Yesterday afternoon was my weekly Skype therapy session, and, not knowing what to talk about, I told the therapist about the stress and worry over the test appointments earlier this week.

‘It seems you’re worrying about the processes and administration more than what it’s all about, which is the opposite of what most people would do’ she said.

By ‘what it’s all about’, of course, she meant cancer – but honestly, what’s that to worry about? If that sounds flippant, we’re not talking here about any particular risk. The infusion I’m going for on Saturday (tests permitting, and I’m still waiting for the result) isn’t even directly related to cancer, but to reducing the risk of side effects from the medication I’m taking to reduce the risk of the cancer coming back/happening again. And whether at some point I’ll get cancer again, or osteoporosis, or both or neither is not something I think about on a daily basis – although I do, of course, keep taking the prescribed tablets and a calcium supplement. That’s part of my routine. And going for the infusion, although uncomfortable and annoying, is also routine – this is the fifth time I’ve done it, and that followed after six sessions of chemo, which were much nastier and lasted longer but were basically the same process, in the same ward at the same hospital. So I know what I’m doing, I just have to turn up at the usual place for 10:30 on Saturday, with my Kindle to read while I’m waiting (there’s always lots of waiting) and after that it’s out of my hands.

This harks back to something I’ve said before: that getting through cancer (in my experience) is not about being ‘brave’ or emotionally strong or staying positive, it’s about doing what you’re told, turning up for the treatments, taking the meds, trusting in the expertise of the medical staff, accepting any help that’s offered. In the end, it’s a lottery, but you can buy as many tickets as you can lay your hands on to improve your chances of getting through. Even so, you could be knocked down by a car any day on your way to the local shop, so why torture yourself by worrying about death when there are so many other ways to do it?

The therapist’s response was to say: ‘There are two types of people in the world…’ and I thought she was going to say something profound, but instead it was just: ‘…those who blame themselves for everything that goes wrong and those who never blame themselves, and we know which you are,’ which we’ve talked about so many times, and didn’t seem terribly relevant or helpful in this context. I was thinking more of Chekov: ‘Any idiot can face a crisis; it’s this day-to-day living that wears you out’, which was sent to me on a card years ago by a friend who never saw her fiftieth birthday because she died of breast cancer six months before.

I didn’t go to the beach to photograph the sunrise, though I was awake in time to get there.

Instead I lay in bed, as I do, thinking.

And then it was seven o’clock, and then it was eight o’clock, and I was still lying there. And I thought how pointless everything is, and wouldn’t it be better to just let go, let everything go and stop trying to find reasons to stay alive?

All these stupid tasks I’ve been setting myself, like doing yoga and tai chi and meditation in my spare room, and writing 500 words. All for what? To make me think I’m doing something worthwhile with my days? All that self-bullying that I usually put into getting myself to leave the house I’m now focussing on creating a ‘structure’ for my life (though not on housework, no, never on that). And I resent it just as much, and find reasons for telling myself how pointless it all is, nobody’s making me do it but myself, so why shouldn’t I just lie in bed all day hating myself and feeling miserable, because that feels like the easiest and most natural thing in the world. After all, it’s what I’ve been doing for as long as I can remember, why change the habits of a lifetime? And now there’s no one to judge me for it but myself (and anyone who happens to read this, of course).

Someone said in a private message last week that I ‘torture’ myself. Well, why not? Maybe I deserve it. Maybe it’s all I know how to do.

While I was sitting on my cushion I thought about being on Millbank, upriver from Tate Britain, leaning on the wall and looking at the river and the new spring shoots on the plane trees, unfurling between the bobbles of last year’s seeds. I feel as though I have been there many times on lovely spring days taking photographs in the sunshine, and later crossing Vauxhall Bridge and going to the café which I can never remember the name of, but it’s also an antique showroom, and sitting outside drinking coffee surrounded by quirky statuary and old garden equipment, hiding from the noise and stink of buses. I’ve been going there for years, but I know it was still there last summer (maybe not the next time I go though, if there is a next time).

Hiding and running away are two sides of the same coin – yes, yes, I know, I know, I repeat myself, keep churning out the same old nonsense time after time. So why can’t I repeat the ‘good’ stuff? How the f*ck do I know? I don’t have control over what pops into my head. It’s all just bollox anyway, whatever I say.

I was planning to venture out again when I run out of milk – which will probably be today, or maybe I can stretch it out till tomorrow. Fact is, I don’t really want to any more.