Tag: mental-health

  • The Pretender

    On forgetting myself in fatherhood

    I originally submitted this piece to Open Secrets Magazine. If you enjoy it (even if you don’t), please check them out for more.

    The team came by during early morning rounds, when the hallway lights were still dimmed and the night shift was only halfway gone. Our daughter was hooked up to long-term EEG monitoring, her head a tangle of gauze and wires. We were all just looking at her, watching her sleep through this deafening silence. A cough echoed in from the hall and one of the staff closed our door. Closing a door in a hospital is its own kind of diagnosis.

    The neurologist scrolled through the results on a tablet, paused, and said, almost conversationally, “Her background looks terrible.”

    I said, “So you’re telling me she’ll never pass a DOJ screening.”

    The doctor blinked.

    “What?”

    “You said she has a bad background,” I said. “That’s going to be a problem for a background check,” and then, dramatically hanging my head, “there go our hopes for her getting a job with security clearance.”

    The silence returned. Not a heavy kind like before, more of a recalibration while our team tried to get back on script. The doctor looked down at the tablet. I looked at my daughter, whose fingers were curled over her thumb the way they always did when she slept, a habit that had survived every medication change. The feed pump chugged.

    The doctor continued with the results.

    A few beats passed.

    Then she stopped, looked up again, and said, “Wait. Actually… that’s hilarious.”

    This was not the first time I had made a joke like that. After that admission, she would sometimes tell me (always politely, always at the end of an encounter) that I was one of the funniest parents she knew. I would thank her and resist the urge to tell her that I suspected she said that to many parents, the way doctors say, “You’re doing a great job,” when what they really mean is, I see how little control you actually have here.

    Many people use humor in awkward situations to smooth something over. Maybe a social misstep or some other embarrassment. Something to clear the air when it gets thick with discomfort, you reach instinctively for a joke the way you might crack a window. Sometimes that discomfort belongs to you. Sometimes it belongs to the room. Sometimes it’s shared, but unevenly distributed.

    In other words, we joke because we feel guilty.

    This isn’t going to be an exploration of guilt, so I’ll offer a working definition and move on: guilt is the uncomfortable certainty that we are not all we could have been, not all we should have been. When I joked about my child’s EEG looking like a criminal record, it was because I felt awful. Because as a parent, I had failed at the one job parents are not supposed to fail at—keeping their children safe, intact, progressing along the expected arc of things.

    I was not all I could be.

    I was not all I should be.

    See? Guilt.

    But in many of the situations where that guilt gets offloaded through often dry, sometimes morbid, occasionally maudlin humor I am almost immediately served a second course. The joke I used to manage the original guilt is followed by guilt about delivering the joke itself. Guilt for saying something so dark. For not bearing the moment properly. For not suffering well.

    The joke collapses in on itself and becomes evidence of my lacking.

    This, I think, is bound up with a widely held belief that is rarely stated outright. It is the belief that those who suffer are responsible not only for carrying their suffering, but for carrying it nobly. We praise the parent who remains gracious. We admire the ones who speak softly, who never seem sharp or strange or inappropriate. We tell stories about strength and resilience and grace under pressure, as though grief were a performance and composure the yardstick for measuring this danse macabre.

    So when I make a joke to ease my own suffering, I fail that standard. I am reminded, again, that I am not all I could be. That I am not all I should be.

    Double guilt.

    And yet, it isn’t always guilt that fuels these jokes. Parents (and really, most people I’ve talked with) will tell you they joke in situations like this because it helps them cope. Because the weight of the moment is too heavy to carry straight on. Because burnout has stripped away the energy required for decorum. Because humor offers a brief exit ramp from a reality that feels otherwise inescapable. Or simply because this is the voice their life has trained them to speak in now. ‘You’re funny!’ ‘Thanks, it’s my trauma.’

    All of these explanations are true in their own way. But all of them place humor as a reaction against crisis (or lysis in our case), as something that negates, distorts, or briefly erases what is happening. Humor as disappearance. Humor as denial. Humor as a way to step sideways out of the room.

    I don’t think that’s the whole story.

    I think humor can be something else entirely.

    I think it can be one of the clearest expressions of Hope.


    Shattering the Sacred

    We often talk about the work of hope as if it were something always dignified. Grand. Upright. The kind of thing done with steady hands and a calm voice. Hope, in this telling, is clean with eyes forward, jaw set, doing what must be done without complaint. It is noble and, increasingly more important, it photographs well.

    But more often than not, hope looks nothing like that.

    More often, hope is clumsy. It slips. It misjudges the angle. It trips over its own good intentions. There is a slapstick quality to it that rarely makes it into the stories we tell afterward. A kind of physical comedy born of being too close to the ground to maintain any illusion of grace.

    In a previous essay, I described hope not as wishing for water, but as digging a well. The metaphor has held up, mostly. But what I didn’t say then is how frequently that digging goes wrong. How often the shovel hits something unexpected. How often you strike not water, but a mess—an unmarked pipe, a bureaucratic fault line, a pocket of something foul-smelling and expensive to clean up.

    The work of hope, in practice, is full of these moments. You set out to be what I called “love with its sleeves rolled up,” and end up soaked, muddy, apologizing to someone on the phone who keeps transferring you to another department. You fill out the wrong form. You miss the deadline. You bring the wrong supplies to the appointment. You do everything with sincerity and still manage to look ridiculous.

    Humor is the controversial admission of this fact. It is the acknowledgment that sometimes, while digging the well of hope for our children, we don’t look brave, we look foolish. We get covered in literal or metaphorical filth. We stand back, stare at the hole we’ve made, and laugh. This is where humor begins to do something important.

    Hope, when it appears in places like the PICU, or beside a hospice bed, or mid-conversation with a friend whose child will not stop seizing, is often treated as a solemn obligation. A sacred task. Something to be handled with hushed voices and appropriate reverence. We imagine hope as a kind of moral excellence, best embodied by marble statues of ancient philosophers or saints who have already passed through suffering and emerged polished on the other side.

    But these lofty versions of hope miss its true location.

    Hope does not live in the abstract. It does not hover above the room. It lives here, in the present moment, among IV poles and medication schedules and conversations that start with, “I’m sorry to tell you…” Humor brings hope back down to this level. It returns seriousness to the ground. A chuckle in the middle of a conversation about procedures doesn’t cheapen what’s being discussed but rather reanchors it. It reminds us that we are still here, still embodied, still subject to gravity and timing and bad coffee.

    Humor, then, is not a distraction from the work. It is one of the ways we stay in the mud of this precious and precarious life without getting swallowed by it.

    There is another way humor grounds us, one that matters just as much. It reminds us that our children are human.

    Disabled children are too often rendered symbolic. They become aspirational angels or inspirational infants, regardless of their disposition or age. They are praised for enduring. They are held up as lessons. They are spoken about in tones that smooth over the roughness of actual personality. Humor disrupts this. A laugh, especially one shared and especially one the child participates in, cuts through the sentimentality. It insists on personhood.

    A joke does not erase the seriousness of what our children face. It refuses, instead, to turn them into abstractions. It says: this is a human life, subject to boredom and annoyance and surprise and absurdity, no matter how long the discharge packet is. And all of us in this room with them are not above it, no matter how many hours of sleep you’ve lost or how long the alphabet soup is after your name on your lab coat.

    And once the sterile sanctimony of caring for and being cared for has been shattered, hope can begin to do something else. It can become shareable.

    Reality is no longer something observed from behind a two-way mirror, with others watching us bear it well. The glass breaks. Everything becomes face to face. And now begins a different kind of work. The work of knowing who to hand the shovel to, who can laugh with you at the mess, and who understands the joke not as a failure of reverence, but as an invitation into the work itself.


    The Currency of the Dark Joke

    Once the glass has broken and hope is no longer something performed behind a pane of observation we begin to notice something that was true all along: we were never alone in this. We are always involved in a world that is already happening and we are connected to the lives of people who are already inhabiting it. The moment you plant hope in your actual, present circumstances you have planted it in shared soil. It takes root not just in you, but in the network of relationships you are already tangled up in.

    Hope, by its nature, is communal.

    And if hope is communal, then humor is one of its currencies.

    Jokes are exchanged the way money is. They are offered tentatively, slid across the table, sometimes pocketed, sometimes refused. They can be borrowed or stolen. They can inflate or lose value depending on the room. Some jokes buy you time. Some buy you trust. Some cost you more than you expected. Like any currency, they only work if there is some shared agreement about what they mean and what they’re for. This is where the so-called dark joke comes in.

    The humor that emerges among parents of severely disabled or medically complex children is often raw. Unpolished. Seemingly inappropriate for the circumstances. It rarely announces itself with disclaimers or asks permission. It arrives shaped by exhaustion, proximity to loss, and a familiarity with the limits of good news. To an outsider, it can sound callous. To the wrong audience, it can land like a breach of etiquette.

    But to the right one, it functions as a signal.

    Someone who laughs at, or at least doesn’t recoil from, your deathbed joke is doing more than appreciating your wit. They are telling you, in a language older than words, that your credit is good here. That your money is accepted. That you are not going to be audited for impropriety. And sometimes, if they laugh back or add their own line, you even earn interest.

    In this way, humor doesn’t merely decorate the community hope needs but helps form it. It establishes who can stand in the mud with you without pretending the mud isn’t there. Who understands that the joke is not a denial of seriousness, but proof of engagement. Who can roll their sleeves up alongside you without demanding that you first become someone more palatable.

    This realization usually comes after a period of searching.

    Boy, do we love a label.

    One of the first things we did, like so many others, was go looking for our people by name. We typed our daughter’s diagnosis into search bars. We followed hashtags. We found groups and threads and accounts filled with people living parallel lives. And we did find people, some of the best people. Generous, knowledgeable, sincere.

    But over time, it became clear that shared experience creates a category, not a community.

    Diagnosis can tell you what happened to someone. It can’t tell you how they live inside it. It can’t tell you how they make meaning, or what keeps them steady, or where they locate hope when things refuse to improve. And one of the quickest ways to learn that difference, to discover who your people are and who, despite every overlap on paper, are not, is through humor.

    Because humor does not generalize well.

    A joke only works if it lands somewhere specific. It demands a shared orientation to the world. When it fails, it fails loudly. And when it succeeds, it does something more precise than sympathy or solidarity ever could. It tells you, unmistakably, that you are speaking the same language in the same room at the same time.

    That, too, is hope at work.


    A Particular Way of Knowing

    Humor didn’t just tell me who my people were.
    It also told me who I was not.

    I used to scroll. Page after page. Reel after reel. TikTok after TikTok. Parents with children carrying the same or adjacent diagnoses as my daughter making jokes to trending audio about ventilators, seizure meds, feeding tubes, hospital bags that never quite made it back to the closet. The comments would stack up beneath them: So relatable! THIS. I’ve never felt more seen.

    And I wouldn’t get the joke.

    It wasn’t offense or judgment. I wasn’t scandalized by the content or clutching pearls on behalf of seriousness. I simply didn’t get the joke. It passed over me cleanly, like a reference from a show I had never watched. Despite the overlap in ICD codes, despite the shared vocabulary of consults and procedures and acronyms that don’t translate well at dinner parties, I wasn’t the audience being addressed.

    That moment of realizing that I wasn’t who the joke was for was clarifying in a way I hadn’t expected. Just as my humor signaled who was inside my circle, the humor of others let me know whether I was inside theirs. This wasn’t a moral judgment. I didn’t think those jokes were wrong, or shallow, or irresponsible. Many of the people making them were doing something generous: using humor to lighten the load for others who lived with similar rhythms and constraints. The fact that I didn’t laugh said far more about me than it did about them.

    It meant my way of standing inside this life was different. And that difference mattered.

    Because my humor—like my hope—was my humor. It was not interchangeable. It couldn’t be standardized or exported or scaled. It might be informed by abstractions or universal themes or the borrowed language of philosophy and science, but it was ultimately built out of the bricks of my own days. Out of the sounds of our home at night. Out of the way time stretched in our living room. Out of the particular weight of my daughter’s body when I lifted her, and the particular fear that accompanied loving someone whose life would never be predictable.

    Hope that strayed too far from those particulars risked becoming something else entirely. A performance for others. A posture. A glittering wish that hovered above the lived-in world instead of taking responsibility for it. Humor functioned the same way. When it lost contact with the ground of experience, it stopped being a form of engagement and became something closer to noise.

    That was the tension I kept running into online. Not a tension between optimism and realism, but between abstraction and embodiment.

    Humor, I realized, wasn’t just expressive.
    It was epistemic.

    It revealed what kind of knowledge someone trusted. Whether they knew this life from the inside or only from its outlines. Whether they were making sense of it through repetition and recognition, or through a sustained nearness to what refused to resolve. Neither was inherently better. But they were not the same. And they did not always speak to each other.

    This was where responsibility entered the room.

    Because you couldn’t force someone to understand a joke any more than you could force them to live your life. When their jokes didn’t land, or when mine landed with a thud, it gave me information about my orientation and my limits. About what I was trying to do with humor in the first place. I could ignore that information. I could harden into resentment or superiority. Or I could listen. But either way, I was choosing.

    And once humor became something I tried to enforce—through repetition, through escalation, through the subtle pressure of come on, it’s funny—it stopped functioning as hope. It became coercive. The joke that had once opened space now demanded compliance. Laughter became proof of understanding. Silence became a failure of character. And I knew I didn’t want my humor to work like that.

    I wanted it to remain a way of knowing that stayed accountable to the life I was actually living. One that acknowledged the darkness without trying to make it palatable. One that didn’t require everyone else to arrive where I was standing in order for me to keep standing there.

    Not every joke was for me. And not every joke of mine would be for others. That wasn’t a problem to be solved. It was a fact to be respected. And learning to respect it, to let humor remain particular, situated, and freely received, turned out to be another way hope learned how to tell the truth.


    The Laugh That Moves

    Not every joke counts as hopeful.

    This is not an argument for indiscriminate acceptance, for pretending that every attempt at humor deserves a charitable reading simply because life is hard. Hope is not passive. One of its essential features is movement. It leans forward. It refuses to leave things exactly where it found them. Humor that does not move its teller or its audience is not hopeful, no matter how loudly it insists on being received that way.

    Some jokes are designed precisely to keep things in place.

    They rely on stereotypes. On cruelty dressed up as honesty. On the familiar gravity of punching down and calling it realism. These jokes do not open space; they narrow it. They chain their targets to a single, distorted version of reality and invite the rest of the room to laugh at the containment. Nothing shifts. Nothing breathes. Whatever tension is released comes at the cost of someone else’s immobility.

    That kind of humor mistakes stasis for truth and hope cannot live there.

    Hopeful humor always works in the present tense of real life. For me it often uses the materials of missed sleep, bad coffee, long nights punctuated by alarms and numbers that matter more than they should. It does not require denial or distance. On the contrary, it insists on things ready at hand. But it also refuses to treat the present as a prison. It acknowledges reality without embalming it.

    There is movement built into it. It moves us away from the static world of concepts to the real world, it moves within a community, it moves within myself.

    Even in the hardest places, even for parents whose days are structured around constraints that do not loosen, hopeful humor carries this quality. It describes the journey without pretending the path is paved. It makes clear that feeling so well expressed by Seneca: Not much voyaging, but much being tossed about. The joke that works is the one that recognizes the tossing without insisting that this is all there will ever be. Or that the tossing itself is what defines my life in its entirety.

    At its height, humor can lift you clean out of the muck. A well-timed laugh can interrupt grief mid-sentence, dry tears that have not yet decided what they are about. But the humor that sustains is rarely the kind that erases the present. It is the kind that moves you through it. It makes just enough room.

    Enough room to see the hurt without becoming it. Enough room to hold what is heavy without dropping it on someone else. Enough room to step forward carrying the marks of what has been endured rather than pretending nothing has happened at all. When used, not to overwrite suffering nor to dwell forever in the dark, but to move forward without erasing what it has moved through—this is humor as hope.


    The Last Laugh

    Like a magician’s trick, humor does not survive being fully explained. The more insistently we pull it apart the less of it remains. Something essential disappears. Not because it was flimsy, but because it was never meant to be handled that way. Humor really works best while it is happening.

    So this is not an exhaustive account of what humor does in the lives of caregivers. It is not a taxonomy. It is certainly not prescriptive. These are not rules for what you should laugh at or when or how. It is a series of observations, gathered in rooms where living and laughing and dying and crying exist in a way that abstraction can’t hold. What I am describing here is not about humor so much as it is spoken from inside it.

    And from inside it, humor begins to look less like offloading guilt and more like commitment.

    Because the humor I’ve been tracing is not passive. It does not float above suffering or wait politely for circumstances to improve. It shows up in the middle of what is unfinished and unresolved. In this way, humor expresses hope itself as an active, difficult choice to remain in motion.

    Humor commits us to the present moment. It refuses the fantasy of distance. It uses what the body, the room, the mess, the timing, the people. A joke does not solve the problem. But it can open a path through it. It can shift a stalled conversation. It can turn observation into participation. It can make action possible where paralysis had been setting in.

    Humor is also accountable. It demands attention to who is in the room, to what they carry, to what is being risked in the saying. In this way, humor trains a kind of radical responsibility. You don’t get to outsource it. You don’t get to hide behind intention. You offer the joke, and you live with what it does.

    And because it must be received to exist at all, humor is irreducibly communal. It builds connection without flattening difference. It allows shared work without requiring identical lives. It gathers people around a solution-free orientation; around a way of standing inside uncertainty together, sleeves rolled up, eyes open.

    And that, as I have come to understand it, is what hope actually looks like.

    By keeping us here, together, and moveable, humor, like the hope it expresses, refuses to let suffering have the final word. Humor does not deny the darkness. It insists that even here there is still room to act, to respond, and to choose one another again, and again.

    Those who hope will always have the last laugh.

  • What We Mean by Tragedy

    On the Fierce, Fragile Beauty of Lives That Defy Resolution

    “Time, which sees all things, has found you out.” —Sophocles

    What if tragedy isn’t the opposite of dignity, but one of its deepest forms?

    When I call my disabled daughter’s life a tragedy, I don’t mean it’s pitiable. I mean it’s vast. I mean it defies easy resolution. I mean it reveals something true about being alive: that we are fragile, that we suffer, and that this doesn’t make us any less worthy of love. In fact, it might be the very thing that binds us.

    But “tragedy” is a word that makes people flinch. In disability discourse, it’s often seen as a slur, as something said by those who don’t understand, those who haven’t stayed up all night suctioning lungs or waiting out seizures. So we counter it with mantras: My child is not a tragedy. Our life is not a tragedy.

    I understand the impulse. I’ve said those words too. They were my shield. My insistence that she was more than how the world saw her. And she is. But lately I’ve started to wonder: what if we lose something important when we throw the word away?

    Literature has long given us another meaning of tragedy. Too often, we mistake the tragic for the sentimental. We want stories of suffering to leave us uplifted, we want catharsis without consequence. But this view turns pain into a kind of theater, something that performs for our edification. Especially now, when lives are streamed and suffering can be shared as content, we are trained to feel about pain without doing anything with it. We confuse feeling moved with being present. But real tragedy isn’t built to inspire. It’s built to hold what can’t be tied up. It’s not there to cleanse the spirit, but to stretch it. It asks more of us, not less.


    Unbearable Insight

    “How dreadful the knowledge of the truth can be
    When there’s no help in truth.”
    — Sophocles, Oedipus Rex

    In Sophocles’ Oedipus Rex, the tragedy doesn’t hinge on weakness, but on knowledge. Oedipus is noble, capable, determined. But his relentless pursuit of truth leads him to unbearable revelation: that he himself is the source of the plague afflicting his city, that he has killed his father and married his mother. The horror is not in what he did, but in the moment he knows. Tragedy, here, is clarity. Not punishment, but insight. What if our children’s lives ask that of us too, to see clearly, even when it hurts? To witness the full scope of their experience, not just the parts that reassure us? Tragedy doesn’t come from weakness, but from the revelation of something uncontainable.


    The Space Between

    “I know indeed what evil I intend to do, but stronger than all my afterthoughts is my fury, fury that brings upon mortals the greatest evils.”

    — Euripides, Medea

    In Euripides’ Medea, tragedy emerges not from simple villainy, but from unbearable contradiction. Medea is both a grieving mother and a woman who commits the unthinkable. She is betrayed by Jason, abandoned in a foreign land, stripped of home and identity and yet, she is also the one who enacts vengeance so devastating it collapses the moral order. What makes Medea tragic is not just the horror of her actions, but that we feel her pain even as we recoil. She is victim and perpetrator, tender and terrifying, powerful and powerless. Her grief cannot be comfortably resolved. Euripides refuses us the moral simplicity of heroes and villains. Instead, he gives us a world of terrible beauty where suffering twists the soul and love becomes unbearable.

    I think of this when people rush to frame my daughter’s life as either a story of resilience or a cautionary tale. These narratives, even when well-meaning, flatten her experience. They miss the way she lives in contradiction. She is utterly dependent, and yet full of presence. She cannot speak, yet expresses a will that shifts the mood of a room. Her body is fragile, and yet she has survived countless crises. Like Medea, her story resists tidy categories. And that resistance is precisely what makes it tragic. Not in the sense of despair, but in the sense of magnitude. She lives in the space between extremes. And she invites me to live there with her.


    Stripped of Logic and Speech

    “Never, never, never, never, never.”
    — William Shakespeare, King Lear

    In King Lear, tragedy unfolds through disillusionment. Lear, once a powerful king, demands public affirmations of love from his daughters. When the one who loves him most refuses to flatter him, he banishes her. Slowly, Lear is stripped of power, status, illusion. He goes mad. But in that madness, he begins to see the world as it truly is. He recognizes suffering, recognizes love. The heartbreaking image of Lear cradling Cordelia’s body is the climax of this recognition. “Never, never, never, never, never,” he says, holding her. No redemption, no lesson. Just loss, laid bare. When I hold my daughter during one of her seizures, knowing I can’t stop it, only be there, this is the Lear moment. Not hopelessness, but exposed love. Not weakness, but naked fidelity. Raw grief, stripped of logic and speech, mirrors my recognition of love within powerlessness, how nothing is resolved, and everything is still held.


    A Haunting

    “Definitions belong to the definers, not the defined.”
    — Toni Morrison, Beloved

    In Toni Morrison’s Beloved, tragedy lives in memory. Sethe, a formerly enslaved woman, is haunted—literally and emotionally—by the daughter she killed to spare her from being returned to slavery. Beloved returns as a ghost, as hunger, as ache. Morrison doesn’t sentimentalize this pain. She lets it haunt the reader as it haunts the characters. Sethe’s love is wild, desperate, impossible. There is no tidy moral, no healing arc. And yet, through this pain, Morrison gives us something sacred: a mother who refuses to let her child’s suffering be erased, even at the cost of her own peace. This, too, resonates. I don’t want to sanitize my daughter’s story. I don’t want to tell it only in hashtags and victories. I want to let it haunt, not as terror, but as truth. Not to terrify, but to make space for the full, uncontainable weight of her life. A haunting that resists closure, reminding me that some pain must be remembered, not packaged, and that haunting itself can be a form of care.


    Monstrosity as Unacknowledged Pain

    “I am malicious because I am miserable. Am I not shunned and hated by all mankind?”
    — Mary Shelley, Frankenstein

    Then there is Mary Shelley’s Frankenstein, a story so often misread as a simple horror. But Shelley’s monster is not monstrous by nature. He is sensitive, intelligent, and yearning. What he wants most is connection. What wounds him is rejection. He is denied community, denied kindness. The tragedy is not in his creation, but in his abandonment. And it is this abandonment—via the world’s refusal to witness his pain—that drives him toward rage. In some ways, this mirrors how the disability world is often treated: as either heroism or horror, with nothing in between. When we only show our children overcoming, we risk Frankenstein’s fate: we deny the reality of their rejection, their complexity, their unfulfilled needs. We fail to look directly at what the world refuses to hold. This reframing of monstrosity as unacknowledged pain, helps me draw the connection between the disabled body and the world’s refusal to face suffering without distortion.


    Tragedy as a form of Sacred Clarity

    “It is only as an aesthetic phenomenon that existence and the world are eternally justified.”
    — Friedrich Nietzsche, The Birth of Tragedy

    Finally, Nietzsche’s The Birth of Tragedy argues that true tragedy arises when the Apollonian (order, reason, form) and the Dionysian (chaos, passion, suffering) are held in tension. Our culture tends to prefer the Apollonian. We like order, progress, neat story arcs. But my daughter lives on the edge of the Dionysian. Her seizures, her pain, her unmeasured time, they defy form. And yet they are beautiful. Fierce. Sacred. Nietzsche believed that Greek tragedy, at its peak, didn’t resolve the world’s suffering; it revealed it, and found something sublime in the revelation. When I say her life is a tragedy, I mean it in this sense: it is not less than life as others live it. It is more. Too much for tidy narratives. Too much for order alone. Suffering doesn’t have to be overcome to be meaningful, that tragedy can be a form of sacred clarity.


    Tragedy offered audiences not moral lessons or heroic victories, but a space where the full contradiction of existence with its beauty and cruelty, its vitality and decay, could be revealed and held. The tragic stage did not offer redemption. It offered recognition.

    I think of this often as a parent. How quickly we reach for structure, for narrative coherence, for control that might shield us from what feels unbearable. Even in our resistance to the medical gaze that reduces our children to diagnoses, we may build new facades crafted not of charts and probabilities, but of positivity mantras and curated joy.

    But our children do not live in tidy categories. They wail and tremble and laugh in the same hour. Their bodies resist the symmetry we’re taught to call health. Their lives, like all lives, are shaped by forces beyond their choosing. And still they are. Still they burn, brilliantly, if unevenly, and always gloriously.

    When we use tragedy as a purgative, we distance ourselves. We declare a life “less than,” and feel good for noticing. But when we use tragedy as an affirmation, we join. We admit the pain not as evidence of inferiority but as part of the fabric of living.

    So no, I don’t say her life is tragic because it is lesser.

    I say it is tragic because it is bigger than what the world knows how to hold.

    It is a life made of pain and joy, confusion and clarity, dependence and agency. It is not easily framed. It is not easily shared. But it is deeply and stubbornly real.

    And maybe that’s what tragedy gives us: not a reason, not a resolution, but a place to stand when the world makes no sense. A form big enough to carry what cannot be fixed. My daughter’s story is not only an inspiration. It is not an emotional cleanse. It is not a platform. It is a tragedy in the oldest, deepest sense.

    And I am here, in the wings, listening to her life ring out.

    Just letting it echo.

    Cheers,

    [kartoffelvater]


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  • The Birth of a Tragedy

    (One of the many) Complicated Truths of Disability Parenting

    I reluctantly welcome the dawn.

    I am unsure whether facing the day would be easier than surviving the night. I watch it leaning over our kitchen sink while waiting for the kettle to boil, thinking about contradictions. How the same sky can hold both storm and sunbreak. How we can feel both crushed and lifted by the same moment. These tensions have been my quiet companions lately, teaching me that truth rarely arrives in neatly labeled packages.

    In about a month we will come up to our Pachyversary1 and so one of those tensions that have filled my mind recently is that surrounding tragedy.


    When Positivity Becomes Another Cage

    I used to post photographs of my daughter’s hospital stays with uplifting captions. I documented her medical procedures and framed them as challenges to overcome, moments of strength. I became fluent in the language of using whatever term was currently accepted as the term that might finally release our children from judgment.2 These terms became amulets against the darkness, against judgment, against what I feared to feel.

    What I never posted: her face contorted in pain that medication couldn’t touch. The way certain procedures made her body rigid with fear, eyes searching mine with questions I couldn’t answer. The medical trauma that doesn’t resolve into neat narratives of overcoming.

    It took years to understand that in my fight against a world that too easily dismisses disabled lives, I had become another system of control, one that policed how my daughter’s life could be perceived, even by me.

    By resisting ever viewing her life as a tragedy I had inadvertently reduced her in another way, by denying the profound reality of her suffering alongside her joy.

    This is the paradox many of us navigate as parents of disabled children. We can become the very forces we’re fighting against. In our desperate love and advocacy, we sometimes create new constraints around our children’s full humanity.

    What if we let our children’s lives be tragic, not to pity them, but to see them fully?


    The Digital Performance of Joy

    Scroll through any disability parenting forum, and you’ll see them—the mantras we whisper to ourselves and shout to the virtual world:

    • “My child is not a burden.”
    • “I choose joy.”
    • “We wouldn’t change a thing.”
    • Our life is not a tragedy.

    These phrases appear beneath hospital bed photos adorned with fairy lights, alongside videos of therapy breakthroughs, beneath milestones celebrated months or years later than expected. They are both shield and declaration.

    I understand why we reach for these words. They were born of necessity, crafted in response to generations of exclusion. They emerged from institutional hallways where children were hidden away, from genetic counseling sessions heavy with assumption, from playground sidelines where stares lingered too long.

    The digital landscape has amplified these voices of resistance. Instagram accounts showcase smiling children with feeding tubes decorated in whimsical patterns. Facebook groups celebrate adaptive equipment as extensions of personhood. TikTok videos set medical appointments to upbeat music.

    But beneath these sunlit stories, the shadows still pool. In private messages and quiet conversations, we sometimes confess the parts that don’t fit neatly into our public testimonies. The marriage straining under the weight of the decisions we have to make. The sibling who feels perpetually overlooked. The early morning moment when pain can’t be soothed and we find ourselves on the bathroom floor weeping from exhaustion.

    And yet even when we do share difficult moments, I’ve noticed they’re almost always framed: “The hard days make the good days worth it.” “Without the dark there would be no light.”

    In these formulations, suffering is permissible, but only as a means to joy.

    This asymmetry reveals that maybe we’ve internalized the very framework we’re fighting against. When suffering can only exist in relation to joy, but joy needs no such relationship to suffering, we inadvertently reinforce the idea that our children’s lives are fundamentally tragic unless actively redeemed.

    To be clear: the resistance remains vital. The world still needs reminding that disability does not negate personhood, worth, or quality of life. But perhaps there is room for a more expansive truth, one that doesn’t require us to choose between tragedy and triumph, between acknowledging suffering and celebrating joy.

    And perhaps we can look to our children themselves, who so often inhabit this paradox with more grace than we do. They live what what we sometimes forget—that acknowledging pain doesn’t diminish the capacity for joy, that suffering and meaning can occupy the same space.


    Finding Wisdom in Tragedy

    There’s research I encountered years ago, and used frequently in my practice, long before I became a father. Studies showed that positive affirmations like “I’m a good person!” work wonderfully…just as long as we don’t actually need them. The cruel irony is that when we truly need affirmation, when we’re genuinely struggling with negative feelings about ourselves, these forced positive statements can actually make us feel and function worse.3 The research suggests that if the purpose of any coping strategy is to avoid feeling a challenging emotion or thinking an upsetting thought, to wipe out a painful memory or look away from a difficult circumstance, in the long run, the results will very likely be poor. In fact, these coping strategies have been shown to actually trigger the very negative emotions they are trying to inhibit!

    I see this dynamic play out in disability parenting circles. Mantras such as “Our life is not a tragedy,” and “We wouldn’t change a thing,” function beautifully when we’re already feeling (at least mostly) secure in our choices and circumstances. But when we’re drowning in medical debt, when our relationships are strained to breaking, when we haven’t slept more than two consecutive hours in months, these statements can become another burden, another standard against which we measure ourselves and find ourselves wanting.4

    Psychological rigidity (that desperate clinging to a single narrative) predicts anxiety, depression, trauma responses, and numerous other struggles.5 It undermines our ability to learn, to connect, and to adapt to changing circumstances. Research has shown that people who allow themselves to fully experience horror during traumatic events often develop less severe trauma symptoms than those determined not to be horrified by the same experience. There’s something about allowing the full truth of our experience—whatever it is—that creates resilience, not in spite of acknowledging difficulty, but because of it.

    I wonder sometimes if our disability parenting community’s positivity mantras, though born of necessary resistance, might function similarly. There isn’t direct research on this specific phenomenon, but the parallels are compelling. When we insist “This isn’t tragic” in moments that contain genuine tragedy, are we creating the very psychological rigidity that makes us more vulnerable, not less? When we rush to frame every obstacle as a blessing6 in disguise, are we inadvertently telling our children that their suffering must be justified to be acknowledged?

    People who experience suffering as a result of their child—whether disabled or not—often feel guilty for naming it as such. Over time, that guilt calcifies into shame, as if acknowledging their own suffering somehow diminishes their love.

    To say “this hurts” feels dangerously close to saying “I wish my child were different.”

    But being open to the tragic vision isn’t choosing suffering over joy. It is the recognition that you can love your child regardless of whether the result is suffering or joy.7


    Embracing the Tragic Vision

    There was a day last summer when my daughter was admitted to the hospital for the third time in two months, I sat in the impossibly heavy vinyl chair, held her hand through the side rails, and allowed myself to think: This is not what I wanted for her. This suffering serves no purpose. This is, in some fundamental way, tragic.

    And something shifted. In allowing the tragic to exist without transformation, I saw my daughter more clearly than I had in the endless years of positive reframing. I saw her not as a symbol of resilience or as a challenge to the system, but as herself, as a person experiencing something difficult without narrative obligation. Of course, she is resilient, and she does challenge the system, but through no insistence of mine.

    This is what Nietzsche8 understood about tragedy that we sometimes forget: it doesn’t reduce the human to a single dimension of suffering. Rather, it expands our vision to include the full spectrum of experience without hierarchy, without insisting that one aspect justify or redeem another.

    There is liberation in this kind of seeing. When I allow space for the tragic alongside joy, I free myself from the exhausting work of this constant reframing.

    I free my daughter from being the protagonist of an inspiration narrative she never consented to.

    Last November, we went to the beach. One of her favorite places despite the sensory challenges. The day held everything: moments when the texture of sand caused distress, moments when the sound of waves made her body rigid with tension. It also held moments of pure delight with her face breaking into unguarded joy as the sea breeze kissed her cheeks.

    In one particular moment she was lingering between laughing and crying, her eyes welling with tears even as her mouth curves upward. I didn’t take a photo of it. Its message would get misconstrued on an inspiration page. It doesn’t tell a clean story.

    But it tells a true one. In that complex and contradictory truth, a truth stubbornly resistant to simple narratives, I find something far more valuable than comfort.

    I find my daughter, complete.

    I’m not intending to deny joy its own place, but the inspirational joy narrative has enough voices championing it. I’m also not trying to romanticize suffering. I don’t think we need to love our suffering but rather more fully love those that are suffering.

    The tragic vision offers us a widening of perspective. Not a surrender to darkness, but a more honest relationship with light. It offers the possibility that we might love our children not despite the full complexity of their lives, but because of it.

    It’s not that joy and suffering can coexist because you’ve decided to let them, it’s that they already do coexist and all you have to decide is whether you’re willing to stop sacrificing one trying to chase the other.

    Cheers,

    [kartoffelvater]


    Did this newsletter resonate with you? Reply with your thoughts or share your own story. And if you know someone who might need these words today, please forward this along.

    Every bit of support helps and we appreciate it more than words can say!


    1. This is what we call the date she received her diagnosis. It’s a cute name we give to one of our darker moments in the hopes that it will make the memories easier to live through. It’s doesn’t really work. ↩︎
    2. The storied history of what society calls its disabled members is long, cyclical, often cruel, and absolutely not going to be explained in the footnote of a newsletter. The search for and inevitable enforcement of the ‘right’ term is often more tragic than the term itself and speaks to the heart of the Apollonian/Dionysian conflict that I touch on in this post, which will also absolutely not be able to explain in a footnote. You’ll just have to read the book when it comes out. ↩︎
    3. Wood, J. V., Perunovic, W. Q. E., & Lee, J. W. (2009). Positive self-statements: Power for some, peril for others. Psychological Science, 20, 860–866. Not free, I’m sorry. The pay-walling of knowledge makes me at times weep peer-reviewed tears. Get one of your academic friends to use their library access for you. ↩︎
    4. That pit you get in your stomach when you realize you haven’t seen a parenting friend in your feed for a while is something unique to the disability community. I know because I’ve asked. Every time I’ve asked someone outside of the community what they think when they haven’t seen a lot of activity from a friend on social media the response is something along the lines of, “They’re just taking a break,” “They’re working on themselves,” or some other indicator that they are otherwise not worried about them. When I ask the same thing of other parents of medically complex kiddos the response is always, “Something’s wrong.” ↩︎
    5. There are quite literally tens of thousands of articles published about this, with more being published every week. If you are curious (or skeptical!) I suggest searching “psychological flexibility” or “experiential avoidance” or “acceptance and commitment”. Here’s one you can read for free from just a few years ago that shows a balanced approach. ↩︎
    6. It’s ‘The obstacle is the way,’ not ‘The obstacle is a blessing.’ StoicBros come at me. No, really, I’d love to discuss. ↩︎
    7. Quiet shout out to those who, while wishing to remain anonymous, have lent me their eyes and ears while writing on this sensitive topic. ↩︎
    8. This was originally a much longer essay with an entire section dedicated to historical and literary understandings of ‘tragedy’ with particular interest in Nietzsche’s The Birth of Tragedy and how it contrasted with Aristotle’s Poetics in our understanding of the function of tragic art, see footnote 2. I’ve been listening to y’all though and the feedback is telling me these newsletters are already too long. If you’d still like it I can make it a separate post, or again, you’ll have to wait for the book (this might not make it until the second book though). ↩︎

  • A Different Planet

    On Epistemic Isolation in the Bureaucracy of Care

    Let me tell you about Wednesday.

    Just Wednesday of last week.1 I spent three hours on the phone, mostly on hold, listening to the same tinny muzak interrupted periodically by a robotic voice assuring me that my call was important. All while my daughter’s pulse ox alarmed in the background.

    The shrill beeping was like a smoke detector with a vendetta. I paced between her room and the kitchen, the call sent to my headphones so I could still use my hands, toggling between menus on my phone screen. When I finally reached a human voice, they asked me for my daughter’s birth date three times and then transferred me. Again.

    I was trying to resolve a denied claim for a medication my child needs daily. Denied because someone somewhere typed a wrong digit into a system. As I waited, I scrolled through emails, found two new forms to complete for durable medical equipment and a notice that our previous authorization for therapy was expiring. All this before I had even properly caffeinated myself for the day ahead.

    Does anyone else feel like they’re living in some parallel dimension2 when dealing with these systems? A dimension where time stretches and contracts unpredictably, where logic operates by different rules, and where the most fundamental human concerns like a child’s health or a family’s stability seem bizarrely abstract to the gatekeepers of resources?


    The Theater of Bureaucracy

    There’s something almost theatrical about these calls. They ask for a case number you were never given, or send an approval letter for a medication your doctor never requested but a denial for the one they did. It’s logistical whiplash. You know something about your child—deeply, bodily—and the system acts as if that knowledge is either irrelevant or incorrect.

    The experience reminds me of those philosophical terms I used to read3 and now live: epistemic isolation—a form of estrangement rooted not in how far apart we are, but in how and what we know.

    At some point, we became accidental experts. I can now differentiate between CPT and ICD-10 codes. I know the hold music of three major pharmacies by heart. These are not the kinds of facts I wanted to carry but I do, folded in with the weight of feeding schedules and seizure logs.

    The true irony is that this hard-won knowledge separates me further from those who should theoretically help us navigate these systems.

    I’ve had the surreal experience of explaining coverage policies to insurance representatives, citing specific provisions they seemed unaware existed. In gaining this expertise, I’ve become something of an alien, speaking a dialect that even the native bureaucrats find unfamiliar. The more we know, the harder it becomes to explain to others who don’t4 live this way.

    It’s like becoming bilingual in a language no one else speaks back.


    The Untranslatable Reality

    What’s harder to convey, what seems genuinely untranslatable, is the lived reality beneath these administrative struggles. There’s no box on the form for “I haven’t slept through the night in years.” No checkmark for “My daughter is nonverbal but lights up when she hears the sound of mama’s voice.”

    How do I explain to the clerk processing our application that I completed her forms while sitting on the bedroom floor monitoring her temperature? How do I convey to the insurance reviewer that the treatment they’ve deemed “not medically necessary” is the only thing that allowed my kid to laugh again after months of pain? What does “necessity” even mean to someone who’s never suctioned their child’s airway in the dead of the night? Who’s never watched the life drain slowly from their spouse’s eyes as they read another denial letter?

    Sometimes I imagine what our life looks like from the outside. A stack of labeled folders, a wall calendar peppered with acronyms. A father on speakerphone waiting for someone to believe him.

    What’s invisible is the tiny, precise tenderness required to keep our daughter safe: warming her formula to the exact degree, timing meds down to the minute, understanding the shift in her breath before a seizure.

    These are things you can’t write on a form. They are lived knowledge. A real, aching, daily dose of quiddity. But to the system, they’re noise. Background.


    Between Planets

    There’s a moment—maybe familiar—when you’re trying to explain, again, to a new person why your child needs something, and you realize: they’re not even on the same planet. Not metaphorically. Not emotionally. Epistemically.

    They don’t share your frame of reference. What feels urgent to you is procedural to them. What is survival to you is a policy to be followed. You’re not just misunderstood. You’re unknowable.

    I’ve watched friends’ eyes glaze over when I start explaining our latest administrative nightmare. I’ve endured well-meaning suggestions that betray a fundamental misunderstanding:

    • “Have you contacted your case manager?” (Only weekly for the past three years)
    • “There must be a program for that!” (There is; we don’t qualify for reasons that defy logic)
    • “Oh [so-and-so] had that happen to them, they just called and fix it right away!”
    • “Have you tried [insert some medication they heard about on a podcast]?”
    • “Remember to take care of yourself, you can’t pour from an empty cup!”

    Yeah, but you can’t fill a broken one, either.

    This kind of isolation is exhausting. It’s one thing to be unseen. It’s another to be seen inaccurately, again and again, by the very people you turn to for support. To have your reality mistranslated into metrics and platitudes.


    The Loneliness of Insight

    You start to notice things that at first blush seem like they should be wild conspiracies.

    Those of us parenting medically complex children see shadows on the wall5 that others don’t, or can’t, or won’t. Patterns in these sanguinary systems that become glaringly obvious once you’ve spent years entangled in them. We understand that policies labeled as “patient-centered” were clearly written without a single actual patient in the room. Procedures allegedly designed for efficiency primarily serve to ration resources through attrition and exhaustion. Paperwork is designed to stall. Denials come faster than approvals.

    At one point after our nth hospitalization for a particular illness, the Kartoffel finally qualified for a particular medical device. Exasperated, we asked a healthcare professional, “Surely it would be cheaper for insurance to provide the device preventatively, especially for a case like hers where the likelihood that she would need the device was just shy of definitively, instead of having to pay for multiple long hospital stays and the device anyway?” “No,” she responded, and explained to us that as counterintuitive as it seems insurance isn’t in the business of saving money, it is in the business of making money. And those are very different things. If they give you the device preventatively sure it saves them a little in the short run, but if they have to pay out for multiple hospitals stays and the device and most likely more hospital stays because they made you wait years and now your daughter is permanently compromised, then they get to raise premium for every single one of their members. Our stays and device costs them tens of thousands of dollars, but then they get to charge tens of millions more from everybody else.5

    Compliance over Care

    We see all this plainly, while others—even well-meaning professionals within these systems—seem to perceive only the official narratives about how things should work rather than how they actually do. Seeing these patterns doesn’t bring comfort. It makes the gap wider.

    There’s a specific hue of loneliness in this insight. It’s like being the only person who can see a color that lacks a name, trying desperately to describe it to a room full of people who insist it doesn’t exist.

    We are trying to navigate a system that was not made for us. Or maybe it was—and that’s the terrifying part.


    Finding Our Language Again

    There is a new grammar I’ve gathered from my years in this parallel dimension:

    • Document everything: conversations, who you spoke to, denials, approvals, hell even what hold music was playing.
    • Find allies within the system; there are compassionate individuals embedded in even the most heartless bureaucracies.
    • Develop a philosophical perspective that allows you to see these struggles as separate from your worth as a parent or your child’s value as a human being.
    • And when possible, step away from the paperwork long enough to remember why you’re fighting so hard in the first place—to see your child as more than a collection of diagnoses and needs.

    To this end I try to carve out moments to connect with the world beyond medical forms and insurance appeals. I read novels that have nothing to do with healthcare. I get outside as often as I can, finding in growing things a reminder that nature operates by different rules than human bureaucracies. I try, however imperfectly, to maintain friendships with people who know me as more than “parent of patient #487-29B.”

    Perhaps one day these systems will evolve to better reflect the realities of those they serve. Or perhaps one day these systems will be completely obliterated, and we will have to throw our baby out with the proverbial bathwater.6 Until then, we persist and become reluctant experts, finding community where we can. Other parents are out here—on hold, in waiting rooms, fighting the same fight. When I share these stories, they nod before I finish the sentence. There’s a brief exhale, a knowing look.

    And that’s the strange hope: our isolation isn’t unique. Which means it isn’t total.

    Sometimes connection begins not in acicular nature of answers, but in shared bewilderment. In hearing someone else say, “Yeah, it feels like a different planet to me, too.”

    And from a place within the mess we begin to find our language again. Language that doesn’t flatten our lives but stretches to hold their weight.

    Cheers,

    kartoffelvater


    Did this newsletter resonate with you? Reply with your thoughts or share your own story. And if you know someone who might need these words today, please forward this along.

    We wouldn’t be here without you. Every bit of support helps and we appreciate it more than words can say!

    Buy me a coffee!


    1. Honestly you could cover your eyes, throw a dart at a calendar, and you’d land on a day similar to this one. ↩︎
    2. Or in a dystopian novel, if you’ve spent any amount of time watching the news or reading the comments section. ↩︎
    3. This is going to happen a lot, but I understand that approximately zero of you signed up for a philosophy newsletter and rightfully so, those are awfully dull (; ). I’ll do my best to put the concepts into narratives, but every now and then a term or two is going to slip out. ↩︎
    4. And shouldn’t have to. No one should live this way; this isn’t a way of living it’s a simulation of simulated lives wrapped up in red tape. ↩︎
    5. I’m being cagey with some of the details on purpose (like the device, the illness, and the position of the healthcare professional) because I have a healthy distrust of people who are in the business of making money off of the suffering of children and don’t want the device taken away or the professional to be fired. Another family got this same device before a single hospitalization for (not) said illness, because again, it’s not about making sense, it’s about making money. ↩︎
    6. This post was not written in regard to a certain piece of recent legislature that has been much talked about in disability, and many other, communities (and anyone reading it as such is doing so of their own volition) but it easily could have been. One theory says all anxiety comes down to two base fears: separation and annihilation. This post deals with the former whereas to fully unwrap the reactions I see and feel about the bill I would need to explore the latter. Maybe next time. ↩︎