Update (December 17, 2019): It has been one year since I wrote this blog post. It has also been one year since my last cortisone injections! Hallelujah! (Insert shouting and happy dancing here.) As I look back and read the words I typed a year ago, a different set of challenges weighs on my heart. But these words are still true: “God is with me. And today, when my mind is full of questions, that’s all I need to know.”

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Yesterday in church, I found myself swept away by a song that spoke of the God’s goodness and repeatedly declared,

“You’re never gonna let,

Never gonna let me down.”

I wasn’t just singing words. I was remembering times when I desperately cried out to God in my pain and He flooded me with His comfort. I was worshipping the God I know, the God I’ve experienced.

I didn’t know that I was preaching truths into my soul I would need to hold onto the next day.

People ask me, “How are your hands?” more often than, “How are you?” Lupus has been unkind to my joints, adding difficulty to my life as a pianist. Every few months, I get multiple cortisone injections in order to continue to use my hands and play the piano. For those of you who are wondering, yes, the injections hurt. But the relief they bring and the music they allow me to produce are enough to keep me coming back for more.

Today, I visited the hand surgeon for my routine injections—one in each thumb and index finger. Four in total. “Do you think they’re working?” he asked. Then he answered his own question: “Well, of course they’re working. You wouldn’t be back here to subject yourself to this if they weren’t working.”

And then he spoke of the best way to proceed, expressing concern about the danger of repeated injections for so long. I told him, “The rheumatologist doubled my dosage of Plaquenil last Friday, and hopefully that’ll help me to not need shots as frequently.”

“Then, let’s see,” he replied. “Let’s see how things go with the new dose of Plaquenil, and then when”—not if—“you come back, let’s do an MRI and consider surgery.”

This isn’t the first time we’ve discussed surgery. In past visits I’ve barraged the poor doctor with a multitude of questions:

• Will surgery affect my piano playing? (Possibly.)
• If I get surgery, is it possible I will need surgery again? (Yes.)
• What is the likelihood that surgery will be effective in my case? (It’s hard to say.)

The prospect of surgery has never sounded attractive to me. But as the doctor spoke today, the prospect of continuing as I have been looked equally unattractive. No option comes with a guarantee; and no option is without dangerous risks.

This is where I’m at. A place where I have no idea what the best way to move forward is. A place of unknown. A place where the mind easily imagines worst case scenarios.

So today I’m facing my worry with quiet trust. I’ve prayed short prayers—anything longer than a few words will bring me to tears. It’s not that I’m afraid of tears and emotion. I’m sure I’ll be ready to cry ugly tears tomorrow. But today, I want to process. To let the words of the doctor sink in. More importantly, to let the words I sang yesterday sink in.

You’re never gonna let,

Never gonna let me down.

You’re never gonna let,

Never gonna let me down…

After all, what’s the point of singing words like this on Sunday if I can’t continue to sing them as I face the darkness on Monday?

I’m not praising God out of naiveté. I can sing to God, “You’re never gonna let me down,” because I’ve been through the unknown and darkness so many times already and He’s never stopped being good or left me to fend for myself. He’s always been with me. He’s always brought me through.

God is with me. And today, when my mind is full of questions, that’s all I need to know.

“‘Behold, the virgin shall conceive and bear a son,

and they shall call his name Immanuel’

(which means, God with us).”

Matthew 1:23, ESV

“And behold, I am with you always, to the end of the age.”

Matthew 28:20b, ESV