At 35 years previous, John Johnson felt he was in the most effective form of his life. An avid runner, he educated to take part within the 2023 Cleveland Marathon and accomplished it inside a powerful three-hour timeframe. Nonetheless, a couple of weeks later, the younger father acquired life-altering information: He had colorectal most cancers.
“I bear in mind the second the physician instructed me I had rectal most cancers. I wasn’t afraid. I wasn’t scared. The primary thought that precipitated any kind of discomfort was, ‘How am I going to inform my spouse?’ She did not imagine it at first. I do not understand how a lot I believed it both on the time,” says John, who hadn’t recalled being sick since highschool.
John leads an energetic way of life, and one among his essential passions is operating. After coaching, he ran within the 2023 Cleveland Marathon as his household cheered him on. (Courtesy: John Johnson)
The Westlake, Ohio, resident started noticing blood in his stools main as much as the prognosis. At first, he thought it might be from hemorrhoids. When the bleeding progressively obtained worse, he adopted up along with his doctor. After reviewing his signs, the physician really helpful John get a colonoscopy.
“Following the colonoscopy, the physician got here into the room and just about laid it out for me. He instructed me they discovered a tumor, and he was going to attach me with probably the greatest colorectal surgeons within the nation,” says John. Cleveland Clinic’s rectal most cancers program earned an accreditation from the Nationwide Accreditation Program from Rectal Most cancers (NAPRC). To earn this voluntary accreditation, this system met 19 requirements, together with the presence of a rectal most cancers multidisciplinary crew.
The following day, John got here to Cleveland Clinic and met with colorectal surgeon David Rosen, MD, who he recollects making him really feel comfy and comfortable even amid the troublesome time. John underwent additional testing to disclose he had stage 2 rectal most cancers.
“Stage 2 means the tumor has grown by way of the wall of the rectum, but it surely has not unfold to both the lymph nodes or different organs. For many stage 2 and three rectal cancers, it is a group we name regionally superior rectal cancers,” says Dr. Rosen.

Though he had a troublesome journey with chemotherapy and radiation, John says he remained constructive due to his religion and household. (Courtesy: John Johnson)
Though every case is completely different, Dr. Rosen says non-surgical therapies are usually the primary remedy strategy for regionally superior rectal cancers. So, John began remedy by present process rounds of radiation and chemotherapy. John was additionally enrolled in Cleveland Clinic’s Heart for Younger-Onset Colorectal Most cancers. Though John promptly obtained related to the assets wanted for remedy, it was quite a bit to juggle, along with being a father and the proprietor of a design company. He additionally discovered his spouse was pregnant with their second baby two weeks after his prognosis.
“It will usually take a couple of week for me to get better after remedies,” says John. “Think about doing that whereas attempting to run a enterprise, elevate a toddler and assist my spouse. I didn’t even have the power to choose up my daughter and play together with her loads of the time.”
Whereas experiencing negative effects from chemotherapy and radiation, John stresses it was his religion and household that obtained him by way of a number of months of remedy. After his remaining infusion, it was time to bear an MRI to see how the most cancers responded.
“The MRI was performed to find out if I used to be going to wish surgical procedure or not. Nevertheless it got here again unfavorable. The tumor was fully gone, and the most cancers responded completely to remedy,” says John.
With no indicators of most cancers remaining, John is now being carefully monitored and has transitioned to the watch-and-wait section of his care. This entails present process an array of testing extra continuously to make sure there isn’t a most cancers recurrence. “It is a very small value to pay in comparison with present process a extra invasive surgical procedure,” says John.

John stresses he’s blissful he was in a position to keep away from surgical procedure by beginning with non-invasive remedy choices for colorectal most cancers. (Courtesy: John Johnson)
Being recognized at 35, John is among the many rising variety of younger adults creating colorectal most cancers. The American Most cancers Society stories charges of colorectal most cancers in individuals youthful than 55 years previous have been growing by 1% to 2% annually because the mid-Nineties. Dr. Rosen explains analysis is ongoing to try to determine precisely why however way of life elements akin to weight problems, lack of train, smoking, extreme alcohol use and consuming a food regimen excessive in purple and processed meats might be contributing in some circumstances. There is also genetic elements at play.
“Speak to your family members and see if there’s a historical past of colorectal most cancers or any kind of most cancers in your loved ones. It’s vital you and your physician know this to assist decide if earlier screening is required. The overwhelming majority of colorectal cancers might be prevented with a colonoscopy,” says Dr. Rosen.
Amid the rise in circumstances amongst younger adults, Dr. Rosen and John additionally stress the significance of being conscious of the signs. John was in a position to deal with the illness early on when it was extra treatable as a result of he went to the physician after noticing blood in his stool. Different signs of colorectal most cancers can embrace persistent modifications in bowel habits, stomach ache and unexplained weight reduction.
“By sharing my story, I’m hoping to lift consciousness about colorectal most cancers and the actual fact it’s potential to develop it at a younger age. Some individuals inform me they by no means need to go get checked out as a result of they don’t need to know. My story will hopefully encourage them that this may be handled and to comply with up on any signs,” says John.
Dr. Rosen provides, “It’s vital to not ignore any of the indicators or signs of colorectal most cancers, particularly with circumstances rising in a youthful inhabitants. It is completely devastating to see younger sufferers stroll in with incurable most cancers as a result of, in some circumstances, signs might have been ignored.”

Shortly after being recognized, John came upon his spouse was pregnant with their second baby.(left) (Courtesy: Alisha Marie Pictures) Now, after overcoming colorectal most cancers, John seems ahead to creating new reminiscences along with his two youngsters and spouse.(proper) (Courtesy: Amanda Ellis Pictures)
John continues working carefully with Dr. Rosen who John says has grow to be like a pal, providing the encouragement he wanted all through this journey. With the most cancers remedies behind him, John says he now has the power to play along with his daughter once more in addition to his new child son. He’s additionally again to partaking with the neighborhood by way of his enterprise and lacing up his sneakers for runs. Though he’s nonetheless working by way of some nerve harm from chemotherapy, John is trying ahead to this new lease on life.
“That is type of a second likelihood for me in some ways. A second likelihood to be current with all these round me but in addition a second likelihood to strategy life otherwise and use my time deliberately,” says John. “After therapeutic from most cancers, I’m an entire new individual – a father of two, and life is nice. That is simply one other chapter in my story and one thing I can share to hopefully encourage and empower others.”
Associated Institutes:
Cleveland Clinic Most cancers Heart

