14 Years Later: Learning to Thrive, Not Just Survive

Today, fourteen years ago, cancer entered my life and changed it forever.

Not only physically.
Emotionally. Mentally. Spiritually.

At the time, I was a single mother with a private practice, constantly stressed, always “on,” always carrying responsibility. I was functioning, achieving, helping others… while quietly running on empty myself.

Then came the diagnosis: You have breast cancer.

People often talk about the battle of cancer in terms of treatment. The surgeries. The chemotherapy. The appointments. And yes, those things are hard.

But what many don’t talk about is what happens after.

Ironically, when treatment ended and everyone around me celebrated that I was “better,” I felt worse.

The appointments became less frequent. Life was supposed to go back to normal. People expected gratitude, positivity, relief. And while I was grateful to be alive, there was another side I struggled to admit out loud.

I was deeply depressed.

There was survival guilt. Fear. Emotional exhaustion. The pressure to keep going. To keep working. To keep mothering. To keep smiling. To stay strong for everyone around me.

And in many ways, I still carry parts of that today.

As a physician, I understood the medical side of illness. But living through cancer taught me something medicine alone could not fully explain: surviving is not the same as healing.

Healing is much more layered.

Over the years, I slowly started reconnecting with myself again. Not through one big breakthrough, but through small moments. Through reflection. Through learning to listen to my body instead of constantly overriding it. Through understanding the role stress, emotions, nutrition, rest, connection, and purpose truly play in our wellbeing.

And honestly, I am still learning.

I don’t have it all figured out. I’m still healing parts of myself. Still unlearning survival mode. Still trying to soften after years of carrying so much.

But I am closer to myself today than I was back then.

One of the hardest parts for me – and one I rarely spoke about openly – was the weight gain after cancer treatment and surgeries.

At the time, I was already working as a physician in weight loss and wellness. Which, in many ways, made it even more confronting.

How could I, of all people, not get my own weight under control?

For a long time, I saw it as failure. As lack of discipline. As something I should have been able to “fix.”

But over the years, I began to understand something much deeper.

Weight is not only about food.

Sometimes it is grief.
Sometimes it is exhaustion.
Sometimes it is chronic stress, hormones, emotional survival, disconnection from self, or years of carrying more than the body was ever meant to hold alone.

As I deepened my understanding of obesity and health over the years, I also came face to face with something deeply humbling.

Even with all my medical knowledge, I realized I had still underestimated the impact of chronic stress, emotional burden, and the lack of true self-care on the body.

I was eating healthy. I exercised regularly. And yet, I still became ill.

Of course, intellectually I already knew stress and mental health mattered. As physicians, we learn these things. But knowing something academically is very different from truly understanding its impact in your own life and body.

I did not yet fully understand how deeply chronic stress could affect healing, hormones, weight, inflammation, emotional wellbeing, and overall health. Nor did I realize how difficult it is to care for yourself when you have spent years surviving instead of truly living.

Looking back now, I wish I had understood earlier that self-care is not a luxury.

It is part of healing.

I eventually realized that healing my relationship with my body required much more than nutritional knowledge. It required emotional healing too.

And perhaps for the first time, I started approaching myself with the same compassion I so easily gave to others.

14 Things Cancer Taught Me

1. Surviving is not the same as healing

People celebrated when chemotherapy ended, but emotionally I felt more lost than ever.

2. Stress has consequences

For years I lived in survival mode, thinking constantly pushing through was strength.

3. Being strong all the time is exhausting

Sometimes strength became another mask I hid behind.

4. Mental health matters just as much as physical health

No one really prepares you for the emotional aftermath of survival.

5. Gratitude and depression can exist together

I was grateful to be alive while simultaneously struggling deeply inside.

6. Weight is more complex than we think

Healing my body required emotional healing too, not just nutritional knowledge.

7. The body whispers before it screams

Looking back, I realize how disconnected I had become from my own needs.

8. Rest is not laziness

Rest became necessary, not optional.

9. Connection heals

The moments I remember most are not achievements, but genuine connection with people I love.

10. Nutrition is an act of self-respect

Not punishment. Not perfection. But care.

11. You cannot pour from an empty cup

For years, I gave to everyone while neglecting myself.

12. Joy matters

Travel. Laughter. Nature. Music. Small beautiful moments. These things matter more than we realize.

13. Healing is not linear

Some seasons I felt strong. Others I felt completely lost again.

14. Coming back to yourself may be the greatest healing of all

Fourteen years later, I no longer only celebrate surviving cancer. I celebrate slowly finding my way back to myself.

Cancer changed what I value.

Today, I value connection over performance.
Quality time over constant productivity.
Travel. Presence. Meaningful conversations. Nourishing my body. Taking care of myself without guilt. Time with family and friends. Quiet moments. Joy. Peace.

The older I get, the more I realize health is not simply the absence of disease.

It is feeling connected – to yourself, to others, and to life itself.

Fourteen years later, I no longer only celebrate surviving.

I celebrate the woman who kept going through all of it.
The woman who slowly found her way back to herself.
And the woman who is still becoming.

And maybe, after all these years, that is the real healing.

Not just surviving.

But finally learning to celebrate me.

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About Me

  My name is Marly Oosterhof, and I’m a Medical Doctor who transitioned from focusing solely on curing to embracing a more holistic approach to healing. In 2005, I founded Vita Wellness and Health, where I’ve applied my expertise in medical weight loss to help numerous patients reclaim their health through personalized coaching and guidance.

Having faced my own medical challenges, I’ve sought a more integrated approach to health and wellness, earning certifications in nutrition, homeopathy, and lifestyle medicine, among others. My true passions lie in health, wellness, travel, and food.

What I am: A physician with a deep love for holistic health and lifestyle.
What I’m not: A photographer, chef, nutritionist, or personal trainer.

In this blog, I’ll share what excites and inspires me, with the hope of encouraging others to make lifestyle changes. Most photos will be taken with my phone, and I love sharing the meals I create, so please bear with me! 😊