Finding My Identity After Cancer

By: Sabrina Gauer

“I honestly don’t remember what it was like.”

My friend and I were sitting across from one another at the cafe table, coffees in hand, the warm summer breeze rustling the trees that lined the city street. She looked off into the distance, tapping her finger thoughtfully against the side of the cup. “There’s a picture somewhere of me without my hair, a cute little 90’s denim hat on my head, but I don’t remember much about the actual pain or what I went through.

“I was just sick, as a kid, and then I got better and moved on with my life.”

One of the many things I’ve learned about being in the “young adult” demographic of cancer fighting is that it’s really hard for people to understand what we go through. When I was diagnosed last year with stage IV oral squamous cell carcinoma and had half of my tongue removed and reconstructed with muscle from my left forearm, I was left with a sense of bewilderment, shock, disbelief. I felt as if the rug had been yanked out from beneath my 27 year old sense of identity.

Your 20’s are supposed to be a time of figuring out what you want to do with your life. You’re in your friends’ wedding parties, moving, dating, traveling, getting married and having kids, paying off your loans, and grasping for a sense of significance and meaning to the things you’re passionate about. You’re a full-on adult now, but still feeling like college life was yesterday.

And you have dreams for the future.  


My “dream life” once consisted of marriage, success, and a whole lot of DOING. I was going to play my cards right and make all the right decisions to land me exactly where I wanted to be as I approached my 30s.

Being on track meant I went to college and graduated with my Bachelor’s degree early with honors, always the straight A- student. Then, I was trying to figure out where I was going with my degree that I had just paid for with enough loans to purchase a small country. Paying the bills was my main focus. Throughout my early 20s, I recorded a few albums, played a few shows, did some domestic traveling and touring, and entered the dating world. I jumped from one job to the next, trying to find purpose and fulfillment but falling short every time, experiencing many ups and downs of life but still driven by “the plan”. I moved out of my family’s home to the city for more opportunity, had a “network” of friends and acquaintances, joined a church and quickly got involved in music ministry and leadership, which turned into a full-time job. I was certain this was the path for me!

But cancer was never a part of the plan. A cancer diagnosis changes everything

On September 9th, 2015, I received the devastating news that I had a fast-growing tumor in the right side of my tongue, and that I needed surgery to remove it. This involved total reconstruction of half of the tongue and a neck dissection to remove lymph nodes in a six hour surgery that resulted in over six months of physical recovery. My entire world was flipped upside down; dealing with treating my cancer through holistic and alternative methods, respectfully opposing my doctors’ push for radiation, fundraising, and recuperating ultimately became my full-time job.

This didn’t fit into my plan at all. And it changed me into a “cancer patient” with her future plans coming to a screeching, painful stop.

It’s now over a year since my surgery. My latest PET scan came back completely clear, granting me access to the much-coveted and prayed for remission stage. With words like “remission” part of my regular vocabulary these days, being a part of organizations like First Descents and 13thirty Cancer Connect, having friends dealing with cancer and even a few who have passed away, it’s hard to separate myself from the feeling that I am a completely different person now. I’m so much older, having faced a possible expiration date to my short life, and overcoming the odds. Well-meaning people try to be encouraging with phrases like, “You look great! You must be so happy to move on! It’s over and done with- what exciting things are you doing now?”

Never in my life had I felt so lost and out of my comfort zone as I did that day. But it felt good. I knew that something amazing was growing and shaping inside of myself. I knew that, by the grace of God, I was still here and had fought through the battle to discover I was stronger, braver, and more alive than I ever thought possible.

But if you’ve fought cancer, you know that it’s never “over and done with” in your mind. It’s not something you just “move on” from.

This past summer, I attended the First Descents Tarkio white-water kayaking trip. I’ll be honest, I almost didn’t get on that flight because I was afraid of the limitations my body still deals with (such as a dysfunctional shoulder, daily pain and soreness from the neck dissection), afraid of not knowing anyone, afraid of what I might have to face.

But I pushed myself (with the insistence of my awesome sister) to get on that plane and fly across the country to experience what ended up being one of the most pivotal weeks in my journey of cancer, recovery, and identity. The people I met became family, the struggles I pushed through on the Clark Fork of the Columbia River, allowed myself to really feel all of the emotions that I had been holding back for so long…it changed me in so many beautiful ways.

On August 24th, I sat on the porch of the Tarkio lodge overlooking the steep path that led down to the riverbed. It had been a long, tiring day on the river, and I was documenting and processing in my journal, penning these words:

“The river brings out the very best and very worst in us. You either press in and conquer, beat yourself up over failure and fear, or you opt out altogether. It makes you feel. The numbness, the facade, the brave face you’ve been wearing for so long to let everyone know “I’m fine, I’m ok, no worries!”, just so you don’t sound like a broken record anymore or like you seem weak – none of that matters. It’s all released into white-capped waves and rapids.”

As this year draws to a close and I look forward to 2017, I have so much hope and expectation for the new year. My path and my passions have completely changed in surprising and exciting ways. Doors opening, connecting with people that I never would have been able to reach prior to my cancer, relationships, opportunities, and career changes. It’s been an unexpected whirlwind. I’m not “moving on” from what happened, and I never will, but I’m instead using the journey to tap into my greater purpose in this life.

Fighting cancer gave me a deeper perspective, a stronger purpose, and a renewed passion to live this life fully – not based on what others think, or the shallow sense of success and identity that we are expected to strive for. I’m continuing to become who I was created to be, and cancer was simply a part of the eye-opening process. One of the greatest lessons I am learning through this journey is that, while cancer will always be a part of my story, and the nightmarish year my body betrayed me is forever burned into my memory and literally carved into my arm, neck, and tongue…but my identity is not based on my ever-changing circumstances. 

I am so much more. And I’ll forever carry the lessons of the river.

Sabrina Gauer is a Rochester, NY-based singer/songwriter, worship leader, public speaker, blog contributor, and freelance creative. Founder of Going Rogue Collective (launching in January 2017!), she is a stage IV oral cancer survivor, passionate about embracing and teaching complete wellness, juice barista at Just Juice 4 Life, and completing her certification in health coaching at the Institute for Integrative Nutrition®. 

Sabrina dabbles in traveling, outdoors-ey adventures, yoga, and going for the occasional “run”. She loves coffee, deep conversation, and daydreaming. Her writing has been featured in Cottage Hill Magazine, Elite Daily, Tirzah Magazine, Tirzah in the Word, 13thirty Cancer Connect, and upcoming pieces for Elsie Road Magazine and the First Descents blog. Check out her website at www.sabrinagauer.com!

1 thought on “Finding My Identity After Cancer”

  1. I don’t agree with your statement about childhood cancer. I am a childhood cancer survivor and I remember it very well. Some don’t and just “move on”, but many do remember lots of things, and over 2/3 of survivors have chronic or life threatening late effects from treatment. Second cancers, heart problems, hearing loss, learning disabilities. Not to mention psychosocial effects. I went on 3 FD trips and while my cancer experience was different, I still share a lot with the others on my trip. I know you didn’t mean anything by your statemebnt and were only going off of what you know. Now you know more.

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