Life

Why I won’t take a test to see if my breast cancer will return

Science doesn’t always have all the answers. It might tell you that you will die, but it can’t tell you how you should live

March 20, 2026 10:57
strings Web main image (1).jpg
How long will I live? How long is a piece of string?
3 min read

Walking by an independent bookshop one day, I saw a sign in the window advertising an event: Allegra Goodman talking about her new book, This is Not about Us. I’ve been a fan of Goodman for decades, have read all her Jewish fiction and most recently, her decidedly not-at-all Jewish novel, Isola, about a 16th-century French noblewoman abandoned on an island. I have taught Goodman’s writing – including this semester – and when asked to write about an exemplum of postwar Jewish American writing for the Oxford History of the Novel in English, I chose Goodman’s Kaaterskill Falls.

I paid little heed to the writer with whom Goodman was in conversation at the bookshop. But when I went up to fangirl, the woman who had been sitting beside my husband turned to him and confessed she had never heard of Goodman; she came because Goodman’s interlocutor, Nikki Erlick, was her favourite writer.

When I happened to see that Erlick’s 2022 novel The Measure was available on Libby (the library app, chock full of audiobooks and a literary girl’s best friend), I borrowed it. The premise was intriguing enough: one day, every single person aged 22 and older received a box, and in the box was a string that told the exact length of each person’s life. I don’t read a lot of concept books, so I wasn’t convinced that the book would hold my attention. I was wrong. Erlick skilfully explores how this small tweak to the world that we know could change everything…

I was still thinking about Erlick’s novel when I went to see my new oncologist. Warm, dimpled, and full of smiles, the doctor immediately won me over (it didn’t hurt that when I mentioned I was Jewish, he asked, concernedly, if I had any family in Israel and if everyone was OK). He spent over an hour with me, going through my history, my treatment, and my future. Then he said he wanted to tell me about a new blood test, one that could determine if my cancer would recur.

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