Because the same activity that used to help her live as a Healthy Survivor has become an obstacle to living as fully as possible.
Healthy Survivorship is a dynamic process that requires ongoing evaluations and adjustments, and sometimes a dramatic change in approach.
Consider people who participate in a support group. This activity helps many patients newly diagnosed or going through treatment. But most get to a point of diminishing returns. Except for those who derive great joy from helping other survivors, letting go of the group is best.
Similarly, the same fighting spirit that helps patients get through difficult treatments -- "I won't give up or give in" -- can become an obstacle to Healthy Survivorship when treatment options run out. Insisting on more treatment no matter the futility and/or refusing hospice or other end-of-life care often deprives patients of optimal care and precludes meaningful last acts.
Healthy Survivors (1) obtain sound knowledge about each new phase of their survivorship, (2) find and nourish healthy hopes for their current stage of survivorship, and (3) take effective action given their current circumstances.
So I wish my fellow blogger "Bon Voyage." And "Bravo" on both a job well done and knowing when it is time to bow out. I'm not sad about losing the connection. We both have email.