What to Do When You've Been Given a Difficult Diagnosis
Key Takeaways
- A difficult medical diagnosis can instantly reorder your life, but God promises in Isaiah 43:2 to be present with you right in the middle of deep waters and difficult rivers.
- Dr. Ivan Parke, a Bible professor facing an ALS diagnosis, chose to live one day at a time, anchoring his faith in Joshua 1:9 rather than worrying about the what-ifs of the future.
- God often fulfills His promises through the practical support of a community, such as a church or college bringing meals, offering prayers, and showing up at your door.
- When supporting a friend who just received devastating news, it is better to take concrete action like bringing food rather than asking open-ended questions about what they need.
- The entire assignment for any given day is simply to take the next step in front of you, trusting God for today's strength instead of carrying tomorrow's burdens.
You went into the appointment with ordinary worries and came out with something that changes everything. Learn what Isaiah 43:2 promises about God's presence in the days after a diagnosis, and how a church is meant to show up.
A diagnosis changes the shape of your life in a moment. You went into the appointment with the ordinary worries about parking and getting back to work in the afternoon. You came out with something that reorders everything. The drive home is a strange thing all by itself. The radio is still playing, and the world has no idea that yours just changed.
Then come the days after. You're making phone calls you never rehearsed and reading things at midnight that you have no business reading. Somewhere in there you have to work out how to tell your kids. Everybody wants to know how you're doing, and you have no answer for them, because you don't know yet. The church is sometimes slow to know what to say to somebody in that week. People mean well. They send a verse that shuts the conversation down, or they say nothing at all because they're afraid of getting it wrong.
This episode opens with Dr. Ivan Parke, a Bible professor at Mississippi College who had spent his career teaching other people what Scripture says about faith when life falls apart. Then in early 2025, life fell apart for him. The doctors told him he had ALS, the disease that slowly shuts the body down. There is no cure, and everyone in that room knew what the word meant. Everything he had told his students about trusting God was suddenly his own to live.
Isaiah 43:2 was written for exactly this: "When you go through deep waters, I will be with you. When you go through rivers of difficulty, you will not drown." Look at how the promise is built. Every line assumes you are already in the water. God names the trouble in plain detail, and then He puts Himself inside it with you. The word to hold onto is through. There is a far side to this, and God is with you every step of the way there. Isaiah wrote those words to people headed into exile, and they read the promise on their way into the trouble.
There is a second half to how God keeps a promise like that, and it usually has a name and a phone number. Much of the time He is with you through people who show up at your door. Bart shares his own version of this, the appointment where Katharine was diagnosed with ankylosing spondylitis, and what he has learned since about asking God each morning for that day's strength. Ivan found the same two things: one verse, Joshua 1:9, and a church and college that brought meals and prayed.
BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:
What Isaiah 43:2 promises about God's presence when you are already in the water Why the next step in front of you is the whole assignment for today How to show up for a friend who just got the news, even with nothing to say
A promise and some people. That combination is how anybody gets through a week like this. Take the next step, and let people help you.
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Frequently Asked Questions
What does Isaiah 43:2 promise about difficult diagnoses?
Isaiah 43:2 promises that when you go through deep waters and rivers of difficulty, God will be right there with you so that you will not drown.
How did Dr. Ivan Parke handle his ALS diagnosis?
Dr. Ivan Parke decided not to spend his remaining time on what-ifs, choosing instead to live one day at a time anchored in Joshua 1:9 while leaning on his church and college for meals and prayer.
How can I support a friend who just received a difficult medical diagnosis?
Skip vague questions about whether they need anything and instead show up with practical help, such as bringing food and offering your steady presence without needing a rehearsed speech.
Dr. Ivan Park had spent his career teaching other
Bart Leger:people about God. He was a Bible professor at Mississippi College,
Bart Leger:the kind of man who could explain what the Bible teaches
Bart Leger:about faith when life falls apart. Then, in early 2025, life
Bart Leger:fell apart for him. The doctors told him he had ALS, the disease
Bart Leger:that slowly shuts the body down. There's no cure, and everybody
Bart Leger:in that room knew what that word meant. For a man who'd taught
Bart Leger:the promises of God for a living, this would test what he'd been
Bart Leger:teaching in his lectures. Everything he'd told his
Bart Leger:students about trusting God was now his own to live. We'll come
Bart Leger:back to what he did with it, but first,
Bart Leger:welcome to Daily Devotions for Busy Lives. I'm Bart Leger. This
Bart Leger:one hits pretty close to home for us. A few years ago,
Bart Leger:Catherine was diagnosed with ankylosing spondylitis, an
Bart Leger:autoimmune disease that inflames the spine. There's no cure for
Bart Leger:it, and the pain is part of most of her days. We came out of that
Bart Leger:appointment with a word we had never heard before and a future
Bart Leger:neither one of us had planned on. What I've learned since then is
Bart Leger:that grace comes one day at a time.
Bart Leger:diagnosis changes the shape of your life in a moment. You went
Bart Leger:into the appointment with the ordinary worries about parking
Bart Leger:and getting back to work in the afternoon, and you came out with
Bart Leger:something that reorders everything. The drive home is a
Bart Leger:strange thing all by itself. The radio might still be playing,
Bart Leger:but the world around has no idea that yours has just changed.
Bart Leger:Then come the days after. You're making phone calls, and you've
Bart Leger:never rehearsed, and reading things at midnight that you
Bart Leger:probably shouldn't be reading on the internet. Somewhere in there,
Bart Leger:you have to work out how to tell your family. Everybody wants to
Bart Leger:know how you're doing, and you have no answer for them because
Bart Leger:you don't even know yourself yet. The church is sometimes slow to
Bart Leger:know what to say to somebody in that week. People mean well. Oh,
Bart Leger:they may send a verse. Others say nothing at all because
Bart Leger:they're afraid of getting it wrong. There's a promise in
Bart Leger:Isaiah written for exactly this. Isaiah 43, 2. When you go
Bart Leger:through deep waters, I will be with you. When you go through
Bart Leger:rivers of difficulty, you will not drown. When you walk through
Bart Leger:the fire of oppression, you will not be burned up. The flames
Bart Leger:will not consume you. Look closely at how that promise is
Bart Leger:built. Every line of it assumes you are already in the water,
Bart Leger:deep waters and fire. Then he puts himself inside it with you.
Bart Leger:The word to hold on to is through. You go through deep
Bart Leger:waters. You walk through the fire. There is a far side to
Bart Leger:this, and God is with you every step of the way there. Isaiah
Bart Leger:wrote those words to a people headed into exile. They read
Bart Leger:that promise on their way into trouble, and it held them. So it
Bart Leger:will hold for a person walking out of a doctor's office with a
Bart Leger:folder in their hand and no idea what to do next. There's a
Bart Leger:second half to how God keeps a promise like this, and it
Bart Leger:usually has a name and a phone number. Much of the time, he is
Bart Leger:with you through people who show up at your door. That's what a
Bart Leger:church is for. If you're the one who just got the news, let them
Bart Leger:in, even when you'd rather not be seen this week. And if you're
Bart Leger:the friend standing outside that door with no idea what to say,
Bart Leger:go anyway. Bring food or whatever it is that they may
Bart Leger:need in the moment. You don't need a speech. Then take the
Bart Leger:next step in front of you, the next appointment, the next phone
Bart Leger:call, and that's the entire assignment for the day. Here's
Bart Leger:what Ivan did with it. He decided not to spend whatever
Bart Leger:time he had left on the what-ifs. live one day at a time. A verse
Bart Leger:he kept holding on to was Joshua 1.9. Be strong and courageous.
Bart Leger:And he wasn't alone in it. His church and his college began
Bart Leger:helping with meals and regular prayer, doing for the family
Bart Leger:what the body of Christ is supposed to do. Ivan put it
Bart Leger:simply. I still feel like I'm living, he said. I don't feel
Bart Leger:like I'm dying. Look at the two things Ivan had. He had one
Bart Leger:verse and one day. And he refused to spend today on a
Bart Leger:future nobody could describe for him. Then look at who was around
Bart Leger:him. A church and a college brought meals and prayed, which
Bart Leger:is the body of Christ doing its job. A promise and some people.
Bart Leger:The combination is how anybody gets through a week like this.
Bart Leger:Here's today's challenge. If you're the one with the
Bart Leger:diagnosis, write Isaiah 43.2 on something and put it where
Bart Leger:you'll see it first thing in the morning. Then do one thing that
Bart Leger:day that belongs to today. Make the call or eat a meal you've
Bart Leger:been skipping. If you're the friend, pick up your phone and
Bart Leger:ask what they can eat. Skip the question about whether they need
Bart Leger:anything because they may not even know what they might need.
Bart Leger:Father, you told your people you would be with them in deep water,
Bart Leger:and you have never gone back on that. For everyone listening who
Bart Leger:is holding a piece of paper with a word on it that they can
Bart Leger:barely pronounce, be with them tonight the only way you can and
Bart Leger:steady them for tomorrow's appointment. Send them people
Bart Leger:who bring food and stay a while. And make our churches quick to
Bart Leger:move toward the ones who just got the news. We ask you for
Bart Leger:healing where you will give it and for your presence either way.
Bart Leger:In Jesus' name, amen. If you need prayer today, I'd love to
Bart Leger:hear from you. You can leave me a voicemail at
Bart Leger:dailydevotionsforbusylives.com slash voicemail. I listen to
Bart Leger:every single one, and it would be an honor to bring your name
Bart Leger:before the Lord. Thanks for joining me on Daily Devotions
Bart Leger:for Busy Lives. Remember, the promise is that you go through
Bart Leger:it and God goes with you. Take the next step and let people
Bart Leger:help you. Come back next time for more encouragement to help
Bart Leger:you live grounded in God's truth. Until then, God bless and have a
Bart Leger:great day.