Monday, April 3, 2017

Grief and Goodbyes.

Travel allows for a kind of intimacy between two people, a kind of immediate knowing that I have found is impossible to replicate in any other life circumstance. 

When you are stuck with a person, for weeks or months on end with them at your side every waking moment, sharing long rides in a car or a plane together, sharing every meal together; you get, perhaps sometimes by force, to know someone on a deeply intimate level. You can meet a perfect stranger traveling, and a special kind of bonding very often ensues at an accelerated pace and level of depth, which, in day-to-day life, might take months, or even years to develop.

You have no distractions except each other, and perhaps in many cases, no internet or cell service, so you pass the time talking with your travel partner, day in, and day out.

If you are a traveller, you know what I mean.

Nearly three years ago, I went to Kenya for work for two weeks, and a new trainer a midwife, who’s name I will leave out because she was a deeply private person and I am not sure she would want her name out there, was the clinician who travelled with me.

I had never worked with her before, and I actually hadn’t even ever met her. We had spoken on the phone twice, and she came highly recommended from my fellow colleague and trainer, and now dear friend, Karen.

I had a photo of this new midwife trainer, and I literally picked her out of the crowd at the Nairobi airport.

She was hard to miss: She was a tiny little lady, with big, beautiful curly brown hair, and wore heavy, dark rimmed glasses. She would be easy to find anywhere, but in Kenya, she was impossible to miss.

She was from Norway, and had moved to the US in her young adulthood, and married an American man, and they went on to have a son together. While she had been in the US for quite a long time, she was still firmly Norwegian, which I loved.

We spent two weeks together in Kenya, conducting clinical site visits. The travel days were long; sometimes we would spend 6 hours in the car a day, with just the two of us to keep each other company. We shared every meal together, spent hours talking about our global health work, life in Seattle, marriage, children, love, my Mom’s ALS diagnosis, women’s health, politics, and just life.

She very quickly became a ‘kindred spirit’ to me. It was still relatively early days in my Mom’s diagnosis – less than a year from when we found out, and I was still coming to terms with the diagnosis and how my life was being radically reshaped from what I had always imagined it would be. I spoke to her about my fears for the future regarding my Mom. I talked to her about deeply intimate things that I had never talked about with anyone at that point:

That I deeply wanted my Mom to see me get married.

What my life would look like when I had a baby without my Mom being able to be a part of my own transition in becoming a Mom.

What it would be like for my future children to not have a grandmother.

Maybe it was because she was a mother herself, but I felt such an incredible connection with her in such a short period of time. She seemed wise beyond her years, and was I think the best listener I had ever met, in my entire life.

When I talked about my fears, hopes, dreams, and anxieties for the future, she didn’t offer advice; instead, she would look at me in an all-knowing way, and just nod. 

She got it.

She had worked in Afghanistan as a midwife during the war, and had extensive experience living and working around the globe, so we were able to speak candidly about some of the enormously difficult things we’ve seen and experienced while engaging in this work. She had such a sage wisdom about her.

About ten days into the trip, one night at dinner after I had gotten off of a call with my Mom, she asked me about my boyfriend.

I was at the time dating someone who I was deeply unhappy with, but was just plodding along with because around 6 months into my Mom’s diagnosis, I became consumed with the idea that my Mom must see me get married. I threw myself aggressively into dating.

I was on a mission: Not to find a boyfriend, but to find a husband. This individual wasn’t a bad guy by any stretch, just not the right one for me.

We were seated outside at our hotel, poolside, in the early evening. She reached across our candlelight table, grabbed my hand, looked at me and said,

“I never hear you speak about your sweetheart. I don’t even know his name. You don’t seem happy.”

I immediately collapsed into heavy, deep, and painful sobs.

She was right, I was not happy.

I wasn’t happy; I had become deeply committed to my mission. My mission was watching my Mom see me get married, and not to be in a happy and fulfilling relationship. This guy seemed totally game, so there I was, trapped in an immensely unhappy relationship.

When I regained a little bit of composure, I looked at her, and I just nodded. I told her about my “mission.”

She squeezed my right hand, which she was still holding, and told me the single greatest piece of advice I have ever received, and may ever receive.

She looked me in the eyes, with such an intense compassion and knowing emanating from her, and she said:

“You cannot be intentionally unhappy just because your Mom is dying. She would not want that. You will suffer enough.”

I broke down; violently sobbing at the table. Sat by the pool, at a romantic candlelight table, at a crowded restaurant.

It was such a release that I wasn’t even aware I needed. I think I was looking for someone to give me permission to let go of my mission.

Maybe it was because she was a mother herself, that I could finally hear and take her advice to heart, advice that others had given me, albeit less sagely or eloquently. Or maybe it was because she was wise beyond her years. I didn’t know.

I eventually regained composure, and blew my nose into a shitty rough, red fabric napkin, as one does when at a nice restaurant. It made us both laugh.

I was resolute that I would end this relationship. And I did. I literally went from the airport to his house upon my return home, and ended it.

She and I continued our friendship in Seattle, meeting for lunch and coffee over the next few years. Sometime last summer, Karen and I, the friend and colleague who introduced me to this woman, were working in Kenya together. The topic of our friend came up; Karen asked if I had heard from her in awhile. I said that my emails had been unreturned for quite some time.  She sat with the information for a few moments, and then said,

“She must be sick again.”

My face clearly gave me away, because she immediately said, “Oh god, you didn’t know?”

I found out that she had a brain tumour, which was terminal, and had known for many years.

I was suddenly spinning, thinking about our time together, her not mentioning it. I was absolutely shocked, I thought we had shared so much, how could she have not mentioned it?

I then realized, she probably didn’t disclose this for many reasons, but almost assuredly due to the fact that very quickly learned that I was a daughter currently losing her mother. 

It likely hit too close to home to her – her son, under the age of ten, would someday experience all of these things that I was voicing out loud to her. Things I am confident she had thought of, but I was embodying them, right in front of her. 

A living, breathing, grieving, crying, daughter.

How will I be able to go on without my Mom?

What will I do without her?

Had I known my friend was sick, I don’t know if I would have said as much as I did. Perhaps I would have felt like I needed to be more sensitive, guarded, and compassionate about her own situation.

In that moment, I realized that not only had she given me the best advice I may ever receive in my life, but also she did me an incredibly unselfish kindness:

She let me be a daughter losing her Mom, instead of she being a Mom losing her life.

She listened, and consoled, and looked at me in her all knowing ways. Her eyes spoke volumes; they seemed to understand my pain in an intimate way. I thought, well, that was just because she is who she is.

I realized it was because she did understand my deep, raw, grief, only in reverse.

How incredibly selfless of her, to just listen, encourage, and affirm my deep pain.

I will never be able to repay that incredible kindness she showed to me.

I found out a few weeks ago, from Karen, that our friend died while Karen and I were recently in Kenya in February, and the funeral had already been held while we were away.

I was going through a lot of my own turmoil, in part from the traumatic accident we were in, and in part my Mom and other issues, so I couldn’t totally process the information she gave me.

Later that same day, I was at my parent’s house for dinner. My Mom, for the first time I had ever seen, had to be in her bed hooked up to her bypass breathing machine because she was struggling to breathe without it.

My Mom’s sole form of communication now is through text, and when she is in bed, she cannot do that.

So I went into the room, sat in her wheelchair that was next to her bed, and just sat with her. She laid on her right side, and she suddenly looked so fragile to me, so mortal.

I sat in silence, and listened to the rhythmic pattern of her breathing machine.

In. Out.

In. Out.

Whoosh. Whoosh. Whoosh.

I sat there, and was overcome with an incredible wave of raw, painful grief.  I swallowed the tears down before they bubbled up.

She pointed to her phone; I figured she had typed out a message prior to getting into bed. I opened it, went to the notes section, and scrolled down to the most recent note.

She had typed out that she needed my sister and I to help my Dad setup payment for his health insurance, because it was too hard for her to use the computer anymore. She wanted us to set it up on automatic payments.

It felt like the wind had been knocked out of me.

I struggled to keep my composure, but assured her we would do that tonight.

There was more subtext between the lines of that text, than anything I have ever read.

It was:

The end is coming. I need to get all of my affairs in order. I won’t be around or able to do this soon.

A few days later, I was getting a massage, to treat some of my injuries from my car accident. As I lay on the massage table, face down, I suddenly thought about the enormity of everything that had happened in the last few weeks. My friend’s death, the car accident, my Mom’s rapidly deteriorating condition, the reality that I am going to lose her, but also about the incredible kindness my friend showed me while in Kenya years ago, and the powerful, literally life-altering advice she gave me.

It all came crashing down on me like waves. The tears began to fall.

I was able to regain composure enough so it wasn’t obvious, and thankfully my massage was about to end.

I rushed out of the office, into a literal torrential downpour, and broke down on the sidewalk.

The tears poured out, and the pelting rain washed them away.

I was grateful for the rain; it felt cleansing.

My car was two blocks away, and for the two blocks, I sobbed, heavy, loud sobs, and continued to have my tears washed away by the rain.

Letting everything out, everything go.

When I got into my car, the crying continued.

Heavy, heaving, sobs.

I had tapped into my pain and grief that I hadn’t allowed myself to do in a long time.

I thought about my friend, and her son. The things he and I share. What I could tell him, if I could talk to him, what I would want to say to him, perhaps when he is a little older?

I would tell him, that I understand what it is like to lose your Mom, a little bit at a time, the passage of time stealing tiny parts of her everyday.

That I am acutely aware of not always remembering what it was like before she was sick.

That I understand that permanent demarcation of before, and after, in my life.

That I too, am intimately familiar with a long, long goodbye.

Even though I haven’t lost my Mom yet, I have lost so much of her, and know that every future milestone, no matter how happy and filled with love, will always be rife with loss, that she isn’t there, when she should have been.

That this club, the club of children who lost their mother too soon, that we will soon both unfortunately find ourselves a part of, is super, super shitty.

And that I am so sorry that you had so little time with your incredible, compassionate, and kind mother.

That the loss and the grief you feel won’t just be at her death. That it will be forever, at every lost moment that should have been.

While the mourning will change, softened by the tincture of time, it will never end.

That if he has children, that the birth of his babies, particularly given the fact that his Mom was a midwife, will likely be an incredibly painful experience because she would have been such a monumental part of that transition

That he will always miss her; but so much of her is within him as my Mom is within me.

I would tell him the hopes and dreams she had for him, as her son, as the son of a Norwegian, and a midwife. How she wanted him to hold onto his Norwegian roots, and for them to be just as foundational in his life as his American ones. That she wanted him to grow up and respect women, and be a fierce feminist. That he better always wear a condom, and that he could always come to her with any questions about sex, or otherwise. She hoped that her being a midwife would open the door for many of those conversations that don’t always occur naturally between parent and child, but particularly mother and son.

In reflecting back, I am sure she shared so many of her hopes and dreams for him with me because she needed to say them out loud, even if I didn’t understand the context in which she spoke them at the time.  

Mostly, I would like to tell him, that his Mom was an incredibly kind, compassionate, passionate, and wise woman beyond her years.

And that she saved me in a way, she saved me from myself.

She mothered me, even if for a few moments by that pool, and freed me from my misery of my own making. It must have been so incredibly and deeply painful for her to hear my fears about my future, knowing her own, with her own son.

To tell him, that the many gifts she left on earth will continue to touch and impact people far beyond her death. Including the kindest, and one of the most life-altering gifts she gave to me.

I would tell him, I will remember your Mom forever, and that even though I didn’t get to say goodbye or tell her directly, I will carry a piece of her with me, always.

Always.

And for that, I will be forever grateful.

For her, for her friendship, for her sage words of wisdom.


In the last three and a half years since my Mom’s diagnosis, my grief and sadness has come and gone in waves. The wound that was created the day I learned my Mom was going to die has seemingly scabbed over and split open a million times over. Currently, it feels split wide open, suddenly raw and fresh. I am so viscerally aware of this impending loss. It feels like a deep chasm that will never close.

It feels so much like the beginning, but yet so different.

People often ask me since my Mom’s diagnosis if they think it is better for someone to die suddenly, or have them go slowly, and experience a long goodbye.

I would say:

Both are impossibly hard.

Both come with regrets. Both come with unimaginable sadness.

I have said a million goodbyes to my Mom, sometimes all at once, and sometimes a little at a time, and will continue to until she is gone, and beyond her death, for the rest of my life.

I didn’t get to say goodbye to my friend, but I feel at peace and confident that she knows what she meant to me and the impact which she had on my life.

I was listening to Kate Braestrup on NPR last week, on the Moth, in a piece called, “The House of Mourning.” She spoke as a chaplain, about her experiencing with people who have lost love ones, and their need to actually see and say goodbye to their loved one’s dead body. I wept listening to it, particularly at this passage that was so heartbreakingly real for me:

“You can trust a human being with grief. Walk fearlessly into the house of mourning, for grief is just love squaring up to its oldest enemy. And after all these mortal human years, love is up to the challenge.”

So my answer to people? Losing someone, no matter the manner, is never, ever easy.

With deep love, comes deep grief.

Thursday, February 16, 2017

East Africa Keeps Trying to Kill Me

East Africa keeps trying to kill me, it would seem. 

I am like a cat; I have 9-lives.

In September, I went through an earthquake, only to just a few weeks later, survive nearly drowning in the Nile River.

I flew overnight last night from Accra to Nairobi, and Karen, one of my midwife trainers and friends, along with a driver, picked me up from the airport bright and early, at about 6:00 AM this morning.

We all bleary eyed started our long journey up to Migori. It is approximately a 5-hour drive.

After a few hours, we stopped off at a store to pick-up some training supplies, snacks for the week, and our traditional stop at the pharmacy to pick up cheap drugs! My haul for the day included some Valium (I take it on the plane), and some muscle relaxers. Who knew how handy they would become in just a few short minutes.

We piled back into the van, loaded down with snacks, water, drugs, and assorted random shit. Karen and I were carrying away chatting, bitching about Donald Trump, when all of a sudden, there was an incredible crash, explosion, and blunt impact, and before I could process anything, there was debris of some kind assaulting my face.

I told myself to close my mouth and eyes, and could at this point make out that I was being pelted with glass, all over my body. I could also feel the car moving.

It was incredibly disorienting.

It felt like the world was exploding, and like it was happening in slow motion.

I, apparently, yelled to Karen, “we’ve been hit!!”

I, however, have no memory of this, she later told me this.

When the vehicle stopped, I opened one of my eyes up slightly, and could see the air was filled with dust and glass particles. I looked at Karen and asked if she was ok, to which she replied yes, and then I asked the driver, and he also said yes.

As I started becoming aware of our surroundings, I quickly realized we were covered in glass, with our van pushed to the side of the highway. Our driver explains to us at this point that a motorcyclist has hit us.

I turn around, instinctively, to see if he is ok.

Bad idea.

Very bad idea.

I literally say out loud, “Oh my god Karen, he is really fucked up!”
He was seizing and his body was flailing around.

At this point, our driver moves our van a bit out of the way of traffic, and tells us to not get out of the car until the police arrive, and he runs over to the motorcyclist.

Around this time, what seems like the entire town rushes to the scene, half surrounding the man on the motorcycle, and the other half surrounding us. We were almost immediately swarmed with people.

This is of course incredibly disorienting and frightening because our windows are gone, we are covered, and I mean, COVERED in glass, I have just seen a man a few feet from me likely dying or near death, we are both in incredible pain from the glass and the impact, and all we can do is just sit in a pile of glass.

Yes, that is right, we just sat in a pile of glass.

We were concerned about potentially getting arrested, or being taken into the police station for questioning, even though it appeared as if it wasn’t our fault, we didn’t want to move. We were also concerned about the mob gathering around us.

I immediately say, “I need to get a Kenyan on the phone I trust.”

I frantically attempt to start dialling, but realize I am just pushing random numbers into my phone. I say to Karen, “I don’t think I am processing anything, I don’t think I am actually dialling anyone’s number.”

I eventually am able to figure out how to, you know, use a phone, and begin calling many of the doctors I work with, and who I trust my life with, and to other project staff. I can’t get a hold of anyone. I keep calling over and over.

I just desperately want someone to tell me what to do, because I am pretty scared shitless at this point.

People are practically hanging in our window, trying to see if we are ok, but I am also concerned because I have all of my electronics on my lap, trying to figure out this epic cluster fuck we have just found ourselves in.

At some point, I tell Karen that maybe she should roll up the window, because of the people trying to see inside…. I realize as I am speaking the words that of course, she cannot roll up the window, because WE ARE COVERED IN THE PIECES OF THE WINDOW!

We immediately start laughing hysterically. Trauma response, obviously.

I send out an SOS email to every person I know in Kenya. The title of which was:

URGENT – EMERGENCY - KIMBERLY NEEDS HELP

Shortly after sending this email, our driver comes back and tells us the gist of what has happened:

The man on the motorcycle was being chased by the police, because he was taking charcoal from the forest (or something to that affect). Our driver saw him coming (we were traveling north on a highway, the motorcycle was coming from a side street onto the highway), and our driver tried to speed up to get out of the way, however, he didn’t have enough time. The motorcycle hit the side of our van, head on, traveling at about 100 KPH (around 60 MPH), which explains the incredible blunt force we were hit with. A perfect T-bone accident.

Eventually one of my American colleagues, who is also currently in Kenya, gets in contact with me, and we are trying to triage whether or not we need to get another van or what the hell to do. While we are talking, the police finally show up, so I quickly get off the phone.

Karen and I are both anxious and worried about whether the police will try and hold us responsible. Keep in mind; we are still sitting in a pile of glass, with glass literally all over us. To make matters worse, it wasn’t safety glass. It was some kind of mix between safety glass and regular glass; it broke like safety glass, but was incredibly sharp and definitely cut us up, you couldn't touch it without bleeding.

Thankfully, the police seem totally uninterested in pursuing charges against us, especially considering the circumstances of the chase. The officer tells us it is good we didn’t get out of the car because of the mob that surrounded us. She tries to clear the crowd and tells the driver to take the car (and us) across the street.

As we are pulling away, I realize we are just a few feet from the side of the road, which has a 20-25 foot steep drop off the side. Had we been pushed even a foot or two more, we likely would have rolled down the embankment.

As this reality settles in my mind, the magnitude of what has just happened is begins to sink in.

We drive across the street to a gas station. I realize I have glass in my eyes, Karen has it in her mouth, and it is everywhere. I mean EVERYWHERE.

We both had glass in our bras; I had glass in my underwear. I thankfully had leggings on under a skirt (I was still in my overnight plane clothes!), so just ripped them off in the parking lot.

We think that because the impact was so hard, the glass flew all around the car and settled everywhere, including in our clothing.

I realize I have a piece of glass shard in the back of my knee that I need to pull out, and when I go to do it, I realize it is lodged in my scar from the shistosomiasis that I got from the Nile River from when I nearly drowned a few months ago.

I can’t decide if this is hilarious, horrifying, or just so fucking incredibly ironic, that I am picking out a shard of glass from a pre-existing scar from the last time East Africa tried to kill me.

I throw the bloody piece of glass onto the ground and crush it with my flip-flop.

It feels oddly satisfying and cathartic to feel and hear it disintegrate into powder beneath my heel.

I get my hands clean so that I can try and remove the glass from my eyes. I fish out a few small black pieces.

That was real fun.

I should mention, that the entire government medical system in the country of Kenya is on strike. Day 75 tomorrow. There is nowhere for us to even go to get looked over.

My mind never wanders far from the man on the motorcycle.

We never do find out what happened to him. However, given that he wasn’t wearing a helmet, and hit a car head on going 60 MPH, nothing good can come of it.

I can’t stop thinking about his family. He was stealing charcoal from the forest probably because they couldn’t afford to buy any and needed it to cook food, probably for their children.

Tragic.

If the man on the motorcycle happens to survive, it will be because he was taken to a private hospital, a hospital that he almost certainly won’t have been able to afford.

Absolutely heart breaking.

I am constantly reminded of my privilege that I have, not only as an American, but also as a human on this planet. 

Within an hour, I had multiple doctors on the phone, tons of staff trying to find us transportation, and had I been really badly injured, I could have afforded to be taken to the country’s most expensive private hospital.

I wouldn't have even had to think about it.

The man on the motorcycle, however, likely lost his life trying to get charcoal to cook food.

I thought of this all day as I sipped on my sparkling water, eating cashews. Luxuries, by any standard.

I am lucky.

And not just because things could have ended so, so, so much worse in this car accident this afternoon; but because I have options and recourses in front of me, everyday, but especially, and maybe most importantly, when shit hits the fan.

Within a matter of hours we had a new driver, and transferred ourselves, and all of our stuff, to another car.

As the adrenaline starts to wear off, we both realize we have some major whiplash, and both of our necks and heads hurt, a lot. We also have glass embedded everywhere and scratches to match.

Then I remember: VALIUM AND MUSCLE RELAXERS!

We treat ourselves to a few, washed down by sparkling water.

I was incredibly grateful for those pills, to help take the edge off of my physical and emotional misery. In that moment, I thought that the expression, a bitter pill to swallow, never felt so fitting in my entire life. 

That poor man on the motorcycle.

My job does not come without risks. Far from it. While abroad, I am constantly trying to mitigate risk and danger at every turn.

Is it worth it?

Of course.

This is who I am, and this is what I was made to do.

Years ago, while in graduate school, I went to a public health conference at Yale, and Nicolas Kristoff spoke. He talked about his global travels, the things he has seen, the people he has talked to, how it has shaped him as a person, as a journalist, and as a citizen of the world.

I was enamoured with his every word.

He spoke of the dangers inherent in global health, in journalism.

He closed his speech by saying, “I believe that by being virtue of being born American and winning the lottery of birth, I owe a little bit of myself back to the world.”

If I were a religious person, this is the moment where I would say, “Amen!”

Is the work hard sometimes? Hell yes.

Do I enjoy profuse vomiting, exposure to Malaria, dengue, shistosomiasis, and more on a regular basis? Hell no.

Do I enjoy having two near-death experiences in the span of four months? Hell no.

Is it worth it?  Hell yes.

Will it always be worth it? Will I always be willing to take these risks? I don’t have the answer to those questions right now. Maybe, maybe not. I can’t see myself doing anything else.

Why?

Because if I have learned anything in life, it is that nothing is guaranteed.

Malaria might get you, or a terrorist, or your plane might fall out of the sky.

Or maybe you will get a super rare and shitty terminal disease like ALS, like my Mom has.

Or maybe you will fall down and break your hip and die, never having really lived at all.

The point is, none of us have control over any of it.

If we think that by not leaving our country, our city, our neighbourhood, or even house, is protecting us, we are mistaken.

Nothing is guaranteed to us.

I will continue living life, out loud, to the outermost edges, until my last breath.

My New Years Resolution this year was more of a mind-set, than a resolution. It was, “Do hard things.”

Whether that is going to a 90-minute hot yoga class when I want to sit on my couch and watch Teen Mom, or sacrificing temporary creature comforts to help make this world a better place, or confronting uncomfortable truths about our world, I vow to get up, everyday, and do them. Do hard things.

To hard things.


Wednesday, November 9, 2016

Election Reflections

The last 24 hours of my life have been characterized by more emotional highs and lows than I think any single 24-hour period of my life, ever.

I left my house yesterday, donning all of my Hillary gear that I could wear at once without looking like a coat rack, bound for a little watch party with my sister and brother in law, Shyawn.

I was so excited that I even stopped for a shit ton of orange snacks (Cheetos, Doritos, etc.) and champagne to help celebrate the victory of our first female president and bid adieu in a YUGEE way to that dumpster by eating his doppelganger; Cheetos.

I was fucking elated. I was so pumped for this day! I have waited my entire life for this.
THE FIRST AMERICAN FEMALE PRESIDENT!

This day was big. And I wanted to do it in a big way. I shed emotional and excited tears throughout the day. We settled in, with our assortment of orange snacks and alcohol, ready to see the results roll in. Let the sea of blue roll in, baby!

As an aside, I know everyone was excited yesterday. But for me, personally, this was so much more. I worked on her 2008 campaign, and have campaigned hard, and donated lots of time and money over the years, to see this victory through.

I am not just an armchair or Facebook impassioned political person.

I sleep, eat, and breathe this stuff. It is part of the fiber of my being. If you know me personally, you know this is true. I have dedicated my entire adult life to fighting for women, women’s health, women’s rights, and policies which shape and impact women’s health. Since I was 18, I have worked for NARAL Pro-Choice Washington, managed field operations for HRC’s 08 campaign in my county, worked for a pro-midwifery advocacy organization, as a Doula at SeaMar Community Health Center for largely undocumented female Hispanic immigrants as part of AmeriCorps, volunteered at a women’s domestic violence shelter, volunteered with a legal aid organization for women, campaigned for Planned Parenthood in Olympia, worked in a health center in Nicaragua identifying strategies to help high risk women get the care they need, when they need it, and have worked for the past four years training healthcare providers to manage obstetric and neonatal emergencies in limited resource settings around the world. I have a bachelor’s degree in Women’s Studies and Law. My Master’s degree is in Sustainable Development, with a focus on women’s international health policy. 

I don't say this to toot my own horn, but for people to understand the monumental impact and importance this was to have, and has had on me, personally.

This is my life.

As a human, as a woman, as someone who works professionally to assure women everywhere have better access to vital, life saving healthcare, and that there are policies in place to protect and provide these services, this was personal.

Hillary has also made women, women’s health, women’s rights, and children’s rights and health her life’s work. In 2008 when Obama was running, I don't think my peers understood why I campaigned so hard for HRC. And again last year, I think people were dismayed at, “how I couldn’t be for Bernie.”

I pride myself in being outspoken, and standing up for my beliefs, even when it is not easy, and even when it isn’t popular. I have fiercely loved and advocated and campaigned for Hillary because she gets it: she understands what it is like to fight this hard, why it is so important, why women matter, why women’s health matters, and why women in power and leadership matter.

Women’s rights are human rights, and human rights, are women’s rights.

I studied and wrote about CEDAW (please research this and how HRC was instrumental in this pivotal piece of legislation if unfamiliar), all through my undergraduate studies. Next to Roe v. Wade, it became the single piece of policy I was most familiar with. I knew it backwards and forwards. And more than that, I believed in its importance, and respected that she campaigned and fought so long and hard for it.

Because women’s rights are human rights, and human rights, are women’s rights.

So now, perhaps if you didn't before, you can begin to understand why I have made the choices for her as I have.

Back to last night.

We were in a celebratory mood. Shyawn snapped some photos of me in front of their wall size projection screen next to various state victories. I was giddy! It was like mother fucking Christmas morning.

Until it wasn’t.

As Florida’s results started rolling in, I began to worry. I started to develop this pit in my stomach, and felt like the wind was knocked out of me. I could see what was happening.

I knew.

At times, I retreated to their dark office, alone, and laid on the floor in the dark. I was flooded emotionally and my introverted self needed some decompression time.

When they were finally able to pull me out of the office, I alternated between enveloping myself in a blanket, thinking somehow, that I could shield myself from what I knew was happening.

They told me not to give up hope.

I have an intimate understanding of our dumpster fire electoral system from years of study. I was under my blanket, doing math in my head.

26% in for Miami. What percentage did Obama win that county in 2012? How many thousands of votes? I repeated this math in my head for many different counties, with various permutations of possibilities.
I was trying to find a logical way out of this epic fuckery that I knew was happening.

Math had to be on our side, right?

As the orange Cheeto would say: WRONG.

Wrong.

WHAT THE FUCK.

I kept thinking back to the last SNL skit between HRC and Cheeto (go watch it if you haven’t!). When she does her exaggerated bemoaning scream after he kisses Putin and does other crazy shit that no one notices, and then she says,

“What is happening, has the whole world gone mad?!”

That was me.

What is happening? How is this happening? Has the whole country gone mad?

BAAHHAOOOOOOAOAOAOOAOA. (me, and my unintelligible guttural reaction to the electoral map.).

When they called Florida for Cheeto, I yelled out an epic, long, and guttural FUCKKKKKKKKKKK.

I knew it was over.

My 2-year-old nephew, Hudson, was standing right there.

Sorry, Bubson boy.

Sorry, for so many reasons, and the least of which was the massive F bomb your auntie just bellowed.

I wanted to be in the fetal position.

I managed to get out of my blanket cocoon and collapsed, with my head in my hands.

Shyawn captured a photo of this.

I am actually incredibly grateful for this photo. It captures such a raw, real reflection of the absolute sheer physical devastation I was feeling. It says more than I ever could.

I love photography, but we tend, as society, to only capture the happy moments, and I am also guilty of that. However, I often feel that we can find the most striking images in our lowest points. We photograph weddings, but not funerals, but they both have momentous impacts on your life.

I think it is as important to remember those moments just as much as the happy ones, to have proof of where you were at some of your lowest moments.

It was shortly after this photo that I finally broke down.

Epically.

It hadn’t been called yet, but I knew.

I wasn’t giving up, I was just tired.

After all this, after all these years of fighting, she wasn't going to get it.

I was exhausted, and the floodgates smashed open.

And the tears rolled down my face, at first silently. And then progressed into a deeper, more painful and ugly cry.

Jennifer handed me Hudson, and I held him close, rubbed his back, and I cried.

For him, for me, for her.

For us all.

At this point, Shyawn in horror, stated that unfortunately, if Cheeto gets a second term, Hudson would be 10 when it is over.

10!

A lifetime.

I wanted some of his earliest memories, and those of his peers, to be of a woman in power.

Of female leadership.

Of it being the norm that women are powerful people, and that powerful people are women. Women are important, and important people are women.

I momentarily collected myself by pretending to eat his and his beloved lion’s appendages, and then went to the bathroom to wipe away the snot river that covered the upper half of my body.

I saw myself in the mirror and it felt like my innards were ripped out of me. And I broke down again.

How?

Why?

What?

The.

Fuck.

FUCK.

I was distracted by a little person trying to find his Auntie in the bathroom. So I opened the door after collecting myself, hoping he wouldn't have to see me in that state, and went, BOO! I scooped him up, and he pointed to the Christmas tree, so we went to admire it.

He pointed and showed me all of the lights, and we pretended to be electrocuted, because it felt  appropriate.

I told him that Auntie was having a lot of feelings like he had been earlier (he had been uncharacteristically cranky and upset earlier in the evening), because some really sad things were happening. And that I am sorry his first election didn't go as I had hoped. In his little knowing way looked at me and goes,

Oh. Uh huh. Oh. Oh, with big eyes and little nods.

Nodding along, wiser beyond his years. And then he leaned into me, and gave me a cuddle, and then put his lion up to my face, which I proceeded to pretend to eat again. He knew, wise beyond his years, that I needed a little extra loving, so he offered his most prized possession to me. I set him down, and cried again.

Then I made myself a strong drink. But I couldn't drink it. Everything made me feel like I was going to vomit.

They offered me a Xanax, but I refused. I wanted to feel this, all of it, to the depths of my core. I felt it important for me to process it all.

At 9:30, I said I had to go home. Nothing had been called, but I had a 6:00 AM call, and given the fact that I had only slept 3 hours the night before, I knew elation wasn’t going to power me through my lack of sleep, as I had previously assumed it would.

I told Jennifer I thought I was going to throw up. She said, “He’s not worth it.”

I said, it isn’t about him right now, it is about her. And I cried some more.

I went home, and as soon as I got in my car I broke down. Epic, big time, ugly sobbing, shaking cry.

Hands at 10 and 2, face to the ceiling, why? Why?

I let out a guttural scream. The last time I felt like this was the first time I drove home from my parent’s house after finding out my Mom had ALS and was going to die.

I am not trying to conflate that two, nor to say that this loss is the same. It is not. The ALS and my Mom is of course, so much worse. But I merely say this for people to understand the depth of loss I felt, and feel.

I drove home in a daze, and as I pulled up, I knew I was going to puke.

I rushed up our stairs, and barely made it into the bathroom, where I violently vomited, over and over. Like food poisoning violent. It was like there was a toxin in me and it needed to get out.

I have never in my life experienced such a physical reaction to something as I did last night.

I was home alone, as Cris was at work. My net of closest confidants, friends, and Cris were all texting me, knowing what terrible shape I must be in.

And they were right; they all know me oh so well.

Kristina suggested a take the Valium I had planned to take the night before my wedding but didn't. So I did.

I just needed to be put out of my misery.

I slept on and off, restless, drug induced sleep for just a few hours before my alarm went off at 5:45 AM for my 6:00 AM call with our team in Uganda. I had had a dream that Hillary was coming to my wedding, and I was in the process of trying to find a place suitable enough to have her there when my alarm went off.

I was dazed and confused and then it hit me:

The Cheeto won.

That mother fucking dumpster juice Cheeto.

And I cried.

I called in, barely put together, and was able to speak at the appropriate times, but barely functioning. 

After it was over, I laid there in the dark. It felt appropriate. The world had gone dark and mad, just like I felt.

You may think I am being melodramatic, but I feel like I have a perspective on this that many do not have, due to my line of work.

I rarely, if ever, talk about my work in the field with anyone unless they can understand it, and almost never, on social media. I generally go into shut down mode when abroad. Why? Many reasons. For one, I don't want to project a white saviour complex thing, and make people think I am the strong one or deserving or looking for praise.

I am just doing my job.

The people I am working with are doing their life.

I also don't want people to get a bad image of life for people in places radically different than ours. I don't want to be a part of it. I have zero desire for poverty porn. This is why you have never (and will never) seen a photo of a woman labouring in a facility, or a crying kid, or me holding a baby or whatever.

Gross.

I did recently, in September, talk a bit about an experience I had while in Kenya. I felt comfortable enough sharing it because it was told to me third party, and I didn't feel like it was patronizing anyone.

One of my Kenyan midwife trainers was making me “pregnant”, with a simulated belly for a fundal height measuring station. While we were waiting, just the two of us, she told me about one of her nurses in her county (she oversees reproductive health services in her county), had just died, and she was going to leave the next day to attend her funeral. She died from a massive post partum hemorrhage, which is bleeding after birth, from her uterus being unable to contract on its own as it should after delivery.

It hit me like a ton of bricks.

Fucking tragically and horrifically ironic that a woman who helps women safely bring babies into the world, died in childbirth.

There isn’t one thing you can point to as to why this woman died. It was a massive systems failure. But one thing? That for sure contributed? They didn't have access to misoprostol.

A 25-cent tablet.

What is misoprostol? How does it relate to this campaign and issues at present?

Well, misoprostol is a medication that is incredibly effective at causing the uterus to contract during a hemorrhage due to atony (“floppy” or “tired” uterus that won’t contract on its own). The beauty of misoprostol is that it is cheap, it is easy to administer and requires no additional equipment that is often lacking (it is administered rectally or sublingually in these settings, so no IV equipment is needed), the healthcare provider needs very little training to use it, and it is shelf stable, meaning it doesn't need refrigeration, which is vitally important in places without electricity. Again, there are many reasons why she didn't get it, and why the facility didn't have it, but the most important one for this discussion:

Misoprostol is also an incredibly effective first trimester abortifacient. It is used to induce abortions, very safely and very effectively.

Misoprostol due to Bush’s bullshit PEPFAR plan, was wiped off of the map in many countries. If you don't know much about PEPFAR, please read about it. (President’s Emergency Plan For AIDS Relief). Sounds good, right?

As Cheeto says: Wrong.

Part of PEPFER made USAID money contingent on abstinent only education and wouldn't fund facilities that provided abortions. As such, many places and countries decided to follow the Draconian policies of the Bush era, and adhere to his personal whims, or risk losing funding all together.

8 years later, there are still many places around the world where misoprostol is still incredibly difficult to get, even though it is no longer a mandate of PEPFAR (thanks, Obama.).

I want the importance of this to sink in:

8 years later, there are still women dying, because of GWB’s policies.

There are still women dying, because of George W. Bush, and he hasn’t been president for 8 years.

I have seen lots of people saying, well, it is ONLY four years, he doesn't have that much power, we will win the presidency back in 2020.

For the love of anything that is holy, I hope so.

However, a single Cheeto can do a lot of damage in 4 years. How long can RBG hang on? How many Supreme Court justices will he appoint?

How many rights and laws and services will be repealed or restricted, because of him?

It is only 4 years, but the echo from four years can last a generation.

Trust me, I have seen it first hand.

And it is not good.

I have oscillated between rage and sadness and depression and pity and fear and darkness and so many things. But I have a few messages—

For the basket of deplorables, I have nothing to say to you. I have a finite amount of energy, and using it on you isn’t worth my time at present. Perhaps later, but not today.

For the third party voters, protest voters, voted for Jack-Wagon-Gary-Johnson or doesn’t-believe-in-vaccines-Jill-Stein, or those who abstained, “on a moral ground,” this is my message to you, I want you to read it all. Every word –

Why?

Were you overly confident that you thought your vote didn't matter?

Did you think this was a joke?

Did you think there was no way that the Cheeto could win?

Was it worth it?

I hope so—because you are responsible.

For every action, there is a reaction.

And I can guarantee with the utmost certainty, that I will see so much more first hand—the devastation, the reverberations for years to come in my career, than you can ever even fucking possibly remotely imagine.

For shame.

For shame.

This isn’t’ a discussion on the DNC, or the electorate (dumpster fire, we can agree to that). This is a discussion on the fact that people played a game with people’s lives.

People of color.

LGBTQ folks.

Muslims.

Immigrants.

The disabled.

Overweight people.

People who speak out in the press.

Survivors of sexual assault.

Women.

Humanity.

Was it worth it?

For shame.

You just elected a sexual predator, misogynistic, xenophobic, dictator Cheeto who spews divisive vitriol.

Was it worth it?

For shame.

When you hear in the coming years about increases in incidences of sexual assault, including against children, which will undoubtedly increase, because you have now just normalized and legitimized it by voting it into office, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When you hear about victims of sexual violence and sexual assault NOT coming forward for fear of not being believed, chastised, threatened, or worse, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When you hear about another classroom full of kindergartners being blown away by an assault rifle, since there is now no way in hell the assault rifle ban will be reinstated, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When you hear about an unarmed black man being shot for no reason, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When the wall starts to take shape, and immigrants are blamed, beaten, shunned, kicked, ignored, or worse, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When there is a revival of the KKK, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When abortion rights are restricted or taken away, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When people will literally die because they no longer have access to life saving healthcare through Obamacare, or become pregnant unintentionally because their access to birth control was taken away, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When we go to war with Iran, or fill in the blank, and thousands die, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When the LGBTQ community loses their right to marry, or to be free from legal discrimination, are beaten, kicked, and killed, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

When we lose our very humanity towards each other due to the divisive nature of the Cheeto that we have legitimized, this is what I want you to do:

Be proud. Rise up, and say: THAT WAS ME! I VOTED FOR THAT VALUE! I VALUE THAT! I AM IN PART RESPONSIBLE! FOR EVERY ACTION, THERE IS A REACTION!

For shame.

Was it worth it?

For shame.

If it wasn’t, I want you to closely revaluate your priorities and values as a citizen, and as a human. 

If you feel regret, don’t just feel regret, act on it. 

Immediately. 

Don't just gaslight and ignore all of the above and spout something about our two-party system or the DNC, it is a waste of everyone’s time, including your own. Face the consequences.

For every action, there is a reaction.

Is it the reaction you were hoping for?

For my fellow people in mourning, in anguish, in a deep dark place, this is my message to you –

We will prevail.

The popular vote was won by Hillary. She is the people’s president.

We must keep fighting. I know you are exhausted, so am I, but prevail and continue fighting we must.

Protect those who cannot protect themselves. Use the shields of privilege you have, and help use them as armour to protect those who currently fear for their own safety. Whether it is your race, your sex, your sexuality, your religion, your economic status, or your citizenship. Use all of the powers you have to protect those who are at actual risk of being beaten, deported, killed, kicked, demonized, and more.

Let people know where you stand. And tell people who voted the other way the implications for their actions. Try to understand their hate. This will be hard, but it is important.

To all Americans –

Whether you are blue or red or apathetic, I want you to realize and believe that when women say sexism and misogyny is real, I want you to believe them. When minorities say racism and prejudices are real, believe them. When people of other faiths say hate crimes and prejudices are real, believe them. When the LGBTQ folks say they are in fear of their safety, are discriminated against, believe them.

Because if we have learned anything in this election, is that these things are festering, much closer to the surface than even I ever realized.

Believe it.

Because if we don't, as individuals, as women, as men, as straight, and gays, as atheists and Muslims and Christians, as people of color and as whites, as citizens and immigrants, as democrats, as republicans, as Americans, as a collective;

We
Will
Never
Change
Anything

To Hillary, even though I know you will never read this –

My heart breaks for you. You have fought the good fight your entire life. You have been put through the wringer more times than I can count, and have stood up after each fall, more than should be expected of any one human. You have defied odds, and you have stood where no other woman has stood before, and tried to fit into a man’s world.

I cannot imagine the isolation, the hardship, the struggles, and the pain you must have endured. My heart is with you.

My heart is breaking with you, and for you.

You have been blamed for things that you should have never been blamed for. You aren’t perfect, but you were expected to be, even when those pointing the finger were not perfect themselves.

It was an honor to meet you, and I will repeat the words I said to you that day:

“Thank you for dedicating your life and career to advancing and protecting women’s rights and women’s health. You are my inspiration. Keep fighting the good fight.”

To which you replied, “Thank you, I will.”

 And I know you will. Even without the official title. Because if there is anything true about you, it is that you don't give up. You are an example of what it means to get up when you've been knocked down. Again, and again.

You are my sister in solidarity and you will always be my president.

You will always be my president.

To my fellow women, mourning this loss on an intimately and personal level, this is my message to you –

I understand. This is personal.

For all of the women whose bodies have been treated like property, who have been assaulted, touched, or forced against their will, I am with you. I understand the absolute devastation of seeing people vote in a sexual predator and validating sexually predatory acts by voting for him, and how soul crushing it is, particularly if you have been a victim, as I have been myself.

For all of the women who are disheartened at the fact that a woefully less experienced, less educated, and less qualified man has just been elected to the highest office over the most qualified candidate ever, and feeling dismayed by the notion that men are more deserving and more capable and more qualified than women was just validated by this election by many in this country, I am with you. For those of you who have been paid less than their male counterparts, and less than those who are less experienced than you, I am with you and I understand.

For my fellow sisters who fight the good fight day in and day out. For the times you've been called
a cunt,
a bitch,
crazy,
psycho,
accused of voting with your genitals,
had your very physical safety threatened,
 have had your intelligence insulted; I

 hear you and I am with you.

The words, the names, the threats; they sting, they shock, they scare, but they do NOT change anything, they do NOT change who we are, as long as we keep standing up.

In words much more eloquent than my own, from Hillary’s concession speech today, which I wept through, painfully:

“And to the young people in particular, I hope you will hear this. I have, as Tim said, spent my entire adult life fighting for what I believe in.

I’ve had successes and I’ve had setbacks.

Sometimes, really painful ones.

Many of you are at the beginning of your professional public and political careers. You will have successes and setbacks, too.

This loss hurts, but please never stop believing that fighting for what’s right is worth it.

It is — it is worth it.
And so we need — we need you to keep up these fights now and for the rest of your lives.

And to all the women,

and especially the young women,

who put their faith in this campaign and in me; I want you to know that nothing has made me prouder than to be your champion.

Now, I — I know — I know we have still not shattered that highest and hardest glass ceiling, but some day someone will and hopefully sooner than we might think right now.

And — and to all the little girls who are watching this,
never doubt that you are:

valuable
and powerful
and deserving of every chance and opportunity in the world to pursue and achieve your own dreams.

…

I believe we are stronger together and we will go forward together.
And you should never,
ever,
regret fighting for that.

You know, scripture tells us,

“Let us not grow weary in doing good, for in due season, we shall reap if we do not lose heart.”

So my friends, let us have faith in each other, let us not grow weary, let us not lose heart,
for there are more seasons to come.

For there is more work to do.”

Hillary, as you said in your concession speech in 2008, you may not have cracked that highest glass ceiling just yet, but you have put an additional 59,796,805 cracks in it.

And you can be sure; I will do my damndest, every day, for the rest of my life, to help contribute to shattering that shit apart.

In solidarity.