The sky was sky blue, and the cottony clouds had a hint of gray on their broad bottoms. I was out riding my bike again on the Swamp Rabbit Trail, continuing to try to recover physically from the brutal trauma my R-CHOP chemotherapy had imposed on my body as I was treated for my diffuse large B-cell lymphoma (DLBCL). There are a few sports in which I was able to achieve mediocrity and fewer yet that I was good at. I’m not much of an athlete. But I do love riding my bike.
Two years ago, in July of 2023, I was struggling as I rode my road bike on the Trail. I had ridden road bikes for over 51 years, but age was making it more difficult to swing my leg over the top tube. Of course, the loss of flexibility in my lower back as a result of the reconstructive back surgery I had after I broke my back in 2011 was a major factor. Crouched down with my hands in the drop handlebars, I wasn’t as aware of my surroundings as I used to be, and in that position, it was harder for me to maintain my balance. I suddenly realized that it wasn’t a good idea to ride my road bike anymore, and that I should sell it and move on. It was an emotional moment, and it was like a slap in the face, awakening me to another level of understanding about the realities of health that many older people face.
Shortly thereafter, as I realized that a new bike was forthcoming, I felt considerably better. After doing a little digging online, I found what I call “an old guy bike” and bought one at a dealer in Greenville. It’s an example of what’s called a low-step or step-through bike. When I was little, we would have called it a girls’ bike instead.
Riding along smoothly and quietly and in a fairly upright seating posture, I felt pretty good. The temperature was in the upper 70’s and the humidity wasn’t too bad. I was about eight miles through a ride that was about 10.5 miles, a distance that has become typical for me.
A large hickory leaf, golden yellow in color, fell from the sky, slapped me on my right cheek, and perched on my right shoulder. It was as if the leaf said, “Don’t you realize that today is the first day of fall, Buddy?” I brushed off the leaf, but not the reminder. Today, September 22, 2025, is the first day of fall. Yes, more and more leaves are falling, leading up to a cascade that will dump large volumes of brown leaves from red and white oak trees onto our driveway. The barrage of acorns is coming, too, and I’m reminded how happy I am that I bought a cordless, rechargeable, electric leaf blower five years ago. But I do love the fall. Oh yes, this was a good slap in the face.
Oh, that they were all so good. It was a slap in the face when the emergency room doctor told me in December of 2024 that I had another lymphoma. A cancerous lymph node had infiltrated my sigmoid colon, which was now perforated. The next day Mark, a general surgeon, told me that I had two choices. “You can go home, we’ll make you comfortable, and you’ll die of sepsis. Or, you can have this surgery, and you might not survive it.” So, I took the latter. I was walking into the valley of the shadow of death. Mark cut a 10-inch vertical incision in my abdomen, stapled my rectum shut, and stuck the end of the remainder of my colon through a hole he cut in my abdomen. I’ve lived with a colostomy bag ever since.
And then Saeeda, my oncologist, told me that this cancer, my second cancer, was aggressive and needed treatment as soon as possible. Another slap in the face. Reality is not an easy thing. Oh yes, the chemo was brutal and traumatic, and four months after my last treatment I’m still suffering from some of the 62 chemo side effects I counted.
As I thought about the possibility of dying, I asked myself some questions. Will I be able to influence my grandson? Don’t my children and their families need me? Have I done enough to prepare Carla to live without me? Am I going to die?
If you want to hear how I worked through these questions, then listen to the testimony that God compelled me to give in April, still during my treatments, but during a time when He gave me a brief physical reprieve. A little bit of my testimony was cut off during editing, but you can see most of it here: Brian Vogt Testimony.