.
May 22, 2010 at 8:48 pm
Thank you for sharing. Reading your words makes me appreciate life just a little bit more. You truly are an inspiration.
May 22, 2010 at 9:31 pm
Theresa, thank you for touching my soul. You have reminded me of what is truly important in life. This blog, your words will live on long after you have gone home and they will continue to inspire. They will continue to give comfort, and they will continue to provide care to those in need.
Thank you
May 22, 2010 at 10:24 pm
Your words inspire me, I have not went to the doctor yet, but i do believe that i have cancer. i really need to go, but I am very afraid of the news. i know that my mind set will not change over night but your words have set a change into action. i will no longer be afraid. i will cherish EVERY single moment that i have on this earth. i will love harder, think deeper, and forgive everything. we need words as strong as you are to guide and mentor a better future.
-with love and best wishes through your days
May 22, 2010 at 10:45 pm
As I was reading through this post, I didn’t realise I actually had tears in my eyes. I found it really emotional.
May 22, 2010 at 10:52 pm
Thank you, Theresa, for the words you wrote. I will never forget this blog post, for it is so heartening, yet sentimental. Because of your words, I will cherish everything I have in my fortunate life. Thank you for opening new doors for me.
With love,
Cash
May 22, 2010 at 11:06 pm
Theresa, thank you so much for sharing your thoughts with everyone here. You will be in my prayers, and may your soul feel all the love you have generated by the sharing of your beautiful thoughts. Peace and Love…
May 22, 2010 at 11:37 pm
Thank you Theresa, you are a blessing to the world and a gift to mankind. Your spirit is kind and loving and I can only wish that I can ever emulate you and your reason for being here. I will always remember your message and try to live up to your courage and love for life.
May you be Blessed and loved with what time you have left.
Blessed be.
May 23, 2010 at 12:12 am
Thank you, Theresa.
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May 23, 2010 at 5:08 am
Thank you for posting this. I am a closeted Asian guy from San Francisco. I have been closeted because I am working in a very conservative industry. I always get frustrated because I can never be true me. However, this letter made me realize that my values are based too much on things that are not necesssarily most important in life: status, material pocessions, money, looks, etc. I cannot say I have felt or offered much love or I have the ability to recognize the small joys in this world. This letter made me realize things I do not think of in my busy life.
May 23, 2010 at 5:24 am
.., hmm, it is really that easy to say but if you look around you, you will feel like you’ve lost and you will lose everything in the whole wide world. Especially her child which she will leave if that so happen. I feel sorry for her son. I also felt the way they are feeling right now. My father had a Lung Cancer about 10yrs. ago, then suddenly opps! The cancer returned this year 2010 and my father stayed in the hospital for two months straight. then sadly, My father passed away last May 3, 2010.
It is really hard to fight for cancer but at least my father did his best. Thanks for your sharing your story in life.
May 23, 2010 at 7:29 am
Theresa, Thanks for sharing so much of yourself with us. You’re a generous and loving person. We’re all learning and growing. Keep learning and growing, dear one. As you’ve reminded us, there’s always more.
May 23, 2010 at 8:16 am
What a beautiful way to start my Sunday…with these beautiful words that ring so true. Thank you both.
May 23, 2010 at 8:51 am
Like so many gossamer threads that a spider can weave to build a powerful (yet beautiful) web – your words have caught and captured so many of us. Yet instead of stealing a meal, you are being sent waves of love and compassion.
Thank you for sharing your strength, poise and grace with all of us. And may we all heed these humbling words which you have spoken.
Know that you are loved – even if for only a moment, by so many strangers to your life. That love, like so many rain drops, can soon change into a torrent,… surrounding you and blissfully floating your soul to a new level.
May 23, 2010 at 9:06 am
Theresa, thank you for sharing your strength and dignity. I am sure it is helping your son & husband accept this situation. I am currently losing my mother to a similar condition and am taking strength in her example. ( I however am 48 not 7) Our society often does not accept the inevitable passing on to the next plane, people like you are heroes in my eyes. Blessed Be, Bob
May 23, 2010 at 10:30 am
Thank you Theresa!
May 23, 2010 at 11:04 am
Your post has a simple, straightforwardness that cuts to the bone of truth and reality. Just by your life you are already a blessing to humankind. The spark of beauty you radiate now will shine forever because death, “…life is changed, not taken away.”
May 23, 2010 at 11:23 am
There are so many people out there who we don’t know who are going through the same thing. I also have a friend who passed away this year from leukemia. It is sad, but we should be encouraged that they are better off. Love you.
May 23, 2010 at 11:39 am
It’s the little things that matter indeed. So we must appreciate and enjoy everything in this life; everyday. Because we never get to know what may come next. I, for example, would like to explore this world, every corner I can get to, as long as my legs allow me to. It doesn’t matter what dreams you have, if it’s silly or not, you should go for it. My mother is an inspiration to me, keeps me motivated, she never gives up emotionally, she is still enjoying the life. And she is paralyzed since I was a few months old. And almost 23 years have past since day. Take advantage of what you have!
-Dave, I love you for posting this article-
May 23, 2010 at 11:42 am
since that day* sorry but it’s the first time I say that to anyone, and I got emotionally.
May 23, 2010 at 12:54 pm
Thank you so much
-b
May 23, 2010 at 4:12 pm
This is my first time posting and i just have to said this post is beautifull made me feel sad which not many things manage to do and i sincerely hope that what on the other side is something wonderfull and these words will always be branded into me thanks
May 23, 2010 at 4:40 pm
Thank you for this wonderful gift. Truly inspiring.
May 24, 2010 at 4:21 pm
You are a beautiful inspiration, thank you so much for sharing. You will touch many with this writing alone. I know you have challenged me to look at how I see the world.
May 24, 2010 at 4:54 pm
Thank you… That’s all i can say right now. u are an angel here on earth to show us the way to being true souls. I thank you for that.
May 24, 2010 at 10:04 pm
Thank you so much for sharing this reminder of what life is really all about!
May 24, 2010 at 11:41 pm
Theresa, a true inspiration for those of us that forget what we need to be thankful for. Thank you.
May 25, 2010 at 4:01 am
You have found the meaning of life and explained it to the rest of us. Thank you for sharing your story. 2 years, lost my mom to Stage 4 Lung Cancer, after she fought close to 4 years. A few weeks later, my dad who also had cancer, died of a broken heart. Their spirit and love lives on within me, as does yours in your son’s soul and spirit. Namaste.
May 25, 2010 at 7:54 am
Simply beautiful!!!
May 25, 2010 at 4:19 pm
Thank you, thank you, thank you
May 25, 2010 at 9:19 pm
May 26, 2010 at 1:34 pm
Dear Theresa,
Your love is felt even in Holland. You show the world how one should approach it. Don’t fear dead, because you have left something behind on this planets for ever: the thoughts, hope and love you have instilled in others (which they in turn will also pass on). This way you will always be remembered.
May 26, 2010 at 7:27 pm
Dear Davide,
Thank you for your beautiful reply, and for your story.
I will find your brother, and I will tell him what you told me.
With appreciation,
Theresa
May 26, 2010 at 7:33 pm
Thank you so much for your responses to my piece. I treasure each and every one — each one means something to me. I am moved beyond words the way in which you have taken the time to say the things that you have said.
You have given me more peace in my mind and heart. There is no greater gift than this.
With deep appreciation and love,
Theresa
May 27, 2010 at 2:38 pm
Radiance and beauty unfolding from your words – gratitude for sharing so vulnerably with such strength. Sending my hope that joy finds and delights you magnificently.
May 27, 2010 at 4:20 pm
This was so touching. I am so glad I was able to read this. Never, in my short period of time living, have I ever cried like this. I have never really saw a purpose to my life, but after hearing about your story, I am truly inspired to help others. Maybe this is my calling in life, to reach out and assist people in what I failed to do. Has anyone ever told you how great your writing skills are? Well it is and it’s absolute magic.
May 28, 2010 at 1:19 pm
I want to thank you for sharing this beautiful woman’s journey with us. I am moved beyond words and wish that I could meet and hug Theresa personally.
My father has MS and has been fighting the illness for many years. I realized long ago that each day is a gift and that we must always try to be loving and see the good in others.
I am dedicating my next article on my site to Theresa.
I am grateful that our hearts and souls are connected.
Sending lots of love from Paris,
Brigitte
May 28, 2010 at 7:02 pm
Words can be a blessing to ones heart.
Thank you,
Robbie M
Scottsdale, Az
May 28, 2010 at 8:19 pm
What a powerful woman. One should hope for this kind of courage. A special post and I am in thanks.
May 29, 2010 at 12:29 am
Thank you, Theresa, for reminding us.
To avoid repeating the numerous comments before mine, I can say only,
I love you.
We love you.
I love.
We love.
love.
May 29, 2010 at 4:52 pm
I will remember your words and attempt every day to act with love , in everything I do, God bless you x
May 31, 2010 at 7:10 pm
I am happy that you are at peace and. Your story is very touching. I am a cancer patient and you give me hope that leaving does not have to be terrifying……
June 29, 2010 at 10:15 am
Theresa, I am also a PA and as a fellow colleague, my heart goes out to you.
I lost my oldest (lesbian) sister, a nurse, two years ago to esophageal cancer. I lost my youngest brother in 1989 to lymphoblastic lymphoma. So I know the pain, the sadness that permeates the lives of you and your loved ones.
I hope that the love of the universe penetrates your final days and will carry you soulfully to everlasting peace and happiness in heaven.
With love,
Tom
December 28, 2010 at 9:27 am
Gahhh Liam
! i never knew your Mom is paralyzed. :’( :’( As i have been praying and thankful to our LORD for the progressive, total healing of Davide, Benji and Mrs. Mancinelli. So now i’ll also pray to and thank The LORD for HIS progressive, total healing of your Mom.
… i had also been praying, from last May, for Theresa Gambaro and her friend, Ty Stober. They were both here on Davey’s Blog, last May. They also spoke of “All the little suffering
:’( children” at Cancer.org. :’(
. But now, Theresa “is gone.”
:’( Thus, it’s plain to see that i must not have prayed enough or hard-enough. So Theresa being gone appears to be “on me” just as the death of my twin, Jonni, is on me due to my terrible action against him, although you and Davide have told me it was not my fault and i appreciate it. Nevertheless, i’m beginning to wonder “what, if anything,” i’m good for!
:’( … And yes Davey, thank you
for your having once again featured Theresa here on your Blog as it just shows your endless love for others. But if not for me, it could have been a “joyous, happy feature” wherein we’d All be rejoicing over Theresa’s having been healed!!!! _ davvi