Diving In, Part Two (Or, Why the Vaccine Debate Isn’t Cut and Dried)

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In case you missed, it, Part 1 of my writing on vaccines in the US can be found here.



I suppose that, like most other very controversial subjects, it shouldn’t surprise me that the vaccine debate tends to get framed as an all or nothing, black and white, choosing sides issue. Whenever we are driven by fear, human beings tend to lose the ability to think rationally and begin to believe that there is a Right and a Wrong answer, and the question of whether or not to vaccinate can certainly be a fearful one.
I do continue to be mystified, however, by people who should know better – public health officials and medical practitioners, for starters – that position vaccines as an all-or-nothing proposition, and here is why:
Vaccines are not all created equal. Accusing me of being “anti-vaccine” because I am concerned about the safety and/or efficacy of some vaccines or the current US vaccination schedule is akin to saying I am “anti-car” because I wouldn’t consider driving a Volkswagen but I might choose a Toyota.

  • There are a vast array of vaccines available, some of which were created decades ago and some that are fairly recent. 
  • Some vaccines on the market are multivalent (that is, they are designed to inoculate against more than one disease-causing organism) and others are monovalent (for one organism only).
  • Some vaccines were created to work against bacterial disease and others were designed for viruses.
  • Some vaccines contain adjuvants (chemicals that are supposed to increase the body’s immune response to create stronger immunity) such as aluminum and others do not.
  • Some vaccines are designed to be injected once in a person’s lifetime and others require multiple boosters in order to maintain a high level of immunity.
  • Some vaccines contain inert ingredients derived from animal parts, others from human fetal tissue, and things like MSG (monosodium glutamate).
  • Some vaccines have been tested many times over a long period of years on individuals of all ages, genders and races, and others have been “fast-tracked” which means that there was a determination that there was some public health risk that necessitated them getting to market faster, so there hasn’t been the same rigorous level of testing. 
I could go on, but hopefully it is imminently clear that the vaccines Americans are encouraged to give their children (and have themselves) are very different from one another. Much like buying a car, it is important to do research on each individual vaccine in order to determine a risk/benefit ratio and decide what is comfortable for you. For example, when my daughters’ doctor recommended the chickenpox vaccine for them, I researched it as thoroughly as I could and ultimately chose not to have them get those shots because I felt as though the risks outweighed the benefits. Similarly, they have not had the HPV vaccine and I don’t foresee either of them getting it anytime soon. (If you’re curious about why, you can read this post particular to the Gardasil vaccine. Since I wrote it, there has been a great deal more information published by other people who are critical of both Gardasil and Cervarix that shouldn’t be difficult to locate online.)

Please don’t think that I am under the impression that doing research on the safety  and efficacy of individual vaccines is a simple endeavor. I am fully aware that it is not, and I know how lucky I am to have both the time and the educational background to locate, digest, and mostly understand the data. Many, many people are unable to do what I have done, and the system is unfortunately not set up to support any kind of patient education regarding vaccines or any other pharmaceutical, for that matter. Many vaccines are available through drugstores and grocery stores in America, which makes it a challenge to have an in-depth conversation with the provider regarding risks and possible complications. Even if you go to a physician for vaccines, many of them aren’t as well-informed about the individual attributes of each vaccine as they could be, and a great deal of them are unwilling to have a candid conversation about the ingredients of individual vaccines. In a perfect world, the person who is recommending that you inject your child with something would have looked at the studies done on that drug to determine whether or not it is a good idea, but the amount of information is incredibly huge. The doctors I’ve met are content relying on the word of the CDC that vaccines are safe, but because these drugs are created and sold by massive
corporations who may or may not be interested in the greater good of public
health, but who are nevertheless incentivized to create a product that they can
bring to market quickly that will produce enormous profits for their
shareholders. In turn, these corporations use that money to lobby lawmakers who
wield a great deal of power over government agencies responsible for
determining whether these vaccines are safe and effective and when they get to
go to market, as well as recommending where in the vaccine schedule they ought
to be placed. There is a very clear conflict of interest for many physicians
and scientists working on vaccines who are being paid by large pharmaceutical
companies to create new vaccines. And, in many states, regular family physicians are paid by the state to give patients vaccines, so the more children they inoculate, the more they are rewarded. 

Ultimately, this issue is much more nuanced than many of us would like to believe, and because it is so complicated, we often fail to have productive conversations about it. In my heart of hearts, I believe that we are all striving for a country with healthy children, but if we are going to get there, it will, at some point, mean that we sit down together without fear or anger or labels and get everything out on the table with that singular goal in mind. 











 

Diving in, Part 1

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For more than a year, I’ve been holding my tongue on the subject of vaccines for a whole range of reasons. The conversation seems to wax and wane, but now that it is front-and-center once again, I feel as though I am ready to put some of my thoughts and experiences out there.

I will do this in parts because the issues are incredibly complicated and I think they deserve a thorough examination, but because of an experience I had a year ago, I will start with the following letter.  I was invited, by MomsRising to be part of a gathering with Dr. Vivek Murthy, US Surgeon General, to talk about the MMR vaccine. It was positioned as a smallish group of folks that would dig in to the questions and issues surrounding the measles outbreaks that had recently occurred and I spent over a week doing research, asking other moms what they wanted to know, and crafting intelligent questions. When I got to the event, I learned that they had invited hundreds of other people to phone in and listen and instead of a conversation, it was to be a presentation by Dr. Murthy with a few select questions asked at the end (questions vetted by the presenters with no opportunity for follow up clarification or dialogue). Needless to say, I was disappointed and I later discovered that Dr. Murthy was on a tour of cities at the low end of vaccination rates and this was more PR than conversation.

When I asked Kristin, the head of MomsRising, about the format following the event and indicated that I had several unanswered questions, she seemed surprised and offered to forward all of my questions to Dr. Murthy so that I could get answers. I emailed her this letter with the subject line she suggested and have, to date, received no response.

The letter itself is lengthy, I admit, but despite that, I feel as though it barely scratches the surface of the complex issues surrounding vaccines. In Part 2, I will explain my overall thoughts on vaccines and I implore you to either ignore these posts or read them thoroughly and thoughtfully and respond with curiosity versus vitriol.

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Dear Kristin,
Thank you and the other folks at MomsRising for all you do
to rally, educate, and advocate for parents and children across the country.
The work you do is so important, based on what actual moms say they want and
need, and has thus far been amazingly effective. I appreciate your efforts to
get the Surgeon General in the room to address the concerns and questions of
parents regarding measles and the measles vaccine. I am keen to build on the
momentum and develop Tuesday’s event into a robust conversation that goes much
deeper.
I understand that the logistics of the event prevented it
from becoming an actual dialogue, but I think it’s important to recognize that
much of the substance of the issue has yet to be discussed. Because there was
no opportunity for folks to follow up on answers Dr. Murthy gave in real time,
or to clarify any of his answers by having an actual exchange with him or the
other two physicians on the call, I believe that there is much more work to
do.  Indeed, as demonstrated by the
poll taken during the conversation, 56% of the listeners report being either
“somewhat” or “very” concerned about the safety of the MMR vaccine. To me, that
speaks volumes.  I am writing to you
in the hopes that you will forward these questions on to Dr. Murthy or find a
way to engage him in another, more conversational meeting where these issues
are discussed. 
I am writing to you as a mom of two neurotypical kids who
have had most of their vaccines to date. I am also writing to you as a woman
with a bachelor’s degree in biology with a minor in chemistry who worked for
years in direct patient care as a medical/surgical assistant and then moved on
to work in Quality Assurance for the Washington State Mental Health Division.
While I agree that this letter is long, it is the result of several
conversations with other mothers who have concerns beyond what was discussed
the other day. I hope that you will take the time to read it and reach out to me
with any questions you have.
The vast majority of our questions have to do with the
safety of the MMR vaccine and, from your quick poll, I see that we are not
alone among the people who attended this event on Tuesday. Our main issues
around efficacy of the MMR are two:
  1.     Using global statistics to demonstrate the
    effectiveness of the MMR is an unfair comparison. To say that “there have been
    over 15 million lives saved by the MMR vaccine since 2000 alone,” as Dr. Murthy
    did in his closing statement ignores the reality that many of those lives would
    have been lost because the children are living in third world countries without
    proper nutrition or sanitation. It is incendiary and doesn’t adequately portray
    the situation here in the United States to use global numbers to talk about
    domestic issues.
  2.       I can locate no long-term studies that have been
    done to determine whether people of my generation (born in the late 1960s and
    early 1970s) who received their full recommended MMR vaccinations actually
    still have blood titer levels that show that they are immune to measles. In
    response to one person’s question, “Does immunity wane as people get older?”
    Dr. Murthy answered, “There doesn’t seem to be any evidence that suggests
    that.” I’m concerned that this conclusion has been reached without any actual
    scientific studies and it may, in fact, “seem” that immunity doesn’t wane
    because of the drastic drop in the incidence of measles in the US. It would
    seem to be a fairly simple examination to undertake a study of adults across
    gender, ethnic, and socioeconomic populations and determine whether or not they
    are still immune to measles thanks to the MMR vaccine. The term “herd immunity”
    or “collective immunity” gets used an awful lot with regard to vaccines, but I
    don’t know that it has ever been tested with regard to vaccinations. There is
    evidence that this phenomenon holds true in animal populations and with
    naturally-acquired disease, but I would like to see a study that shows that it
    is valid for vaccine-acquired immunity. We can’t base public policy on a
    theory.

The following are questions regarding the safety of the MMR vaccine.
  1.            On Tuesday, Dr. Murthy assured MomsRising
    supporters for the second time that they ought not to be concerned about the
    MMR vaccine shedding live virus. “Don’t worry about exposing others,” he said.
    “Carry on about your lives.” However, parents of children who are immunocompromised,
    either naturally or due to medications like chemotherapy drugs, are often told
    by their physicians NOT to get their other children vaccinated with any live
    virus, including the MMR. In addition, the vaccine insert produced by the
    manufacturer, Merck, is written as follows: “Excretion of small amounts of the
    live rubella virus from the nose or throat has occurred in     the majority of susceptible individuals 7 to 28 days after vaccination.” (emphasis mine). Additionally,
    this article     http://www.cnbc.com/2015/03/03/globe-newswire-public-health-officials-know-recently-vaccinated-individuals-spread-disease.html
    in a mainstream media outlet talks about the fact that experts know that
    recently vaccinated individuals can spread disease. And yet, parents who choose
    to delay or forego certain vaccines for their children are routinely vilified
    and blamed for disease outbreaks. I believe that this is one very compelling
    reason why so many parents are confused about these issues. Whom do we believe?
  2.       When vaccines are tested for safety, they are
    tested in isolation; that is, one at a time. But more often than not, they are
    administered to children in tandem with other vaccines. Why are there vaccines
    on the US schedule that are given in the same day but not tested together to
    assess their effects? Much like baking soda and vinegar are inert alone but
    explosive in combination, it is scientifically possible that when two different
    vaccines are put together, they will act differently in the body of a child
    than they did when tested alone. We can say that we think they are probably
    safe together, but without rigorous testing, it is irresponsible to give them
    to children with developing immune systems without being much more certain.
  3.       Also, when vaccines are tested for safety, they
    are not tested against truly inert placebos such as saline solution. Often they
    are tested against another cocktail of preservatives and adjuvants that are
    only lacking the vaccine itself. We are not just concerned about the vaccine
    components, we need to know what effect substances like aluminum adjuvants and
    MSG and pig gelatin have on the human body when they are injected. We also need
    to know what effects they have when they are injected in large amounts, as in
    the case of multiple vaccines given on one day. I wouldn’t eat a “safe” dinner
    off of a toxic plate, and I don’t want to inject my children with a “safe”
    attenuated virus that is held within a toxic set of preservatives. We deserve
    to know that     each and every component
    of the vaccines we are being given is safe.
  4.       All three of the doctors spoke of the Institute
    of Medicine as an independent body that reviews all of the safety and efficacy
    studies on vaccines (among other things). I am curious to know whether the IOM
    crafts and undertakes their own studies or simply reviews the studies done by
    other organizations that may have a vested interest in the outcome. The design
    of a scientific study is as much responsible for the data set that emerges from
    it as anything else, and if truly independent studies are not being designed,
    we cannot hope to get accurate information.
  5.       Dr. Murthy encouraged parents to talk to their
    healthcare providers if they have questions about whether or not their children
    should have a particular vaccine. I agree entirely, but I have to say that we
    don’t live in a perfect world where all families have healthcare providers that
    have the time to have detailed conversations during a well-baby check, have the
    intimate knowledge of what a vaccine package insert says, or even get their
    vaccines in a doctor’s office.     
    Families can go into Walmart and get vaccines for flu, chickenpox, HPV,
    pneumococcal pneumonia, hepatitis, meningitis and MMR, in addition to others. I
    am concerned that many of those folks do that because it’s cheaper and easier
    than making a doctor appointment, and I wonder how robust the patient education
    is or whether there are opportunities to ask complex questions, or if most
    parents even know what or how to ask. His answer is predicated on the
    assumption that most parents have a trusting relationship with their child’s
    doctor and I fear that that is inaccurate. I think it is also possible to
    discount the intimidation factor most people have when faced by a person in a
    white coat.      
  6.            Dr. Cohn and Dr. Murthy both talked about the
    requirements for providers and vaccine manufacturers to report adverse events
    to the VAERS. Further, Dr. Cohn explained that patients and families can also
    report to this body any adverse effects they experience due to a vaccine. This
    prompted many questions. First, how many parents are told that this is an
    option and offered information on how to go about reporting to VAERS? Second,
    is there an estimate of how many parents don’t report side effects because they
    either can’t tell whether they are related or because it will cause them to
    have to make another doctor appointment for their child, which is both costly
    and time-consuming? Third, in the case of a family who receives their
    vaccinations from a place like Walmart, how likely are they to report any
    issues and to whom? If they don’t know about VAERS and they weren’t going to a
    doctor for their shots in the first place, they aren’t likely to seek one out
    to report negative side effects unless they are severe. Lastly, Dr. Cohn said
    that the CDC, and the Department of Health and Human Services follows up on
    every report made to VAERS and I am curious to know what the threshold is for
    deciding that action is required in the form of further study. How many of the
    same or similar reports have to be made in order for them to determine that
    this is an issue and how much time elapses between the reporting of an adverse
    event and the review?      Finally, I am curious about something Dr. Murthy
    said in regard to autism and MMR. He said that, “because autism symptoms show
    up around the same time that kids are getting the MMR, there are some people
    who think the two are related, but they are not. This is why we need to really
    look at the populations, we need large numbers to do rigorous independent
    study. We need to look at broad data sets to see and what the data says is that
    there is no connection.” I am interested in whether there has ever been a study
    done on the relative health of vaccinated children versus unvaccinated
    children. We know that there are entire pockets of unvaccinated children in the
    United States and it would seem relatively simple to compare them to children
    who have been vaccinated on schedule. This seems like a straightforward study
    that would provide some interesting information about a range of potential
    issues that we haven’t considered might be correlated with vaccines.

Thank you for indulging our questions. I find it fascinating
that the amount of media attention given to this most recent measles outbreak
has spurred legislation in several states and, yet, 65% of the people you
polled on Tuesday indicated they are not concerned about the outbreak. That
said, I think this offers us a great opportunity to engage in some intelligent
exchanges about measles and the MMR. I appreciate your effort to get answers
for your supporters.  If you decide
not to forward this on to Dr. Murthy, please let me know and I will try to find
another way to have the concerns addressed. 
Sincerely,

Kari O’Driscoll

Talking To Kids About Sex (With Visual Aids)

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This is a response to Elizabeth’s comment on the previous post about sex as a commodity, and I will preface it by saying I wish I had a definitive answer. She asked how I would educate my sons about sex and rape culture if I had sons, and I think it is a particularly salient question. I thought about it in the context of my brothers and my dad, but my teenage years were a different time. Not that there wasn’t a hearty dose of misogyny and male entitlement, but it wasn’t talked about at all, and rarely was it ever challenged.

After puzzling on it for a bit, I went to a source I trust: Lola. As a 13-year old girl who is proficient in social media, steeped in girls’ empowerment, and has a strong, vocal opinion on social justice, I was interested in her ideas about how to talk to teenage boys about rape culture.  She started out by encouraging parents to watch this YouTube video about consent with their kids. All of them, boys and girls, starting at a pretty young age. It’s a pretty powerful analogy and points out just how absurd our ideas about sexual consent are.

I love this video because it doesn’t avoid the idea that a person’s consent status can change at any point. Yes, it is possible for someone to say “yes” and then change their mind, two or five or twenty-five minutes later. And no matter when it happens, it’s valid. I’ve talked to my kids about the concept of the Least Common Denominator (don’t let your eyes glaze over – this has nothing to do with math). That means that the person who is the least comfortable gets to make the rules. The lowest threshold for sexual intimacy is the trump card. So if I really want to have full sexual intercourse but my partner just really wants to make out on the couch, we stop there. Period.

The second point Lola said was important to share with teenage boys is that, even though they may not have personally done anything to make a girl feel uncomfortable, rape culture means that in many situations, we just are.  Even I, in my mid-40s and fairly fit, am always nervous when I get into an elevator with just one other person who is male. Always. That is rape culture. Rape culture is me not feeling comfortable getting into an Uber or a Lyft by myself with a male driver. Chances are, he is a nice guy who will pick me up and take me to the destination I requested without any detours, but rape culture means that I am acutely aware at all times that I lack power – and therefore physical autonomy – until I get out of the car.  And rape culture also means that I often suffer through comments on my physical appearance and speculation about what I might be going out to do (often with lewd body language) and don’t speak up because it might anger the driver and then I’m screwed. Lola said she would want boys to know that these kind of experiences happen daily to girls and women, even if they themselves aren’t perpetuating it. She wondered if they might be willing to imagine what it would be like to be constantly on guard, wondering if the next guy who spoke to you would try to do more than speak.

We ended up having a conversation about street harassment and she cracked me up when she said, “They should know that girls and women don’t get dressed in the morning so that they can go out and get comments on their appearance from total strangers. Ever. That’s not a thing.” Even if guys think it’s totally innocent or a compliment to tell someone how they look, it ultimately makes women and girls feel unsafe simply walking down the street.  This video is a powerful one because it is a small sampling of what many women experience on a daily basis as they go about their business. And the irony is, no matter how she was dressed, if she had been accompanied by a man her age or older, none of that would have happened.  Nobody would have commented on her appearance – some out of fear of the other man, and some out of respect for him. But none of them out of respect for her. And that is rape culture.

The fact is, as I wrote in my last post, in our culture sex is often about power, and those who are born with more power are the ones who often make the rules about sex. Frankly, the most impactful thing I’ve been able to do when I’m having a conversation about sex with my girls is to listen. I like to think that I’m fairly plugged in to pop culture, but I know that there is a lot that goes on that I don’t see. And I’ve discovered that if I listen without judgment, my kids actually first love to shock me with the tales of goings-on in their world, and then feel like they can dig a little deeper and think about how all of it makes them feel.  I have also discovered that talking about sex and sexuality in lots of different ways – commenting when we’re watching a TV show together or when I hear a story on NPR with them in the car, showing them a video like the ones in this post and watching for their reactions, or slipping this letter under someone’s bedroom door – gives us opportunities to continually explore and challenge the ideas we have about sex.

Elizabeth is right. Talking to our kids about sex is incredibly hard. Sometimes they get annoyed and don’t want to talk (or listen). Sometimes I’m not the best at explaining something or helping them understand where I’m coming from. Sometimes I’m not good at listening without judgment. But the most important thing I ever did for my girls was to let them know that I’m willing to keep trying. That they can come talk to me about hard things whenever they want to and that I will bring tough subjects up from time to time and ask them to indulge me. Because if we as parents don’t work to counter the basic themes about sex that our kids get from school and the mass media, nobody will.

Sex and Sexuality: We Can Do Better

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Jon Krakauer’s Missoula: Rape and the Justice System in a College Town
The New England Prep School rape case
Peggy Orenstein’s latest book, Girls & Sex
Sex trafficking rates skyrocketing
The advertising phrase (and perhaps its most bedrock belief) “sex sells”

I could go on, but I think you’ll get the point. I’ve written here many times about rape culture and Sex Ed and I have very, very strong opinions, both as a sex assault survivor and as the mother of two daughters. But more than that, I am concerned for the way our entire culture treats the topic of sex because I think that from a very young age we are taught that sex is, first and foremost, a commodity, and secondly (sadly, a distant second for many, many people), an act of affection and/or love between individuals.

Long before most parents even consider broaching the subject of sex and sexuality with their children, they are bombarded by slick magazine ads, television shows, movies, and books that depict sex as a commodity, as something that we all ought to want and that we can buy our way into. There are many young people who are taught by older children or adults that their sexuality is something that can “buy” affection or special favors. Parents who prostitute their children are not only profiting financially, but they are teaching their children that sex has power and if you want money – or if you have it – you need only sell yourself. Many teenagers, both girls and boys, have a deep understanding of sexual favors – there are those who purchase social capital by giving blow jobs or hand jobs to others and those already in power who cement their status by receiving those favors.

Even if these kids do get “Sex Ed” in school, it is largely mechanical in scope, outlining anatomical features and talking about how pregnancy happens and how to avoid STDs. By the time they are adults, very few of them have an understanding of sex as something that is theirs to define – that they have every right to engage in it with an expectation of pleasure as opposed to some “reward.” Our American notion of “sex” is a very transactional one that is often one-sided. By the time we have the courage to really talk to our kids about sex (if we ever do), there is so much damage to undo that it feels overwhelming. And for children who learn early on, through abuse or sex trafficking, that sex is a tool, it is possible that their fundamental understanding of this act that is supposed to make their lives more whole has been forever damaged. How do you undo the notion that the person with more (power, control, money, status) has the right to obtain sex from the one with less when that is what you are shown in so many different ways over and over, nearly from the time you were born?

When girls are raised with the idea that their power lies in their ability to grant or withhold sex (the most egregious example of this I’ve heard of recently was Spike Lee’s latest movie Chi-Raq), it is damaging to their ability to see sex as something that is more intrinsically rewarding. When they are surrounded by images of women who are sexually provocative and who are praised for it (Kim Kardashian’s nude Instagram photos, anyone?), they are taught that sex is a tool, and that it ought to only look one way or it isn’t right.

When boys are raised with the notion that the more sex they have, the more masculine they are, it is equally damaging. Because, in our culture, they are born with more power at the outset, when they are presented with the idea that sex is a commodity, it isn’t much of a mental leap to imagine taking sex when they want it, simply because they can. When we set sex up to be about power, we can expect rape to follow along shortly. When business lunches are conducted in strip clubs and sex trafficking rates rise sharply during the Super Bowl, you can be sure that we have embraced sex as a commodity.

The question is, are we willing to live with the consequences of that or can we start talking to our young people about what else sex might be, instead?

Mind…. Blown

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*

I remember hearing, back in September or October, a report on NPR about microchimerism of mothers, and it is one of those things that has stuck in my craw for months. Basically, there is evidence that when a woman is pregnant, not only do things pass from her to the baby via the placenta and umbilical cord, but that fetal cells can cross the placenta and circulate in the mother’s body as well. There is also evidence that these cells can lodge in the mother’s body and morph into new cells, integrating themselves into the mother’s tissues and dividing along with the rest of her cells.

Yeah.

Whoa.

I think that means that I not only have parts of Eve and Lola in my actual body, but that Bubba is in there as well.

And I have to say that, as this notion has been stuck in my craw, turning around and around in some remote corners of my brain, it has conjured up all sorts of flashes of weirdness.

Like, there is part of me in my mother, too. Which has me thinking about the cycles of mother and daughter and mother. And that leads to the idea that no matter how much we rail against becoming our mothers, maybe our mothers become us a little bit more, too, and so there’s just no escaping the eventual similarities. It puts me in mind of parallel lines that aren’t quite parallel, so that at some point in the distant future, they will touch, if only for a brief moment.

And it makes me think that (as much as I think my mom would hate this idea), there is some of my Dad floating around in her, too, since she had two kids with him. And, while it is of some comfort to me that I carry some of Bubba with me wherever I go, I wonder how much it would bother me to know that, had I not chosen to have a child with someone (for example, if I were sexually assaulted and it resulted in a pregnancy), that I might always have some part of them in me.

Beyond that, it makes me wonder about whether Lola carries some part of Eve in her thanks to being the second child. Were the cells from Eve so much a part of me by the time I got pregnant with Lola that some of them transferred into her sister? I think I might have to wait for just the right time to broach the subject with them…

And is there some evolutionary purpose to all of this? Does it exist to make the familial bonds stronger? To bind parents together more tightly? To bind mothers and children together in some elemental way? To tighten the strings of sibling connection? I have often noticed that when my children are in pain, I feel it, and even, to some extent, when Bubba is suffering, I have the sense that I am commiserating on a deeper level – something that goes beyond empathy, it seems to me. Could this be because I have had children with him?

It is all pretty mind-boggling and, to be honest, I find it very entertaining to think about the possibilities. I know a woman who tried to get pregnant for years and couldn’t, so she ended up adopting a fully fertilized embryo from a fertility clinic and she now has a lovely little girl whom she describes as a “great passenger” during the pregnancy. Does she now carry the DNA from two complete strangers in her body and will her subsequent children carry that, too? Whoa. Just, whoa.

It really does lend credence to this notion that we are all connected, and I have to say that I like it.

*I searched for pictures of chimera and was dismayed that all the ones I found were hideous and frightening. I chose this picture of a piece of art that hangs in The Louvre because, technically, it has Pegasus on it, so it qualifies, and it’s beautiful.

No Reason to be Happy*

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Last Thursday, I gave myself permission to take a hot bath.
In the middle of the day. With piles of laundry yet to be washed, a dog that desperately
wanted a walk, and a dinner plan yet to be determined.  I ran a deep, hot bath, added a few
drops of lavender essential oil, lit a candle, and stepped in. 
The tub is set in the corner of the room with large windows
framing two sides, frosted below for privacy, and open to the sky on top.  Lying back, I could see a triangle of
roof with the downspout attached, a few bare tree branches, and grey sky.  We have enjoyed a lot of sunshine in
the last week and temperatures in the upper 50s, but today was grey with
spitting rain and that soft light that makes it impossible to tell what time of
day it is without consulting a clock. 
As I let my thoughts drift away a smile appeared on the
right side of my lips.  My nostrils
flared slightly and the left side of my mouth followed until I was positively
grinning.  For no reason. I hadn’t
just remembered something funny or sweet or thought about something exciting in
the near future.  I just
smiled. 
As I pondered this strange, unprompted grin, I recalled
something my nine-year-old said to me once. And I finally understood what she
meant. 
When she said it, we were leaving the hospital after having
just paid a visit to her favorite teacher.  Mrs. H had suffered a severe bout of pain and dizziness the
night before and was rushed to the ER and evaluated for a stroke.  She was disoriented and confused and,
at the time of our visit, still in some measure of discomfort.  And the doctors had no real answers.  Despite that, she was delighted to see
Lola and I walk in to her room and she immediately squeezed us both tightly and
began talking in her rushed, irreverent way.  The three of us were laughing within minutes and Lola
perched on the side of the hospital bed with Mrs. H’s arm draped over her.  We bounced from topic to topic, dipping
our toes in the waters of concern, but mostly skipping lightly around school,
pets, and things we were looking forward to.  When Mrs. H began to get tired, Lola and I left, promising
to check back later in the day.
As we walked down the hospital corridor, I began to feel a
bit melancholy.  I caught glimpses
of other patients, lying in bed asleep with mouths agape, struggling to get out
of bed, pushing IV poles down the hallway as they steadied themselves against a
nurse or a loved-one.  I thought
about Mrs. H and all she has meant to us and our family over the years and
found myself sending an urgent wish out to the Universe that she heal quickly
and completely.  I was lost in my
own thoughts until I felt Lola’s bouncing gait next to me and looked at her.
She was half-walking, half-skipping down the hall, bopping
her head from shoulder to shoulder and singing a little song under her
breath.  Her eyes twinkled with
mischief and she wore a huge grin.
“What are you so happy about, little one?” I asked, relieved.
I had originally resisted bringing her, worried that it might upset her to see
her beloved teacher sick or in pain.
Lola stopped mid-stride, cocked her head up at me in
confusion and let out a laugh.
“Mom. You don’t need any reason at all to be happy. You need
a reason to be sad or upset or angry, but you can be happy just because you’re
happy.” 
I laughed, too, thinking that it was such a “Lola” thing to
say. She truly believes it. She lives it.
It wasn’t until today in the bathtub that it sank in for
me.  As the smile crept across my
face, the first thought I had was, ‘what
are you smiling about?’  The
answer that came to me first was, ‘Nothing.
And everything.

I don’t need a reason
to be happy.’

*This essay is one of several that originally appeared in BuddhaChick Life Magazine. As the magazine is no longer available, I am reposting it here so readers can find it. 

The Challenge of the Shoulds*

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An active mind and time alone are not a good
combination for me.  Ironic, considering how much of my time I spend
alone, writing from home during the day (or not) and alone in the evenings as
often as not with my husband’s travel schedule.
I have known for a long time that going for
stretches without social interaction does something to me. It pushes me somehow
in ways that are uncomfortable.  And while I know that this discomfort is
a sign of something I need to examine more closely, my methods of examination
push me in to a darker place from time to time.  
I am very good at telling myself what I Should Be
Doing.  Years of being directed by my parents, a Marine Corps father and a
mother who was desperate to be in control of her own destiny, to go here and do this and prioritize that
taught me that inactivity was to be avoided.  It also taught me that
service to others and their priorities was of paramount importance.  So I
often find myself struggling to prioritize tasks in such a way that it becomes
eminently clear which things deserve doing first, second, and on down the line.
 Struggling because there is no way to do that. There is no universally
accepted rubric that says this book review is more important than that load of
laundry or taking the dog for a walk as he whines and follows me from room to
room.  
I tend to give precedence to those things that
serve others – laundry, cooking, shopping for household necessities,
straightening up – and push off others that seem more nebulous.  I have,
over the years, figured out that the dog only really needs to be
walked every other day (please don’t tell Cesar Milan), that if I make it to
yoga or the gym twice a week I am really doing well, and that I can crank out a
good book review in an hour.  
I know that the best thing I can do is banish
“Shoulds” from my vocabulary.  And I’ve come a long way in that
regard.  But I became aware today that I do it in so many other ways, I’m
not sure I’ve really come as far as I thought.  Every time I catch that
inner voice berating myself for wanting to do something more than
another thing that is probably more productive or helpful, I am
“shoulding” myself.  If I have the urge to lie down on the couch
and take a cozy nap with the cat instead of folding that load of laundry or
going to get Bubba’s contact lens solution, the nap is vetoed even before it
was fully realized as an option in my mind.  If, instead of reorganizing
that closet of Lola’s that disgorges random items every time you open the door,
I would rather sit down and read for an hour (who wouldn’t?), I hear this
sweet, condescending voice in my head that says, “You can read on your own
time, dear. That closet isn’t getting any cleaner while you sit there, and
you’ll feel guilty the whole time you’re on the couch, so you won’t focus on
the story, anyway.”  
I have even become so sophisticated at this
little game that the notion of spending an entire day rewriting a chapter of
the book I’m currently working on becomes physically repugnant.  Not
because I don’t want to write, but because I have so thoroughly convinced
myself that my writing serves nobody but myself (at least until I sell
something), that every word I type is a piece of laundry left unfolded or six
steps fewer with the dog this afternoon.  I have associated things that
give me joy with guilt and feelings of laziness in an effort to convince myself
to be more productive in the service of others.  
The truth is, I spend more time performing mental
calculations in an effort to decide how to structure my day than I do actually
performing the acts themselves.  It is as though I envision some stern
judge and jury I will face at the end of the day as I justify the things I
decided to spend time on.  And for what? There is no gold star that goes
on my permanent record.  There is no jail time for dishes left undone.
 From time to time there is an extremely hyper retriever in my face if I
neglected to walk him, and almost always there is remorse that I didn’t write more
(or at all) today.
So the question remains, what am I avoiding by
continuing to deny myself the freedom to choose things that please me each and
every day?  What would happen if, for some portion of every day I sat down
and did something that speaks to my soul? Something whose only purpose is to
make me happy?  As I write this and envision myself doing it, the
grounded, heavy feeling in my core is enough to convince me that I’ve been
looking at this the wrong way.  The simple act of imagining that I have
given myself permission to indulge my desires regardless of what anyone else
may think warms me from the inside out.  Calms me. Settles me.  

That is not to say that the notion of
implementing it doesn’t frighten me a bit.  It is counter to everything I
was taught and every example set for me by adults in my life.  But if I
close the door on that chatter and sit in the space and stillness of the other
imagining it feels possible.  

*This essay is one of several that originally appeared in BuddhaChick Life Magazine. As the magazine is no longer available, I have reposted it here so that readers can find it. 

There, I’ve Finally Said It. No More Guns.

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I just don’t understand the appeal of having a gun. I didn’t really grow up with them, although my mom’s first boyfriend after she divorced my dad and her second husband both loved them. They each took us kids out shooting in the rural areas of Oregon, aiming at tin cans on a log. I don’t remember much about it, to be honest, whether I was afraid of the kick of the pistol or if the sound bothered my ears. I have no idea whether I got a rush seeing the can jump off of the log when it was hit or even if I ever hit one. I don’t recall any conversations about where the guns were kept or if they were locked. I do remember my stepdad’s sunny office at the back of our house sporting a box of bullets in the windowsill, but I don’t recall being afraid of them, even though I was sometimes afraid of him.

We didn’t grow up hunting. Dad never really talked about it, but I know he had a gun for a while. I don’t think I ever saw it or touched it or even thought about it. Nobody in my family ever talked about needing one for protection, even when it was just us kids and Mom living alone.

So maybe I’m missing something. Maybe I don’t have some piece of the puzzle that I would need in order to really feel strongly about “my 2nd Amendment right.” But, frankly, I am more than willing to forego it altogether as long as the shooting stops. As long as I never have to see another story about a toddler accidentally shooting himself or his mother. As long as I don’t have to hear about teenagers playing Russian Roulette on a dare and someone ends up dead. As long as I don’t have to hear that there is another guy loose in some town somewhere shooting people for no apparent reason. I’ll give it up. And I’ll ask you to give yours up, too.

Because here’s what I see. In our current circumstances in this country, when there are more people living in poverty than there maybe ever have been, when there is extreme racial and gender inequality, against a backdrop of loud ranting on social media and radio and television shows from people who freely persecute and alienate other people, we can’t afford the 2nd Amendment. We can’t keep our guns if we aren’t willing to treat each other like human beings.  It’s too expensive. The cost is too high.

I have no scientific evidence to back this up, but I have a strong belief that simply owning a gun lowers the threshold for violence. That, all things considered, if you have two people with similar personalities and tendencies, one with a gun and one without, and they each get into a fight with someone – the kind of fight that really pushes your buttons, makes you see red – the person with the gun will be more likely to escalate to violence than the person without one. I believe that someone who owns a gun is more likely to use it to settle a score, to make their feelings known, to end the battle once and for all, than the person who doesn’t have a gun handy is to throw a punch, use a knife, or find some other weapon. I believe that there is something impersonal about using a gun that allows us to feel detached from the act of violence in a significant way, such that we don’t have to consider what it might mean for us. If we have to stop and think about getting into a fistfight with someone we are arguing with, we have to wonder how badly we’ll get hurt in the scuffle. But if we have a gun and the other person doesn’t, it’s an easier decision. The effort it takes to pull a trigger just isn’t the same as the effort it takes to physically assault someone.

And before you point out that I just made an excellent case for everyone to own a gun, just stop. Because the above scenario is only for arguments and road rage and innocent victims killed by an enraged Uber driver in Kalamazoo.

The idea that we would all be safer if we all owned guns is belied by the statistics on accidental shootings. According to the Washington Post, in 2015, an average of one person per week was shot in the US by a toddler using an unsecured weapon. In the first six weeks of 2016, nearly 350 people have been shot in accidental shootings. That is more than five people per day, shot accidentally. Nobody can protect themselves from an accidental shooting by using a gun. I don’t care how much of a ninja you are.

And, for the record, I also reject the argument that what we have here is a mental illness issue. To be honest with you (and, again, I am no expert, I’m not a certified mental health professional, so this is ‘just’ my deeply held conviction), I don’t think that ANYONE who sets out to shoot a bunch of random people in a school or movie theater or from an overpass is someone I would call NOT mentally ill. I think that in order to want to inflict serious bodily harm on a group of people you don’t even know, by definition, means that you have a mental illness. Unfortunately, we don’t tend to know that until after it’s too late and people are dead.

We could piecemeal this situation with background checks and laws against certain people owning guns – violent criminals, those with a restraining order, people undergoing treatment for mental illnesses – but we won’t cover the people who just snap. The people like Robert Dear and Jason Dalton who were “quiet neighbors” and “loners” without any real red flags going up will continue to elude us. We also won’t capture the accidental shootings that happen at the rate of 5 A DAY in this country. And so we need to ask ourselves whether the need to protect the rights of regular citizens to shoot at cans and deer and ducks a few times a month is worth it. We need to weigh gun enthusiasts’ right to recreation against the rights of the rest of us to not get shot randomly. There is no other item of leisure that compares in its lethality to that of a gun, and I, for one, am willing to forego my right to bear arms so that other members of society can live without fear of harm or death at the hands of someone who was, up until now, a “responsible gun owner,” but they snapped, or they forgot to lock up the gun, or they got pissed off because the other driver didn’t signal that lane change.

As a nation, I would hope that we have progressed past the point of needing to arm ourselves against our own government. I think that we have come far enough and developed tools enough to band together and make our will known without worrying about soldiers coming to our door to force us to do something we don’t want to do. Besides, if our government was truly determined to quiet us, they have weapons much worse than guns and your personal stash of firearms won’t do much to stop them if the drones come.

All the Ups and Downs

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I am someone who used to be prone to depression. I say “used to be” because it has been a long time since I really felt that deep, penetrating sense of darkness, and I’d like to think I’m cured. If that’s even a thing.

After coming out of the last dark hole without the help of pharmaceuticals, I was simultaneously thrilled that it was possible (for me) and waiting for the slapdown because I had gotten too cocky. Too big for my britches. Thought I was above it all. As if depression were some spiteful older relative who was setting me up to watch me fall, laughing in the corner as I celebrated because he knew he had the power to pull the rug out from under me.

I remember being afraid to even hear the word “depression” for fear that that combination of letters could trigger another episode. I couldn’t read about someone else’s struggle with it, nor could I watch a television show or movie that featured any characters who were depressed. It seemed contagious, like my emergence from the darkness was the result of the fact that I had simply forgotten it was part of me – a limb I was ignoring but would soon rediscover and have to deal with. Seeing someone else with the same thing would inevitably draw my attention to it and dump me right back into that deep hole.

But it turns out that depression doesn’t work that way. And on some level, I always knew that, but when you are still feeling tender from the last blow, it isn’t much of a stretch to believe that the next one is right around the corner. And so I cowered. But eventually I came out of my hiding place and started to think that maybe this time I could be ok for a while. Or longer.

And it’s been a long time. And I’m grateful.

But this week I discovered Furiously Happy, a book about depression and what it means to fully embrace the craziest, most wildly happy things in life. And I am remembering that, while gratitude is great, it is somewhere near the middle of the rise (and fall) of the roller coaster, but happiness like Lawson writes about, that is at the top, with the amazing views and the stomach-dropping adrenaline and the involuntary grin that spreads so wide you think your face will split like an overripe watermelon. And while it is probably way overused, that phrase “feel all the feels” comes to mind, with the emphasis on the ALL part.

Sometimes, when I am acutely aware of my status as a responsible adult, I hold back from laughing out loud when I see something ridiculous. I put all my energy into anticipating who will be hungry when and do we have healthy snacks in the house. I pay attention to the road and the pedestrians because I have a new driver in the car who is watching me (or not, it’s sometimes hard to tell). I look for the lessons – and, believe me, during this crazy election cycle there are plenty of lessons. Sometimes I forget that adulting and irreverence are not mutually exclusive.

Last week I was really sick. That kind of sick where you really can’t make yourself get up off of the couch and every time you try you fall over again. I mostly slept for two days. But then, even when I wasn’t tired anymore, I discovered that I couldn’t just bounce back, that emptying the dishwasher was enough to physically exhaust me and I had to go sit on the couch. The problem with this is that I normally don’t sit around much. Unless I am reading a really great book, I can’t sit still for very long and I certainly can’t watch more than one TV show at a time without getting up to do something else. So being forced to sit around was painfully boring and I started getting a little weird.  At one point I found myself looking at all of the emojis on my phone and texted them to Lola.

Because who uses a circular saw blade emoji*? Or maybe it is supposed to be a free-floating gear? In any case, who created that and why? And what about the bamboo one with the little star-like thing and the red flag/leaf coming off of it? What the hell is that supposed to symbolize? I spent a long time looking at all of the stock emojis available, imagining what prompted their creation, and bugging Lola who was busy in her room doing homework. She was amused for a while, but quickly ran out of patience with me. I think her final text went something like: Oh, God, Mom! You need to find something to do.


The point of this was that it was useless and fun and goofy and that’s something I haven’t been in a while (well, I hope I’m never useless). And it rocked. And it reminded me that I can crack that door of irreverence open whenever I want to – not just when I’m deliriously sick – and that it is restorative. And since then, I smile whenever I think of something funny, even when I’m the only one around. Like this morning when I drove by a guy walking his pug (who, incidentally, looked exactly like the human version of his own dog) who thought he was alone and mimicked his dog’s whole-body-shake-the-pouring-rain-off-of-me maneuver and stuck his tongue out at him. I laughed out loud. Or when I heard a song in my head as I stepped out of the shower and instead of trying to banish it or ignore it, I decided to dance to it. By myself. In the bathroom. And that dance move was the first one I’ve done in a while.

My poor kids. I think I’m going to start being weird a little more often. It’s pretty fun.

*I just looked up that emoji on my phone because I was going to post a picture of it here and I think it’s supposed to be a gear, but in my defense, that is still a fairly obscure thing to have on one’s phone. There is also a table clamp one which is beyond ridiculous because, really? And, as someone who doesn’t often use emojis because, well, I’m 44 years old, both of them are now in my “frequently used” emojis that pop up whenever I text someone. So I’m going to start using them both to see if I can confuse people and make them wonder what the hell I mean by that. Because that’s fun, right?

Free-Wheeling Thoughts to Finish the Year

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It has been so long since I wrote here. In the past few weeks, I’ve had fleeting shots of brilliance, inspiration for new posts that I promptly forgot as I slipped back into the conversation and game-playing that comprises an O’Driscoll family holiday.

At one point, we renamed the girls Chaos and Mayhem because they got into the habit of staying up until 2:00AM giggling in their shared room at Grandma and Grandpa’s house. I wondered whether it was the magic of the holidays or if they would have the same fun if they shared a room at home.

There was much cousin-love – piles of teenagers like puppies on the couch, sharing headphones and listening to each others’ music, playing games on their phones in competition and cooperation, both. At other times, the littlest cousins joined in, playing Candyland – the never-ending game of Candyland – and building gingerbread houses and Dance, Dance, Freeze! There was more delicious food than anyone could have imagined with decadent chocolate mousse and macadamia nut pie for dessert. Oh, that pie!

There was a photographer who came to do family pictures that we will all forget about until the proofs are emailed two weeks from now and the warm memories of that week flood our brains and bodies. It was a glorious time with rest and games, squeals of delight (none louder than my own Eve’s when she opened the bag she has had her eye on for months), and then a return home to a bit of discombobulated priorities. We have one more week outside of our routine to figure out how to spend our time and I am vacillating between thoughts of organizing and purging, finding a quiet space to work for hours, nesting and cooking healthy hot meals, and feeling so overwhelmed I just want to lie on the couch and nap.

And then there is the world outside, with its flooding and tornadoes, refugees still pouring out of their home countries desperate to find some safety and security, and Tamir Rice’s family. There is some part of me that wishes January 1 was truly a reset button – a way to clear the mistakes of the past the same way the dog’s tail swipes the contents of the coffee table with one clean motion. I often wish we could start from scratch; instead of patching policies with “additional training” and “stopgap measures,” couldn’t we just scrap the whole tax code, the immigration rules that exist now, the biases and built-up fears of police officers from the last several decades? If we had a way to design humane, equitable, compassionate systems of care for those who are ill, to deal with finances, paradigms of authority, I might feel as though it were possible to change things more quickly.

But then I remember that the only way out is through, and that the best way to make a positive change in the world is to start with myself. And so I will continue to work on being compassionate, open-minded, leading with my heart, and listening, listening, listening. And instead of making grand, sweeping proclamations that an entire year will be “the best ever,” I will focus on each step I take, each day as it comes, and set the intention that today will be a good day.

May you find happiness in many moments of today and every day.