• Lessons from the lower case c

Monday, 8 pm

It’s been nearly six months since my doctor sat Lois and me down in his office, somberly looked through his manila folder and announced, “Well, the bad news is you have prostate cancer. The good news is that we caught it as early as possible and it’s completely treatable and not life-threatening.”

So, I have in my right hand, direct from my home office, top ten things I’ve learned living with cancer:

10. Cancer is a great way to get out of work!

“Sorry, I can’t help with VBS. I’m having radiation for prostate cancer.” One editor actually offered to delay a deadline if I didn’t feel up to writing. And Lois mowed the lawn several times this summer. Nobody is going to argue with you when you beg out with “I’ve got cancer.”

9. I get my very own month—and exclusive club

Yah, yah, October is Breast Cancer Month with all the pink ribbons and major media coverage, but did you know that September is Prostate Cancer Month? Don’t feel badly—it’s a well-kept secret. Probably because men are not about to wear little blue ribbons announcing to the world there’s trouble in Man Land!

But you also become part of an exclusive club—no girls allowed! Sort of like those old veterans who have an instant camaraderie at the VFW post. I’ve been amazed at the number of men who’ve come forward to share that they too have fought the battle of prostate cancer.

8. I still haven’t mastered waiting

To me, hell would be sitting in a waiting room for eternity.

A year of waiting for multiple PSA results, all a bit higher than the last. Waiting for a biopsy. Waiting for the biosy results. Waiting for treatment to begin once the doctor dropped the C-word. Waiting for the final results. I had my last “zap” August 28 and will finally get results tomorrow (October 14).

And then waiting one to two years to see if the radiation will cause incontinence or impotence.

I’ll post the results of the treatment as soon as I know them, so thanks for waiting with me and especially your prayers. I don’t do waiting well, but I have felt a miraculous peace during this time. And for that, I am grateful—and amazed. (Some thoughts on waiting.)

7. Cancer comes with a capital C and with a lower case c

Prostate cancer is the lazy, under-achiever in the cancer family: it lives in the basement of its parent’s home; slow-growing and easily defeated if caught early. You don’t even “battle” it at my stage. You simply lie back and let the radioactive waves zap the little slacker. It’s cancer with a lower-case c.

So, my heart goes out to those who are facing Cancer with a capital C: those in terrible pain as they wage a life and death battle with the monster, who have been told they have six months to live and who will never see their children or grandchildren grow up. I’ve probably been too flippant about my diagnosis and treatment in my blog posts. Sorry!

6. It may be lower case, but it’s still a life-changer

We all need a “wake up call” that life is short and unpredictable, that God and family are the most important things in life, and that we need to leave the world a better place than we found it. I’m grateful mine has been a tap on the shoulder, not a blow to the gut that leaves one breathless, immobilized and dying. (And there is a 5 percent the radiation treatment will not be effective and I will have less than ten years left on this earth—I did mention it is a slow cancer.)

And so I will try to write faster, love my God and family deeper, and live more fully after my wake up call. And I pray your wake up call will be in all lower-case letters!

5. I can now relate to more people than ever

I love 2 Corinthians 1:3-4:

“Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves have received from God.”

I can now relate to those with chronic fatigue. A few weeks I was completely worn out and took more naps than our chow-shep-sky. (As the cancer cells die, toxins are released into the blood stream, creating fatigue, so the worse you feel, the better.) I now know what it feels like to be completely depleted with not one once of strength in reserve.

I can now relate to all those people on the commercials during the evening news with “painful, frequent urges.” The fatigue can be greatly reduced by drinking gallons of water—which, of course, creates its own side-effect. But I was able to keep up with my writing and editing deadlines between trips to the bathroom—for which I’m thankful. (It helps that my home office is right across from the bathroom.)

And, I can now relate to those with mental handicaps. My family dubbed it “radiation retardation.” The physical stress of being bombarded with 60 rads of radiation every day, created real mental stress. I got to the point where I couldn’t add up a simple column of numbers. It was frightening, frustrating, humiliating and depressing. I think I’m over it, but I’ll let you be the judge.

So, I’m now able to comfort those with the comfort I’ve received from God, family and friends.

4. I’m grateful for “little” miracles

I have sensed so many little ways God has worked through all this. The cancer was caught as early as possible and is one of the most successfully treated kinds of cancer. God cleared my summer speaking schedule. The high-tech, laser-guided, computer-programmed radiation machine is just four minutes from our house. In the summer, there are no issues with snow and ice in the early morning. The staff at Progressive Cancer Care were caring, compassionate and had a great sense of humor. And, I have a home office just four seconds from the bathroom. So, for all of these blessings, I’m extremely thankful!

3. God doesn’t answer everyone’s prayers

My friend, Dennis, died of a brain tumor, even though hundreds of people were praying (and some even fasting) for him, the elders anointed him with oil, and he had faith much larger than a mustard seed. And he still died.

In fact, while Lois and I were pastoring a small church in northern Indiana, ten wonderful, godly people got cancer and everyone of them died—in spite of prayer, fasting, anointing and faith. (Some thoughts on unanswered prayer.)

So, I don’t have a money-back, 100-percent-satisfaction guarantee of good news tomorrow. The only thing I’m promised is that . . .

2. God is in control

So, as I write this the night before my PSA test, one part of me is holding on to the doctors’ prognosis that radiation treatment is 95 percent successful. Another part of me is thinking, “There are those five poor stiffs who won’t have successful results.” (And everyone I talk to who has had radiation treatment have had wonderful results. So am I the 5 percent?!)

Whatever the answer tomorrow, God is in control. I don’t know how many times I’ve played the Twila Paris song, “God is in control. We believe that His children will not be forsaken. God is in control. We will choose to remember, and never be shaken.”

Yes, God is in control and Romans 8:28-29 is still in effect:

“And we know that in all things God works for the good of those who love him, who have been called according to his purpose . . . to be conformed to the likeness of his Son.”

1. I’ve realized how many friends I have

I love the scene from “It’s a Wonderful Life” where the word goes out that “George Bailey is in trouble.” The entire town gathers to pray and pour out their love.

I’ve been completely overwhelmed with the emails and cards expressing love and promising that I am being prayed for daily. And even several envelopes with large checks to help with medical expenses. (The very day I started radiation treatments, Lois had an unexpected hysterectomy.)

It is a wonderful life when you have the love of God, family and friends. Thank you for walking with me on this journey.

Tomorrow . . . the results! 3 pm Eastern; 2 pm Central

6 Responses to “• Lessons from the lower case c”


  1. 1 Kay Martin October 14, 2008 at 4:47 am

    Bless you for sharing your heart in the C world. God’s answer to prayer is not easily understood by us. He does answer…mercy is what He gave me when my husband came down suddenly with big C. Within 30 days John was in heaven. Mercy was the word that came to me the day of diagnosis. Slowly I’ve come to know that God is being indeed merciful to me as He was to dear John.

    Our daughter had a pre c brain tumor 12 years ago. She defied all MRI’s etc. and miraculously God reversed all situations and she had thrived. That is also an answer of prayer that is also mercy.

    Again thank you for giving all of us light in your c world. God bless and keep you.

  2. 2 Chatty Kelly October 14, 2008 at 8:39 am

    I have to say, I love your attitude which comes through in your writing style. I enjoy reading your blog.

    I’m sorry about your cancer arguement (you said it wasn’t a battle or fight). My dad also had prostate cancer, and had a fabulous recovery and his PSA is always under 0 now.

    Thinking of you as you go for your tests. As you said, God is in control. That is a lot to be thankful for.

  3. 3 Rachael Phillips October 14, 2008 at 4:52 pm

    Jim,
    Even when you’re waiting, you’re funny. “Little blue ribbons”? LOL!

    Praise God for your wonderful news!!! May this be the beginning of a “green pasture” period in which you and your wife can recover from this past year.

    Blessings,
    Rachael Phillips


  1. 1 • I passed my PSA test! « JamesWatkins.com Trackback on October 14, 2008 at 1:54 pm
  2. 2 • ‘Random rant Friday’ « JamesWatkins.com Trackback on October 17, 2008 at 9:06 am
  3. 3 • Hi, I’m Jim. I’m prejudiced « ‘Heavy topics with a light touch’ Trackback on January 20, 2009 at 5:17 pm

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