As I nursed my own aching and raw hurt, so many of my friends and colleagues expressed the same sentiment, “I feel like someone has died.” The mood yesterday (at least in my community) was funerary, grief-ridden, and I approached the world in mourning.
Yesterday I did some writing, but thought to myself that I should keep political opinions off of my blog. I realized though, talking to mom last night, who has waited, and hoped, and fought, for years, for even a glimmer of equality between men and women, that this is not, ‘talking politics,’ whatever that means, this is talking about my life.
When Donald Trump was elected, so many of my hopes for the future and my excitement at the progress we had made as a nation did truly die. My trust in humanity has even faltered. And reading the comments of my friends expressing their fears and sorrows on Facebook, reminded me that this is not just a scary time for me as a woman, it’s a scary time for me as a person with Type 1 Diabetes. With the passage of the ACA, I felt recognition, that I was no longer a person who would be stigmatized for having a ‘pre-existing condition.’ As if any of us are a tabula rasa who signs up for healthcare without any history of illness or health-related needs. ‘Pre-existing condition,’ was a label that made me feel dirty, tainted, somehow broken. It reminded me of that feeling I had hours after my diagnosis, hooked up to IVs, thinking to myself that no one would want to be with me now that I had diabetes, now that I was damaged goods.
I, like so many Americans, am damaged goods in Donald Trump’s eyes. As a friend of mine put it, under this administration we women are worthless save for our reproductive parts. (I would add that even those are only viewed as worthwhile if they are put to use). As a person, who is a woman, who has Type 1 diabetes, and who views the word ‘community’ to mean that although we are all autonomous individuals, the pain and discrimination that my friends are feeling because of the ways that this administration labels them as damaged hurt me too, I am wounded but am not giving up. And so instead of keeping politics off of my blog, I insist on having a space to speak for equality. Again and again in my life, I come back to the words that give me hope in light of injustices: “The tongue may be an unruly member, but silence poisons the soul.” Don’t be silent. Don’t be defeated. Be disappointed, but keep going. Strive to be thoughtful and compassionate and caring for each other.




My purpose on the ground in Bolivia became to interview, chat with, observe and learn from as many people living with Type 1 Diabetes or supporting those who do. Over the course of three weeks and five cities I got to do over 40 interviews and focus groups with nearly 100 participants made up of youth with T1D, their families, and the clinical staff and volunteers who support them. Everywhere I turned, a new element of life with diabetes in Bolivia jumped out at me. It became apparent that Bolivian cultural values were critical to consider when thinking about successful health outcomes for youth with T1D, especially the role of the family. One participant who volunteers as a leader for the group in Potosí and who has had T1D for 23 years himself, said that in all the situations he has observed, “La familia ha sido fundamental para poderlo apoyar..cree una necesidad, de, en todo diabético, de que la educación no sea sólo en el paciente diabético, pero sea también en su entorno. Ese apoyo a la familia, o esa educación a la familia, creo que también es muy importante, porque es un daño que afecta la familia” (“The family has been instrumental in that it can support…it creates a need, that, for all diabetics, the education not reach just the diabetic patient, but also their environment. This support for the family, or education for the family, I think it’s also really important, because it [diabetes} is an injury that affects the whole family”).

When one is traveling, going with the flow is essential, de acuerdo? I think the same with diabetes. I actually missed my flight to Bolivia. But the plane came back for me, as it turns out. We’ve visited so many amazing families who have fed us some amazing Bolivian delicacies. It’s been necessary for me to take more insulin than usual in order to aprovechar de la experiencia and also deal with the stress of last minute changes and running to throw our luggage onto buses. Also, blogging, probably not going to happen much. But I did spend a 6 hr bus ride trying to photograph an alpaca or maybe a llama, for my friend Ms. Boffa, and I finally succeeded. 


What a pretty gift someone decided to give to Roberson Street.
Thanks to adventures with Frog Hollow Outdoors I’ve discovered some amazing new rivers recently. Above is a view down the Black River near North Carolina’s coast, called so because of the high tannin content that makes its waters a coppery blend of dark blue, brown and green. Below and above the tree branches birds wade and fly: Anhinga, or snake-birds soar overhead, Great Blue Herons pick their way through the cypress knees.
Such a pretty little thing, and air and water tight too! On the river I keep my novolog pen, some extra pen needles, a microfiber cloth, alcohol pads, a spare meter and lancet device, test strips, and chapstick, all sealed inside. All of that seriously fits into one case if you pack it just right. I have another one for my camera and honey zinger packet.