For me personally, I have always appreciated seeing social media, blog posts etc. showing stage 4 cancer patients surviving and thriving.
I actively sought these out on diagnosis and it brought me hope and comfort, and I don't see this as "false" hope, these are real people, (all manner of circumstances), so if they are surviving and living well, it gives me hope that I can too.
Stage 4 patients know the score, and likely know their own personal survival expectations, and we are well aware that we may not have long left (there is plenty of coverage of this on social media too). Yet to see others defying the odds can bring so much hope.
I follow a woman in the US who has been living with my particular kind of cancer for 27 years, and while I know that statistically I won't get there, it makes me smile to see her updates and know she's out there doing well.
It was a struggle initially to figure out the right balance between optimism and realism, but I think I've managed it now. (In the early days I used to ask my therapist whether she thought I was in denial - and she'd tell me no - I was just having a good day 😊)
I guess what I'm trying to say is that stage 4 doesn't need to be "no hope land" there are growing numbers of us outliving our prognoses, and I do believe that my generation will see further significant improvements in outcomes. I think we can promote hope and optimism while still being compassionate and sensitive to the fact that so much more needs to be done to improve survival rates for all.