If anyone laughs at you then I'd say screw 'em! You don't need people in your life like that. You've overcome the odds from day1 and you should be so happy and proud to have survived and made it to a monumental milestone. Good for you wanting to celebrate it as its the special day that it is. I'm only 28 (29 in may) and I too wasn't sure how long I'd be on this earth, either by my own hand or through chronic illness and disease, so each birthday is a milestone and I hope that I too will one day have your positivity about turning 40.
Do you have the type of relationship where you can say to your mum that you do indeed want to make a fuss and for goodness sakes, you'll be 40, so she needs to accept you're an adult and not a little girl, despite all that you've been through? It would be a shame to not have your mum make a fuss on your special day if that is what you'd like. Good luck!
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