
Is an oncology appointment practically the only future plan on your calendar?
If you’ve had cancer, penciling in anything past next Tuesday can feel like tempting fate. Your brain is doing what brains do after trauma—scanning for danger, predicting worst cases, trying to keep you safe. Cue fear of recurrence and that heavy question: “What if something happens?”
Here’s the sneaky pattern: when the future feels unsafe, you stop making plans—not because you don’t want joy or adventure, but because not knowing feels unbearable. Your mind decides, “If I don’t commit, I can’t be disappointed—and I won’t spend hours canceling things.” That’s a safety strategy, not a character flaw. It’s loss-avoidance with a dash of Murphy’s Law: If I don’t schedule it, it can’t go wrong. The problem? Life starts shrinking around the fear. Birthdays become “maybe.” Trips turn into “we’ll see.” Even dinner next month feels risky. Before you know it, you’ve stepped back from people and things you love.
Then there’s the money fear. What if you put down a deposit and need to cancel? What if it’s non-refundable? After cancer, uncertainty already taxes your nervous system; adding financial risk can make “yes” feel impossible. That’s valid—your brain is trying to protect both your health and your wallet.
So how do you move forward without betraying your very real caution? You design plans that are flexible, honest, and money-smart. Structure with softness. Commitment with an exit ramp. Not forced positivity—just enough safety that making plans feels doable again.
Try these micro-shifts:
Plan A / Plan B. Make the plan—and pre-decide the kindest backup. “If labs are off, we reschedule or I join virtually.” Options calm the alarm system. Pivoting isn’t failure; it’s care.
Shorter horizons, same life. Start with four weeks and work your way up to four months later. Put one doable thing on the calendar and let it happen. Proof beats pep talks. Each kept plan teaches your body, “We can handle this.”
Conditional yeses. Use language that protects your energy: “I’m in, pending health.” Most people will understand, and they’d rather hold the hope you’ll be there than get a flat-out no up front. You’re not being flaky; you’re being transparent.
Regulate, then RSVP. Pause first. Take three slow breaths. Ground your feet on the floor. Ask: “Is this just fear talking, or a true limit?” Choose from a settled state, not while the sirens are going off in your head. If you want to do it, say yes. If you don’t, say no.
Build breathing room. Add buffers around scans, travel, or big work weeks: a rest day before and after, flexible tickets, generous cushions. Buffers turn “what ifs” into “even ifs.”
Make your plans money-safe. Favor refundable rates, “pay later” holds, or free cancellation windows. Use loyalty points when you can—they’re often more flexible than cash. Check your credit card benefits for trip-cancellation/interruption coverage; many cards include built-in travel insurance when you pay with the card. Read what counts as a covered reason (illness with documentation), the required paperwork, and dollar limits. If coverage is thin, add standalone travel insurance or a Cancel For Any Reason (CFAR) upgrade. If something must be non-refundable, keep it small enough that future-you can let it go without spiraling.
Remember what you actually want: peace, purpose, and time with your people. Those aren’t luxuries; they deserve space on your calendar. You’re allowed to plan a life that works with your body and your budget. You can be cautious and still claim a future.
If you’re navigating life after, or with, cancer and want support making plans without the panic, I’m here. Let’s rebuild trust in your future—one compassionate yes at a time.
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Thriving Beyond Cancer
...With Dr. Jill Rosenthal
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