Health Update April 2026

Health Update April 2026

It’s been a while since I’ve done an update on the blog, though I’ve sent out notes in my newsletter, so I thought I should take a moment to do that, now that I’m through the first six infusions.

I’ll admit it–they’ve been worse than I was hoping and praying. Not nearly as bad as full chemo, don’t get me wrong–but not great. I know I shared how my heart sank at my first infusion, when they, first of all, called it “chemo,” while in my head I’d been thinking of it as a blocker treatment more than an aggressive one, and then when they gave me all the anti-nausea pre-meds and refilled my Zofran. Well, as it turns out, I’m particularly prone to nausea with this cocktail. =/

Up until the fifth infusion, I was experiencing about 10-11 days of nausea, five of which also saw me fairly exhausted. Not ideal–given that my treatments are 21-days apart, that meant that half of my time was spent feeling fairly lousy. I had to write my Guideposts book, Secrets by Sea, during one of those stretches of icky, which wasn’t fun. Zero stars, do not recommend. 😉 I pushed through, though, and got it done…and was all relief when my editors came back and called it “nearly perfect.” Phew! But you can be sure I planned the writing of my next book, the one due to Tyndale around Easter (currently entitled The Memory of Freedom, though that could yet change), to NOT fall during a post-infusion week! (I just had my editorial meeting on this manuscript too, and am ALL RELIEF and praising God that they had only very minor notes as well. Yay!!)

In early March, I went in for my three-month scans, and I am ecstatic to report that those were CLEAR. No cancer cells spotted anywhere in my body, including my brain. Which is, of course, a HUGE praise!!

After those results, my oncologist dialed back the “nasty” parts of the chemo cocktail (this is called Enhertu, specifically targeting the HER2+ cancer cells, and the only treatment with good brain/blood barrier penetration, so my only real option). We were all hoping that would mean less nausea and hair loss, but…I didn’t honestly see any change in either.

For my fifth treatment, they gave me some new meds to take at night (Zyprexa, which was first developed as a drug to treat schizophrenia, but which, in micro-doses, is also used for both insomnia and nausea) and then a steroid to take in the mornings a few days after infusion. The nausea was definitely improved, though not gone by any stretch–it only lasted 7 days, though, and wasn’t quite as intense. Though the steroids gave me some swelling in my hands and feet, which my oncologist didn’t like. He cut the steroid again on my sixth infusion.

And that’s the one I just had last week. He also dialed back those “nasties” again, in the hopes that the nausea would be cut back to just a few days. And praise God, that’s exactly what I’ve seen! My stomach was still feeling a bit “off” on Friday and Saturday following the Thursday infusion, but not bad. And by Sunday, it was almost normal (though I still took my Zofran preemptively). Monday, though still tired, I felt perfectly fine and didn’t even take the Zofran. So YAY! I think it’s safe to say that this dial-back has been effective in the nausea-department, which is so great. I can handle a few days of tired and a weekend of “meh” when it comes to my stomach. Such a huge improvement! And such a relief, because it’s been rough.

Again, this is nowhere NEAR as bad as the full chemo of summer 2024. But it has its own challenges. First is the ongoing nature of the thing–because in 2024, I knew I only had 6 infusions. We counted down. We had that end always in sight. Now, though, I don’t honestly know how long this treatment will go on. A year, most likely. But we’ll have to pause for surgery, and I don’t know if that “year” is including the pause or if, however many we “miss” during it, will be tacked on at the end. I’m a very fringe case–in the best way, treating a disease no longer in my body–so there’s not a clear procedure here to follow. We’re winging it.

I also readily admit the hair loss is getting to me. Complete hair loss is unlikely on this course, so I certainly don’t want to shave it off like I did when I lost half of it within three days in 2024. But as someone who has always had very thick hair, seeing thin patches begin to emerge hits hard. I’ve bought some lovely wide headbands that help cover it and might just take up wearing hats–by which I mean cloches and fedoras and maybe a newsboy. I’m not a ball-cap girl, LOL, but I’ve always loved those vintage styles and already have several! Who knows, maybe I’ll even break out my 1940s fascinator that I wore to the American Library Association Convention last summer with my 1940s style dress. 😉 Don’t put it past me!

The most encouraging thing with this latest infusion, though, is that David has said, “You seem more you than usual after treatment.” Often, that first week or so afterward, I’m so tired and nauseated that I guess I feel “dimmed,” let’s call it. Not my usual, ahem, sparkling self. 😉 Which my darling husband, of course, hates to see. He’s described it as “you feel so far away.” But not this last time, and I am so, so grateful for that.

Oh, and a quick funny! So with the Patrons & Peers this year, we’re doing monthly Zoom chats on my backlist titles. We’re finishing up the Culper Ring Series now, and it has been SO long since I’ve worked on these that I had to reread them. I had Circle of Spies with me at my last infusion, and my nurse came in and said, “Oh, whatcha reading?

It was a little embarrassing, honestly, to be like, “Oh, my own book.” LOL. But also SO funny how her eyes went wide and she leaned in to see my name on it and was like, “Oh wow, that IS your book! That’s your name on the cover!” So I explained it was book number 5 of mine, and I just turned in number 55, and it’s been a LONG time, so I had to reread before a book club chat… and she just got more and more excited and dashed out of the room over to the nurses’ station to look me up and was shouting to all the other nurses about it. Which was hilarious. I told David, “Gee, maybe I should always be reading my own book when I’m at an appointment.” I think next time I might bring in a goody-bag filled with a variety of my titles. I sure have plenty to choose from these days, for any taste. (I did take my oncology team copies of several over the years, but I hadn’t ever brought any into the Infusion Center, given that I rarely have the same nurses, that team is so big.) Anyway!

My next scans are scheduled for July, and again, we fully expect those to be clear. Between now and then, I have my next appointment with my surgeon in late June, at which point we’ll determine if I’ve healed enough from my emergency surgery in February to proceed to the next step for reconstruction, which will be the intense diep-flap surgery, where they take flesh and fat from my stomach to recreate the breasts.

But before THAT, David and I will be celebrating our 25th anniversary on June 17, and we’ve decided to take a trip to Quebec City for the week. Our original plan was to go to Europe for this one, but my oncology team advised against any flight of more than 3 hours, given that I’m immunocompromised, so…we figured we’d better stick to North America. David looked up cities with the most European feel on our side of the pond, and Quebec City topped the list. I visited once when I was 15, for a French Club trip, and really enjoyed it. I’d originally said, “Oo, let’s stay in the Chateau Frontenac!” it being the most iconic hotel in the city. Then I looked at the prices, LOL, and realized we could get a really nice AirBnB for a quarter of the cost. So yeah. We’ll be doing that and can go tour the Chateau if we want. 😉 But mostly our goal will be to wander, sit outside of cafes and people watch, read, relax, and just take in the charm.

Thank you all, as always, for being so faithful to remember me in your prayers. I am always so, so touched when I hear how many people have me always on their prayer lists, and their church’s prayer list, and their small group list, etc. I feel your prayers, my friends. And I know God hears them. He has been so, so good to me. I know this is just a season–perhaps longer than I’d like, and man, am I looking forward to the day when I’m not just waiting for the next THING–the next infusion, the next surgery, the next scans. I’m looking forward to being able to strengthen my body again and to feel good. I believe that day will come. And in the meantime, I’ll keep on clinging to His hand and resting secure there. I’ll keep on doing my work and writing my stories and finding the joy in the everyday miracles He gives me.

And I’ll keep on praising Him and thanking YOU. Because I can’t imagine traveling this path alone.

The Images of Ourselves

The Images of Ourselves

In The Christmas Courier, my holiday novella that will come out in October 2026, my heroine thinks this about the hero:

“It wasn’t that Daniel was particularly handsome, probably. He wasn’t not either, of course. He was just…Daniel. That strong, sharp nose, the dark brown hair that was somehow always in need of a trim, even right after a trip to the barber. The mouth always so quick to smile, that she’d dreamed for so many years would kiss her.”

I loved writing this part, because it’s so true, isn’t it? Madeleine, the heroine, has known Daniel literally all her life. And she’s loved him all her life too, in one way or another. She doesn’t love him because of how he looks–but because she loves him, she loves that appearance too. And as for her? Madeleine was self-conscious when she was younger, constantly teased for not being fashionably slender. But Daniel had always told her she was beautiful.

And so, she believed him. Even though she didn’t necessarily love how she looked, she learned to see herself through his eyes, and so she became confident.

This is one of my favorite things about writing romance. Sometimes my characters are traditionally beautiful. Sometimes they’re not. But always, always, always they are seen as beautiful in the eyes of the one who loves them. Sometimes, much like Mr. Darcy’s view of Elizabeth, that grows and changes over time. Sometimes, they see immediately what others don’t. Sometimes, they’re immediately struck by that overt beauty and have to dig down beneath it.

Whatever the story, whatever the character demands, in the end, they all end up at that place where Madeleine in when she looks at Daniel–the place I am when I look at my husband. The place he is when he looks at me.

The place where you see all the features, and they stop adding up to pretty or handsome or ugly or beautiful or any other such label. And instead, they add up to mine. They add up to the one that I love. And once they’re that…well, beauty is a side effect.

It’s probably no coincidence that I wrote Madeleine and Daniel this way, as my body is yet again going through chemo-related changes. I can admit that it’s not easy, and there are moments when I’ve been struggling. 

When I was undergoing full chemo in 2024, I told a friend who was on the same journey, but a month or so behind me, that I found losing my hair to be worse than having lost my hair. I felt better once I’d shaved it, but those days of it coming out by the handful–those were HARD. 

Well, I’m now in a perpetual state of losing. Complete hair loss isn’t expected with my current treatment, but “thinning hair” is my reality right now. Which means that every day, I’m seeing it. Every day, if I touch my hair at all, I come away with two or three or four strands in my fingers. Every time. Day in and day out. It wears on me, yes. I don’t like it.

And sometimes, when I look in the mirror, that’s what I see. The thin patches, the receding hairline. I see the lack of what I usually am. I see the disfigurement from my last surgery. I see the evidence of two years of not enough energy to exercise like I used to.

But you know what happens then? I turn away from the mirror, and I walk out into the room where my husband is. And every time, he looks up at me with eyes of love. Every time, he smiles at me and says, “You’re so pretty.” It doesn’t matter what my hair looks like, or any other part of me. He sees me. And so, I see me too. Just as I see him. The eyes and the dimples and the grin that I love, yes–my love

When we think about our self-image, how we see ourselves, I think most of us have probably given some thought to seeing ourselves for who we are, not just how we appear. And I’ve certainly reflected on how we need to see ourselves as God sees us.

Lately, though, I’ve been so grateful that He gives us people who love us, to help us with that. God sees us through the eyes of love–and that’s how we see those we love best too. We don’t love them because they’re beautiful–but they are always beautiful because we love them. And so, the same is true for us.

We are beautiful because we are loved.

I’ve needed that reminder lately…maybe some of you do too. So there it is. It doesn’t matter if you’re classically gorgeous. It doesn’t matter if you’re in shape. It doesn’t matter is your hair’s falling out or if you’ve been changed by surgery or if you have acne or scars or anything else. You are created in the image of God himself, and you are beautiful. Walk in the confidence of that.

A Holy Week of Suffering

A Holy Week of Suffering

Holy Week has long been the most precious week of my year. Even in high school, this was the week that brought my focus fully onto Christ in a way nothing else ever can. This is the week that inspired my first novel, A Stray Drop of Blood. This is the week when my hubby and I started dating. This is the week, especially the end of it, when we enter into Maundy Thursday and Good Friday, when I pause normal life to focus on the enormity of what my Savior did for me.

The fact that the Triduum (Holy Thursday through Easter) is also the biggest celebration in the liturgical year is one of the things I immediately loved about the Catholic tradition. In the Baptist church we spent fifteen years in, David and I were often left feeling let down by the disinterest in this holy time, when we wanted to do something each day and…no one else did. So we created our own traditions, but they never felt quite enough. Well, I can say in all honesty that the daily services and masses definitely feel enough. They are enough. They are, in my humblest of opinions, the most beautiful services to be found. The washing of the feet on the Thursday…the focus on the cross and fasting on Friday…and the candlelit vigil on Saturday…gah! I LOVE THEM.

This year, though, will be different for me.

This year, my Holy Thursday starts in an infusion chair in the cancer center.

Tears fill my eyes as I type this. Because, friends, this is not how I want to be spending my Holy Week. I want to be focusing on Him, not the churning of my stomach. I want to be thinking about the cross, not my exhaustion. I want to be celebrating His miraculous resurrection, not trying to drag myself out of bed.

As I realized that this, my fifth infusion of Enhurtu, would be on Holy Thursday, I very nearly reached out to my oncology team to say, “Could we postpone this a week, so that I don’t have to be sick over Easter?” Because the last four…they hit me hard. Even after my clear scans (praise God!) meant dialing back the nastiest part of the drug cocktail, I was still fighting exhaustion for five days and nausea for ten. Last cycle, the week following infusion, I didn’t feel much like me. My brain was a bit foggy. I felt subdued. It was hard to joke (my standard response to pretty much anything), hard to be creative. “You feel so far away after an infusion,” my husband said. And I knew what he meant, because I feel it too. Me, my personality, my spark, is so subdued in those days. I hate it–but it’s the reality.

I didn’t make the request, for a variety of reasons. But as I settled that in my mind, it made room for more thoughts. And they are this:

Maybe this is the perfect time to not feel like me–because maybe then I can focus more on HIM. Maybe this is the perfect time to be raw, emotional, and weak–because maybe then I’ll understand a bit better how HE felt. Maybe this is the perfect time to be suffering–because oh, how HE suffered.

Maybe I need to pause and realize that these holy days are not about me making them enough. They’re about HIM making them enough. Enough to fill me. Enough to sustain me.

Enough to save me.

This isn’t the Holy Week I wanted. But I pray it’s the Holy Week I need. I pray that as I sit in that infusion chair, I can reflect His light. I pray that as we experiment with a new med regimen to try to get the nausea under control, just enough me is there to cling to Him. I pray that as I’m no doubt fighting exhaustion, I can put myself in the garden with the disciples who succumbed to it too, and I can hear my Savior’s bid to pray with Him. To be there with Him. To watch with Him, because His time had come. The hour was nigh.

And all creation held its breath.

Whether we feel it or not, these days are so precious. Because we are pausing to remember the most amazing miracle. The Word who spoke the world into being, the Word that came among us, the Word that was silenced will ring out again in victory in a few short days. And all creation will shout with Him.

I pray that, whatever your traditions, our Lord meets you in a special way this coming weekend too. I pray that we, who are always held so tenderly in our Father’s hand, will be moved in new ways as we contemplate the suffering of our Brother, the sorrow of His death, and the joy of His resurrection. I pray we, too, rise anew with Him. On Sunday and every day. 

This weekend, I will likely suffer–just a bit. I’ll probably be tired. I’ll probably feel sick. And I’ll give it to Him, who suffered unto death. Who sweated blood. Who was beaten, lashed, had a crown of thorns pressed cruelly to His brow. Who suffered the most agonizing death ever devised by man, and who did it willingly.

For you. For me.

He stretched His arms wide to the world, by His own choice. 

And He defeated that suffering. Won the victory over death. And promises us all that even though we’ll encounter suffering of our own, there is a purpose. And it is Him.

A Time to Speak

A Time to Speak

Last year around this time, there were things that I found upsetting in modern politics. As I sat in Church in an hour of prayer, I laid it all out before God and asked, “Should I speak?” And I very clearly felt Him say no. It was not the time. I didn’t understand why, but I obeyed.

I think perhaps now I understand why He asked me to wait. I think it may be because I was at the beginning of what turned out to be a year-long (and ongoing) experiment. See, I’d never been one to read the news—it was too depressing. ? Instead, I’d rely on my news-rabid husband to keep me informed. But last January, I’d felt the need to break that old habit…but I wanted to do it right. I decided that I would read news from a deliberate variety of sources. Especially when a big event caught my attention, I would seek out both the liberal and conservative perspectives on it. My husband does this daily and also reads foreign news, so as we discussed things, he would add in the perspective of international news outlets. (He still spends a lot more time reading the news than I do!) Last year, my opinions were not very well-informed, which means they weren’t all that well formed, either. They were emotional responses—not as reasoned as I wanted to think they were, and not nuanced.

In this year of deliberate reading, I discovered something. I discovered that it was very easy for me, a lifelong Conservative, to pick out the liberal bias in a piece, and after I acknowledged and then dismissed my own knee-jerk reaction to it, I could read the actual information contained with objectivity. It was more difficult in conservative pieces, because their bias is my own. I had to work to be able to pick that out and examine the facts.

Although, I also discovered another interesting thing—that as I perceived Conservative politics (from my perspective, I know you may not feel the same way!) deviating more and more from my own long-held beliefs, that bias in Conservative news began to strike me in a new way. I was angry. I was upset. It felt like a slap in the face that made me do something very strange—it made me want to turn away from it entirely.

That was bizarre. While I have new understanding of many liberal views, there are also key issues where I still very much disagree with the usual lines…but this knee-jerk reaction was pushing me toward them. And then I realized why it was.

I felt betrayed. And when you feel betrayed, a frequent emotional reaction is to want to turn completely away from the perceived traitor. This is why couples who go through divorce can so quickly go from love to hate. Once I identified this emotion, I was able to sit back, evaluate my actual, continual core principles, and realize that the appropriate response was not abandonment…but healing.

That’s the journey I’ve been on in this last year with modern politics.

Now—I’ve long had a policy. As a Christian novelist with a growing platform, a core tenet of my interactions with the public has always been “don’t talk about politics.” It’s a guaranteed way to alienate half your readership—because there are Christians on both sides of the political aisle. But as American politics continue to spiral into snarling shouting matches, I found myself again at a place where I wanted to speak.

This time, it was different. This time, it was because of a few stupid memes. Now, another key tenet of mine is “Don’t argue with people on Facebook,” a corollary of which is “Especially don’t argue with memes.” ? But these particular memes struck me because they were cruel…and they were shared by people I know personally. Now, this is nothing new with these particular people (again, people I know in real life, in my hometown). But on this particular Friday night, it brought me to tears. (Granted, I’m super emotional right now after my second cancer diagnosis, LOL. See my post called “Given to Tears.”) Not because of the political opinion—but because of the attitude of disgust and bitterness and hatred from these people who I know love Jesus. That brought me to tears. It wasn’t worry, it wasn’t anger. It was sorrow.

And responding from sorrow…that’s very different from responding from anger.

I asked again, “Lord, is it time to speak?” And this time, the answer was very different. This time, the answer was yes. That night, I woke up at about 2:15 and, as often happens to me in the middle of the night, my brain clicked on. (This is where most of my books are plotted, LOL. In the dark of the night, when I should be sleeping. Now you know my secret.) I lay there for the next four hours working through what He would have me say—what would glorify God and also lay my heart bare. What would not invite argument, but rather dialogue. I crafted and recrafted the words in my head. I prayed. And as David eventually woke up in the morning (LOL), I told him my thoughts, and the tears came again.

Again, not from anger, not from worry. From sorrow. From grief.

So I got up and I wrote a Facebook post. It was five pages long, LOL. THAT wasn’t going to work, so I had ChatGPT recommend where to cut and tighten, and I ended up with a far more reasonable two pages. In this post, I spoke directly to my MAGA friends (though I didn’t name names). I did something I don’t do—I talked about politics. I shared my own stances and opinions, from the perspective of why I feel betrayed by my party, and more, why I feel betrayed specifically by these people—these people who helped raise me, who are the ones who taught me how to follow Jesus, who taught me what I should look for in politicians. Who, from my point of view, are now not only defending things they once taught me to despise, but who are mocking those who disagree. Am I misunderstanding them? I really hope so. (I had a lot of people who chimed in saying, “Do you consider me MAGA just because I voted for Trump? Because there are a lot of things I have problems with, I just made a decision based on these key things.” My answer to them is, “No, you’re not the ones in particular I was addressing, though I do really appreciate your perspective! I was addressing those who defend everything he does.”)

I didn’t set out to convince anyone of anything—not my goal at all. I set out to be vulnerable. To express why I feel the way I do, to share how I’m interpreting their actions, and to ask them to weigh in and correct me where I’m wrong, explain the things I just don’t understand, and to help me see their point of view more clearly. I love them. I don’t want to judge them (but I had been…which ain’t cool. I know that.). I want to start healing this wound in my own heart, and also healing this rift that is growing within the Church.

What followed were thousands of comments, both from my MAGA friends and from a lot of people who feel the way I do but thought they were alone. People from all sides—from the left, from the right, and from this weird place in the middle of current definitions where I find myself—who had given up speaking because they were afraid of being attacked. The comment section, and my private messages, became a place where they could engage honestly and openly and without fear. It was overwhelming, I’ll be honest—I spent that entire Saturday answering comments and messages—eight long but beautiful hours. When I woke up on Sunday morning, there were about 360 comments, many of which were my own replies, and when I left for church, I had about 50 yet to go through. After church and nursing home ministry and lunch and a nap, I went back to my computer to hit “refresh,” and there were 900 comments, 600 of which I hadn’t read.

I’ll admit it–I panicked, because I hadn’t been there moderating. And yet the newest comments, from total strangers, many of them even from around the world, were to the effect of, “Wow, I didn’t think conversations like this could still happen. This gives me hope.” It gives me hope too. =) The comment section did eventually devolve, and I know of at least two cases where people were hurt and only seeing ugly, bullying comments, and they were baffled by how I was saying it was good…and I get that and regret so deeply that this happened to them! I will share one particular experience about how it resolved soon. And I will also say that I learned how tricky it is for anyone to see a full picture when algorithms are in play! I kept getting notifications like “Jane Doe + 56 others tagged you in a comment.” When I clicked on it, it would show me that first comment, but none others, and short of clicking “all comments” and scrolling for an hour to try to find one in particular, by which time more had come in…I simply couldn’t see them. I imagine it was the same for others, who were alerted when they were tagged, so if they were targeted with bullying, that would be all they saw. Which wasn’t at all what I intended.

But in general, as people checked out (understandably) it was often with comments to me thanking me for the tenor of the original post and conversation. Even with ugly sneaking in at the end, many people agreed that it was beautiful. It was healing.

And I realized that it isn’t enough. It’s the proof of a concept, but one that needs to continue. Because friends, we can’t continue like this. We can’t continue refusing to hear things we don’t like, dismissing any view not our own, and embracing those knee-jerk, emotional reactions that tell us if someone disagrees, then they’re not really a Christian. That if someone disagrees, they’re evil. If someone disagrees, then we should dismiss them entirely. More, we can’t continue growing angrier at each other, letting the wounds fester. That isn’t what God wants for us, and I know we all agree on that!

Ours is a world of nuance. How can it not be? We serve a God who is at once so simple, able to be summed up in a single sentence: God is love. And yet so infinitely complex that our human minds will never grasp His intricacies and mysteries this side of Heaven. We serve a God who is both perfect Justice and perfect Mercy. His creation is just as complex. And fallen humanity? Hoo, boy! There’s nothing simple about how to untangle the mess our sin has created in this world.

And so, in the next few posts, I’m going to keep speaking—and you can expect me to continue to do so. Not to be political—I may discuss current events, and I’m of course coming from my own perspective—but to invite dialogue, to dig down not only to the heart of issues but also into our own hearts, and to grow our mutual understandings. Because I will be the first to admit that I do not understand ANYTHING fully. I am keenly aware of how my own opinions shift as I learn more. So if my opinions change, why would I try to convince you of them? I’m just hoping you’ll want to come along on the ride of discovery and learning and deepening our own understanding, with the goal of better seeing the nuance of those complicated issues and also of each other’s hearts.

I’m going to break these into multiple posts (because this one is already long), but I’m going to publish several of them all at once. If you’d like to engage, you’re welcome to do so at any time on any of the topics. As I publish them, I’ll be adding links to each topic at the bottom of this cornerstone post.

I hope and pray that whether we’re in the same place or different ones, we can be open and vulnerable like that Facebook conversation was at the start—because I love you. You, my readers, are my whole purpose. You are the reason I get up every morning and write the stories God has put on my heart. I don’t love you because we agree—I don’t love because we’re on the same “side.” I don’t love you because I think you’ll echo back to me my own beliefs.

I love you because you are so precious in the sight of God. Most of you know Him and love Him (I know I have some readers who aren’t there yet, too). So most of us are starting from the same place…but that doesn’t mean we’ve taken the same journey or are viewing things in the same way now. And that’s not only okay, that’s beautiful. That means we have so much to learn from each other. It’s no coincidence that Jesus invited both Zealots and tax collectors into His inner circle. Two diametrically opposed positions in that world—both of whom could bring those opposite politics to the Lord’s feet and love Him.

I want us, the Church, to begin healing. And that requires conversation. Not shouting matches, not debates, not trying to win or be right. Learning. Truly learning the other points of view, truly seeking to see others’ hearts.

You’re going to find other people who are standing exactly where you are—and you’ll realize you’re not alone. You’re going to find people who disagree with you—and who can show you things you’d never considered before. You’re (again) going to find people who disagree with you—and who need to hear what you have to say. You’re going to be confronted with uncomfortable truths, no matter your opinions. And you’re going to have to wrestle with them. Because denying them doesn’t achieve anything but the hardening of our own hearts.

I hope you’ll come along on this journey with me. If you’re not up for it, that’s okay. I get it. Maybe it isn’t your time to speak yet. But if it is, and if you do, I pray you’ll join me in the spirit in which I’m opening this dialogue, and I pray you’ll be vulnerable and share your thoughts and opinions and stances. I need to hear them. I need to understand where you’re coming from. I still have so, so much to learn—I know that. And since you’re human, I bet you do too. ?

A year ago, I was angry and wanted to hold people accountable. This year, I’m grieving, and I want to heal. Are you ready for that, too? Then please, come along.

In one of my next posts, you’ll find my story as I shared it on Facebook. In another, I’m going to pause to remind us all of what makes for constructive dialogue, and I’m also going to equip us with something I sure need—a logical fallacy toolkit. The purpose of that will be to give us the tools and words to help us identify why certain arguments feel “off” to us, which in turn helps us know how to respond. I’ll be using examples of them straight from my social media feed. And from there, we’re going to start talking about some of the hard topics and hot button issues we’re confronted with every day right now, from immigration to Greenland to abortion.

And I’m doing something else too. I’m opening up a place to talk about these things live. If there’s enough interest, I’ll be hosting Zoom chats with my husband, in the tradition of Benjamin Franklin’s Junto club or the Maryland founding fathers’ Wednesday Club—where we talk about things that matter from a place of vulnerability, desire to learn, and love and respect for each other. No “winning,” no “agreeing to disagree” (I hate that phrase! LOL). Just earnest, open communication between people who love God and crave that unity in the Church that’s sorely lacking right now.

I’m calling this “The Common Room.” Historically speaking, that’s the place in an inn where people would come to gather—to share a meal, to learn, to talk. We’re going to be emphasizing what we have in common (our faith, our love of God and of the home here on earth He’s given us, and also of each other), and we’re going to be learning from each other when it comes to differences. So I’ll also be sharing the “rules of engagement” for these meetings. ? I hope you’ll come. If you’re interested, please fill out this super-fast form so I (a) know there’s enough interest to warrant it and (b) can send you the Zoom link.

And so, this post will end with this message: if you are liberal, I love you for your concern for your fellow man. If you are conservative, I love you for your adherence to core principles and belief in the sacred. If you are moderate, I love you for trying so hard to strike the balance between the two. If you are confused about it all, I love you for your self-awareness and admission that there’s just too much to take in. No matter where you stand right now, your perspective matters. Your views are not only valid, they are valuable. Come be seen. Come be heard.

Come be healed.

(*A quick note–when this posts, I’ll be in Morgantown for my next chemo infusion, and my website does hold comments from first-time posters for approval, in order to weed out bots. So if you comment but don’t see it pop up immediately, that’s why. I’ll get online as soon as I’m able to approve anything that’s waiting. I just don’t want you to think any delay is intentional or aimed at whatever you might have shared!)

A Quick Guide to My “Hard Topics” Articles

Is America a Christian Nation?

Is America a Christian Nation?

I don’t think anyone could argue against the assertion that America’s foundational documents are greatly informed by Christian principles…but are we truly a Christian nation?

read more
A Soft Answer

A Soft Answer

A soft answer really does turn away wrath–and one that seeks to understand rather than be understood can make new friends. I can prove it.

read more
Why Now?

Why Now?

Should I be worrying about these things while I’m fighting cancer?

read more

Health Update Post Infusion 1

Health Update Post Infusion 1

I had my first infusion for what I’ve been thinking of as my “cancer blocker treatment” on January 7, so today, over two weeks later, I figured it would be a good time to update you on how I’m doing.

These infusions are NOT full chemo. They’re somewhat similar to treatments I had after surgery in 2024, going into May of 2025, and with those, I had zero side effects. So it’s been my hope and prayer that I would respond similarly with these. These, however, are not quite the same and do include a sizable list of possible side effects–most of which are things like stomach issues and thinning hair, but the serious one is a lung condition. (I DEFINITELY appreciate prayers that I don’t experience any serious ones!)

I’ll admit I got a little emotional when I went in on the 7th and my doctors were refilling my anti-nausea meds…and when the infusion had pre-meds for anti-nausea as well. Because I know that when I was on chemo, I felt nauseous every day. Every day from mid-May until the end of August. And y’all, I do not want to feel sick every day for the next year, so that hit me hard. Hopefully I won’t, but I did definitely get some of that belly-upset in the days immediately following the infusion. No vomitting or anything, so praise God for that…but about 8 days of feeling crummy, and seriously exhausted for the first 2 or 3. As in, sit down to read after dinner and fall asleep instead, which I never do.

The bright side was that I went in with a cold, but the steroids they gave me opened my nose up and helped me get over it, LOL. I’ll take my wins wherever I can!

I was also warned that I’m very likely to feel more tired than usual in general. Which isn’t great, given that I have 7-8 books to write this year, so prayers are VERY much appreciated for me on the energy front. One of my big goals for the year is to figure out how to rebalance my schedule to allow for more, better time for writing, which will likely mean taking time from my design schedule. Prayers for wisdom in how to juggle all those things greatly appreciated too!

They do also consider me to be immune-compromised while on this treatment, so I’ll be going back into “careful” mode, masking in crowds and avoiding anyone I know is sick.

But my oncologist did also make it VERY clear that his goal is to get me off this treatment as quickly as possible. It will still likely be a year of infusions (though likely with a break in there for my next reconstruction surgery), but he does NOT want me to be on this indefinitely, and that’s music to my ears.

As for that next surgery…so my initial reconstruction isn’t doing so well, and radiation is no doubt to blame. It can (and clearly did) damage the whole area, not just the skin but the muscles and everything else in there. In my case, my right side has tightened, meaning daily pain. The area itself is still always sore and sometimes outright painful, and even my neck/shoulder muscles have been effected. When I last saw my PT and told her that my hand was tingly, we quickly determined it was from the muscles in my neck and shoulder. When we finished the diagnostic exercises that verified that and she got to work on it, it earned a “Dang, girl!” LOL. So…yeah. I’ve been doing the exercises she gave me, but I still get a tingly hand every couple days and frequently either wake up or end my day with super tight neck/shoulder muscles that result in a splitting headache.

On Monday, I had an appointment with my surgeon, who agrees that our next step should be to remove the current reconstruction and do the deep-tissue method, which uses belly fat/skin to reshape the breasts. This is where I wanted to end up eventually, I was just hoping to defer it to “down the road.” Because I’ll be honest–I’m tired of surgeries, LOL. And timing this one is tricky. My oncologist will have to clear it, and when I spoke to him about the possibility on the 7th, he said that if my scans in March are clear, then he will be comfortable pausing the infusions while I undergo and recuperate from surgery.

Because it’s a big one. It’s long and complicated, and that means recovery is too, requiring a solid eight weeks, from those I’ve spoken to who have had it. My oncologist (a) wouldn’t want me dealing with side effects from infusions while also dealing with this recovery and (b) chemo can in fact slow and interfere with recovery in general. So there we go.

As of today, I feel good. But the cycle begins again next Thursday…so prayers are very much appreciated, and I thank you all so much for them!

On His Will and Our Ill

On His Will and Our Ill

“It’s never God’s will that you’re sick. Jesus healed everyone. Just claim that healing.”

Several times both through my original cancer journey and this latest drama, I’ve heard this. And well before my own health troubles, I’ve heard it too. Have you? Or perhaps this is what you believe?

I think it’s something we need to talk about. Because I know how I react to it emotionally, and I also know how dear friends and family have reacted to it. Personally, I always find myself thinking, “I understand your belief, and I know you’re saying this out of love and faith. I, too, believe Christ is our Healer, that He can heal anyone. But saying that He will choose to heal me if I just have faith enough is not helpful.” I’ve never said this to an individual before, because the last thing I want to do is lash out when someone’s trying to speak hope to me. But it has lingered in my mind this time.

So let’s ask the question. Does God ever will our ills?

Many people say, “Of course not! God wills only good for us!” And that is absolutely the truth…but I don’t think it’s the full picture. I don’t believe that God wants disease or illness for us, I don’t believe He sends them to us…but I do believe they are an inescapable consequence of our fallen world and that, because God in His omniscience knew this world would fall, He’s made a way not just to deliver miraculous healing in some cases, but to use our ills for His glory in ALL cases…if we let Him. 

First of all, we have examples like Job, where God did indeed will and explicitly allow Satan to bring hardship including disease onto His faithful servant. Now, God did not send the disease. But God did allow the disease. And though, yes, Job was eventually delivered from it and went on to new health and wealth and joy, we can also be certain that he still died eventually. And that would be after he spoke to God directly.

In the New Testament, we know that Paul had some undisclosed issue (most scholars I’ve read assume it was a physical ailment, though of course we can’t know for sure) that he prayed three times to be delivered from. And what did God say?

My strength is made perfect in your weakness.

We also see in the Epistles that new Christians were very confused as to why some of them were dying. Didn’t Christ’s wounds heal them? Weren’t they supposed to live forever? But they weren’t. They died like everyone else. What did that mean? Was their faith false?

Of course not, and Paul explains it all to them, making it clear that eternal life is for now given to the soul, and that the resurrection of our bodies, our flesh, will come later.

And we also need to look at the two thousand years of Church history. We know that every Christian to come before us has died. And we know that they didn’t all die from violence or martyrdom. That many–most–died of some disease or another.

So taking all of this into account, I would have to say that, questions of will aside, we all do get sick, and the majority of us die of some sickness or another. Is this God’s will? Or is it all Satan?

Questions like this feel not only tricky but dangerous. Because obviously God’s perfect will was for man not to sin, and hence not to die–EVER. Which would include no sickness. But mankind did sin and DOES sin, and so we introduced death into the world. And given that God created this world, created man, created free will, knowing all along what would happen, I think we need to accept that there is nuance to the will of God. That while He would love for us all to be perfect as Christ is perfect, imperfection is part of His working will. That includes our sin, our brokenness, and also our diseases.

Which brings us back to today. Do I believe God afflicts us with disease? No. Do I believe that God can and does still give miraculous healings? Absolutely. But I also believe that those people who receive them will go on to die, likely of some different disease, at a later time. We will all die. For many of us, we’ll be sick first. This is reality, and given that there are no 2,000-year-old people still walking around, our faith must take that into account.

For many, many Christians, living with ongoing suffering, with chronic illness, is reality too. And this is not a lack of faith. But I’ve spoken with so many suffering friends who have been told that if they just believed more, they’d be healed. And I grieve with those friends over the guilt this puts on them–a shame they do not deserve.

Because you know what? God uses our pain for His glory. When we are weak–sick, injured, dying, suffering, exhausted–He’s still at work. He is strong, and His strength can shine through us. When we are weak, we are quite often better at sharing the heart of Christ than when we are well. When we are weak, our hearts are more vulnerable to the pain of those around us.

Christ chose to suffer, after all. He could have called down the angels. He could have miraculously healed His own wounds. He could have walked through the midst of the people who came for Him, as He had done before. But He didn’t. He chose instead to be subjected to the most painful suffering humanity had been able to devise. It wasn’t disease, obviously, but it was intense agony. He suffered it for us.

I cringe every time someone says I (or someone else) just needs to claim healing because Christ healed all the sick, and if we have faith, we can claim it too…because this argument effectively says the opposite too: that if you’re sick, if you die of disease, you must not have faith enough for healing. This is dangerous, friends. This is judging people for being what humans have been since the Garden: MORTAL. This is unrealistic and hurtful to those who are already suffering. I have met quite a few people who left church and nearly left the church because they have a chronic illness and were told they could just be healed if they believed.

Friends, there is healing beyond the physical, and that is what Christ wants for us most of all. You remember the story of the paralyzed young man who was lowered through the roof by his friends, right? Do you remember Jesus’s immediate reaction? He says, “Your sins are forgiven.” The faith of this man and his friends did not immediately garner a physical healing–Christ knew his REAL need, and that was salvation of his soul. That was what He offered first, from His heart. It was the snarky thoughts of the onlookers that spurred Him to give a visible sign, a visible healing.

I know that young man rejoiced to leap from his mat. But what do you think really gave him the most joy–use of his legs for another decade or two, or an eternity in Heaven with his Lord? 

Every week in Mass, there’s a part where the priest holds up the host and says, “Behold, the Lamb of God. Behold, He who takes away the sins of the world. Blessed are those called to the Supper of the Lamb.”

And the congregation answers with another Scripture, but with a single world that reflects on our own situation, every day, rather than the centurion’s. We say, “Lord, I am not worthy that You should enter under my roof. But only say the word, and my soul shall be healed.” The Scripture, of course, says servant. But we say this as a recognition that we do not come to Jesus every day, every week, to ask that a servant and friend be delivered of a fever. We come to Him every day, every week, to be delivered from the sins that plague us. It’s our souls that He heals every time we ask–fully, completely, eternally. It’s our souls that most urgently need to be cleansed from disease. 

The test of our faith is not whether or not we get sick, suffer, or die. The test of our faith is how we get sick, suffer, and die. By which I mean, how do we handle it? Do we make the best or the worst of it? Do we affix our eyes to Christ on the cross as we’re suffering, asking Him to take our pain and join it to His world-changing sacrifice, or do we complain about everything and cling to despair instead of hope?

Because yes, the world is watching. And while a miraculous healing might win hearts…so does God-lent strength amidst our trials. God can be glorified through our healing, but He can also be glorified through our suffering.

In this world, we will get sick. And whether or not our Lord chooses to heal us, our part is to cling to Him through it. Our testimony is not whether or not we are healed this side of Heaven–our testimony is whether or not we’re pointing to Heaven through it.

A friend recently reminded me of a passage from the little freebie I make available to newsletter subscribers, The Heart of His Brother. This is just a chapter that’s part of the Secrets of the Isles series, about the older brother of the Tremayne siblings who we never meet in the books because he’s already passed away, but whose memory and legacy is a very real part of Oliver and Beth’s story and even has a profound effect on Bram, hero of book three, who is a visitor to the Isles. Morgan was always plagued by disease and always knew he would die young. But he chose to live life in a way that made every moment count. My friend quoted this passage to me, and I think Morgan’s reflections here sum up my own beliefs rather well (and this was written years ago, well before any of my own health struggles):

“This infirmity, whatever it is,” he’d said to Beth, “is not from God. But He will use it. He will redeem it. He made me to be as strong as Oliver, and though my body betrayed that, He will perfect me in some other way, if I let him. For everything I cannot do, there’s something I can, that I’ve only discovered because of my limitations. And if I fail to do that, if I wallow in the ‘not’ instead—well, that’s my own fault, isn’t it? The Lord made me to praise Him. If I can’t do it with a leap, then I’ll do it with a shout.”

We should never stop praying for and believing in miracles. I absolutely, one hundred percent, believe that God can and still does deliver those miraculous healings. How can I not?

He’s already given me the most miraculous healing of all. He’s already forgiven my sins, taking my dying soul and restoring it to perfect life in Him. My body? He can heal that too. But if He doesn’t, then I will trust. I will trust that He can work more glory through pain and disease than He could through miraculous physical healing. I will trust that there’s still something I need to learn about Him that I can only learn here. I will trust that a healing received in Heaven is no less real, no less miraculous, no less beautiful than one given on earth. And I’ll know that I will see that there because He’s already granted that MORE important healing.

Pray for healing, friends. Always. But also remember that healing is never perfected this side of heaven. Lazarus went on to die a second time–bodily. But that is no cause for despair. Remember the words that Jesus told Martha outside that tomb:

Jesus said to her, “I am the resurrection and the life. Whoever believes in me, though he die, yet shall he live,  and everyone who lives and believes in me shall never die. Do you believe this?” (John 11:25, ESV. Emphasis my own.)

Do we believe this? Do we believe that, though these earthly bodies fail for now, in the way that matters most, WE SHALL LIVE? That day, Jesus raised Lazarus bodily from the grave. In another day, He’ll raise us bodily from the grave. It doesn’t matter if we were already sick and died. It doesn’t matter if we stink or have decomposed entirely, if our bones have been burned to ashes even.

When the Word that created the very universe says, “Come forth!” that’s exactly what we’ll do.

Because the only death that matters is death of the soul–and if we believe in Him, that’s the death we will never taste. The only healing that ultimately matters is healing of the soul–and if we believe in Him, that’s the healing that we can know. Every day. Every hour. Every minute.

So to my friends with chronic illness; to my friends with terminal disease; to my friends who suffer every day in a body that has betrayed that perfect vision, know this. You are already healed. And healing of the soul…that takes far more faith than healing of the body. That is the work that only God Himself can do. Physicians can stitch these limbs back together, perform surgery, do such amazing things to prolong physical life.

But the Great Physician is the only one who can give that most miraculous healing of all–the healing that makes us ready for eternity.

I don’t know if my cancer will ever spread, if it’ll come back again someday, if I’ll die of disease eventually or something else entirely, if it’ll happen in a year or a decade or a century. But I do know this.

I am already healed.