There are maybe three phone calls that you’d really describe as the worst in your life: the person you love most in the world has been killed or severely injured, your beloved pet has been killed or severely injured, your doctor has test results and they’re not good.

I got the third — for which I’m grateful, to be honest, the other two are worse — and it was the worst phone call of my life after the worst, most anxiety-riddled three weeks of my life.

My girlfriend took the call for me — the saint she is, appeasing my anxiety at the cost of her own, always — so I can’t recount it in perfect detail but the gist was, “You have cancer. We thought it might be a worse, more rare cancer, so we had to send all your bits and pieces away to be double-checked which is why it’s been three weeks, but no, you’ve just got the regular ol’ garden variety of endometrial cancer.”

Cancer is not a fun word, it’s not a kind word. It sounds ugly and feels wet and clunky and hiss-filled in the mouth. It effortlessly terrifies everyone who speaks English, makes them simultaneously recoil and lurch toward you in apology and pity.

I am 28 years old and I have endometrial cancer.

I have cancer. This is what I say to myself every morning upon waking and every night as I try to fall asleep. It’s a constant, gently barbing hum at the back of my throat any time my mind quiets. Sometimes, like the evening that followed the worst phone call of my life, it isn’t quiet. I say it aloud because if I don’t remind myself that it is real, I cannot cope. I fear I will forget and my life will return to normal without me realizing and it will come again and strip it away from me again, fresh and brutal.

I have cancer.

Sometimes it comes out like a cough, sudden and jarring, scratching at my throat. My eyes water and sting, but it passes quickly — a swallow of water down the wrong pipe — and everything’s okay again.

The night I learned he results of my labs, I looked in the bathroom mirror and fluffed my hair and stroked the skin under my eyes because I still haven’t found an eye cream I want to buy. (I’m almost 30 and I live in a place where the temperature is regularly 20 below, hydration is a priority.) I looked into a face that has cleared up tremendously in the last few weeks because of a drastic change in diet and exercise, my color finally returning to me after months of severe blood loss that necessitated two separate blood transfusions and a total of nine pints of strange blood commingling with my own. I looked in the mirror and I smiled and I said, “I have cancer and I have never looked more beautiful.”

My narcissism truly knows no bounds.

“I am reading Gone Girl on my Kindle and I have cancer.”

“I am shopping for a desk lamp at Target while having cancer.”

“I have cancer and I am moisturizing my face.” “I have cancer and I’m deep conditioning my hair.” “I’m cleaning the bathroom and I have cancer.”

It’s a refrain to center my reality. For now, this thing inside of me, this vicious brutality of mutation is part of me and I must learn it, acknowledge it, accept it.

Cancer will — hopefully, prayerfully, “Please, oh please”-fully — not always be my reality, the center of my every breath, but for now it is.

I have cancer.

I have cancer and with luck, it’ll all be fine.

I am Ash, I have cancer, and I’m doing okay, really.