Personal essays, survivorship tips, and honest community from Nicole McLean — breast cancer survivor and founder of My Fabulous Boobies.

What My Dog Taught Me About Grief and Treatment

What I learned about grief from my dog during treatment did not arrive as a lesson I could neatly write down. It came in stolen sleep, cold tea and the soft thump of twelve-year-old Moss waking me whenever my breathing became anxious. He never asked whether the tumour was shrinking. He cared about breakfast, the neighbour’s cat and whether I was still in the bathroom.

Cancer treatment creates schedules around scans, blood tests, drug infusions and recovery. It also removes ordinary choices: what to eat, when to shower, whether to work, how much energy to spend. By the third infusion, I had become an expert at waiting. Moss had become an expert at waiting too, though his main concern was whether waiting involved cheese.

He was my steady, slightly smelly companion. I wrote about that odd friendship in The surprising friendship I made in the infusion suite, but Moss was the one waiting at home. My treatment divided life into treatment days and everything else. His days remained reassuringly simple.

The treatment world Moss’s world What I noticed
Appointments filled the calendar Breakfast waited for nobody Routine offered comfort without requiring a decision
Side effects made time unpredictable His needs stayed wonderfully consistent Predictability can be a form of care
Everyone wanted reassurance He offered quiet companionship Presence did not have to be eloquent
I tried to stay positive He simply stayed close Support did not need to look cheerful

Grief in the infusion chair

The first time I felt grief during treatment, I was sitting in an infusion suite with a blanket over my knees and a catheter in my arm. I was not mourning a person. I was mourning the version of my life in which treatment was an appointment I could cancel. That future had disappeared, replaced by calendars controlled by oncology teams and bags of anti-nausea medication.

The woman beside me was getting her first dose too. She asked what I had brought for lunch, then admitted she had packed twelve biscuits because nobody could predict what she would tolerate. We traded practical advice about ice chips and saline flushes. Ordinary conversation made the room feel briefly survivable. The infusion-suite friendship became important because it did not require either of us to perform bravery.

Moss understood less about cancer than I did, but he understood waiting. Whenever I came home smelling of antiseptic and exhaustion, he placed himself beside the sofa. He did not solve anything. He simply indicated where I was supposed to be. Grief, I discovered, can arrive before a loss has fully happened. It can be the mourning of a familiar self whose future is no longer available.

Small rituals and stubborn comfort

Before treatment, Moss and I had a morning routine. We walked around Royal Park, kept him leashed near playgrounds and used fenced areas where that suited local council rules. Then I bought a coffee from a café near the tram stop on St Kilda Road and drank it while Moss investigated discarded sausage rolls. Melbourne’s mornings can be sharp and grey, but carrying his lead and stopping for his sniff made the walk feel manageable.

Our walks continued on difficult days. Some mornings I moved slowly, and Moss adjusted without complaint. If I sat on a bench, he sat beside me. If I cried, he leaned his ribs against my leg. His response was not profound, but it was consistent. Grief needs fewer grand revelations than people imagine. Often, it needs breakfast at seven, the same television program and somebody who remains in the room.

During one late-night search for food that might make chemotherapy less awful, I landed on dates for pregnancy energy. The article focused on pregnancy and labour, so I borrowed none of its medical claims for cancer care. What stayed with me was the simple comfort of a concentrated sweet. I bought a packet at Woolworths, added dates to porridge and carried them in a small container to the hospital. The dates offered calories and familiarity, not a cure. Sometimes that is enough.

Dried fruit at Prahran Market also made me think about how food reaches us. My packet had travelled a long way before becoming my chemo snack, joining bananas, oats and supermarket bread in the very Australian habit of treating the kitchen cupboard as a treatment pantry. My appetite changed, but choosing something small and sweet gave me a bit of agency.

A dog who understands the room

Moss came home as a hopeful tangle of rescued limbs, ears and suspiciousness. He spent his first week hiding behind the couch and barking at the washing machine. Within a year, he had claimed the best sun spot in the house and learned exactly how to open the pantry with one paw. His capacity for recovery seemed excessive at times. I envied it.

During my treatment, he grew older beside me. His hearing faded, his back legs stiffened and he needed longer rests between walks. I registered every change with the anxious precision I had applied to blood-test results. He helped me understand that loving something means noticing its small alterations before they become emergencies.

Then came the afternoon the vet explained that Moss’s remaining time was short. We chose to have him put to sleep at home, surrounded by familiar smells and with chicken in his hand. The decision was practical, loving and heartbreaking. I had spent months making treatment choices with a specialist; this was another medical decision, except my patient had no interest in the paperwork.

His death taught me that grief does not follow the tidy order suggested by advice about stages. One minute I missed him, the next I felt relieved that he was no longer struggling. Later came anger, followed by an almost comic sadness because I had forgotten how he snored. Grief can hold relief and devotion together without cancelling either one.

Hope needs careful reading

Hope arrived during treatment in the form of a clinical-trial information sheet. The form described blood tests, possible side effects, travel requirements and the possibility of receiving no treatment at all. It was carefully written and, for a person frightened by standard options, genuinely exciting.

My own notes live in My experience with clinical trials: the form, the hope, and the fine print. I remember focusing on the possibility of access while treating the consent pages as administrative obstacles. Looking back, those pages were part of the treatment, not interruptions to it.

Australian clinical trials are subject to ethics review, informed-consent requirements and relevant regulation by the Therapeutic Goods Administration. Those safeguards do not remove uncertainty, but they create a framework for understanding who is responsible for what. I learned to ask who paid for the trial, which costs were covered, what happened if the treatment stopped working and where my data would go.

Moss had a simpler approach to uncertainty. He checked the garden, drank from the bowl and slept through the afternoon storm. I envied his confidence, though human consent cannot work that way. Hope deserves careful information. It is safer when it is attached to questions rather than promises.

Care in awkward packages

The most helpful things during treatment rarely arrived in a photogenic form. Someone brought soup in a container I could not close. A nurse explained which pain relief would help most. The hospital gown became an unexpectedly memorable issue: back ties, uncomfortable fabric and the strange vulnerability of wearing something designed for efficiency rather than dignity.

I collected practical advice in A survivor’s guide to hospital gown fashion hacks. A soft robe, snap-front cardigan and supportive shorts sounded trivial until I was trying to preserve a shred of privacy in a busy infusion room. Familiar clothing gave me control over one small part of an otherwise institutional day.

Australian healthcare also brought its own mixture of support and fine print. Public hospital treatment is generally free for Medicare-eligible patients, while many prescribed medicines are subsidised through the Pharmaceutical Benefits Scheme. Private treatment, investigations and some allied-health services can still leave out-of-pocket costs. I learned to ask for written estimates and to keep the PBS listings handy instead of assuming every script would cost the same.

I also asked how my records were handled, particularly when survivorship tasks made me think about who could see my history. Australia’s Privacy Act 1988 and My Health Records Act 2012 offer important protections, although practical access can depend on the service involved. That conversation mattered because sharing information should involve trust, consent and clear limits.

Community support often looked unglamorous too: a friend driving me to appointments, a work colleague covering a shift, another survivor explaining that fatigue could hit days later. Cancer care was never just medication. It was phone trees, supermarket runs, practical advice and people turning up without being asked to perform optimism.

The lesson I carry forward

Moss did not live to see my final infusion. I know this because I kept looking for him when I came through the hospital doors, as though a twelve-year-old dog might trot down the corridor and make the whole experience less absurd. Instead, I carried his photograph in my wallet and tried not to assign him a job he had not agreed to.

What he gave me was permission to be changed by love. Before cancer, I thought grief belonged to obvious losses: death, separation, the end of a relationship. Treatment taught me that losses can be quiet. A cancelled plan can hurt. Feeling ordinary can hurt. The life waiting at home can ache because it no longer includes the person you were when you left it.

I still meet grief in unexpected places: a lead tapping against a door, an empty food bowl, the opening line of a television program I used to watch with Moss. The sadness does not always knock loudly. Sometimes it sits down beside me and stays until I acknowledge it.

My dog taught me that grief is love with nowhere left to go, and treatment taught me where love goes when it must keep going. What the reader should remember is that tenderness can survive both the loss that causes grief and the illness that changes us. Sometimes it simply remains beside us, warm, ordinary and asking for breakfast.