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Sept. 15, 2026

What to Do When You've Been Given a Difficult Diagnosis

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.

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Dr. Ivan Park had spent his career teaching other

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people about God. He was a Bible professor at Mississippi College,

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the kind of man who could explain what the Bible teaches

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about faith when life falls apart. Then, in early 2025, life

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fell apart for him. The doctors told him he had ALS, the disease

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that slowly shuts the body down. There's no cure, and everybody

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in that room knew what that word meant. For a man who'd taught

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the promises of God for a living, this would test what he'd been

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teaching in his lectures. Everything he'd told his

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students about trusting God was now his own to live. We'll come

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back to what he did with it, but first,

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welcome to Daily Devotions for Busy Lives. I'm Bart Leger. This

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one hits pretty close to home for us. A few years ago,

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Catherine was diagnosed with ankylosing spondylitis, an

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autoimmune disease that inflames the spine. There's no cure for

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it, and the pain is part of most of her days. We came out of that

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appointment with a word we had never heard before and a future

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neither one of us had planned on. What I've learned since then is

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that grace comes one day at a time.

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diagnosis changes the shape of your life in a moment. You went

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into the appointment with the ordinary worries about parking

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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.

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Then come the days after. You're making phone calls, and you've

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never rehearsed, and reading things at midnight that you

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probably shouldn't be reading on the internet. Somewhere in there,

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you have to work out how to tell your family. Everybody wants to

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know how you're doing, and you have no answer for them because

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you don't even know yourself yet. The church is sometimes slow to

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know what to say to somebody in that week. People mean well. Oh,

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they may send a verse. Others say nothing at all because

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they're afraid of getting it wrong. There's a promise in

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Isaiah written for exactly this. Isaiah 43, 2. When you go

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through deep waters, I will be with you. When you go through

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rivers of difficulty, you will not drown. When you walk through

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the fire of oppression, you will not be burned up. The flames

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will not consume you. Look closely at how that promise is

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built. Every line of it assumes you are already in the water,

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deep waters and fire. Then he puts himself inside it with you.

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The word to hold on to is through. You go through deep

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waters. You walk through the fire. There is a far side to

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this, and God is with you every step of the way there. Isaiah

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wrote those words to a people headed into exile. They read

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that promise on their way into trouble, and it held them. So it

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will hold for a person walking out of a doctor's office with a

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folder in their hand and no idea what to do next. There's a

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second half to how God keeps a promise like this, and it

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usually has a name and a phone number. Much of the time, he is

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with you through people who show up at your door. That's what a

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church is for. If you're the one who just got the news, let them

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in, even when you'd rather not be seen this week. And if you're

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the friend standing outside that door with no idea what to say,

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go anyway. Bring food or whatever it is that they may

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need in the moment. You don't need a speech. Then take the

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next step in front of you, the next appointment, the next phone

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call, and that's the entire assignment for the day. Here's

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what Ivan did with it. He decided not to spend whatever

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time he had left on the what-ifs. live one day at a time. A verse

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he kept holding on to was Joshua 1.9. Be strong and courageous.

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And he wasn't alone in it. His church and his college began

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helping with meals and regular prayer, doing for the family

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what the body of Christ is supposed to do. Ivan put it

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simply. I still feel like I'm living, he said. I don't feel

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like I'm dying. Look at the two things Ivan had. He had one

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verse and one day. And he refused to spend today on a

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future nobody could describe for him. Then look at who was around

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him. A church and a college brought meals and prayed, which

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is the body of Christ doing its job. A promise and some people.

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The combination is how anybody gets through a week like this.

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Here's today's challenge. If you're the one with the

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diagnosis, write Isaiah 43.2 on something and put it where

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you'll see it first thing in the morning. Then do one thing that

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day that belongs to today. Make the call or eat a meal you've

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been skipping. If you're the friend, pick up your phone and

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ask what they can eat. Skip the question about whether they need

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anything because they may not even know what they might need.

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Father, you told your people you would be with them in deep water,

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and you have never gone back on that. For everyone listening who

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is holding a piece of paper with a word on it that they can

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barely pronounce, be with them tonight the only way you can and

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steady them for tomorrow's appointment. Send them people

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who bring food and stay a while. And make our churches quick to

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move toward the ones who just got the news. We ask you for

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healing where you will give it and for your presence either way.

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In Jesus' name, amen. If you need prayer today, I'd love to

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hear from you. You can leave me a voicemail at

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dailydevotionsforbusylives.com slash voicemail. I listen to

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every single one, and it would be an honor to bring your name

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before the Lord. Thanks for joining me on Daily Devotions

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for Busy Lives. Remember, the promise is that you go through

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it and God goes with you. Take the next step and let people

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help you. Come back next time for more encouragement to help

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you live grounded in God's truth. Until then, God bless and have a

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great day.

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