A recurring theme in my work has been narrating the stories of those who battle adversity, survive and even thrive despite the trauma or disease they’ve encountered. This piece is part of an ongoing series featuring men who bear the physical scars of their trauma.

Isaac, a native of Auburn, Maine, recalls experiencing a persistent dull ache in his lower abdomen during his teenage years and early twenties. As he attempted, yet failed, to complete a thru-hike of the Appalachian Trail at 20, the discomfort continued. But he kept his pain hidden. “In my childhood, if you weren’t seen, you weren’t getting beaten,” he said. “So you never voiced any concerns.”

At 22, Isaac received a diagnosis of testicular cancer, a disease often affecting younger and middle-aged men. The prospects for recovery can be favorable if the cancer is detected early.

The following years were a blur of chemotherapy sessions, numerous surgeries, including a retroperitoneal lymph node dissection in Boston requiring an incision along his entire abdomen. His weight plummeted from 180 to 110 pounds, his body branded with two feet of surgical scars. Faced with an uncertain future, the 23-year-old grappled with the harsh reality of potential permanent disability.

But for Isaac, resigning to such a fate wasn’t an option. “I could have been milking the system like some people, but what kind of life is that? There are people who legitimately can’t care for themselves, but I’m too stubborn,” he said. Instead he returned to school to became a certified nursing assistant, a role he maintained for the next eight years.

A decade after his initial attempt, Isaac made his way back to the Appalachian Trail. This time, he embarked on his journey from Maine, and after eight months of backtracking, pausing, and restarting, he finally completed the hike.

“Things have happened to me that I didn’t choose,” he reflected, “but I tried to find my own way.”