Life stories

My cancer diagnosis

Until last week, it was the best summer of my life. Then my doctor gave me the news I dreaded

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My cancer diagnosisMary Elizabeth Williams

On Monday, Showtime’s series “The Big C,” about a middle-aged woman with life-threatening melanoma will premiere. On Wednesday of this week, I learned I was living it. 

It started with a bump, a little scab on my head that wouldn’t go away. I can’t remember the exact day I first noticed it, but it was early summer. It was on the part of my hair, right near a scar from a childhood injury. I just figured I’d dinged myself up somehow and all my sun and swimming and hair care products were preventing it from healing properly. I hypochondriacally Googled “infected cuts,” never guessing for a moment I was chasing the wrong search term. 

Then last week I went to the dermatologist. I figured I’d get some antibiotics and ointment. Instead, when she looked at my scalp, she gave a little involuntary sucking-in of air and said quietly, “That looks like cancer.” 

That’s how your life changes, in four words. 

Even then, however, I didn’t fret. The doctor scraped my head to run a biopsy, and I assumed I’d come back in a few days for a minor melanoma procedure. My Facebook status update was “Best summer ever.” And then, at 10:15 Wednesday morning, my phone rang. “I’m sorry,” the doctor said. “It’s malignant.” 

She told me that because of the size and the thickness of the melanoma, we were going to have to be “aggressive” in treating it. I was to go to Sloan-Kettering the next day to meet with an oncologist for further tests, to determine if the cancer has spread. She further said I was almost certainly in for some chemo, and probably other forms of treatment as well. “It’s a lot of information,” she told me, “and I’m sure you have a lot of questions.” But I don’t. I just have one. Why? 

My brand-new oncologist’s office called me a few moments later to discuss my imminent appointment. Things move very quickly when you’re in the Malignant Zone. 

I’ve been applying industrial grade sunscreen to my skin, a vampire’s ideal pigment, most of my life. But nobody ever said that just walking around under the sky would make the top of my head vulnerable, that I ought to have been wearing hats this whole time. Skin cancer of the scalp is one of the deadliest forms of melanoma. It has nearly double the rate of fatality as cancers elsewhere on the skin. If it is advanced, the five-year survival rate is slim. Oh well, I always liked a challenge. 

“My life has become a shitty Showtime series,” I IM’ed a colleague. “Weeds?” he wrote back. “Dexter?” I typed back, “Inside NASCAR.” 

A few moments after deciding that the rest of my day was going to involve beer and a Will Ferrell movie, my friend Larry, who has teetered on the fence of parental ambivalence for years, texted me two words: “Knocked up.” “Malignant,” I wrote back. Larry and his wife are expecting in January. I can’t wait to meet their baby. “And in 10 years,” he told me, “you and I are going to dance all night in Barcelona.” It’s good to have an incentive plan. 

I called my best friend in California, and got her voice mail. “I just got off the phone with my doctor,” I said. “And to give you an idea of how it went, I’m wondering a lot about my hair and my access to pot.” Moments later she called back, and channeling her inner John McEnroe, bellowed into my phone, “THIS IS BULLSHIT.” It was, coincidentally, her mother’s birthday. She would have been 72, had she not died of cancer when Sharon was a teenager. 

I ate pretzel bites and jalapeño cheese for lunch, because, what the hell. I went to the movies. I threw a coin into the fountain at Lincoln Center and made a wish. I laughed at the perfect timing of it all when the Five Stairsteps’ “Ooh Child” came up on my iPod’s shuffle. I hid behind my sunglasses on the A train, tears streaming down my face. I told my daughters that Mama is sick, and she’s probably going to have to go through chemo like Grandpa did. “But then you’re going to get better, right?” my elder daughter asked. “I’m going to try really hard,” I replied. 

On Thursday I spent several hours at Sloan-Kettering, answering questions and filling out forms. I sat in a waiting room full of quietly frantic-looking people watching “Deal or No Deal” and availing themselves of the free coffee. A young woman in lace knee socks, plaid miniskirt, and Led Zeppelin T-shirt typed lazily on her phone. I don’t think her peach fuzz hairstyle was a fashion statement. 

Next week, I am going back to have a portion of my scalp removed, and flesh from either my neck or my thigh grafted onto it — we don’t yet know which. Apparently the surgeon likes to wing it, skin graft-wise. I will wake up with a ping pong ball-size permanent bald spot, and a badass scar that I intend to go around telling people I got in Desert Storm. I am going to have lymph nodes removed and biopsied. And then, my new cancer doctor tells me, once we get the results from all that, we can begin my “treatment.” 

A million years ago — Tuesday night — I went out for drinks with my agent, which was enough to make me lament my literary prospects and the folly of ever choosing to become a writer. “Why couldn’t I have been good at math?” I had cracked. I also can’t dance. I’m bad at sports. My navigational sense is so remedial I get lost in a grid system. I am unable to follow even simple directions, whether it’s a recipe or the assembly instructions for an IKEA shelving system. And I am pretty inept at self-diagnosing cancer.

But so far this year I’ve posed nude in a magazine, chased a pair of muggers into a Bronx housing project, swung on a trapeze, splashed in the ocean with my daughters, and opened my skeptical heart to love again. In November, I am going to Costa Rica to surf and party with monkeys. I’m crappy at a lot of stuff, but I am phenomenal at telling fear to suck it so I can go about the business of living. And so while I don’t know what the future holds, with every breath in me, I’m going to keep doing what I do best. And live.

Mary Elizabeth Williams

Mary Elizabeth Williams is a staff writer for Salon and the author of "Gimme Shelter: My Three Years Searching for the American Dream." Follow her on Twitter: @embeedub.

How to stop the bleeding

A year after Chris died, I was still shocked by how little I knew about being in combat zones. It was time to learn

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How to stop the bleeding The author with his friend Chris Hondros, right, who died in Libya in 2011. (Credit: Nicole Tung)

A tourniquet is a simple tool, but I found it practically impossible to deal with when I needed it the most. Slickened with blood, the inch-wide Velcro-backed webbing slid through my gloved hands like a wet snake when I tried to pull it tight. In an adrenaline panic fueled by the sound of gunfire and explosions, I hadn’t noticed that it had twisted under Darryl’s heavily bleeding leg, giving the Velcro nothing to grab when I was finally able to cinch it down. I needed to sort it out fast, or my colleague was going to die.

Darryl was severely injured. Both legs had been blown off at the knees and he lost his left arm at the elbow. Another journalist, freelance reporter Carmen Gentile, was working to stop the bleeding from the arm, fumbling with a tourniquet of his own and appearing to have a better go of it.

“How are you doing?” he shouted to me over the din of battle.

I took a deep breath and forced myself to focus. I ripped off my already tattered rubber gloves to get a better grip and started over, willing myself to be calm.

It was April 20, and although my heart was pounding like I was back in Libya, Carmen and I raced to save the life of our fallen colleague — who was really a 185-pound medical dummy clad in camo fatigues — on the back patio of the Bronx Documentary Center in New York. Next to us, two other freelancers, photographers Liam Maloney and Nicole Tung, worked on another victim. The realism was provided by stage blood (a lot of it), helmets and body armor, smoke bombs and recorded sounds of combat. Hovering over our frenzied work and making sure we didn’t miss anything fatal were medical professionals from Maine-based Wilderness Medical Associates.

“Did you flip him over? Does he have any wounds on his back?” shouted Sawyer Alberi, a spitfire of a former Army Reserve medic. Then to me: “You need to stop that bleeding.”

If there was a theme to what I’d been doing for the past three days, along with 23 other freelance reporters and photographers from around the globe, that was it — to stop the bleeding. Exactly a year before, on April 20, 2011, two of the world’s best conflict photographers — Tim Hetherington and my best friend since freshmen year of high school Chris Hondros — laid dying in the rubble of Tripoli Street in the besieged city of Misurata, Libya. A mortar round fired by Gadhafi forces had landed in their midst, and Chris had been hit in the head with shrapnel, just under the brim of his helmet, inflicting a massive brain injury from which he would die after languishing in a coma for several hours. Tim had been hit high on his leg, his femoral artery severed. It might not have been a fatal wound, but no one around him knew how to stop the bleeding. He bled to death within minutes.

The journalists in my squad stabilized Darryl and prepared him for medevac. We stripped off our bloody body armor and rotated to another exercise — stuffing absorbent gauze into a chicken carcass that was being pumped through with a continuous stream of fake blood. This was meant to simulate a wound to the groin or armpit, where the bleeding artery is too deep in the body to easily pinch off using well-aimed direct pressure. It was the sort of wound Tim had died from.

Our friends were certainly not the first reporters to be killed in combat, but they were among the first of what became a wave of deaths among highly experienced journalists in the year that followed. New York Times reporter Anthony Shadid died during a severe asthma attack while leaving Syria. Marie Colvin of the Sunday Times was killed alongside French photographer Remi Ochlik in an artillery barrage in Homs. South African freelancer Anton Hammerl, thought for weeks to have been captured and missing in Libya, was later confirmed shot and killed. Scores of journalists were captured by repressive regimes. It was, in short, a terrible year.

Especially for people who were close to those who died. A week before Chris and Tim were killed, I worked alongside them on Libya’s eastern front around Ajdabiya and Benghazi. It was extremely dangerous. We were caught in firefights, targeted by mortar fire and, in one instance, stuck for half an hour between Gadhafi forces and rebel soldiers who pounded each other with heavy artillery and machine gun fire, the shells streaking in both directions overhead. But — foolishly, in retrospect — it never occurred to me to be scared for my own well-being or that of my friends. When I left them to return home to Colorado a week before their deaths, they plotted their trip to Misurata, and I did not even consider the possibility that they wouldn’t return.

So the news, which I learned from a stranger’s Twitter post just 30 minutes after I sent Chris an email, blindsided me. Complete disbelief was my dominant emotion, mixed with a combination of guilt and shame. I’ll always wonder what would have happened if I’d stayed, if I would have changed the equation that led them to that fatal spot on Tripoli Street. Would I have talked them out of returning to a very dangerous scene that they’d been lucky to survive earlier in the day? Or would I have gone with them and been killed myself? There was nothing to be done about Chris’s injuries. But would I have known what to do to save Tim’s life?

The answer was no.

I was dangerously unprepared for the environments I’d put myself into throughout my career as a journalist, and I wasn’t alone. Most freelancers don’t have the first clue what to do if one of us is gravely wounded. We arrive in war zones fully stocked with memory cards, extra camera bodies and battery chargers, but with no knowledge about how to save our own lives or the lives of our colleagues. The first-aid kit I brought to Libya was filled with items that would have been useless in an acute trauma situation—Band-Aids and Pepto Bismol. I didn’t even know my blood type. My plan for a medical emergency was simply to hope for a quick death.

“There’s a bit of fatalism to people,” said author Sebastian Junger when we discussed this last month, marveling, as many conflict journalists have in the past year, at the vast scope of all we don’t know about how to render aid to our friends in situations where we should expect to need to do so. “There certainly was for me.”

Sebastian and Tim were close friends. The two had co-directed the documentary “Restrepo” about a group of U.S. soldiers manning a remote and dangerous outpost in Afghanistan. He was affected by Tim’s death the same way I was affected by Chris’s — although he and Tim had had a day’s worth of informal medical training from one of the “Restrepo” medics while shooting their film, he admitted that he knew next to nothing about the human body or what to do for injuries sustained in combat.

“It just occurred to me,” he said, “that it doesn’t have to be this way.”

When he learned that Tim’s injury might not have been fatal if someone had known how to apply pressure to slow his bleeding, Sebastian founded Reporters Instructed in Saving Colleagues (RISC), an organization that offers an intensive three-day combat medicine training course at no cost to participating journalists. Priority is given to freelancers, who compose an ever-increasing percentage of the foreign press corps in dangerous areas. Freelancers take the biggest risks in journalism, but they have the fewest resources to afford this sort of training. Most can barely afford body armor.

When I was asked to participate in the inaugural course, I wasn’t sure how I would handle it. The previous year had been spent in a daze that combined denial, grief and inertia in roughly equal proportions. I simply couldn’t get my head around the fact of Chris’s death, even though I’d seen him in his casket and helped carry him to his grave. It was as if the clock had stopped on April 20, and I was eternally stuck in the horror of that first moment of realization and disbelief. I coped by piling on more work than I could handle to avoid having to think about a future without him. I clung to the past and replayed memories incessantly, as if trying to fuse them into my brain. I was afraid of moving forward and forgetting. I started smoking again. I ignored my friends and family.

I was a wreck, and I morbidly ticked off the milestones counting down toward the one-year anniversary of his death: The day Chris texted me and asked me to go to Libya with him; the last day we were together in his Brooklyn apartment and he lectured me — almost as if he’d had some presentiment — about the trajectory of shrapnel and how small pieces can find their way into your brain even if you’re wearing a helmet; the last thing he said to me as we said goodbye in Benghazi, “We got you out of here unscathed.”

The RISC training promised to at least stop the spiraling orbit that made me feel like I was circling a drain as April 20 approached. I wasn’t the only one coping with memories and close calls. My classmates included Nicole Tung, who held vigil by Chris’s bedside in Misurata until he passed and helped get his remains on a ship bound for Benghazi; Mike Brown, who had been wounded in the same mortar blast; Jim Foley, who had been captured by Gadhafi forces with two other colleagues during the incident in which Hammerl was shot and killed; and Carmen, my partner in rescuing Darryl, who had miraculously survived being shot in the face by an RPG in Afghanistan (the warhead didn’t detonate, which is the only reason he’s alive).

I’m sure there were many other war stories I didn’t hear. There simply wasn’t time. The three-day crash course in emergency medicine didn’t leave much time for reflection. We learned how to stabilize broken limbs and how to assess for internal bleeding. We practiced “un-pretzeling” people who’ve been blown into a heap by a concussive force without further damaging their spinal columns. We were taught to recognize the signs of shock and hypothermia (even in warm climates, hypothermia is the fourth leading cause of preventable death on the battlefield). We learned how to stop arterial bleeds, apply a tourniquet and seal a sucking chest wound. We practiced CPR and rescue breathing by taking turns playing victims and rescuers in a variety of scenarios. We took the 6 train back to our Chelsea hotel sticky with fake blood and worried that the sheer volume of information being crammed into our heads would evaporate by morning.

Graduation was purposely scheduled for April 20. I expected to be more grief stricken than ever, but I found myself unexpectedly calm and energized. For the first time in a long time, I was unwilling to let grief overtake me. It is one of the primary lessons of RISC training, actually, that to dwell on the immutable past is to create peril for yourself and others. You must always be reacting to the present and preparing for the future.

At its heart, our training was about coping with wounds. I didn’t expect to bandage my own.

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Greg Campbell's new book is called "Pot, Inc.: Inside Medical Marijuana, America's Most Outlaw Industry." He is the author of "Flawless: Inside the Largest Diamond Heist in History," "Blood Diamonds: Tracing the Deadly Path of the World's Most Precious Stones" (the source material for the Leonardo DiCaprio movie of the same name) and "The Road to Kosovo: A Balkan Diary." Campbell is also an award-winning journalist whose his writing has appeared in The Wall Street Journal Magazine, The Economist, The San Francisco Times, Paris Match, and The Christian Science Monitor, among others. He lives in Fort Collins, CO.

My home, ripped apart

As I watch the Bosnian war crimes trial, I wish I could explain the horrors I saw as a boy, and how much we lost

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My home, ripped apartA photo of the author examining bullet holes near the cemetery where his family is buried in Bosnia. (Credit: Eldin Trebincevic)

My American friend James and I were watching soccer at a restaurant in Queens, but I couldn’t stop reading a story about Ratko Mladic’s trial at the Hague. There were two pictures with the story: One showed him smiling as he listened to his indictment at a pretrial hearing, and another of a mass grave he created.

“What’s that?” James asked.

I wanted to tell James how personal this was. It made me crazy to watch for 16 years as this monster responsible for killing what might be as many as 250,000 of my countrymen eluded authorities. “It’s the modern-day Nuremberg trial,” I said, wishing I could explain better.

I grew up in Bosnia, and fled to America in 1993, at the age of 13, after my family was exiled. A 31-year-old survivor of the war, I am one of the 5,000 Bosnians living in Astoria, Queens. Not long ago, I went back to visit my hometown for the first time since we fled. Vacation for other guys my age means partying, or hanging out with old friends. I spent two weeks visiting graveyards.

On the runway at JFK, I sat between my brother Eldin and my 72-year-old father, Senahid, nervous to return to the land after so many years.

“Which day are we going to the cemetery?” my father wanted to know.

“Which cemetery?” I asked as the plane took off.

The next morning in Brcko, the town of my birth, I climbed into the back seat of our rented car wearing a tank top, jeans and sneakers. My brother Eldin shook his head. “You’re not going like that, exposing your tattoo.” He gestured to the bright blue and yellow coat of arms of the historical Bosnian Flag on my arm. He did not want any trouble.

We were going to see the karate coach, Pero, who betrayed us. Our goal was not to pay respect. It was to see for ourselves that the bastard was dead.

But I’d waited 20 years for this; I would not back down so fast. “Let’s stop so I can get two bottles of water,” I said.

“Why?” my brother asked.  “So you can piss on Pero’s grave?”

Eldin knew me too well. As we parked, I felt his body temperature rise, along with his anxiety.

This was a Serb cemetery. We didn’t belong here. As I walked by the black marble markers and crosses amid the bitter scent of candle wax, I was conscious of sour looks and muttered profanities. How dare I walk over their sons’ graves with that ink on my left shoulder. In 1992, I would have been shot dead.

As I stood over Pero’s grave, I recalled how my brother and I were his favorites in the karate club.  He helped me become the youngest brown belt there.  One happy evening, my mother invited him over for stuffed peppers.

After the war broke out, Pero was put in charge of the city’s special-police unit. I was shocked when he arrived in front of our building in an army van to cleanse the building of non-Serbs like us. We were given an hour to leave, or be killed. My father and brother were thrown in a concentration camp while my mother and I stayed behind.

Pero turned my second home, the sports complex hall where he’d once coached me in karate, into a torture center where corpses of my neighbors were dismembered and stored, my father learned from fellow inmates. Five months later, I passed by Pero standing with a girl holding an AK-47. He pointed his finger at me and laughed. We later heard he was killed by one of his own, a Serb soldier, over a different girl.

“He’s gone, we’re alive and they still have to live next to us,“ my brother Eldin tried to console me at Pero’s grave. His time came before ours.  At least he had a funeral, unlike many of his innocent victims.

The second cemetery, for Bosnian Muslims, was located on the other side of the city. My Grandpa Suljo was buried there. The hatred and bitterness in the city spread to gravesites: Even the dead were split among ethnic groups. When the fighting began, the burial ground became the frontline, and the place was pummeled in order for Serb soldiers to have an unobstructed view. Horses and tractors ripped up and carried away the remaining headstones. Suljo’s tombstone was sliced in half. Reconstructed, it was glued back together at its base, just like we were.

I also found the grave of my great Uncle Sabit. He passed away a few months before our arrival. I had been hoping to go trout fishing, like we used to.

When the Serbs stormed his apartment, he hid behind a bookshelf. His sister, my Great Aunt Fatima, lay in the grave next to him. She sacrificed herself in 2003, jumping in front of a cab to save her granddaughter. Her husband, Smajl, mysteriously died in the hospital during the war. We never found out what really happened. In my final memory he was offering himself to the military police to distract them from finding Sabit and my father, who were hiding.

Last, we visited my Grandmother Emina, who passed away after holding services for the sixth month anniversary of my mother’s death. Heartbroken, it was a no-brainer that she’d go into cardiac arrest.

“Your tattoo looks amazing,” the undertaker said, waving as he walked away.

We belonged here.

We visited two more cemeteries. One contained 556 fighters from our side. Another was a burial ground for both Bosnian soldiers and civilians, a six-hour car ride away.

“Hey, you have to see this guy, he’s not one of us,” I yelled to my brother as I read the Serb name of a soldier buried there: Goran. He was a Serb who fought in the Bosnian Army against his own people; he fought for the good side, despite what he had been born into, and his family put him to rest among his Muslim neighbors. In my book, Goran deserved the most respect.  His ethnicity didn’t matter because he saw the war through the same eyes as everyone else who landed here.  If I’d died in my homeland, this would be the place I’d want to lay.

“You’ll never catch me dead flying over Bosnia,” my mother Adisa used to say after we’d escaped to the United States.

It had been four years since we’d been to see her in Enfield, Connecticut, where we’d promised to spread crushed marble stones on her grave.

“We have to visit mom,” my brother said.

“I know. But it’s too cold. Let’s wait until spring,” I told him.

“That’s what you said last time, “ Eldin said.

I blamed conditions of the war for the disease that killed her. The leading cause of death for Bosnian women who survived was breast cancer, with high malignancy and mortality rates. Ironically, my mom’s cemetery, just a few hours from where we lived in the United States, was the one grave I couldn’t bear to see.

I couldn’t explain all of this to James – the loss and the unbearable grief. Instead, I just remain glued to Ratko Mladic’s trial in a public viewing gallery in the courtroom, hoping that Ratko will be convicted before he dies in a country-style prison and is given a hero’s funeral, like Slobodan Milosevic.

As my family I wait for a semblance of justice to close the 20th century’s bitter chapter called Bosnia, forgiveness is not an option.  It’s hard not to feel that all the wrong people are dead.

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Kenan Trebincevic’s work has appeared in the New York Times and on American Public Media radio. He is finishing a memoir about surviving the war called “The Bosnia List.”

My bully, my best friend

At first, I thought it was a joke when John called me "gay." By the time the school intervened, no one was laughing

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My bully, my best friend (Credit: Tad Denson via Shutterstock/Salon/Benjamin Wheelock)

The first time someone called me a “faggot” I didn’t hear it at all. That’s because my head was being slammed against a locker, the syllables crashing together like cymbals in my ear.

When I arrived at this new private school in seventh grade, after my mom got a job teaching, I hoped Fred and I might be friends. We were both faculty brats, and the school catered to elite students from wealthy families.

But our similarities ended there. Fred was tall for an eighth grader, and he was clear-skinned and golden, with hair so light it seemed more than blond. I was short, stocky and pale. He wore clothing emblazoned with Hilfiger and Klein. I was perpetually clothed in hand-me-downs. People whispered that he smoked pot and felt up girls after school. I had changed schools so often I’d forgotten how to make friends.

Something about my incompetence made Fred furious. In the locker room after lacrosse, he would snap at my ankles with his stick until they turned bright red. One day during practice, he dropped any pretense of chasing after the grounded ball and simply rammed into me with all his force. My helmet disappeared; my sweaty gloves flopped on the ground.

“Are you OK?” asked the assistant coach, a tall, heavy-set man who was also the head of the upper school we would both be joining next year.

I nodded, trying to breathe and pretending I wasn’t about to cry. But I lived the next months in fear. That August, before the start of high school, I walked into my brother’s room and asked him, with the most serious face I could muster, if he could teach me how to punch somebody.

But I didn’t have to learn. Fred left our school. I heard his dad was seen screaming in the office about what a screw-up his son was, a detail I relished with a grim smile. Mostly, I was relieved Fred was gone, and I could stop jumping every time I heard a locker slam.

Life was good. It got even better when I met John during soccer practice. He was quirky; he wore the same pair of purple sweatpants to school every day, and he joked about how much he masturbated.

“One time I did it 10 times in one day,” he said at practice, both of us standing at the end of the field waiting for the coach’s call.

“How does that even work?” I asked.

“I guess it was more just to prove that I can.” He shrugged. “By the end nothing was coming out.”

We became best friends.

I was happy to have someone to sit with at lunch, but eventually John started to do something I didn’t understand — he would constantly tell me I was gay. He wrote it on my textbook in biology, where we sat together, and he would whisper it while pointing at me. At that point, I had only had the most fleeting of interactions with girls. I was 14 and barely knew what sex was beyond the definitions I’d gleaned from health class and pornography. But I knew that “gay” meant more than having sex with men. “Gay” was a word that boys tossed around like hot potato, everyone hurling the insult in the vain hope it wouldn’t stick to them. It was a word to be feared, but still buoyant enough not to always be taken seriously. I figured John was using it playfully, among friends, the way he would also call me “Jew.”

A few weeks later, John invited me to join an online conference using our school’s in-house email system for a movie he wanted to make. The film was about one of our heavier friends, Drew, escaping from fat camp. (Fat. Gay. Jew. The words were piling up, but I didn’t care. I had finally wedged my foot in the door.) We went over to John’s house to mess around with a camera one Saturday, but all we ended up filming was Drew chasing a line of bagels rolling down the street while chanting “donut, donut, donut!” Instead, the conference became a place to jab at each other while sitting on school computers. Eventually, John started making more of his gay jokes.

At first I was flattered. This was still a form of attention. And, frankly, I craved attention. But things got weird around spring break. John wrote stories about me taking little boys and animals into the woods to have sex with them. Stories about me being molested by priests and loving it.

Finally, I asked him to stop. The insults meant nothing, I told him in an email, but I agreed to bow out of the group. Still, I would stay up late at night at the family computer, reading and re-reading more elaborately crafted insults and waiting for the page to refresh.

“Since Yannick isn’t reading any more,” he posted, “I can now say: Yannick is GAY GAY GAY GAY GAY GAY GAY GAY . . . ”

It went on like that for a while. The other boys just laughed.

Then one morning, I checked my email in the school library and saw a note from our IT adviser. He had discovered the online conference. The news spread quietly through the administration, which did its best to stop any further damage. A faculty member reminded kids during Monday announcements to be mindful of the correspondence we keep on the school’s email. John was identified as the ringleader and quietly whisked away for probation. Drew was called out for a note saying he was going to kill me (something I again took in jest).

I was rushed in to meet with the head of the upper school, my old lacrosse coach. Again he asked me that bland, unanswerable question: Are you OK?

I thought back to that sunny day on the lacrosse field when he looked down at me with concern while the other boys milled around idly, waiting for the drill to restart. It was all too familiar. Again he towered over me with concern, again the rest of the students milled around idly, having no idea what just happened right next to them. Only this time, the tears were in his eyes as he apologized for what the school had let happen to me.

There’s a weird tension once authorities become involved in teenage arguments. The “can you take it?” approach to maleness sees running to grown-ups as an act of cowardice, which is the very reason I never told anybody outside the email circle what was happening in the first place. In that way, it was a relief that someone finally made it stop. But it was equally bizarre to hear our conversations reinterpreted by adults who were trying to determine the arbitrary moment when a cruel jest slid into unacceptable hatred.

I sat with my mother and the school counselor as they flipped through pages of our correspondence. Read aloud, they sounded different than the jokes I’d convinced myself they were.

The night the news broke at school, John’s mother called me. She was livid with him, she said, and didn’t understand why someone would do something like this. She couldn’t say she was sorry enough. I stammered out the same response I would learn to tell everybody.

“It’s OK, I’m fine.”

Then she put John on the phone. It was the first time we’d spoken since an army of adults swarmed around us. It was the last time we would really speak for almost three years.

“Yannick?” John’s voice was frail, as if he was barely finished crying. I thought about his parents standing above him as he sat on the couch in his living room, face buried in his palms, trying to explain things he couldn’t and didn’t want to. It was the same position I was in earlier that day, the same position I would be in many times in the coming weeks. “I’m really sorry.”

“It’s OK,” I said. “I’m fine.”

“I really don’t know why I did that. I don’t know what I was thinking — I wasn’t really thinking, was I?” he asked to his mother. “Still friends?” he asked me.

“Still friends.”

We both knew the words were hollow. I switched seats in biology. One day, John and I got trapped walking down the same hallway. We joked weakly until my mother rounded the corner. An hour later, she yanked me into her office with my brother. This man is a monster, she said, and now you’re walking down the hall laughing with him? My brother fumed about how the school needed to expel him, to call the police. I sat with my face in my hands, telling them that everyone wanted me to be angry, but all I wanted was to have my friend back.

Hating Fred was much simpler. The violence of getting your head kicked into a locker is so obvious— I could either let it fester within me or redirect it. At night during that spring lacrosse season, I would stare at the knife rack in my kitchen and wonder what it would be like to make one of us bleed. I don’t think I really wanted to hurt him, or even myself. I just wanted him to go away. But John hadn’t hurt me in a way I understood. The standard call-and-response of bullying was gone.

So I did my best to disappear. I spent days down in the photo lab, bringing my lunch there to avoid the cafeteria. I took as many classes as I could. Empty space and time were to be feared. I pretended to search through my locker until the hallway was empty so I could walk to class alone. I tied and retied my shoes.

The next fall I dropped out of soccer. The coach didn’t ask why. John went to the varsity team and became class president. Every time he did something remotely public, someone would whisk me into an office and ask how I felt.

“It’s OK,” I would say. “I’m fine.”

By the end of senior year, my classmates would ask me periodically if I still went to school there.

The last time John and I spoke about what happened was senior spring. Each student was asked to give something called a “focus speech” to reflect on their time in high school. I emailed him that week to let him know I’d be talking about what happened between us.

“You were my best friend at the time,” he wrote back. “I can’t believe I messed that up so much.”

John wasn’t in the room when I gave the speech, but three of the other guys were. Afterward, one of them stood up and said he wanted to publicly apologize for what he participated in. The other two came to me later. Apologies are always awkward, and these were no exception. Our eyes never met.

For a long time, I didn’t hate the people in high school so much as I loathed the school itself for forcing me into this situation. The irony of our cultural anxiety over homophobic bullying is how people deplore it in teens even as it mimics the very policies of our most respected cultural and political institutions.

In that way, bullying isn’t a disease but a symptom of a larger social problem. We can gaze aghast at the horror of bullies every time a new tragedy surfaces, but asking where this violence truly comes from is much more difficult. The year after my school recorded its first case of cyber-bullying, the same administrator who cried in front of me in his office did his best to stop the school’s Gay Straight Alliance from hosting a queer prom. Lower-school parents, he explained to my friend who was planning the event, had seen posters in the high school hallways and didn’t want their children to be affected. I wonder if he ever questioned why there wasn’t a single openly gay teenager walking down those halls.

I’m grateful for one thing my school did, though. They forced all of us boys out of a little world where “gay” could mean anything and everything and into one where we had to look at each other and ask what we were doing. They were trying to foster our empathy.

But did it work? I still don’t know what the answer is.

One summer during college, I logged on to Facebook and saw one of the boys’ statuses unfold down my newsfeed. “Max is gay,” it read. Then a moment later, “Max is really gay,” followed by “Max is super hella gay.” Finally, it ended: “Thanks Dan for updating my status.”

I don’t know if John would still do the same. But I doubt it.

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Yannick LeJacq is a freelance writer and photographer living in New York City. His work has appeared in Kill Screen, The Wall Street Journal, The Atlantic, and other publications. You can follow him on twitter @YannickLeJacq.

A death that was also a birth

As a midwife, I've spent the last 30 years taking care of women in pregnancy. But nothing prepared me for this

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A death that was also a birth (Credit: Clara via Shutterstock)

The call came early in the morning. The 3-month-old granddaughter of my neighbor had finally succumbed to the illness she was born with. I am a midwife, but this call wasn’t about a birth. This time the call was from the mortuary.

I have spent the last 30 years taking care of women in pregnancy, birth and beyond. I use my hands to help bring life into this world. Over the past few years, however, I found myself using those very same hands in the performance of a Taharah, a Jewish ritual that prepares a dead woman for burial. Birth, life, joy, beginnings vs. death, decay, finality. Such a contrast! What could be more different? And yet, somewhere in my consciousness, there was a commonality. Caring for a woman in her life, preparing a woman for birth had a parallel in preparing a woman for burial. The act of helping a woman and her baby through their many transitions seemed analogous to helping the soul transition from this plane of existence to the next.

“Taharah” means “to purify.” Particular prayers are said and simple hand-sewn white linen garments dress the body. All this is identical for everyone, no matter how old, how young, how rich, how poor. During a Taharah, all are treated the same.

I performed my first Taharah, and it was more than I expected – more silence, more depth, more sensitivity. The concern of being with and touching a dead body left as soon as I entered the room. The midwife in me took over. The four members of our team worked quietly, with tenderness. The peace in the room was tangible and present, and our lady seemed to reflect that. Her entire body, as well as her face, seemed to relax as we completed the ritual, intoning the prayers. And the energy, amazingly, felt the same as at a birth — a feeling of completion, a palpable sense of the soul transitioning and a humble appreciation of the privilege of being there.

To perform the Taharah when a woman has lived out her life, has seen her children grow and have their own children, seems part of the natural logic of life. The first Taharahs I took part in were just that. This next Taharah, however, involved someone who had not lived a long life, had not lived to see her children grow, and this time, I was to be alone.

The call stunned me. I knew she was sick, but this wasn’t expected. Now the mortuary was asking, could I be the one to take care of her? I had never before performed a Taharah on a baby. My experiences with babies were of life, not of death. There was always joy, a new beginning. Here was unimaginable sadness, an ending.

As I looked at the tiny garments, it became real, and I worried about how I would react. My mind remembered my nursing training, when we were doing a rotation in the NICU and how I just couldn’t bear to be with sick babies. All I could think about were my own babies and I had cried to my instructor, “Just get me out of here!” Now I was going to be with this fragile body, with this baby who was no longer sick, but was actually gone.

I entered the room alone. I washed my hands in the correct ritual way, pouring water first over my right hand, then my left, right, left, right, left. I retrieved her body. She was so small, so light, wrapped in a clean sheet. It was time for the first prayer. “Master of the world! Take pity upon the present deceased for she is the daughter of Sarah, Rivkah, Rachel and Leah. May her soul rest among the righteous women.” I didn’t know what to expect as I began the unwrapping. She had been so sick, she had had so many invasive procedures and devices. What would she look like? I uncovered her slight form, and she simply looked as if she was sleeping. Did I detect the barest hint of a smile on her face?

I removed the IVs, the bandages and washed her carefully, talking softly to her and caressing her the whole time. I worried about her delicate, almost transparent skin. And then it was time for the ritual immersion. I would submerge her in the pool of water known as the mikvah, a symbolic act of purification, representing the body’s return to the womb, to the bath of the amniotic fluid, and the soul’s return to the original waters of Creation. I cradled her body, continuing my dialogue and immersed her in the ritual bath. Tears streamed down my face, falling into the water, as I repeated the prescribed words, “Tahorah he, tahorah he, tahorah he” … “She is pure, she is pure, she is pure.” The silence was piercing; time seemed irrelevant.

Finally the dressing. These garments, though they were the smallest ones, overwhelmed her tininess. I continued the ritual, placing her in the casket, then covering it. I ended with the ceremonial asking of forgiveness from her, just in the event that anything done was humiliating or disrespectful to her or had deviated from the tradition. I left the room and her.

Driving home in silence, my mind spun with the images of this Taharah. At the same moment I parked in front of my home, her grandfather pulled up across the street. Most of the time, the mourners don’t know who performed the Taharah and unless they ask, nothing is said. But as I looked at him, at the visible unspeakable grief on his face, I knew that I had to tell him. “I took care of her,” I said. His face and body seemed to dissolve. Recovering, he asked me to come across the street to his home, to talk with his wife and daughter. They needed my reassurance, he said.

The baby’s mother, his daughter, only wanted to know if her baby looked frightened. I told her how peaceful she looked, with that almost-smile I thought I had seen. That seemed to comfort her. Then there were a few more questions, many tears, and expressions of gratitude. It was clear that it was time for me to leave. They needed to do their mourning without me.

So why had I been drawn to participate in this ritual? Death carries with it such pain, and whether the death is that of a young person or an elderly one, there is great sadness. However, having watched women in birth, it’s so clear that pain is transitory. There is so much more than just the pain. And with death I believe that there is more than sadness. The process of the Taharah is perhaps a metaphor for what is left — the dignity and integrity of the person, the love that she experienced during her life and leaves as an inheritance to the ones close to her.

I find myself grateful to be part of a tradition that recognizes this and expresses our connection to the Creator, which treats everyone, even in death, with respect and caring. I feel privileged that I am able to participate in this final act for a woman, that I can be midwife to her spirit.

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Tova Hinda Siegel is a writer who lives in Los Angeles.

Interview With My Bully: The bully who asked me out

Caleb insulted my dead boyfriend in front of our entire class. Years later, I learned what he'd really been after

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Interview With My Bully: The bully who asked me out (Credit: Tad Denson via Shutterstock/Salon/Benjamin Wheelock)

My prep school may have been home to the offspring of politicians, federal judges and national media personalities, but first and foremost we were teenagers. And so in the spring of 1998, my class gathered in the school library to plan our senior prank.

“We should direct all highway traffic into the school parking lot!” somebody suggested.

“Let’s cover everything in Vaseline!” someone else said.

I played along, but I was having a tough time. Eight months before, my boyfriend Ben had been killed in a car accident. He’d been different from the other guys: almost preternaturally kind and, like me, overly intellectual. On the way to our junior prom, we’d sat in the limo discussing “The Great Gatsby.”

I knew Ben would have loved the senior prank a friend and I proposed — a series of odd, unexpected happenings throughout the day, like hiding alarm clocks in the ceiling panels, and switching teachers’ desks. But I’d barely started my presentation when Caleb Grossman (not his real name) cut me off.

“Jenny’s idea is stupid,” he announced to the class, some of whom began to snicker.

Caleb was Ben’s perfect foil, at least in my literature-obsessed brain. Both boys were brilliant, but Caleb was as cruel as Ben was virtuous. In English class, Caleb made frequent and obscene references to the nature of my relationship with our teacher. He criticized me during discussions. And I’d often catch him watching me with a malicious look that seemed to say: You’d better watch out, little girl.

“My prank is called the Plague of ’98,” Caleb continued. “We’re going to buy 10,000 grasshoppers and release them in the school.”

Pathetically, our high school mascot was the grasshopper.

“And how are we supposed to pay for 10,000 grasshoppers?” somebody asked.

“That’s easy,” Caleb said, then looked straight at me. “We’ll use the money from Ben’s memorial fund.”

I don’t remember how I removed myself from the front of the room. But the second I made it to safety, I started sobbing. I couldn’t stop. I cried through my free period, skipped my physics class, and was finally given permission to leave school early.

Before I left, a teacher made Caleb stand face-to-face with me in the school lobby.

“Sorry about what I said.” Caleb’s face was impassive. He might as well have been talking to a wall.

“OK,” I said, and walked away. But it was not OK. I felt furious. I felt bullied.

Of course, it’s not easy to define bullying. Look at the controversy over recent revelations about Mitt Romney’s high school behavior. What might be school-age antics to one person is violent assault to another.

So did Caleb’s treatment toward me constitute actual bullying? Even at the time, I feared I was overreacting. But as an adult, I can see that his aggressive, leering behavior in the classroom was a subtle kind of sexual harassment, and his outrageous comment about a boyfriend I was still mourning – a blow delivered in front of 120 classmates — felt like the culmination of a long, systematic campaign to wound the parts of my identity that mattered most.

Caleb and I didn’t speak after that debacle. Graduation came and went. I left for college, then moved to New York and became a journalist. I began writing a novel inspired by Ben’s death, and as I wrote, I thought about Caleb. Neither he nor I were the social crème de la crème of our school. We were both outcasts of a certain kind. In another world, we would have been united against more popular forces, not against each other. But instead, we were nemeses. Underdog fighting underdog became a central theme in my book.

As it turned out, Caleb had been thinking about me, too. A few years later, I received the following email:

Hi Jenny: This is Caleb — you may remember me, we went to school together for about ten years. I believe we may have played Orpheus and Persephone in Sue Jagger’s fourth grade production of the Orphic Tragedy. I have my own condo in Foggy Bottom and a job in the city, (where) I will be working for the immediate future. I also have my own car. Anyway, I hope everything is going well and look forward to hearing back from you soon! Caleb

The first thing I thought was: Of course I remember you. You made fun of my dead boyfriend in front of the entire senior class. The second thing was: I did not play Persephone in Sue Jagger’s fourth grade.

I read the note over and over, wondering why Caleb’s email sounded like he was proposing marriage in 16th-century Europe. “I have a fantastic job in the mud-pie-makers guild and can offer you five ducks and one cow,” it seemed to say.

But I couldn’t help myself: I wrote back immediately. I had to see what this was all about.

As it turns out, Caleb wanted to take me on a date. This seemed like a practical joke — a long-delayed maraschino cherry of meanness to drop on me, as if his mission hadn’t been completed. But my curiosity was too great. I said yes.

The day before our date, I received a lengthy, apologetic email from Caleb.

Jenny: I am embarrassed to say I was unable to get a prime time table at any of my favorite places — for instance Eric Ripert’s WestEnd Bistro. However, I have made alternative reservations for 8:30 at a few very viable locations.

Caleb proceeded to list restaurants and the qualifications of each, as if he were some Chamber of Commerce lackey: At Sabores, he wrote, “the dishes are scrumptious thanks to the mastery of Executive Chef Daniel Amaya. The atmosphere is hip and vibrant YET subdued and lounge-like.” At Matisse, he told me, “one of Washington’s foremost wine experts has combined the culinary and visual arts to complete an ambiance of dining bliss.” And finally, the email concluded, “A cheesy but perennial default favorite: Benihana. I have gotten a big kick out of the sense of community + belonging I get from dining with others (I come from a broken home).”

Talk about bizarre. The Caleb who was apparently trying to date me was so wildly different than the villain I’d created in my mind. He seemed less mean than awkward. Almost childlike.

My best friend from high school sent me a message: “Jenny, this is way too weird. will you call me before you go and when you get home?”

I went to meet Caleb, fully prepared to be stood up. I had chosen the “hip and vibrant YET subdued and lounge-like” Sabores, and picked a table in a well-lit part of the restaurant. Caleb arrived and proceeded to order us a ridiculous amount of food and ply me with drinks. I told him I was driving and had one cocktail. We had a stilted conversation over dinner, but I barely had the brain space to listen to him. I just kept wondering: What am I doing here? Does Caleb even remember what he said to me senior year? I didn’t bring it up, and neither did he. Instead, he flattered me incessantly, and I became so uncomfortable that I left early. I arrived home to find the following email:

Jenny: Thank you again for meeting me for dinner tonight. Seeing how as I had a crush on you since like fourth grade, it was sort of a dream come true! You have grown up to be a truly impressive woman and I hope we can stay in touch! Caleb

And there it was. An explanation.

All this time I thought he was a bully, but he was really a misguided kid, with an inability to read social cues.

When I was in the second grade and a boy made fun of me one day, my teacher said he was only doing it because he had a crush. Later, in fourth grade, it was Ben who had a crush on me, one that took me years to reciprocate, a fact about which I still harbored tremendous guilt.

Now, I felt like Caleb was attempting to shove himself into Ben’s role. He offered a hot-air balloon ride, a dinner cruise and, ironically, a pilgrimage to F. Scott Fitzgerald’s grave. But I didn’t want Caleb, a substitute for the boy I’d lost. I thought about all the experiences Ben and I had never shared, and I felt guilty all over again. I’d been so slow to see Ben for who he was, to figure out how good he would be in my life.

In the end, Caleb made a kind of confession — an acknowledgment that we’d been wrong about each other. In an email, he wrote:

With regard to the fourth grade Orphic Tragedy, I realize now that it was Rebecca Marshall — not you — who played Persephone to my Orpheus. I guess the mind (heart?) has a way of rewriting the past as it wishes it were!

I felt for Caleb. I understood his compulsion to strive after something he wanted so badly but would never have, because I felt the same way. But I also knew that the past couldn’t be rewritten or even revised. The last line of “The Great Gatsby” describes the current carrying ships ceaselessly into the past, but I wouldn’t let Caleb drag me back into those old struggles and adolescent longings.

I was forging ahead.

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Jennifer Miller's debut novel, "The Year of the Gadfly," is out now from Houghton Mifflin Harcourt.

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