emily hoffman

Transcending Passion Into Purpose

When my chemo and radiation treatments ended in July 2013, I struggled to return to my normal life, including my career in agricultural field research. Physically, I no longer had the stamina to work in a corn field for up to ten hours a day. Mentally, I began to question if I was even passionate about my job anymore. I had just survived cervical cancer, so I didn’t want to waste another minute in a job that wasn’t fulfilling. I felt lost and knew I needed to find a new career path that would give me a better sense of purpose. 

I thought hard about what I was passionate about and how I could turn that into a career. I knew I was passionate about cancer advocacy but didn’t know how to apply that to a job quite yet. I found the field of cancer registry interesting but knew little about it. I thought about cancer registry off and on over the next few years but kept dismissing the idea of becoming a cancer registrar because it would require two years of schooling to become certified. 

Cancer registries are important because they reduce the burden of cancer on the community by improving patient outcomes and ensuring funding for public health cancer prevention programs. A cancer registrar is responsible for collecting, maintaining, and reporting cancer data on all cancer types diagnosed and/or treated within a hospital or other medical facility. This data is entered into a cancer registry system, or database, that is then reported to state and national cancer registries. 

Cancer registry data is used by many, including oncologists and other doctors to compare cases for treatment plans, researchers for clinical trials, public health officials for evaluation of cancer prevention programs, policymakers to determine state and national funding of cancer control programs, and cancer organizations for statistics (like the American Cancer Society). 

In 2020, amid the pandemic and working from home, I decided to go for it and enrolled in an online program to become a certified cancer registrar. I am now one year into the program and am enjoying every class I take. I feel like I have a sense of purpose that was missing.

Someone once told me that cancer registrars impact cancer advocacy, policy, and research. This is so true! Knowing that my future job will impact cancer in these ways is exactly the fulfillment I am looking for in a career. It may have taken an unexpected cancer diagnosis, a lot of personal reflection, and seven years to figure out a new direction for my career path, but by the Spring of 2023, I’ll achieve my goal of becoming a certified cancer registrar. You too, can start achieving your goals in 2022, by focusing on your passions with a willingness to persevere. 

Emily is an eight-year cervical cancer survivor who was diagnosed with stage 2B cervical cancer at age 30. After cancer, Emily didn’t realize she even had an advocacy voice until she attended her first Cervivor School in 2016. Today, she is a patient advocate and Cervivor Ambassador who shares her cancer story to raise awareness for ending cervical cancer and to educate others on the importance of cervical cancer screenings and prevention. Emily is the recipient of the 2020 Cervivor Spark Award and the 2022 Cervivor Champion Award. She plans to graduate with her certification in cancer registry in spring 2023.

“Your cervix looks different this year”

“Your cervix looks different this year,” said my primary care doctor several years ago, as she performed the pelvic exam part of my annual exam. I remember chuckling to myself, not fully grasping the severity of her comment yet. Instead, I laid on the table thinking, “How does she remember what my cervix looks like from year to year?”

My doctor referred me to a gynecologist when the exam was over. I didn’t understand, but I also didn’t ask any questions. I visited the gynecologist two days later. She performed a colposcopy and referred me to an oncologist. Two days after that, I met with the oncologist and he told me that I had stage 2B cervical cancer. What started out as a routine exam had quickly turned into a life-threatening diagnosis.

What if…? What if…? What if…?

How could I have cervical cancer? I didn’t feel sick. I had no symptoms. (Cervical cancer symptoms can include, but are not limited to, abnormal vaginal discharge, bleeding between periods, or pelvic pain during intercourse.) I went to my doctor every year for my annual well-woman exam and the results of my Pap tests always came back normal. But somehow, in the span of only one year, a 4 cm tumor had grown on my cervix. In one year, I went from having a normal Pap test result to having cancer. What a difference one year can make.

I started chemotherapy and radiation treatment to save my life. Doctors declared me cancer-free after I completed these treatments over the course of a few months. Today, I am a seven-year cervical cancer survivor. But my story could have been drastically different if I had skipped my well-woman exam that year.

What if I had used an excuse, like “I’m too busy”, to justify putting off that appointment? Or what if I had told myself that skipping one year wouldn’t hurt anything because I’m a generally healthy person? What if I had assumed my Pap test results would continue to be normal like they always had been? How much longer would my cancer have gone undetected? How far would my cancer have spread without my knowing? Would my prognosis have been different if my cancer wasn’t detected when it was? Would I even be alive today?

The importance of annual visits and cancer screenings

A cancer diagnosis is life changing. A cancer screening is lifesaving. Scheduling my annual exam saved my life. My cancer was detected early enough to be effectively treated because I went to my doctor every year.

If I had not scheduled my exam that year, my cancer would have continued to grow undetected and my life would have been at risk.

Preventative care exams are a breast exam, pelvic exam, and a Pap (and HPV) test. A Pap test looks for abnormal cells. If needed, these can be treated before they become cancerous. The HPV test looks for high-risk HPV that can cause abnormal cells. This lets your healthcare provider monitor you more closely for cell changes.. When the Pap test and HPV test are both performed during an exam, it is referred to as co-testing.

What are you waiting for?!

  • Reduce your risk for cervical cancer through screening tests, like the Pap test and HPV test.
  • Take care of yourself by scheduling your annual well-woman exam.
  • Raise awareness for cervical cancer detection and prevention by telling your family and friends to schedule their annual well-woman exams.
  • Benefit from Iowa’s Care for Yourself program, which provides free or low-cost cancer screenings for Iowans. Many other states have free or low-cost cancer screening programs too. Be sure to visit your state or county health department’s website.
  • Make a resolution to protect your health all year long.

About the Author

Emily Hoffman is a seven-year cervical cancer survivor who was diagnosed with stage 2B cervical cancer at age 30. She is a patient advocate and Cervivor Ambassador who shares her cancer story to raise awareness for cervical cancer and educate others on the importance of cancer screenings and prevention. Emily is the recipient of the 2020 Cervivor Spark Award. She is currently pursuing her certification to become a cancer registrar.