Trying to stay positive for tomorrow . I always find myself getting anxiety right before a chemo treatment . Like am...

I hear you—that pre-treatment anxiety is so real and completely understandable. You're facing something challenging, and it makes sense that your mind runs through all those "what-ifs" the night before. Let me help you think through some of this.

What You're Worried About (And Why These Concerns Make Sense)

"Will I be allowed to have treatment?" Your oncology team checks specific things before each infusion—mainly your blood counts and organ function. They're protecting you, not blocking you. If something needs adjustment, they'll tell you directly.

"Will my port work?" Ports are pretty reliable, but yes, occasionally they need flushing or repositioning. If there's any issue, your nursing team catches it before treatment starts and has solutions ready.

"Will my bloodwork be okay?" This is the most common pre-treatment check. They're looking at things like:

• White blood cells (infection risk)
• Hemoglobin (anemia)
• Platelets (bleeding risk)
• Kidney and liver function

If levels are slightly low, sometimes treatment is delayed a few days—that's actually good medical care, not failure.

A Practical Reframe

Here's what actually happens: Your care team has already decided you're a candidate for this treatment. Tomorrow isn't a test you might fail—it's a scheduled appointment where they'll do safety checks and then proceed. The vast majority of the time, those checks pass and treatment happens.

For Tonight and Tomorrow Morning

Things you can actually control:

• Stay hydrated today and tonight
• Get what sleep you can (even if it's not perfect)
• Eat something nourishing in the morning
• Wear comfortable clothes with easy port access
• Write down any new symptoms or concerns to mention

Things to let go of:

• Predicting what the bloodwork will show (you can't control it tonight)
• Worrying about "what-ifs" that your team will handle if they come up

About the Faith Piece

You mentioned stepping back and giving this to God—that's not weakness, that's actually wisdom. Many cancer patients find that the night before treatment is when they practice acceptance rather than control. You've done what you can do. Tomorrow, you show up, your team does their job, and you get through it together.

If the anxiety is really intense, it's also completely fair to mention this to your oncology nurse or social worker. Some patients find that talking through the specific fears (rather than just the general dread) helps. They've heard all of this before.

You're going to get your treatment tomorrow. Your team wouldn't have scheduled it if they didn't expect you to be cleared. And you're going to get through it, like you have before.

This information is for educational purposes only. Always consult your healthcare team for personalized medical advice and decisions.