Search Results for: Medicine

Trading Spaces

Henryk Sadura / Getty, Ev MiIee / Unsplash, Photo illustration by Longreads

Cheryl Jarvis | Longreads | June 2020 | 15 minutes (3,812 words)

I’ve reread the letter so many times that coffee rings smudge the words. I’ve won a teaching position at the University of Southern California that will pay my way through graduate school. The year is 2004, and a longtime dream is finally a reality. The aftershocks of my shattered, decades-long marriage — the sleepless nights, the lost months — begin to recede as I fantasize about the life that awaits. Like millions of women before me I’ll go west, to exotic, sun-drenched California, to reinvent myself, start anew.

The ring of the phone jangles my daydreaming.

“Mom!”

My younger son, Brian, is calling from his home in Los Angeles. His deep voice oozes charm.

“How’s my Sweetie?” he asks.

When he wants something, he calls me “Sweetie.” In his youth he exploited his blue eyes and beguiling smile to get his way. At 26, with 1800 miles between us, he has to rely on more sophisticated techniques. My antennae heighten. He’s “psyched,” he says, that I’m coming to L.A., and he’s been thinking, what about living together?

No. No. God, no.

Images flash of size 13 sneakers sprawled across the floor, smelly workout clothes hanging in the bathroom and flung over chairs, grimy dishes congesting the sink, junk food crowding the pantry, the house teeming with testosterone, his friends invading with bulging duffel bags and monstrous appetites. I think of the grocery bills that I’ll end up paying, food devoured before I have a chance to shelve it. More memories of his high school days surface: the urgent calls from school to bring money/ homework/ permission slips, the last-minute requests for help with papers and projects, the late-night calls from the police for assorted misdemeanors. His college years — three schools and a marijuana arrest — ratcheted the strain. Finally, in the five years since he graduated, via long-distance mothering, we’ve evolved to a peaceful co-existence that I’ve not only grown accustomed to but have come to love. But living together?

No. No.
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How Four Americans Robbed the Bank of England

The Great City Forgeries: Trial Of The Accused At The Central Criminal Court. Austin Biron Bidwell; George Macdonnell; George Bidwell; Edwin Noyes; Henry Avory, Esq., Clerk Of The Court; Mr. Justice Archibald Alderman; Sir W.r. Carden, 1873 Engraving. (Photo by: Universal History Archive/Universal Images Group via Getty Images)

Paul Brown | Longreads | June 2020 | 22 minutes (5,961 words)

On April 18, 1872, Austin Bidwell walked into Green & Son tailors on London’s renowned Savile Row and ordered eight bespoke suits, two topcoats, and a luxurious dressing gown. Bidwell was 26 years old, 6ft tall, and handsomely groomed with a waxed mustache and bushy side-whiskers. If the accent didn’t give it away, his eye-catching western hat marked him out as an American — a rich American. London tradesmen called Americans with bulges of money in their pockets “Silver Kings,” and they were most welcome in upmarket establishments like Green & Son, which charged as much for the strength of their reputations as for the quality of their goods.

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Following the North Star

Getty / Photo illustration by Longreads

Shaheen Pasha | Longreads | April 2020 | 18 minutes (4,587 words)

I received the call at work from Tariq’s brother. I knew him briefly, had seen him as a kid, but aside from a few conversations here and there, we were virtual strangers. I couldn’t really even picture his face as his voice came across the line, hesitant, slightly unsure, a little defiant. It’s hard to imagine I had such a powerful connection to one man, and yet his brother, the person closest to him, was more of a name than a person.

“Tariq has been arrested,” his brother said to me, before his voice choked up into sobs, all his bravado vanished. I sat down in my chair with its slightly wobbly back, and dropped the handbag I had just hung on my shoulder, ready to catch my bus home from Jersey City.

“What did they arrest him for?” I said, my voice oddly calm even though it felt like my throat was closing. Drugs, maybe? He didn’t do hard drugs, that I knew. But maybe he had been caught up in the overly zealous drug war at the turn of the new millennium, when marijuana was considered the gateway to all evils.

Or maybe it was a fight at a club. That would make sense. Tariq thrived on a good fight, weaving in and out like a boxer, assessing his opponents’ strengths and weaknesses. It was something we argued about incessantly when we were together. One of many things.

But I knew before he even said it. Somehow, I knew. I had seen it in a dream, a sick twisted nightmare I’d had as a teenager in my dorm room all those years ago. Tariq had woken up and put his arm around me as I whimpered in my sleep. “Hey, you okay?” he said, still half asleep. I nodded and buried my head against his chest. “Just a bad dream,” I said. “I don’t really remember.” He was asleep, anyway, before the last words left my mouth.

I did remember. Good God, I’ve never forgotten it. A courtroom. A jury of mostly white men and women staring at me. A faceless man, some kind of a lawyer, standing in front of me. Me in a box, trying not to look at Tariq as I testified on his behalf. “Please don’t give him the death penalty,” I said to the stone-faced jurors in my dream. “I can’t imagine a world that he’s not in.”

It was a vision that came to pass a handful of years later, in 2005, down to the slightly sweaty wood paneling under my fingers as I gripped the edge of the witness box to keep them from shaking. But I didn’t know it at the time of the dream. Maybe I wouldn’t have told him then even if I had known. It was the first time and, as it turned out, the last time we had ever spent the whole night together. Good Pakistani Muslim girls didn’t spend the night with a boy, after all. I felt daring, rebellious and completely happy. I didn’t want to taint it with the imagery of a ruined life. I wanted our perfect night to remain just that.

So I just watched him sleep. He looked younger than his 19 years when he slept. All the hardness that would sometimes creep across his face was gone in his sleep. He even smiled a little, untroubled by nightmares.

I should have told him.

I should have told him.

“Double homicide.” His brother’s voice snapped me back to the present. His voice suddenly collapsed within itself, shaky breaths substituting words, creating a language of grief that could only be understood by the two of us.

In books, I’ve always read that the world stops when a person delivers horrible news. Time stands still. You can feel the air. Everything goes on hold. That’s not the reality, of course. My co-worker shouted a goodbye to me from across her cubicle as she packed up her computer. Phones rang, people laughed. Life went on.

Except it never really did for me again. Not in the same way. That call changed everything. It initiated me into a painful fraternity of those impacted by the trauma of mass incarceration. And 17 years later, the pain lives on and nothing has gone back to the way it was before. What would have happened if I hadn’t stopped to pick up the phone? I was already walking away from my desk, pulling out crackers from my coat pocket to curb the new nausea of my first pregnancy.

I wonder if life would have taken its natural course. Tariq and I had broken up two years earlier, when I was 22. It was sad and heart-wrenching at the time, but not unexpected given how young we were. Our relationship would have been a memory of first love to be cherished and stored away. A tale to tell my Pakistani-American grandkids in my old age when it was long past scandalous.

I was now married to a Pakistani-Canadian man who had swept me off my feet in a matter of months. It was a suitable relationship with a suitable young man who ticked off the boxes of propriety in my Pakistani immigrant community: Muslim, educated, handsome. And, to top it off, we were in love. It was a new relationship filled with promise.

I was pregnant with our first child. She was a little speck of a human being inside me. I’d been consumed with delight since I had seen those two blue lines just two weeks earlier.

Career, marriage, baby.

Done, done, done.

Normal. Mundane. The life I had been planning since I was a little girl.

This phone call was not part of the plan.

The first shrill ring. Let it go to voicemail, I said to myself walking away. I’ll tackle whatever it is when I come back to work tomorrow.

A second ring, slightly more demanding in tone, if that’s possible. I hesitated. What if it’s my husband or my mom? Nonsense, they’d call you on your cell phone. You’ll miss the bus.

Third ring. What if something is wrong? Sigh. I walked back to my desk and picked up the receiver.

As it turned out, something was terribly wrong.

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Little League, Revisited

Photo courtesy of the author / Getty / Little League World Series / Photo illustration by Longreads

Adam Kuhlmann | Longreads | April 2020 | 17 minutes (4,265 words)

It’s a cold, gray morning in late December, the week that sags like bunting hung between Christmas and New Year’s. I pull my mother’s Subaru alongside a large cinder block building identified only by a street address peeling from a rust-pocked and dented steel door. I see no functional windows, just a few square cavities that have been boarded up from the inside.

My wife, Mysha, eyes the grim façade from the passenger seat. “Is it strange,” she asks, “that Chase takes lessons inside a commercial slaughterhouse?”

Chase is my nephew, an 11-year-old with the eyelashes of a Hollywood starlet and a penchant for neon athletic wear. During our annual holiday visit to my Virginia hometown, he had invited us to watch him pitch and hit baseballs for an hour, under the tutelage of a private coach.

“It gives him a leg up,” my sister had told me the previous night after Chase went to bed. Perhaps sensing my skepticism, she explained the nature of today’s competitive child-rearing: how all of a kid’s activities — from his first birthday party to his college admissions — must be coordinated and enhanced, for a fee, by biologically unrelated adults.

At 39, with no plans to father a child myself, I am free to pass judgment on all manner of parental behavior without worrying that, one day, I’ll have to admit I was wrong. So, I reminded my sister about the 1990s, when the most we’d hoped for was piano lessons. As for getting into college, I told her about the Friday night before I took the SAT. I’d stayed up late, crowding around Betsy Newman’s backyard fire pit. I’d joined a boozy, a cappella rendition of Blind Melon’s “No Rain.” My test prep had consisted of just saying no to the nozzle of a can of Cool Whip, a triumph of restraint I’d managed without a glance of adult supervision.

My sister patiently absorbed my nostalgia. Then she added: “Chase wants this too. He loves baseball.”

I couldn’t argue with Chase’s results. Last summer he’d been selected for the all-star team of his neighborhood little league. My sister sent us photos of the boys celebrating at a local Mexican restaurant. In one close-up, Chase’s arm is draped over the shoulder of a boy with the same tousled hair spilling from the same star-spangled hat. With the other hand, he is slugging a yellow concoction from a goblet the size of a table lamp.

During our annual holiday visit to my Virginia hometown, my nephew, Chase, had invited us to watch him pitch and hit baseballs for an hour, under the tutelage of a private coach.

Looking down at her phone, Mysha confirms the address, so we slip into a small parking lot in the back of the building. Though it’s no more welcoming than the front, at least we find no sign of doomed Angus cattle.

Inside, the facility’s décor hews to jock brutalism. Forty feet above us, fluorescent lights hang from metal beams, filling the cavernous room with a stadium’s ice-blue brightness. The atmosphere is warmed only by the sound of classic rock rattling from speakers bolted to the walls. Black netting curtains off a pair of batting cages, where a few stocky teens hack at soft tosses. The floor is covered in green artificial turf studded with five-gallon buckets, around which cluster litters of scuffed baseballs.

I spot my brother-in-law, Clay, seated with two other men whose buzz cuts and taut expressions would fit in on the bridge of a naval destroyer. They lean forward from metal folding chairs, studying the ritualized movements of their boys. Nearby is a makeshift pitching mound, where I spot Chase moving into his windup: a fluid and compact gathering of 100 pounds of muscle and bone. His pitch sails high, pulling out of his catcher’s crouch a college-aged man in gray sweats. His bottom lip is swollen with tobacco, and he pauses to discharge a brown stream into a soda bottle before offering my nephew a blunt appraisal: “You’re overthrowing again. What happened to your release point?”

Chase cocks his head thoughtfully. “I forgot to reach out with it.”

“Right,” the coach says, demonstrating with his own right hand before returning a dart to Chase’s glove side. “Fix it.”

In his plush suburban home, Chase is a merry prankster. When he was 4, he stood on the carpeted mezzanine, reached his hand between two wooden balusters, and dropped an untidy sock onto the face of my sister, napping on the sofa below. Here, in this Spartan box, Chase’s aim is nearly as true — but he is all business.

We slide in, and the fathers stand to make room for us in the self-consciously gallant way of Southern men. And suddenly I recognize that I am easily the smallest person in the seating area. This includes my wife, who at 6-foot-1 dwarfs me in a way that attracts stares in public.

Out of the corner of my eye, I track a wide throw that tips off Chase’s glove and bounces once on its way toward our congregated shins. I bend and manage to spear it with my right hand.

One father draws out a whistle through his teeth.

“Once a second baseman, always a second baseman,” Clay says.

I toss the ball back to Chase, who registers the deed — and our presence — with a stoic little nod.

“College ball?” asks the other father.

Before I can laugh, say “no,” and explain that this catch had been the most graceful maneuver I’d accomplished in 20 years — indeed, I’d just tweaked my back and would require, this evening, a liberal application of Tiger Balm — Clay jumps in.

“This guy played in the Little League World Series!”

I wince.

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On Vanishing

Getty / Catapult

Lynn Casteel Harper | Catapult | excerpt from On Vanishing: Mortality, Dementia, and What It Means to Disappear | April 2020 | 18 minutes (4,925 words)

 

I have officiated only one memorial service in which I thought the dead person might come back. Dorothy was 103, and she was known for surprise reappearances. Dorothy had resided in an independent living apartment at the retirement community, and I had visited her on the few occasions when she had come to the Gardens to recover from an illness. I had learned over the course of these visits that as a teenager, she had left home to become a stage assistant to Harry Houdini—against her parents’ wishes, of course. What did a nice Methodist girl, a preacher’s daughter, want with an older man—a Vaudeville magician, no less—rumored to be a Jew, the son of a rabbi? Only after Houdini and his wife, Bess, visited Dorothy’s parents and promised to care for her as their own daughter did her parents relent.

In Houdini’s shows, Dorothy would pop out from the top of an oversized radio that Houdini had just shown the audience to be empty, kicking up one leg and then the other in Rockettestyle extension. Grabbing her at the waist, Houdini would lower her to the floor, where she would dance the Charleston. In another act, she was tied, bound feet to neck, to a pole. A curtain would fall to the floor, and voila!—she would reappear as a ballerina with butterfly wings, fluttering across the stage. At the end of each night’s performance, Dorothy stood just off stage next to Bess to witness Houdini’s finale: the Chinese Water Torture Cell. A shackled Houdini was lowered, upside down, into a tank of water from which he escaped two minutes later. Dorothy knew how he accomplished this stunt—what was often deemed his “greatest escape”—but she never broke confidence.

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Escaping Coronavirus Lockdown Through a Stranger’s Solitary Walks on YouTube

From Sakura in snow - walking in snowy Saitama / Rambalac / YouTube, Photo illustration by Longreads

Aaron Gilbreath | Longreads | April 2020 | 25 minutes (6,184 words)

 

As one of the millions of people currently trapped inside their homes thanks to the COVID-19 pandemic, wondering if the virus will still get them, I need an escape, not only from the trying monotony of indoor life in cramped quarters parenting a toddler who seems increasingly aware that something is wrong, but from the anxiety as well.

I worry constantly: about my 2-year old daughter; about my wife; my health; my job; my aged parents; the effect that broken social bonds will have on children’s development. I also worry about what medical professionals like my wife call “the surge.” We Americans hunker indoors waiting for the virus to decimate our communities like it has Italy’s, and for the bodies to fill graves that few people would want to dig. The tension of anticipation gnaws at you, leaving a pit in your stomach that no amount of gardening or strong cocktails can fill.

There is no actual escape from reality. What I crave is a brief psychological break at the end of these long days, which spring keeps making longer and longer. Sleep is the only real break; yet sleep is something anxiety is allowing me less and less of. So at night, after my wife Rebekah and I bathe and put Vivian to bed at 7:30, we want some quiet time. Sometimes I skate the vacant streets for 30 minutes. Sometimes I listen to music on headphones the way I did as a teen. Then Rebekah and I slouch on our living room couch doing work, replying to emails, and reading news. If there’s time left, we watch TV in our basement.

Wi-Fi provides the homebound masses instant COVID information. Zoom allows us to work remotely. Now a popular, hypnotic Japanese YouTube series provides me the chance for international travel and a reliable psychological escape during this time of limited mobility. In each episode, an unidentified man films the streets as he walks through Japanese cities for hours at a time. He calls himself Rambalac. He calls his episodes videowalks. He uses a high-definition handheld camera mounted on a stabilizer, and captures ambient noise with his Audio-Technica AT9946CM microphone. Filmed both day and night, his walking series started in Tokyo in 2017 but expanded to other cities, the suburbs, and countryside. His videowalks have very literal titles like “Walking in rainy Mizuho city by Clannad trail” and “Walking without reason in rainy Omuta, Kyushu.” His videos state: “Not a vlog, no intrusive faces or talking, pure Japan only.”

I know very little about photography or cinematography, but I could identify some of the effective elements of his technique. He employs no fancy camera work. No splicing, no zooming in and out, no disorienting panning or wobbling. He keeps the camera still and mostly aimed ahead. Sometimes he pivots to capture a broader scene or something he finds interesting, like a sign or river or view. There’s no music, no commentary, no narration, only his location’s ordinary noise. This is why his videos are so absorbing: He turns his viewers into his eyes, letting them see what they’d see if they were walking with him. It’s virtual reality tourism, lacking only touch and smell.

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How to Tell Your Husband You’re a Witch

Bree Prosser/ November Wild for Natalie Rousseau, Living Ritual

Lisa Richardson | Longreads | April 2020 | 15 minutes (4,084 words)

On a Friday afternoon, pre-COVID-19, my husband dropped some ice-cubes into glasses, ready to make us screwdrivers and cheers to surviving another week of working/parenting/wondering where the hell the years were going, only, the vodka bottle was empty.

“Oh yeah,” I said, my eyes sliding sideways, trying to not cause a fuss, “I used it for medicine.” The previous week, the kitchen counter had been cluttered with a giant mason jar full of oily plant matter. “Balm of Gilead!” I explained, brightly, as he wiped away the breakfast crumbs around it.

“But what is it?”

“Cottonwood tips in oil.”

His eyes had flicked, then, over to the brand-new bottle of extra virgin olive oil that was now nearly empty, as I enumerated the medicinal benefits of this old herbal remedy (and all this from a tree in our backyard!). Twenty-four years together means I could hear the abacus in his brain clicking, as he wordlessly calculated the cost per milliliter of a gallon jar of plant matter masticating in top-shelf olive oil, against the cost per unit of a bottle of generic aspirin tables, overlaid with the probability of me losing interest in this project.

First the olive oil. Now the vodka for dozens of little jars of tinctures — garden herbs and weeds soaking in now-undrinkable booze. My midlife quest to attune more deeply to the rhythms of the natural world was starting to incur unexpected, but real, costs.

He was quiet, as he opened the fridge and pulled out a beer instead.

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The Strange and Dangerous World of America’s Big Cat People

Illustration by Zoë van Dijk

Rachel Nuwer | Longreads | March 2020 | 28 minutes (7,033 words)

You can listen to our four-part “Cat People” podcast series on Apple Podcasts, Spotify, or wherever you get your podcasts.

It’s a gloomy April afternoon in rural Oklahoma, and I’m sitting on the floor of a fluorescent-lit room at a roadside zoo with Nova, a 12-week-old tiliger. She looks like a tiger cub, but she’s actually a crossbreed, an unnatural combination of a tiger father and a mother born of a tiger and a lion. That unique genetic makeup places a higher price tag on cubs like Nova, and makes it easier, legally speaking, to abuse and exploit them. Endangered species protections don’t apply to artificial breeds such as tiligers. Hybridization, however, has done nothing to quell Nova’s predatory instincts. For the umpteenth time during the past six minutes, she lunges at my face, claws splayed and mouth ajar — only to be halted mid-leap as her handler jerks her harness. Unphased, Nova gets right back to pouncing.

With her dusty blue eyes, sherbet-colored paws, and prominent black stripes, Nova is adorable. But she also weighs 30 pounds and has teeth like a Doberman’s and claws the size of jumbo shrimp. Nova’s handler, a woman with long brown hair who tells me she recently retired from her IT job at a South Dakota bank to live out her dream of working with exotic cats, scolds the rambunctious tiliger in a goo-goo-ga-ga voice: “Nooooo, nooooo, you calms down!” Nova is teething, the handler explains, so she just wants something to chew on. The handler reaches for one of the tatty stuffed animals strewn around the room — a substitute, I guess, for my limbs. In that moment of distraction, Nova lunges. She lands her mark, chomping into the bicep of my producer, Graham Lee Brewer.

“Ooo, she got me!” Lee Brewer grimaces as he attempts to pull away from the determined predator. Nova’s handler has to pry the tiliger’s jaws open to detach her. After the incident, the woman conveniently checks her watch: “OK, you guys, time is up!”

I paid $80 for the pleasure of spending 12 minutes with Nova, but I’m glad the experience, billed as a once-in-a-lifetime opportunity, is over. On our way out, we pass more than a dozen adult tigers yowling and pacing cages the size of small classrooms. Nearby signs solicit donations. You are their only hope. Sponsor a cabin or compound today! In the safety of our car, Lee Brewer rolls up his sleeve, exposing a swollen red welt. “Look at my gnarly tiger bite,” he chuckles. “I tried to play it off but I was like, this fuckin’ hurts!”

It’s not the first time I’ve seen this world up-close; I spent the better part of eight years investigating wildlife trafficking around the world. During my travels, I visited farms in China and Laos where tigers are raised like pigs, examined traditional medicine in Vietnam, ate what I was told was tiger bone “cake,” and tracked some of the world’s last remaining wild tigers in India. Almost everywhere I went, tigers were suffering and their numbers were on the decline because of human behavior. Until recently, though, I had no idea the United States was part of the problem. Read more…

The Consequences of Surviving

Courtesy of Getty Images

PTSD is defined as an anxiety disorder caused by a traumatic event, or stressor, such as a natural disaster. A life-threatening illness is only considered a stressor if it involves a ‘sudden, catastrophic event’ such as waking up during surgery.

In this article for Aeon Liza Gross explores an argument put forward by Phil Wolfson, a psychiatrist in Marin County, that hearing the words “You’ve got cancer” is a catastrophic event in itself, and even when the tumors retreat, “that kind of fear stays with you.” Wolfson is campaigning for a new diagnosis: PTSD-life-threatening illness (PTSD-LTI) — to increase support both for the survivors of life-threatening illnesses, and for their carers.

Although a diagnosis can bring benefits, Cole says, ‘you are in a state of anxiety at all times.’ He can’t shake the thought that any aches and pains, normal for his 67 years, might be new signs of his body’s betrayal. Today, he practises palliative care at a hospice. He knows the patients are probably floating in space, too, needing specialised care to manage their distress.

He believes no one should leave an oncologist’s office with a cancer diagnosis without a referral to someone trained to manage the anxiety and trauma that inevitably shadows the course of treatment. But that’s not what happens. ‘As medicine advances, we have more survivors,’ Cole says. ‘That’s a good thing. But those survivors carry trauma to their graves, and we haven’t recognised that it’s a disease process that needs treatment.’

Wolfson is also an advocate for using ketamine and MDMA in the treatment of those suffering from this form of PTSD.

Therapists have long known that MDMA, outlawed in 1985 as having no medical use and a high potential for abuse, melts defences and eases anxieties while boosting mood and trust – key ingredients for successful therapy. The drug works partly by dissipating the crippling fear that prevents people from revisiting a trauma, a necessary step in learning how to live with it. ‘It opens the doors of the heart and removes some of the blocks to feeling and suppression,’ Wolfson says, making it easier to tolerate deeply distressing memories and emotions.

Feeling unburdened, Wolfson’s patients were willing to plumb the depths of their psychic pain in profound ways, looking at how the disease disrupted their lives, self-worth, and personal and professional interactions. Their ability to confront their worst fears helped Wolfson chart a therapeutic path to ease their suffering and anxiety.

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The Criminalization of the American Midwife

Illustration by Ellice Weaver

Jennifer Block  |  March 2020  |  32 minutes (8,025 words)

Elizabeth Catlin had just stepped out of the shower when she heard banging on the door. It was around 10 a.m. on a chilly November Wednesday in Penn Yan, New York, about an hour southeast of Rochester. She asked her youngest child, Keziah, age 9, to answer while she threw on jeans and a sweatshirt. “There’s a man at the door,” Keziah told her mom.

“He said, ‘I’d like to question you,” Caitlin tells me. A woman also stood near the steps leading up to her front door; neither were in uniform. “I said, ‘About what?’” The man flashed a badge, but she wasn’t sure who he was. “He said, ‘About you pretending to be a midwife.’”

Catlin, a home-birth midwife, was open about her increasingly busy practice. She’d send birth announcements for her Mennonite clientele to the local paper. When she was pulled over for speeding, she’d tell the cop she was on her way to a birth. “I’ve babysat half of the state troopers,” she says.

It was 30 degrees. Catlin, 53, was barefoot. Her hair was wet. “Can I get my coat?” she asked. No. Boots? She wasn’t allowed to go back inside. Her older daughter shoved an old pair of boots, two sizes too big, through the doorway; Catlin stepped into them and followed the officer and woman to the car. At the state trooper barracks, she sat on a bench with one arm chained to the wall. There were fingerprints, mug shots, a state-issue uniform, lock-up. At 7:30 p.m. she was finally arraigned in a hearing room next to the jail, her wrists and ankles in chains, on the charge of practicing midwifery without a license. Local news quoted a joint investigation by state police and the Office of Professional Discipline that Catlin had been “posing as a midwife” and “exploiting pregnant women within the Mennonite community, in and around the Penn Yan area.”

Catlin’s apparent connection with a local OB-GYN practice, through which she had opened a lab account, would prompt a second arrest in December, the Friday before Christmas, and more felony charges: identity theft, falsifying business records, and second-degree criminal possession of a forged instrument. That time, she spent the night in jail watching the Hallmark Channel. When she walked into the hearing room at 8:00 a.m., again in chains, she was met by dozens of women in grey-and-blue dresses and white bonnets. The judge set bail at $15,000 (the state had asked for $30,000). Her supporters had it: Word of her arrest had quickly passed through the tech-free community, and in 12 hours they had collected nearly $8,000 for bail; Catlin’s mother made up the difference. She was free to go, but not free to be a midwife.

Several years back, a respected senior midwife faced felony charges in Indiana, and the county prosecutor allowed that although a baby she’d recently delivered had not survived, she had done nothing medically wrong — but she needed state approval for her work. The case, the New York Times wrote, “was not unlike one against a trucker caught driving without a license.” As prosecutor R. Kent Apsley told the paper, “He may be doing an awfully fine job of driving his truck. But the state requires him to go through training, have his license and be subject to review.”

But what if the state won’t recognize the training or grant a license? 

Catlin is a skilled, respected, credentialed midwife. She serves a rural, underserved, uninsured population. She’s everything the state would want in a care provider. But owing to a decades-old political fight over who can be licensed as a midwife, she’s breaking the law.  Read more…