NEED TO KNOW
Mark Burkholder photographed the well being decline of his spouse Paige, who was recognized with a uncommon type of liver most cancers at 32
Burkholder tells PEOPLE the couple needed to doc the “extra uncooked and sincere elements” of most cancers’s development reasonably than the frequent narrative of it as a “heroic wrestle”
He’s now encouraging different caregivers to share “radical honesty concerning the illness”
A widower is opening up about shedding his spouse to most cancers, and why he selected to {photograph} her well being decline over three years.
Mark Burkholder’s spouse Paige was recognized with a uncommon type of liver most cancers in 2022, months after the couple moved to the San Juan Islands, a small archipelago off the coast of Washington State. A historical past instructor, Paige had gotten a job supply there.
“The plan in transferring right here was to reconnect,” Burkholder, a author and marketer, tells PEOPLE of the 2021 relocation. “After we moved right here, she began having the stuff that you just simply do not actually take into consideration an excessive amount of — some abdomen ache, just a little little bit of again ache, after which that began getting dangerous.”
The ache acquired worse over time, and she or he went to the physician for a scan.
Mark Burkholder with late spouse Paige and their canine, Olive.
Courtesy Mark Burkholder
On the day she realized the outcomes of her scan, she met Mark at a neighborhood espresso store. “I bear in mind looking the window and seeing her face,” he says. “I simply immediately knew that it was one thing dangerous.”
The scans recognized a mass on her liver — one thing the physician mentioned was “a tumor the scale of a softball … nearly actually most cancers.”
“It was quick and it was aggressive,” Burkholder tells PEOPLE. In September 2022, Paige was recognized with cholangiocarcinoma, a uncommon most cancers of the liver’s bile ducts. By the point she started therapy that December, the tumor was the scale of a soccer.
Mark and Paige Burkholder on their wedding ceremony day in TK YEAR
Courtesy Mark Burkholder
Paige’s first chemotherapy therapy was round Christmas Day. “We drove by a blizzard, whiteout situations.” Burkholder says he remembers watching the snowstorm whereas his spouse was calling individuals and “spinning it just a little bit, telling them, ‘It is a most cancers I am going to stay with.’ “
“After the primary name or two, I sat subsequent to her and I used to be like, ‘You already know what is going on on — that that is terminal, proper?’ ” he says. “She was creating hope for herself and for them. The way in which I have a look at it, my position as her caregiver was to stay in actuality.”
That is when Burkholder started to consider sharing an sincere have a look at most cancers. “A lot of the stuff that we see about most cancers, it is identical to, the one pose, like ‘Warrior!’ ” he says. “However while you’re house alone, and also you’re curled up in a ball on the couch, struggling and crying and you then see on-line somebody who’s simply cherry-picked the at some point they felt good, God, it’s actually isolating to see what individuals are sharing, and the narrative they’re attaching to it that that will get put round most cancers.”
“It is type of portrayed as this heroic wrestle — however I believe it is actually extra like a trench warfare in World Warfare One: You are in a trench for months and you’ll by no means sleep as a result of there’s bombs going off. There’s gunfire on a regular basis.”
Mark Burkholder photographed his spouse Paige’s therapy.
Courtesy Mark Burkholder
Burkholder started to {photograph} and movie their shared journey: Paige with terminal most cancers, and he as a caregiver — however they didn’t publish something on-line.
“The elements that we actually needed to share have been the extra uncooked and sincere elements, and sharing it throughout the journey was arduous. After we have been feeling nicely sufficient to be fascinated about recording one thing, we did not need to then use that point to plunge proper again into the distress we might simply been by a month earlier.”
“[Posting] did not find yourself taking place principally till she handed,” he mentioned.
He posted his first TikTok on Dec. 13, three days after Paige, 35, died within the evening, at house.
Mark and Paige Burkholder needed to share a practical have a look at most cancers therapy.
Courtesy Mark Burkholder
That first publish was considered practically 250,000 instances. In one other TikTok, the place Burkholder shared how he managed her demise with their canine Olive, was considered 1.2 million instances. And when he described her most cancers as “getting old in quick ahead,” that TikTok was considered practically 2 million instances. As Burkholder sorted by the reactions from others who’d misplaced family members to most cancers, he realized the story he needed to inform was one about caregiving.
“A number of the time caregiving is simply sitting on the sofa for twenty-four hours a day as a result of Paige could be handed out, or she’d be or ache. When she was acutely aware, I might need to be together with her and when she wanted one thing, I wanted to be there,” he says.
“The arduous a part of caregiving is being current for twenty-four hours a day and simply being on name at all times. And for me, the deal with caregiving is simply because we speak a lot about most cancers and supporting individuals with most cancers, and I simply had not seen that a lot concerning the realities of caregiving, particularly the psychological and bodily toll of the 24-hour nature of it.”
“Each most cancers journey is so distinctive,” he says. “I do not assume I may give any recommendation on battling cholangiocarcinoma. I do not really know that a lot about cholangiocarcinoma. What I do know and what I may give assist on is presence.” He shares he desires to additionally supply useful recommendation, like, tips on how to write the physician “an e mail that’ll punch by and is evident and is not simply going to have the physician reply with one other query that delays issues three days.”
He desires to share a “area guide” of tips on how to take individuals up on their supply to assist: “Tons of of individuals are going to message you and say, ‘If there’s something I can do, let me know.’ Effectively, you realize what you need to do then: Make an internet site with 5 hyperlinks on it to a meal prepare, a GoFundMe, and an Amazon wishlist and no matter else.”
As he explains, “We would have liked the assist and if everybody in your life is prepared to supply assist, however does not understand how, all that assist simply disappears, which I believe is what occurs 99% of the time.”
Mark Burkholder photographed his spouse Paige, two weeks earlier than her demise.
Courtesy Mark Burkholder
By no means miss a narrative — join PEOPLE’s free every day e-newsletter to remain up-to-date on the perfect of what PEOPLE has to supply, from movie star information to driving human curiosity tales.
However, as Burkholder tells PEOPLE, his general message is considered one of “radical honesty concerning the illness.”
“In a bizarre manner, should you current an excessive amount of of the valiant warrior, you value your self rather a lot,” he says. “Everybody’s like, ‘Effectively, they’re only a badass sturdy most cancers warrior. They do not need assistance and assist.’ However should you’re prepared to be sincere about how horrible this course of is, then individuals really will help you and perceive that you just want the assistance. That is my mission.”
The response from individuals who’ve misplaced family members has been immense: “The whole lot Paige and I assumed was true,” he says. “Individuals are on the market struggling, and everybody’s misplaced … that is type of the nice heartbreak for me in all of this.”
Learn the unique article on Folks

