Grey,
So sorry you are feeling this way. It sounds like you are thinking "What's the point? Except for Dot, my life hasn't been all that grand since my wife died anyway."
Sorry if I am misinterpreting you.
I kind of started getting a bit of that sense from some of your very first posts and now, especially after the lung spots were discovered, things have gotten somewhat worse.
Can I understand that thought process? Yup.
Why? I took Chantix for a while and one of the potential side effects is depression. I got that side effect. For me, it was pretty much just an absence of joy. I didn't realize it for a while but things just seemed off and then I realized that things that usually gave me a sense of joy, didn't seem to. Even when something happened that should have caused joy, it wasn't much.
I stopped taking the Chantix and my attitude rebounded and I am once again a joyful person. I promised myself that I would never let myself forget that feeling because I finally understood what depression is like. My wife had clinical depression for years and I could never quite understand why she just didn't "think about things this way or that way". What I moron I was. Some will argue that I'm still a moron, but that's a post for another day.
On the site here I sometimes think I come across as cranky. If you ever met me, you would know that isn't me at all.
I really, really, really think you need to seriously talk to your doctor about how you are feeling now and how you've been feeling since your wife died. I know you say you aren't depressed, but my friend, if it walks like a duck and quacks like a duck it is most likely a duck.
Doesn't mean that you are defective as a person or anything like that. It means that a set of life circumstances have conspired to alter your chemical makeup. The brain and the endocrine (not all docs agree about endocrine playing a part) system have a lot to do with this. Situations like the death of a spouse (especially) and/or many other types of things in life can trigger this response in the body. The person doesn't usually realize it but over time they start to realize that they don't really feel much joy. It's not something that someone can snap out of or will themselves to do.
It typically requires medication of some sort. Sometimes this can be short term to help a person over a hump and their body starts to regain its ability to properly regulate itself without antidepressants. Other times, people need to be on them for life. BUT--WHAT A DIFFERENCE IN LIFE!
Even if you don't think you are depressed, talk to the doctor about it and just describe how you feel (and how you've been feeling). He/she would likely prescribe something that can help you. Down the road, you see how things are and maybe taper down to see how you still are.
You have a lot of complications going on right now.
Do you have to "Put up a fight?" and all that to beat this cancer thing. Personally, I never viewed it that way. My view was just get the best treatment I could get and put this behind me. I didn't visualize beating cancer anything like that. Never saw it as a battle. Other people do and if that works for them, that's great. Nothing wrong with their way for them and my way for me. Everyone deals with things differently.
Let's figure out what the deal is with the lungs. If your bladder cancer has spread and they're talking about a short time to be on this side of the grass pretty much no matter what they do, well that's one thing. If both these situations are things that can be treated and you can get on with your life, that's another.
In either case though, I think the antidepressant route is something to very, very seriously consider. No matter what path life takes you in the coming weeks, months, or years, wouldn't it be nice to feel joy the way you used to? It's ok to feel joy everyday even though your wife isn't here in body with you anymore. Dot's still here. And if Dot was ever not there, there are other puppies whose life you could save and they yours. So I guess I'm saying that no matter what, get the help you need to do it with joy.
If your doctor says you don't need it, ask him what its going to hurt to try Cymbalta or some other med. If you need to, ask yourself the same question. What can it hurt? Isn't a life with joy (even in the face of adversity) something that you deserve? I think it is.
I wish you JOY!
Mike