Unheard No More: Dana Bowling’s Crusade for Endometriosis Awareness and Legislative Change

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Unheard No More: Dana Bowling's Crusade for Endometriosis Awareness and Legislative Change
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When Dana Bowling bravely stepped forward to recount her arduous journey with endometriosis, she brought to light the resilience required to navigate a world where medical professionals often dismiss women’s pain. Our heartfelt discussion takes you through Dana’s early struggles, the grueling road to diagnosis, and the relief that comes with validation from a compassionate gynecologist. Her candid narrative delves into the challenges of treatment options, including her experiences with medication like Lupron and the complexities surrounding fertility and excision surgeries.

Turning the page to advocacy, we tackle the intricate dance of healthcare legislation and the vital role personal stories play in influencing change. With Dana’s insights, we dissect the frustrating experience of amending bills rife with misinformation and how this affects everyone from prepubescent girls to post-menopausal women. The conversation invites you to the front lines, emphasizing the necessity of engagement with lawmakers and the strategies to make your voice resonate within the halls of power.

Rounding out our session, we celebrate the strength found in community and the importance of solidarity in advocacy. Dana illustrates the progress being made in New Jersey as she works to reintroduce bills that accurately address endometriosis, highlighting the successful changes and the impact of community support. Our exchange culminates in a moment of gratitude for the platform this podcast provides, enabling stories like Dana’s to inspire and unite those on similar paths, underscoring the message that you are not alone in this fight.

NJ Petition
https://www.change.org/p/support-endometriosis-legislation-in-new-jersey

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Website endobattery.com

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Navigating Endometriosis Advocacy and Awareness

Alanna
0:03

Welcome

to

Indobattery
,

where

I

share

about

my

endometriosis

and

adenomyosis

story

and

continue

learning

along

the

way
.

This

podcast

is

not

a

substitute

for

professional

medical

advice

or

diagnosis
,

but

a

place

to

equip

you

with

information

and

a

sense

of

community
,

ensuring

you

never

have

to

face

this

journey

alone
.

Join

me

as

I

navigate

the

ups

and

downs

and

share

stories

of

strength
,

resilience

and

hope
.

While

navigating

the

world

of

endometriosis

and

adenomyosis
,

from

personal

experience

to

expert

insights
,

I'm

your

host
,

elana
,

and

this

is

Indobattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

Indobattery
,

grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

my

guest
,

dana

Bolling
,

and

I

at

the

table
.

Dana

is

an

endowyer

that's

taken

her

passion
,

due

to

lived

experience

and

skill

set
,

to

continue

advocating

for

those

affected

by

endometriosis
,

and

specifically

in

New

Jersey
.

Thank

you
,

dana
,

so

much

for

joining

me

today

and

taking

your

time
,

and

I'm

excited

for

our

conversation
.

Dana
1:07

Thank

you

so

much

for

having

me
.

It's

an

honor

to

be

asked
.

Alanna
1:10

Yes
,

the

reason

I'm

excited

to

have

you

on

today

is

because

you've

been

doing

a

lot

of

advocacy

work

outside

of

what

we

typically

see

in

advocacy
.

You

are

working

on

a

state

level
,

within

the

legislature
,

to

advocate

for

those

of

us

with

endometriosis
.

But

before

we

get

to

that
,

you

didn't

get

there

overnight
.

You

have

a

story

that

led

you

to

this

point
,

that

led

you

to

really

become

more

passionate

about

making

sure

that

those

of

us

with

endometriosis
,

specifically

in

New

Jersey
,

which

is

where

you're

located
,

have

better

care

and

access

in

the

legislative

arena
.

So

can

you

enlighten

us

a

little

bit

on

your

story

and

what

drove

you

to

this

point
?

Dana
1:57

Yeah
,

absolutely
,

and

you're

so

right

you

don't

have

to

do

that

kind

of

work
,

especially

on

a

volunteer

basis
,

out

of

nowhere
.

So

for

me

I

started

having

symptoms

like

a

lot

of

us

do

in

the

middle

school

age

range

going

to

the

nurse

once

a

month

for

headaches

and

belly

aches
,

and

a

million

and

one

trips

to

the

ER

to

rule

out

appendicitis

and

all

of

those

things
.

And

you

kind

of

get

labeled

as

the

dramatic

child

or

you're

trying

to

get

out

of

class

and

I

didn't

think

that

those

things

were

true
.

But

after

a

while

you

really

start

to

believe

them

and

it

starts

to

kind

of

affect

your

own

thoughts

about

yourself
.

And

it

was

many
,

many

years

of

that
.

So

that

was

sort

of

the

status

quo

for

me

for

middle

school
,

high

school
,

college
,

I

went

into

law

school

and

I

kind

of

started

to

really

believe

that

maybe

I

was

weak

and

all

women

really

do

have

this

kind

of

pain
,

and

it

really

changed

my

own

perceptions

about

myself
.

And

then

I

was

not

diagnosed

until

my

late

twenties
.

Dana
2:50

I

started

having

things

really

got

bad

in

the

early

to

mid

twenties

and

I

was

missing

work
,

which

you

know

for

a

full

time

practicing

attorney

is

not

a

good

thing
.

Yeah
,

the

firm

I

worked

for

was

not

impressed
.

I

was

the

only

female

attorney

in

the

firm

and

so

it

didn't

really

do

anything

to

bolster

their

opinion

of

female

attorneys
,

and

so

I

tried

to

just

get

it

out
.

That

was

sort

of

my

method

of

just
,

you

know
,

grin

and

bear

it
,

gut

it

out
,

get

through
,

but

it

was

exhausting
.

It

took

a

toll
,

yeah
,

and

so

you

know

again
,

a

bunch

of

different

ER

trips

it

was

just

this

constantly

out

of

appendicitis
,

but

nobody

really

had

any

other

idea

of

what

it

could

be
.

Dana
3:23

I

went

to

my

primary

care

physician

it

was

one

of

you

know

gosh
,

who

knows

how

many

visits

to

him

and

he

said

you

know
,

I

wonder
,

there's

this

thing

called

endometriosis
.

I

wonder

if

maybe

that's

what

you've

got
.

And

I'd

never

heard

the

word

before
.

I

didn't

know

what

it

meant
,

and

so

I

looked

it

up

and

it

sounded

like

it

was

spot

on
.

So

he

recommended

that

I

contact

a

specific

gynecologist
,

someone

he

knew

about

his

in

the

area
,

to

see

what

he

thought
.

And

my

own

gynecologist

had

really

um

at

the

University

of

Pennsylvania

gynecologist

I'd

gone

to

through

many

doctors
.

At

that

point

I

think

in

my

mind

it

had

to

be

related

to

the

period

in

some

way
,

because

symptoms

were

worse

than
,

especially

when

I

was

younger
,

and

you

know

she

very

much

reinforced

the

narrative

that

you

know

all
,

when

I

go

through

this
,

all

women

feel

pain
.

You're

okay
,

we'll

put

you

on

birth

control
,

you'll

be

all

right
.

Just

you

know

toughen

up
.

Dana
4:11

You're

okay
,

um
,

kind

of

a

buck

up

on

her

cup

sort

of

a

philosophy
.

And

so

I

did
.

It

was

my

first

experience

with

a

male

gynecologist
.

I

was

a

little

bit

nervous
,

but

he

was

the

first

one

who

listened

to

me

and

he

said

you
,

I

think

you

absolutely

have

endometriosis
.

Um
,

you

know
,

I

can't

prove

it

without

surgery

and

I

don't

know

that

we

want

to

cut

you

open
.

You

know
,

he
,

he

was

not

an

excision

specialist

by

any

stretch
,

um
,

but

he

did

at

least

validate

what

I

was

experiencing
,

which

went

a

long

way
.

Dana
4:39

And

at

that

point

he

very

much

pushed

Lupron
.

Lupron

was

his

answer

to

everything
.

And

I

was

checking

out

of

the

office

that

day

and

the

nurse
,

um
,

you

know
,

stopped

me

to

make

my

appointment

for

my

first

Lupron

injection

and

she

said

whatever

you

do
,

do

not

Google

it
,

just

don't

do

it
.

You

don't

want

to

read

it
,

you're

going

to

be

scared
.

People

lie
,

they

make

up

stories
,

do

not

be

quick
.

And

that

was

a

little

bit

alarming
.

Yeah
,

it

was
.

That

was

odd
.

So

I

made

the

appointment
,

you

know
,

with

a

skeptical

feeling

about

it
,

and

I

went

and

helped

one
.

Alanna
5:11

Of

course

I'd

Google

it

immediately

to

see

what

she

was

trying

to

stop

me

from

seeing
,

it's

like

telling

the

kid

not

to

put

their

hand

on

the

stove
,

and

then

you

put

their

hand

on

the

stove
,

it's

going

to

burn

you
.

You

know
,

it's

kind

of

that

same

concept
.

Dana
5:22

That's

it
,

but

I'm

thrilled

that

she

did
,

because

I

never

well
,

I

don't

know

if

I

would

have

realized

just

how

awful

an

approach

that

was
,

had

I

not

been

so

alarmed

by

her

trying

to

keep

me

from

seeing

it
.

Alanna
5:33

And

so
.

Dana
5:33

I

called

back

and

said

no
,

no
,

we're

going

to

cancel

that

appointment
.

So

I

canceled

it

and

went

back

in

three

months
.

It

was

the

typical

come

back

in

three

months
,

we'll

see

how

you're

doing
.

And

he
,

you

know
,

wasn't

really

thrilled

that

I

had

declined

the

injection

and

I

just

said
,

you

know
,

I

told

him

that

I

was

just

scared
,

I

didn't

like

the

idea

of

it
.

You

know

I'd

been

on

birth

control

and

so

many

different

kinds

of

birth

control

that

the

idea

of

having

such

a

substantial

like

January
,

january
,

january
,

january
,

january
,

it

just

it

was

scary

to

me
.

So

he

very

reluctantly

agreed

to

do

surgery
.

He

was

not

eager

to

do

it
,

said

you

know
,

you're

kind

of

leaving

us

no

choice
,

but

this

way

we'll

at

least

be

able

to

to

tell

what

you

have

and

we'll

know

for

sure
,

and

then

then

we

can

do
.

Lou

Prun

and

I

said

okay
,

sure

whatever

you

say
.

Dana
6:12

So

he

scheduled

the

surgery

and

lo

and

behold
,

of

course

it

was

extensive
,

you

know
,

stage

four
,

endometriosis
,

and

back

then

this

was

so
.

I

was

maybe

15
,

20

years

ago

now
,

probably

15

years

ago
,

and

he

did

ablation
.

You

know
,

excision

wasn't

well

but

it

didn't

exist
.

It

was

a

thing
,

but

not
,

you

know
,

it

wasn't

commonly

available
.

It

still

isn't

now
,

but

it

was

more

hard

to

come

by

then
.

Yeah
.

Dana
6:34

So

I

had

surgery

after

surgery
,

after

surgery

after

surgery
,

with

him

doing

ablation
,

and

my

mom

and

I

have

lost

count
.

We

went

back

you

know
,

she

was

kind

of

my
,

my

buddy
,

who

got

me

through

all

of

that
.

She

was

my

you

know
,

my

care

person

and

we

can't

figure

out

exactly

how

many

there

were
.

We

kind

of

lost

count
.

But

there

were

many

ablations

and

of

course

things

got

worse

as

they

do
,

because

ablation

is

not

the

approach

you

need

to

take
.

I

regret

having

not

done

further

research

into

it

back

then

because

it

made

my

situation

a

lot

worse

and

otherwise

it

would

have

been

the

scarring

and

just

some

of

the

other

damage
.

You

know
,

the

insides

of

my

body
.

Yeah
,

but

I

did

it
.

Alanna
7:09

I

didn't

know

any

better
.

I

don't

think

any

of

us

do
,

and

that's

like

I

want

to

just

highlight
.

That

is
,

that

we

do

the

best

with

what

we

know

at

the

time
,

and

15
,

20

years

ago
,

the

information

wasn't

as

readily

out

there
.

You

can't

just

you

know
,

I

sat

and

Googled

the

same

thing

about

endometriosis

and
,

to

be

fair
,

there

just

wasn't

a

lot

out

there
.

Dana
7:31

It

wasn't

accessible
,

mary

Lou

Ballweg

and

her

organization
,

the

Endosu
,

the

Busundo

Association
,

and

I

think

it's

changed

names
.

Don't

quote

me

on

that
,

but

her

organization

was

the

only

one

that

really

existed

back

then

and

I

didn't

even

find

that

until

a

few

years

into

having

all

of

these

ablation

surgeries

and

I

realized
,

my

God
,

this

is

insane
.

I

can't

keep

missing

work

to

have

surgery

every

year
.

This

is

just

like

they're

going

to

fire

me

and

they

weren't

thrilled
,

but

again

they

had

to

deal

with

it
.

It

was

a

womanly

thing

that

they

felt

like

they

had

to

deal

with

and

so

they

kept

me

but

and

I

had

the

insurance

to

cover

it
,

which

was

great
.

But

I

finally

I

found

Mary

Lou

Ballweg

and

learned

a

little

bit

more

about

Endosu

for

her

organization

no-transcript
,

it

was

the

timeline

is

a

little

foggy

Many

years

after

that

I

learned

about

excision

and

there

were

the

little

diagrams

that

you

see
,

like

the

little

cartoon

images

with

you

digging

out

the

weed

versus

like

bloat

forging

the

weed
.

Dana
8:25

So

I

found

my

way

to

Timer

Sutchkin

in

New

York

City
.

It

was

one

of

the

co-founders

of

EFA

and

Demetriosis

Foundation

of

America

and

I

saved

my

pennies

so

that

I

could

go

and

have

a

consult

with

him
,

and

I

took

the

train

to

New

York
.

It

was

a

super

exciting

day

and

at

the

appointment

did

not

go

well

for

me

and

I

did

not

permit

him

to

operate
.

It

was

a

negative

experience

and

it

didn't

go

well
.

So

I

made

my

way

home

completely

defeated

at

that

point

because

I

had

no

idea

what

to

do
.

So

I

decided

that

I

just

wasn't

Navigating Endometriosis Treatment Frustrations

Dana
8:53

.

I

knew

enough

at

that

point

based

on

what

I'd

learned

from

Mary

Lou
,

and

even

the

Timer

Sutchkin's

website

at

that

point

did

explain

the

difference

between

excision

and

ablation
.

I

at

least

learned

that
.

So

I

knew

that

going

back

for

more

ablation

surgeries

was

only

going

to

make

a

bad

situation

worse
.

And

I

also
,

because

of

that

experience
,

learned

that

for

me

excision

specialists

were

not

a

good

choice
.

It

was

an

awful

experience

and

I

decided

foolishly
,

but

I

decided

that

no

care

was

better

than

that

care
,

than

bad

care
.

Dana
9:26

So

I

refused

to

see

a

gynecologist

for

years
.

I

refused

to

have

any

sort

of

Demetriosis

care

or

surgery

or

anything
.

And

I

thought

well
,

you

know
,

grinn

and

Barrett

got

it

out

his

work

for

me

this

long
.

I'll

just

do

that

forever
,

it's

fine
.

And

at

that

point

the

belief

was

once

you

hit

menopause
,

you're

A-okay
,

all

you

have

to

do

is

get

pregnant

not

all

by

some

time

and

then

hit

menopause

and

you'll

be

okay
,

which
,

of

course
,

now

that

was

completely

ridiculous
,

but

at

the

time

that's

what

I

thought
.

So

I

did

seek

out

the

option

of

freezing

eggs
,

and

they

told

me

I

was

too

young

and

freezing

eggs

would

not

be

successful
.

They

needed

to

be

fertilized

embryos
.

And

I

went

back

a

few

years

later

and

they're

like

oh

well
,

now

you're

too

old

and

I'm

too

young
.

Now

I'm

too

old
,

oh

gosh
.

I

just

wanted

to

preserve

that

option
,

yeah
.

Dana
10:09

So

yeah
,

I

went

without

care

for

a

long

time

and

then

it

just

got

to

a

point
.

Of

course
,

as

you

can

imagine
,

the

endo

just

proceeded

to

grow

and

grow

and

I

was

on

a

combined

birth

control

pill

with

a

pretty

hefty

amount

of

estrogen
,

which

I

don't

know

that

it

was

ideal
,

again

looking

back
,

but

it

made

life

tolerable
.

It

was

the

Junnell

1.530
.

So

it

was

a

hefty

dose

of

estrogen

in

the

pill
,

which

likely

didn't

help

the

actual

progression

of

my

disease
,

but

it

managed

the

symptoms

enough

that

I

could

get

through
.

And

then

I

totally

couldn't

anymore
,

and

it

was

in

2020
,

things

were

really

bad
.

I

was

really

sick

and

realized

that

I

was

gonna

have

to

figure

something

out
.

So

I

went
,

got

to

social

media
,

got

on

the

computer
,

did

some

more

research

to

try

to

figure

out

who

in

the

world

I

was

gonna

see
.

Right
.

Dana
10:50

And

I

found

a

doctor

here

in

South

Jersey

who

was

kind

of

a

self-proclaimed

endometriosis

specialist
.

Spoiler

alert
,

he

was

not
,

he

fancied

himself

to

be
.

So

I

made

an

appointment

with

him

and

he

said

all

of

the

right

things
.

He

did

excision
,

it

would

be

a

thorough

excision
.

He

agreed

to

look

around

the

abdomen
,

not

just

in

the

pelvis
,

because

we

knew

historically

my

disease

had

gone

above

the

pelvic

brim
,

you're

up

into

the

upper

abdomen
.

Dana
11:12

And

I

thought

great

like

oh
,

thank

God

I

found

someone

he's

a

very

nice
,

sweet

little

man

and

he

couldn't

be

any

nicer
.

And

so

I

had

that

excision

surgery

and

by

the

time

I

waited

for

the

appointments

in

the

surgery

date

it

was

July

of

2021
.

So

it

ended

up

being

a

pretty

extensive

surgery
.

I

developed

frozen

pelvis

at

that

time
,

so

it

ended

up

being

a

more

complicated

surgery

than

I

think

he

thought

it

would

be

when

he

went

in
.

So

I

was

in

the

hospital

for

a

day

or

two

and

I

think

that
,

while

he

was

definitely

a

decent

excision

surgeon
,

I

don't

think

he

was

equipped

with

the

knowledge

and

expertise

and

skills

to

address

a

frozen

pelvis

situation
.

You

know
,

I

think

a

stage

one
,

stage

two

excision

they

had

been

within

his

scope
,

I

think

you

know

anything

more

extensive

than

that

likely
?

It

was

not
,

and

so

I

very

quickly

got

a

whole

lot

worse
.

Dana
11:57

But

they

lost

my

photos

so

they

had

to

dig

those

back

up
.

Oh

my

gosh
.

Yeah
,

we

took

like

six

of

them

and

then

probably

lost

them
.

Oh

my

gosh
.

But

thankfully

he

had

asked

if

he

could

use

it
.

He

was

a

teaching
.

He

teaches

through

one

of

the

local

programs

and

he

asked

if

he

could

use

my

photos

as

examples

in

his

class

and

I

said

sure
,

and

so

he

had

downloaded

a

separate

copy

of

my

photos

to

use

for

teaching

and

that

was

how

we

were

able

to

recreate

them
.

I

kind

of

had

to

really

nag

him

a

little

bit

to

copy

those

photos

for

me

and

he

finally

agreed

to

after

arguing

for

a

little

bit
,

so

I

was

able

to

get

them

and

I

realized

that

I

was

so

much

worse

after

the

surgery
,

I

think
,

being

they

didn't

do

a

whole

heck

of

a

lot

to

prevent

adhesions

and

I

think

again
,

without

clean

skill
,

without

clean

technique

you

know

they

didn't

use

tools

like

the

CO2

laser
.

You

know

staff

size

they

use

kind

of

different

techniques

that

cause

more

scarring

and

adhesions
.

So

I

decided

I

needed

to

kind

of

up

the

ante

a

little

bit

and

I

did

a

free

records

review

with

Dr

Cenerbel

at

CEC

and

that

was

within

three

or

four

weeks

of

I

wanna

say

it

was

in

August
,

so

within

a

couple

of

weeks
.

And

Dr

Cenerbel
,

you

know

bless

him
.

He

read

my

story

and
,

you

know
,

went

through

the

files

and

called

and

agreed

to

do

surgery
.

So

I

ended

up

having

another

surgery

in

October

of

2021
.

Dana
13:10

So

three

months

later
,

wow
,

but

I

was

grateful

for

the

opportunity

to

be

able

to

do

that
,

which

I

know

is

a

huge

privilege

to

be

able

to

get

that

care
,

yeah
,

and

so

we

went

there

and

that's
.

We

had

a

really

frank

conversation
.

You

know
,

do

you

want

this
,

as

best

we

can
,

to

try

to

be

your

last

surgery
?

And

I

just

said
,

absolutely

I

want

you

to

do

whatever

you

can

do
.

Yeah
,

there's

something

to

take

out
,

take

it

out

If

there's

you

know

anything
,

be

aggressive
.

I

don't

want

to

be

conservative

anymore
.

I've

had

it

done

with

this
.

Dana
13:35

So

we

agreed

for

a

wide

excision
.

We

agreed

for

the

hysterectomy

to

take

place

Again
,

keeping

ovaries
,

with

the

idea

that

that

would

hopefully

stave

off
,

and

I'll

pause

a

little

bit
.

So

we

planned

to

remove

uterus
,

the

tubes
,

the

cervix
,

wide

excision

everywhere
.

There

was

some

bowel

involvement

that

we

knew

about

but

likely

wouldn't

eat

a

full

resection
,

and

it

didn't
.

He

was

able

to

shave

in

several

spots
,

which

was

great
.

Dana
13:54

And

then

I

also

had

a

VATS

procedure

with

Dr

Goldman

down

there
.

So

they

looked

on

the

right

side

of

the

chest
,

up

into

the

lung
,

the

diaphragm
,

all

that

stuff

on

the

right

side
,

and

then

they

brought

in

a

general

surgeon

to

remove

my

gallbladder

at

the

same

time
.

So

it

was

a

big

surgery
,

yeah
,

but

it

helped

a

whole

lot
.

You

know

I'm

certainly

not

pain

free
.

I

think

that

the

degree

of

damage

that

was

done

before

that

surgery

was

so

extensive

that

you're

only

going

to

get

so

much

better

after

that
.

So

I

wish

I

had

known

20

years

ago

to

seek

that

level

of

care
,

but

I

didn't
,

and

it

has

helped

tremendously
.

It's

since

then
.

It's

been

a

hormonal

journey
.

Alanna
14:28

I'm

trying

to

figure

out

how

in

the

world

to

balance

things

after

the

obstructive

end

man
,

the

hormones

we

were

talking

about

that

a

little

bit

ago

and

this

is

kind

of

you

know
,

something

that

I

felt

maybe

a

phrase

that

I've

used

is

it

feels

like

the

secondary

effects

of

a

neutriosis
,

because

you're

having

to

have

this

surgery

right
.

For

me
,

I

had

both

my

ovaries

and

my

uterus

removed

and

it

just

felt

like

because

I

had

to

have

that
,

now

I

have

to

deal

with

these

hormones

and

it's

so

frustrating

and

it's

not

well

known

and

it's

not

well

researched
,

and

so

that

becomes

even

more

frustrated

and

so

it's

kind

of

you

know
,

the

endometriosis

we

have
.

The

one

side

of

this

is

the

disease

right
,

and

this

is

what

you

dealt

with

for

years

of

trying

to

navigate

the

best

care

you

could

for

your

disease

and

having

setback

after

setback

and

not

just

setback

but

roadblocks

and

trauma

and

all

the

things

that

kind

of

come

with

a

less

known

disease
,

even

though

they

think

they

know

it

right
.

Alanna
15:27

So

it's

kind

of

a

frustrating

point

to

get

to

that

point

of

getting

good

care

and

proper

treatment

and

then
,

on

the

other

side

of

it
,

need

more

care

and

more

treatment
.

That

is

not

well

understood
.

I

mean

not

to

get

people

false

hope
,

but

this

is

the

reality

that

we

need

to

talk

more

about
.

Is

it's

like

yes
,

excision

first

step
,

finding

a

great

excision

specialist

is

ideal
,

but

that's

not

the

case

for

most

of

us

that

have

been

dealing

with

it

for

years
.

And
,

like

you

said
,

you

know

you

didn't

know

what

you

didn't

know

because

there

wasn't

a

lot

out

there
.

And

then

you

get

the

help

you

need

and

we're

still

gonna

struggle

some
.

We've

had

this

for

years
.

Dana
16:08

This

has

been

our

constant

companion

for

many

many

years

and

I

feel

like

there's

so

many

stages

to

the

journey
.

There's

the

first

stage
,

which

is

just

from

symptom

onset

to

diagnosis

right
.

And

that

takes

far

too

long

for

the

vast

majority

of

us
.

And

then

you

move

forward

from

diagnosis

to

actual

appropriate

excision

treatment

which

again
,

may

or

may

not

be

accessible

for

everyone
.

And

then

we

move

on

from

excision

for

the

rest

of

your

life
,

which

is

managing

that

cascade

of

dominoes
.

Right
.

Dana
16:38

That

is

the

result

of

both

endo

and

the

treatment
,

whether

that's
.

We

know

hysterectomy

doesn't

treat

endometriosis
,

but

I

also

had

adenomyosis
,

which

many

Right

they

tend

to

run

together

in

a

lot

of

us

and

so
,

whether

it's

hysterectomy

or

whether

it's

the

fallout

from

having

endo

on

the

bladder
,

on

the

bowel
,

wherever

it

is
,

it

can

cause

so

many

other

issues
.

Public

floor

rehabilitation

there's

so

much
,

so

much
.

Alanna
16:59

Well
,

and

it's

not

just

even

the

physical
,

it's

the

mental
,

because

the

fallout

mentally

is

so

hard
.

And

I

don't

know

if

you

experienced

this
,

but

I

certainly

have

had

my

share

of

regrets

and

there's

things

that

I

couldn't

have

changed
.

But

in

my

mind

I'm

replaying
.

Well
,

I

wish

I

would

have

done

this

better
.

I

wish

I

would

have

done

this

better
,

and

really

sometimes

that's

almost

more

traumatizing

than

what

happened
,

because

you're

beating

yourself

up

constantly

about

your

own

care
.

But

the

reality

of

that

is

is

we

can't

be

expected

to

know

more

than

the

doctors

all

the

time
.

Dana
17:35

Exactly
.

You

do

the

best

you

can

with

what

you

know

and

your

resources

at

the

time
.

And

you

can't

criticize

yourself

because

you

didn't

know

better

before

you

knew

better
.

Once

you

do

better
,

then

you

try

to

do

better
.

But

it's

a

constant

climbing

the

mountain

and

you

find

one

little

peak

where

you

can

look

out

and

you're

like

okay
,

great
,

I

finally

have

a

diagnosis
.

Dana
17:54

And

then

you

keep

climbing

that

mountain

until

you

get

to

the

excision

plateau

and

you

look

out

and

see

the

view

and

it

looks

rosy
.

And

then

you

keep

climbing

again

to

deal

with

all

of

the

other

hurdles
.

And

the

mental

struggle

with

that

is

not

to

be

dismissed
.

It

gets

hard
,

it

takes

a

toll
,

it's

taxing
.

Alanna
18:12

And

then

you

add

finances

on

top

of

that

for

a

lot

of

us
,

right
,

that's

it
,

and

that's

the

first

thing
,

the

stuff

from

the

spreadsheet

none

of

it
.

Alanna
18:19

No
,

and

you're

like

when

am

I

ever

going

to

be

done
?

When

am

I

going

to

be

done

searching

for

something
?

Or

when

am

I

going

to

be

done

just

trying

to

find

a

new

normal

or

whatever

that

looks

like

in

your

life
.

It's

stressful

when

you

put

that

into

play

with

the

finances

and

trying

to

get

a

better

quality

of

life
,

and

that's

challenging
.

Was

this

journey

through

working

in

a

professional

field

that's

typically

male

dominated
?

Probably

Was

that

kind

of

a

catalyst

to

then

being

an

advocate

within

the

legislative

arena

in

New

Jersey
.

Was

that

kind

of

the

catalyst

for

you
?

What

was

that

catalyst

and

what

are

you

doing
?

I

guess

that's

a

better

question
.

What

are

you

doing

because

of

that

catalyst
?

Dana
19:06

Absolutely
.

That's

a

great

question
.

So

because

of

my

history

working

as

an

attorney

for

many

years
,

I'm

familiar

with

the

process

and

how

it

works
,

and

I

saw

it

was

a

social

media

announcement

was

that

a

New

Nature's

Foundation

had

announced

that

they

were

working

with

a

New

Jersey

Assemblywoman
,

assemblywoman

Spate
,

to

pass

a

package

of

bills

related

to

menstrual

health
,

and

so

there

are

some

great

bills

in

that

package

that

relate

to

period

poverty

issues
,

allowing

food

banks

to

utilize

their

funding

to

purchase

period

supplies

and

a

lot

of

other

related

bills

that

are

fantastic
,

and

I

think

that

the

Assemblywoman

has

the

world's

best

intentions
.

I

really

think

that

she's

well

intended
,

but

I

think

that

she

has

confirmed

that

she's

received

all

of

her

education

and

information

from

EFA

and

they

are

primarily

a

retrograde

menstruation-based

organization
.

I

don't

agree

with

promoting

that

theory

At

this

point
,

based

on

research

of

Dr

David

Redline
,

you

and

others

in

the

field
.

I'm

not

a

personal

proponent

of

that

theory

at

all
.

Dana
20:01

And

so

it

was

concerning

to

me

when

I

learned

that

retrograde

menstruation

theory

was

going

to

form

the

basis

of

endometriosis-related

legislation

in

New

Jersey
.

So

I

started

digging
.

There

are

package

of

bills

again
,

there

are

several
,

but

then

they're

split

up

into

lots

of

little

teeny

tiny

parts
,

but

the

gist

is

that

they

were

trying

to

create

a

program
,

an

awareness

program

and

also

a

screening

program

for

folks

who

are

likely

to

suffer

from

endometriosis
,

and

I

think

that

those

are

really

laudable

goals

and

I

want

to

be

sure

I'm

super

clear

about

that
.

I

think

they're

great

goals
,

but

there

are

some

issues

with

the

wording
.

A

lot

of

the

issues

that

we

see

with

misinformation

and

endometriosis

are

present

in

those

bills

and

so
,

because

of

my

history

as

an

attorney
,

I

was

familiar

enough

with

the

process

to

be

able

to

actually

try

to

engage

in

it
.

Dana
20:43

And

I

have

the

time

to

be

able

to

do

it

now
.

So

it's

kind

of

where

that

started
.

Legislation Impacting Menstrual Health Awareness

Alanna
20:47

Are

these

bills

that

you

are

seeing
,

bills

that

are

primarily

for

menstruation

and

we

talk

about

it

being

their

view

of

menstrual

disorder
?

And

we

know

that

this

is

not
,

and

I'm

sure

that

and

I

don't

want

to

put

words

into

your

mouth
,

but

I'm

sure
,

because

of

your

experience
,

it

even

fired

you

up

more

to

say

this

is

why

I

can't

agree

with

this

theory
.

Your

experience

led

to

that

point
.

But

what

kind

of

legislation

are

they

proposing
?

Because

if

they

have

this
,

it's

a

menstrual

disorder

and

we

know

that

it's

not
.

Are

they

focusing

primarily

on

fertility

or

just

period

product
?

What

is

it

that

they

are

primarily

trying

to

achieve
?

Dana
21:31

So

the

two

primary

bills

that

I

focus

my

efforts

on

are

related

to
,

again
,

an

awareness

campaign

in

a

screening

program

and

they

are

couched

as

being

menstrual

health

bills

that

is

sort

of

the

phrase

they're

using

overall

menstrual

health

screening

program

or

awareness

program
.

So

they've

lumped

PCOS

and

endometriosis

in

together

on

those

bills

and

I

understand

that

primarily

women's

issues
.

The

bills

had

a

lot

of

language

that

excluded

folks

who

suffer

from

extra

pelvic

endo
,

which

is

something

I've

had

it

on

the

bladder
,

the

bowels
,

the

gallbladder
,

the

appendix
,

you

know
,

all

over

the

place
.

I

also

sit

on

the

board

of

extra

pelvic

not

rare

out

on

the

West

Coast

when

you

bang

up

this

organization

and

so

I'm

intimately

familiar

with

a

lot

of

the

extra

pelvic

endometriosis

issues

that

arise

a

lot

of

our

folks
.

And

none

of

that

was

recognized

in

the

legislation
.

They

were

targeting

women

of

reproductive

age

and

I'm

drawing

a

blank

right

now

I

don't

have

the

brain

fog
.

Dana
22:24

I'm

drawing

a

blank

in

the

language

that

you

use
,

because

it's

different

in

each

bill
,

the

little

phrases

are

just

a

tiny

bit

different
,

but

essentially

women

of

reproductive

age
,

15

to

44
.

So

it

completely

ignored

pre-peabescent

girls

or

folks

who

don't

identify

as

female

post-menopausal

women
.

You

know
,

a

lot

of

us

fall

outside

of

that

range
,

we're

not

menstruating

individuals

between

15

and

44
.

And

so

huge

categories

of

endometriosis

sufferers

were

going

to

be

missed

by

these

pieces

of

legislation
,

and

that

was

concerning

to

me
.

They

also

specifically

explained

endometriosis

essentially
,

as

you

know
,

again
,

being

a

menstrual

disease
,

retrograde

menstruation

being

the

cause
,

and

that

the

cause
,

the

reason

we

all

feel

pain

is

because

these

lesions

bleed

every

month

and

cause

pain
.

So

it's

just

full

of

chock
,

full

of

misinformation
,

and

so

I

went

to

work

trying

to

change

it

and

we've

been

successful

in

getting

some

small

changes

made
.

The

big

changes

have

yet

to

be

completed

and

I

don't

know

if

they

will

be

at

this

point
,

unfortunately
.

Alanna
23:21

The

reason

this

matters

so

much

and

the

reason

the

verbiage

matters

so

much

is

because

when

we're

looking

at

the

doctors

who

are

caring

for

us

and

they're

looking

at

the

legislative

piece

of

it

because

that

ultimately

can

govern

a

lot

of

other

avenues

right
,

it's

important

to

get

it

right
,

because

they're

basing

a

lot

of

their

information

and

their

ideas

off

of

these

things
.

So

it's

it

kind

of

is

like

a

perpetuating

issue
.

Right
,

it's

a

chain

effect

issue
.

It's

not

just

a

separate

piece

of

the

endometriosis

advocacy
,

it's

a

whole

thing
,

if

you

will
.

You

know
,

probably

not

explaining

that

well
,

but

I

think

it

is
.

It's

a

chain

reaction

of

our

care

and

when

we're

pushing
,

you

know

we

want

better

care

for

those

with

endometriosis

it

really

starts

everywhere
.

It

starts

in

the

laws

that

are

governed

that

are

supposed

to

help

us
,

but

don't

because

they're

not

getting

it

right
.

So

it

matters
,

that's

exactly

right
.

Dana
24:19

And

these

pieces

of

legislation

specifically

delegated

authority

for

implementing

this

awareness

campaign

and

the

screening

program

to

our

state

department

of

health
,

and

one

of

them

actually

contained

an

instruction

to

obtain

information

from

the

EFA

and

the

Metriosis

Foundation

of

America

in

order

to

create

those

programs
.

And

while

I

applaud

the

concept

of

seeking

help

from

nonprofits

in

the

community
,

I

don't

think

we

need

to

be

having

retrograde

administration

folks

writing

our

legislation
,

because

that's

what's

going

to

our

doctors

in

the

state
,

that's

what's

determining

who's

going

to

be

identified

by

that

awareness

campaign

and

screening

program
,

and

so

when

you've

got

a

12

year

old

who's

having

issues

and

bell

aches
,

she's

not

going

to

be

captured

by

that

program
.

Dana
25:01

And

when

you've

got

the

45

year

old

you

know

who

had

a

hysterectomy

years

ago

but

is

still

having

problems
,

she's

not

going

to

be

captured

by

those

programs
,

she's

not

included
.

Or

if

you

have

transgendered

individuals
,

they're

not

going

to

be

captured

by

those

programs
.

So

we're

leaving

out

huge

categories

of

folks

and

completely

ignoring

a

lot

of

the

just

the

fact

that

many

of

us

are

identified

because

we

present

with

other

symptoms

first
,

not

necessarily

period

symptoms
,

but

you

know
,

irritable

bowel
.

We've

all

gotten

like

an

irritable

bowel

diagnosis
,

right

the

UTI
.

Dana
25:32

Yes
,

exactly

so

many

other

things
,

having

legislation

just

perpetuate

those

stereotypes
,

those

myths
,

the

misinformation
.

My

bad
,

I

don't

want

to

see

it

here

on

the

state
.

Dana
25:43

And

so

I

my

first

attempt

was

to

try

to

work

with

the

assembly

woman
,

to

try

to

work

with

her

office

to

better

educate

them
,

to

hopefully

get

the

wording

in

these

bills

tweaked
,

and

they

originally

were

receptive

to

that
.

And

then

I

think

that
,

you

know
,

as

time

went

on

they

were

a

little

less

receptive
,

and

I

understand

why

they

are
.

You

know
,

I

think

they're

receiving

information

from

an

organization

they

believe

to

be

reputable

right

across

the

river

in

New

York

City
,

and

so

I

think

that

they

they

believe

they're

doing

their

due

diligence

and

it's

hard

to

explain

why

that's

not

sufficient
.

It's

tough
,

you

know
,

and

you

kind

of

walking

on

thin

ice

a

little

bit
.

But

I

provided

them

with

citations

for

research
.

Of

course
,

heather

Godone

and

Kate

Boyce

had

been

incredibly

helpful

in

providing

me

with

the

information

I

need

to

be

able

to

kind

of

pass

that

along

in

a

way

that

might

be

palatable

for

our

legislators

here
.

And

then
,

once

I

realized

that

I

wasn't

really

going

to

get

anywhere

working

behind

the

scenes

with

the

assembly

woman
,

I

started

going

to

committee

meetings

to

testify
.

Dana
26:38

So

the

way

our

legislation

works
,

so

we

have

a

bifurcated

legislative

system

here

in

New

Jersey
.

We

have

an

assembly

and

a

state

house

and

every

state's

government

system

is

going

to

work

a

little

bit

differently
.

But

that's

a

pretty

common

arrangement

to

have

two

houses

of

your

government
,

just

like

we

have

at

the

side

of

our

level
,

and

every

time

a

bill

is

introduced

in

New

Jersey

it's

introduced

in

one

of

those

houses
.

So

either

the

assembly

or

the

state

house

ours

were

introduced

in
.

These

bills

were

introduced

in

the

assembly

first

and

then

they're

assigned

two

numbers
,

so

the

bill

will

be

introduced

in

one

house

and

it'll

get

a

fancy-shancy

number
.

Dana
27:09

And

then

a

companion

identical

version

of

the

bill

will

be

introduced

by

a

friend

of

that

legislator

in

the

other

house
.

Dana
27:15

So

it'll

go

through

committee

hearings

in

both

houses

and

essentially

the

committee

meetings

are

opportunities

for

the

committee
,

the

legislators

who

serve

on

those

committees
,

to

review

the

bills

as

they

come

through
.

There

are

opportunities

for

public

comment

and

that's

what

I

decided

to

start

participating

in
.

So

they

started

tracking

the

bills

and

showing

up

just

showing

up

at

committee

meetings
,

and

it's

a

little

uncomfortable
,

I

will

say
,

to

be

the

only

woman

in

the

room

showing

up

to

oppose

women's

health

legislation
,

which

is

how

all

of

these

bills

have

been

categorized
.

So

you

kind

of

sit

there

by

yourself

with

a

big

red

target

on

your

rack
.

Nobody

really

likes

you

when

you

do

that
,

but

I

tried

to

make

sure

that

they

understood
.

I

absolutely

supported

the

bills

and

I

think

that

she's

got

great

intentions

in

trying

to

push

these

pieces

of

legislation

through
.

But

I

think

there

are

unintended

consequences

that

they're

not

considering

and

so

my

kind

of

push

has

been

to

hopefully

get

them

to

consider

those

consequences
.

Alanna
28:11

Yeah
,

absolutely
.

I

think

that

it's

important

to

highlight

the

value

of

understanding

your

local

government

and

the

bills

that

are

being

passed
.

Why

is

this

important
?

Why

is

it

important

for

us

to

understand

this

at

a

local

level
,

not

just

at

a

federal

level
?

I

think

it's

really

easy

for

us

to

look

at

the

federal

piece

of

this

because

it's

a

bigger

umbrella
,

if

you

will
,

but

the

local

really

holds

a

lot

of

power

within

your

care

and

understanding
.

It

is

important
.

Why
,

though
?

Dana
28:41

Absolutely

so
.

Your

local

physicians

those

are

the

folks

who

most

of

us

interact

with

our

local

gynecologists

or

primary

care

physicians
,

maybe

urologists

or

gastroenterologists
.

They're

receiving

all

sorts

of

guidelines

and

directives

and

information

from

your

State

Department

of

Health
.

And

if

your

State

Department

of

Health

is

being

directed

to

do

things

by

your

legislature
,

it's

important

to

know

what's

going

on

in

your

legislature

because

it

all

circles

right

back

to

you
.

The

legislature

directs

the

Department

of

Health
.

The

Department

of

Health

issues

guidelines

and

directives

for

physicians

and

those

are

the

folks

who

take

care

of

you
.

So

it

absolutely

affects

your

care
,

your

children's

care
,

your

loved

ones'

care
,

and

you

start

by

figuring

out

what's

going

on
.

What

is

the

lay

of

the

land

in

your

state
?

So

most

state

legislatures

have

a

great

website

In

New

Jersey

it's

just

njledgelegcom

and

so

every

state

will

have

a

similar

website

and

there

are

bill

search

functionalities

on

those

websites

so

you

can

go

to

the

bill

search

page

and

start

searching

for

keywords
.

And

again
,

every

state's

website

is

going

to

look

a

little

bit

different
.

But

search

for

things

like

menstrual

health
,

women's

health

period
,

even

search

for

endometriosis
,

search

for

PCOS

they're

all

going

to

have

different

wording

so

there

isn't

one

piece

of

language

that

would

be

consistent
.

But

pick

keywords

like

that

and

just

start

searching

to

see

what's

already

out

there
,

see

what

already

exists

in

your

state

and

whether

there's

something

that's

pending

and

Advocating for Endometriosis Legislation

Dana
30:02

in

New

Jersey
.

Dana
30:02

One

of

the

great

things

that

our

legislature

offers

on

the

website

is

the

ability

to

track

bills
.

So

once

you've

identified

these

bills
,

there's

a

little

button

you

can

click

to

track

the

bill

and

anytime

a

committee

vote

is

scheduled
,

you'll

get

a

little

email
.

Anytime

any

action

is

taken

on

the

bill
,

you'll

get

a

little

email
.

So

you

know

when

those

committee

meetings

are

going

to

be

held
,

you

know

when

you

can

show

up
,

you

know

whose

office

is

to

call
,

because

you

can

see

whose

names

are

assigned

to

these

bills
.

And

those

are

things

that

anyone

can

do
.

Dana
30:28

And

I

understand

it's

really

scary

to

go

in

front

of

a

legislative

committee

and

testify
.

It's

intimidating
,

it's

scary
.

They

don't

make

it

friendly

and

warm

and

welcoming
.

You

know

it

isn't

a

warm

fuzzy

thing

to

do

and

I

understand

a

lot

of

folks

aren't

going

to

want

to

do

that
.

But

something

we

can

all

do

is

write

to

the

legislators
,

send

them

emails
,

make

phone

calls

to

their

offices
,

so

if

there's

something

pending

in

your

state
,

you

can

let

them

know

how

you'd

like

them

to

vote
.

You

can

specifically

ask

them

please

vote

no

on

this
.

Please

vote

yes

on

this
,

and

that's

important
,

and

that's

something

you

can

do
.

Your

friends

and

family

members

can

do

for

you
,

and

that's

easy

to

do
.

Alanna
31:02

Well
,

I

think

it's

important

too
,

because

these

people

don't

necessarily

have

to

live

with

this

disease
,

so

they're

not

seeing

it

from

a

personal

standpoint
.

So

if

you

are

able

and

you're

able

to

communicate

that

to

them

from

a

personal

standpoint
,

it

could

potentially

help

change

things

that

maybe

are

red

flags

for

the

future
.

What

are

those

things
,

though
?

What

are

the

things

that

we

should

be

aware

of
?

What

is

some

wording
?

What

are

some

petitions

potentially
,

that

we

need

to

be

aware

of
,

whether

it's

good

or

whether

it's

not

so

good
?

What

can

we

look

at

for

those

of

us

who

are

completely

oblivious

to

the

legal

system

and

some

of

the

jargon

that

they

do

use
,

that

we

aren't

familiar

with
,

how

can

we

differentiate

the

good

from

the

bad
?

Dana
31:48

So
,

again
,

I'm

looking

for

the

disease

to

be

miscategorized
,

so

looking

for

menstrual

health

or

menstrual

disorders

that

to

me

is

a

red

flag
.

Anything

that

limit

the

identity

of

folks

who

can

be

identified

as

patients
.

So

we

know

that

endometriosis

has

been

present

in

folks
,

young

and

old
,

with

and

without

uteruses

a

wide

variety

of

folks
,

and

so

legislation

that

limits

and

excludes

large

groups

of

categories

of

patients

is

a

red

flag

for

me
.

Dana
32:14

Misinformation
,

so

misidentifying

the

disease

and

correctly

defining

it
,

incorrectly

explaining

its

histopathology
,

so

how

it

works
.

And

something

that

stood

out

to

me

in

the

New

Jersey

legislation

also

is

the

fact

that

they

really

seemed

to

almost

over

dramatize

the

risk

of

cancer

with

endometriosis
,

which

is

a

very

scary

thing

for

many

folks
,

and

there's

a

whole

separate

paragraph

in

a

couple

of

these

bills

that

talks

about

increased

cancer

risk
.

And

that's

the

last

thing

on

my

mind

from

endometriosis
.

There's

a

lot

of

other

stuff

that

we're

going

to

suffer

with

that's

much

more

likely

to

affect

more

of

us

than

any

sort

of

increased

cancer
,

and

so

it's

knowing

what

information

is

correct
.

So

looking

at

sources

like

Endowgirls

blog
,

the

CEC

website
,

extrapelig

Not

Rare
,

all

of

these

great

sources
,

your

podcast
,

even

if

you've

so

many

wonderful

people
,

and

so

you

actually

have

a

good

grasp

on

correct
,

good

knowledge
,

so

you

can

identify

things

that

contradict

it
.

Alanna
33:07

Yeah
,

absolutely
,

and

we

see

that

all

the

time
,

even

in

research

and

in

studies

that

are

done

to

prove

a

point

or

a

narrative
.

But

it

doesn't

come

with

accuracy
,

and

I

think

that's

true

even

in

the

government

branches

of

this

disease

right
,

any

legislature

done
,

you

have

to

understand

the

discrepancies

on

both

sides

of

that

right
,

and

it's

not
.

This

is

not

something

that's

like

everyone

gets

excited

to

do
,

right
.

This

is

not

easy

work
.

Alanna
33:42

It's

not

fun
,

but

I

think

the

more

equipped

we

are
,

the

better

we

change

the

narrative

around

endometriosis

for

generations
,

and

that

is

to

me

what

is

so

important
,

as

someone

who

has

girls

who

could

potentially

have

endometriosis
.

When

we're

looking

at

future

generations
,

how

can

we

insight

change
?

How

can

we

insight

better

care

for

them
?

How

can

we

make

sure

that

doctors

don't

fall

prey

to

these

legislative

initiatives

that

they

really

don't

know

anything

about
?

And

I

think

that's

why
,

for

me
,

looking

at

what

you're

doing

is

imperative
.

We

can't

just

stop

at

talking

about

it

online
.

We

have

to

really

go

forth

into

these

government

agencies

and

then

in

our

senators

or

whoever

it

is

that

you

can

get

to

be

passionate

with

you
.

Dana
34:32

That's

it

and

it's
.

You

know

you

have

to

give

a

lot

of

thought

as

to

how

you're

going

to

do

that
,

because

they

deal

with

so

many

pieces

of

legislation

on

a

daily

basis
.

You

know
,

one

of

the

most

important

things

you

can

do

is

convince

them

why

they

should

care
.

Right
.

Dana
34:45

And

so

I

always

start

off
,

every

every

time

I've

testified

in

front

of

a

committee
,

I

start

off

by

telling

them

why

they

should

care
,

and

what

I

generally

do

is

get

a

head

count
,

as

we're

sitting

in

the

room
,

of

the

number

of

women
,

and

even

though

it's

not

necessarily

just

a

female

disease

I

don't

like

using

those

gender

terms

but

for

the

sake

of

argument
,

in

that

context

it

is

helpful
.

And

if

there

are

30

women

in

the

room
,

well

we

know

then

roughly

three
,

probably

more
,

are

going

to

suffer

from

endometriosis
.

And

so

I

have

them

look

around

the

room
,

I

have

them

think

about

their

daughters
,

their

granddaughters
,

I

have

them

think

about

nieces

and

nephews
,

or

that

little

girl

in

their

life

who

they

know

of
,

who

always

has

that

persistent

belly

ache
,

you

know
,

and

she

always

says

she

doesn't

feel

good
.

Well
,

maybe

she

has

endometriosis
.

And

you

can

see

the

wheel

start

to

turn

because

they

start

thinking

about

the

people

in

their

lives
,

and

so

they

pay

attention

a

little

more

closely
,

and

we've

been

able

to

gain

the

support

of

a

couple

of

different

legislators

because

of

that
,

and

they've

indicated
,

you

know

what

you

made

me

think

about

my

kids
,

or

my

grandkids
,

or

nieces

and

nephews
,

or

whoever

it

is

in

their

life

and

they've

been

willing

to

make

a

call
.

Dana
35:48

The

main

sponsoring

assembly

Advocating for Endometriosis Legislation

Dana
35:50

woman
.

I've

only

been

able

to

convince

a

few

to

vote

against

it

and

most

of

them

don't

want

to

be

on

record

as

voting

against

women's

health

legislation
.

Air

quotes

yeah
,

and

I

understand

they

want

to

protect

their

voting

record
.

But

a

few

of

them

have

been

willing

to

vote

against

it

and

several

more

have

been

willing

to

kind

of

lend

their

support

to

the

changes

we're

seeking

and

again

they

have

not

completely

come

to

fruition
.

They've

added

little

tweaks

here

and

there

that

have

been

helpful
,

but

I

still

think

there's

a

long

way

to

go
.

Yeah
.

Dana
36:16

But

it's

convincing

them

why

they

should

care
.

I

think

that's

got

to

be

stepped

on

and

letting

them

know

I

let

them

know

the

toll

that

it's

taken

on

my

life
.

Dana
36:24

You

know

a

full-time

practicing

attorney

and

that's

something

that

I

don't

think

I

can

do

at

this

point
.

You

know

the

stress

and

toll

of

that

job

is

just

not

something

I

can

sustain

with

the

issues

that

I've

dealt

with

and

continue

to

deal

with
.

It's

just

not

a

possibility
.

And

when

they

start

to

realize

the

damage

that

it

takes

to

a

body
,

so

I

will

detail

for

them

on

the

record

which

is

a

little

humbling
,

Right
,

but

I

will

detail

for

them

on

the

record

all

of

the

organs

I've

had

to

have

removed
,

all

of

the

other

organ

systems

that

have

been

affected

negatively
,

the

toll

it's

taken

on

relationships
.

Dana
36:54

You

know

we

know

that

this

isn't

easy

on

romantic

relationships

or

families
.

Yeah
,

you

know
,

it

absolutely

takes

a

toll
,

and

so

when

you

start

listing

for

them

all

of

these

impacts
,

all

of

that

cascade

of

dominoes

from

endometriosis
,

it

gets

their

attention

a

little

bit
.

So

I

think

that's

something

I

would

absolutely

encourage

folks

to

do
.

If

you're

going

to

try

to

talk

to

your

legislators
,

remind

them

why

they

should

care
.

Alanna
37:15

Yeah
,

absolutely
,

and

I

think

that

to

further

that

conversation

too
,

as

we

talk

about

the

care

and

treatment
,

but

what

we

haven't

really

touched

a

lot

on

and

I

think

that

as

an

endometriosis

community

we

should

highlight

more

and

push

for

more

is

the

disability

portion

of

this

right
,

because

a

lot

of

us

have

been

inoperable
,

like

we

can't

work
,

we

can't

contribute

as

much

as

we'd

like

to

society

because

we

are

in

so

much

pain
,

but

there's

not

a

whole

lot

that

protects

us

from

that

and

it's

not

of

our

own

doing

right
.

There's

other

disabilities

that

get

disability

pay

and

there's

other

disabilities

that

get

recognized

as

an

actual

disability
,

but

endometriosis

does

not

necessarily

get

that

recognition

because

it

is

categorized

as

a

menstrual

disorder

in

a

lot

of

these

things
,

so

diseases

or

illnesses

or

conditions

that

automatically

qualify

you

for

disability

payments
.

Dana
38:14

And

endometriosis

is

not

one

of

them
,

and

it's

the

soft-fell

catch

22
,

where
,

if

you

are

able

to

access

appropriate

excision

early

and

young
,

before

your

body

is

destroyed
,

perhaps

you

can

then

continue

to

spend

the

rest

of

your

life

as

a

productive

member

of

society
.

However
,

when

you

can't

access

that

care

to

begin

with

because

you

can't

afford

it
,

but

you

can't

function

well

or

fully

because

of

the

endometriosis

that

you

can't

actually

have

treated
,

because

the

care

isn't

accessible
,

it's

just

this

cascade

of

dominoes
.

So

if

we

enable

access

to

care

earlier

on
,

we

change

the

economy

essentially

for

endometriosis

folks

and

their

families

and

their

employers

by

allowing

people

just

to

access

care
.

But

if

we

prevent

that

access

to

care

so

that

their

condition

deteriorates

so

much

that

they're

unable

to

earn
,

then

they

never

access

the

care

and

then

we've

got

folks

who

need

disability

who

might

not

otherwise

if

we

didn't
,

if

you

were

able

to

give

them

the

care

they

need

sooner
.

Alanna
39:03

And

it

all

goes

full

circle

right
.

It's

this

hamster

wheel

effect

of

things

and
,

to

be

honest
,

I

think

a

big

part

of

this

is

money

talks
.

That's

a

big

portion

of

some

of

what

we're

against

is

we

need

to

have

the

funds

to

afford

things
,

but

we

can't

have

the

funds

because

there's

things

in

place

that

are

barriers

for

that
.

And

how

do

we

create

change
,

to

change

that

economy

of

endometriosis

and

I

think

what

you're

doing

is

key

in

that

and

the

people

like

Heather

Guadon

and

people

like

Shannon

Cohen

who

are

traveling

everywhere

pushing

for

better

change
,

talking

to

the

people

and
,

like

Dana

said
,

you

don't

have

to

be

the

one

even

talking
,

but

if

you

stand

behind

the

people

that

are
,

that

says

a

lot

more

than

not

doing

anything

either
.

Dana
39:52

I

think

you're

right

and

sometimes

giving

the

folks

who

sit

on

those

legislative

committees

of

visual

to

latch

on

to

is

helpful
,

so

folks

are

inclined

to

testify
.

Dana
40:01

I've

been

fortunate

to

have

a

number

of

women

join

me

and

testify

and

they'll

prepare

something

to

say

about

the

effects

of

endometriosis

on

them
.

But

I've

also

been

able

to

get

some

other

folks

to

come

with

me

to

a

few

committee

meetings

not

everyone
,

because

they're

often

very

inaccessible
.

Attending

these

actual

legislative

sessions

can

be

hard
.

They're

held

during

the

day
.

A

lot

of

people

can't

afford

to

miss

a

work

day

to

go
.

You

cannot

participate

virtually

in

New

Jersey

anymore

and

so

it's

hard
.

They're

very

inaccessible

for

folks

to

participate

in
.

But

I've

been

able

to

convince

a

few

folks

of

drug

my

poor

family

and

friends

along

with

me
.

Dana
40:32

And

I

put

a

big

yellow

ribbon

on

everyone

and

I

make

sure

they're

in

the

front

row
.

So

when

I

sit

and

testify

with

the

yellow

ribbon

they

can

see

a

row

of

folks

sitting

behind

me
,

all

wearing

the

same

ribbon
.

Dana
40:41

And

I

reference

it

at

some

point
.

I

reference

the

when

we

talk

about

people

in

the

room
,

just

so

they

understand
.

It's

not

just

me

speaking
.

I

stand

for

a

lot

of

folks

and

it

gives

them

some

sort

of

visual
.

You

can

tell

them

why

to

care
,

and

then

letting

them

see

that

it's

not

just

some

crazy

woman

who

showed

up

that

day
,

that

it

actually

matters

to

other

people

too
,

it's

helpful
.

Alanna
40:59

Yeah
,

I

remember

last

year

at

the

Inmitriosis

Summit
.

Alanna
41:03

I

remember

you

standing

up

and

talking

about

that

and

you

and

I
.

This

is

why

you

have

stuck

out

to

me

so

much
.

I

mean

for

many

reasons
,

but

this

is

one

of

the

things

that

you

said

that

really

stuck

out

to

me

was

the

fact

that

you

would

take

anyone

with

you

just

to

show

up
,

because

then

it

gave

you

credibility

and

it

didn't

matter

whether

it

was

your

mom
,

your

dad
,

your

cousin
,

whoever

it

is
,

to

stand

behind

you
.

But

if

you

show

up

alone
,

your

credibility

is

just

not

as

impactful

because

they

are

seeing

one

person

as

opposed

to

many

people
,

and

I

think

there's

so

many

with

the

number

you

know
,

the

one

in

10

number
.

Empowering Advocacy in Endometriosis Community

Alanna
41:43

Clearly

there

are

a

lot

of

us

affected

by

this

and

just

showing

up

and

maybe

you

don't

really

know

how

to

show

up

or

maybe

you're

not

sure

your

place

in

the

Inmitriosis

community

as

far

as

advocacy
,

this

could

be

one

of

them
.

It's

standing

behind

those

who

are

willing

to

talk

about

it

and

say

I

have

your

back

you

know

and

use

the

world
.

Alanna
42:04

Yeah

and

I
.

This

is

so

funny

cause

I

just

I

grew

up

on

a

near

military

base
,

but

they

they

say

you

know
,

I

have

your

six

and

it

means

that

they

have

your

back

right
,

I

got

your

six
.

And

the

reason

they

say

that

is

because

it

is

the

one

area

that

they

can't

see
.

It's

the

most

vulnerable

spot

that

you

need

someone
.

It's

behind

you
,

and

so

to

step

in

and

be

someone's

six

is
,

it's

huge
.

Dana
42:29

And

these

people

would

give

their

life

for

that
.

Oh

yeah
,

and

it

doesn't

have

to

be
.

You

know

someone

who's

a

lawyer
.

You

know

you

don't

have

to

be

a

lawyer

to

do

any

of

this
.

You

know

everyone
.

Every

citizen

is

entitled

to

be

heard

by

their

legislature
.

Everyone

is

entitled

to

go

and

speak
.

That's

what

public

comment

periods

are

for
.

And

being
,

yeah
,

drag

your

mom
,

drag

your

dad
,

drag

your

sister

or

your

best

buddy
.

You

know

whoever

in

your

life

is

going

to

lend

support

and

they

don't

have

to

say

a

word
,

but

just

sitting

there

with

some

sort

of

visual
,

whether

it's

yellow

ribbon

or

some

folks

don

matching

T-shirts
.

Dana
42:59

You

know

depending

on

what

they're

there

to

support
,

just

something
,

so

that

when

you're

speaking
,

or

when

whoever

you

know

is

going

to

be

speaking

is

doing

so
,

it

gives

them

a

visual
.

You

know

again
,

it's

not

just

one

person

speaking
.

At

that

point

it

the

weight

of

what

you're

saying

becomes

much

more

significant
,

because

other

people

are

there

with

you
.

You're

not

alone
.

Alanna
43:17

So

it

means

a

lot
,

absolutely
.

What

are

some

of

the

things

you're

looking

forward

to

continuing

to

advocate

for

in

the
,

in

the

legislator

for

you
?

Yeah
?

Dana
43:26

So

at

this

point

we

just

started

a

new

legislative

session

here

in

New

Jersey

in

January
,

and

so

we

have

two

year

legislative

sessions
.

It's

a

little

bit

weird

the

way

it

works

and

again
,

it's

going

to

be

different

in

every

state
,

but

any

bill

that

did

not

become

law

during

the

last

legislative

session
,

which

expired

in

January
,

they

die
.

Dana
43:43

They

die

out

and

they

have

to

be

reintroduced

and

the

whole

process

starts

again

in

the

new

legislative

session
.

So

right

now

I'm

watching

these

bills

to

see

what's

going

to

happen

when

they're

going

to

be

reintroduced
,

when

the

next

round

of

committee

hearings

are

going

to

be
,

because

they
,

to

my

knowledge

again
,

sometimes

the

websites

are

a

little

slow

in

getting

updated
.

Sometimes

they're

very

quick

and

sometimes

they're

slow
.

I've

not

yet

been

able

to

figure

out
.

I

think

it's

just

a

matter

of

human

resources

to

input

the

information
,

I'm

sure
.

So

the

bills

that

have

not

become

law

yet

will

be

reintroduced

and

start

the

process

all

over

again
.

So

I'm

waiting

now

to

see

what

happens

with

them

so

we

can

start

our

next

round

of

efforts

to

hopefully

correct

them

and

I

hate

to

oppose

them
,

I

really

do
,

gosh
,

we

need

this

stuff

so

badly
,

but

we

need

it

to

be

correct
.

We'd

rather

have

no

legislation

than

harmful

legislation
.

So

I

think

right

now
,

just

watching

to

see

what

happens

and

seeing
,

kind

of

where

our

efforts

are

most

needed
.

Alanna
44:35

Where

have

you

seen

the

most

change

in

the

bills
?

Dana
44:39

So

they

were

willing

to

add
.

It's

a

very

small

tweak
.

They

added

in

the

categories

of

patients

who

are

identified

by

the

bills

they

added

language

that

stated

specifically

that

it

could

include

pre-menarchal

girls

or

post-menopausal

women
.

They

still

identified

that

women

of

reproductive

age

15

to

44

and

then

kind

of

parenthetical

after

that
,

also

including

pre-menarchal

adolescents

and

post-menopausal

women
.

So

that

was

a

big

change
.

Dana
45:08

I've

submitted

sort

of

paragraph

by

paragraph

suggestions

to

like

for

language

changes
.

So

I've

rewritten

the

bills

a

couple

of

times

in

ways

that

I

think

are

not

so

substantial

that

they're

going

to

balk

at

the

changes
,

but

substantial

enough

that

it

addresses

our

concerns
.

And

they've

kind

of

picked

and

chosen
,

you

know
,

a

few

little

pieces

here

and

there
.

So

that

was

a

big

change
.

But

I

think

there's

again

a

long

way

to

go
.

And

they

did

add

some

symptoms
,

a

list

of

symptoms

that

people

suffer

from
.

It

is

by

no

means

an

exhaustive

list
.

It's

very

brief

and

leaves

out

some

pretty

significant

symptoms

that

I've

asked

them

to

include
,

and

so

they

haven't

included

them

all
,

but

they've

included

some
,

which

I

think

is

a

step
.

Dana
45:43

So

I

feel

like

that's

where

they've

been

willing

to

make

changes
,

those

two

areas
.

Alanna
45:48

Yeah
,

and

the

reason

I

ask

that

is

because

that

wouldn't

happen

if

people

like

you

wouldn't

step

into

that

place

and

say

something
.

Alanna
45:54

And

so

just

being

aware

of

it

is

great
,

but

making

sure

that

if

you

have

a

passion

for

it
,

to

fight

for

that
,

because

not

everyone

will

have

the

same

passions
,

and

I

think

that's

what's

so

great

about

being

in

a

community

is

that

you

have

the

ability

to

speak

at

this

level

and

you

understand

it

better

than

most

would
.

But

other

people

and
,

adversely
,

other

people

wouldn't

want

to

do

a

podcast
.

Let

me

just

tell

you

it's

not

that

easy
.

I'm

just

better

used

than

me
.

So

just

using

your

gifts

and

skills

and

abilities

to

advocate
,

but

knowing

to

stand

and

have

someone's

sex

on

this
,

too
,

is

just

as

imperative
,

and

so

I

think

it

comes

a

full

circle

and

there

are

great

advocates

doing

great

things

and

standing

behind

them

and

supporting

them

and

encouraging

them

Because

this

is

kind

of

daunting

to

do

and

it's

discouraging

and

standing

behind

people

and

saying

we

have

your

back
,

keep

on

going
,

you're

doing

a

great

job
.

What

can

I

help

with
?

That

matters

too
.

Dana
46:55

It

does
,

and

I'll

tell

you
,

our

community

has

been

great

as

far

as

folks

sharing

our

efforts

here

in

New

Jersey

on

social

media
.

It's

been

hugely

helpful

and

that

has

directly

led

to

several

other

folks

from

the

Ando

community

coming

out

and

meeting

me

at

the

state

house

to

sit

through

these

community

meetings
.

And

we

also

we

do

have

a

petition

that

was

designed

to

convince

the

legislators

again

that

folks

care

just

to

kind

of

correct

the

wording
,

and

we've

had

hundreds

and

hundreds

of

signatures

there
.

So

that's

been

amazing
.

And
,

again
,

all

due

to

people

on

social

media

having

my

sex

and

sharing

all

those

things
,

which

has

been

so
,

so

helpful
.

Reports

of

that

just

came

at

the

end

or

so
.

Alanna
47:31

Yeah
,

absolutely
,

and

if

people

want

to

sign

that

petition
,

can

they

do

it
,

even

if

they

are

not

in

New

Jersey
.

Dana
47:39

Absolutely
,

so
.

You

don't

have

to

have

endometriosis
,

you

don't

have

to

be

in

New

Jersey
.

Anyone

in

the

world

can

sign

that

petition
,

so

I'll

make

sure

you

get

a

link

for

that
.

Alanna
47:46

Yes
,

yeah
,

absolutely
.

And

where

do

they

find

this
?

Just

in

case

they're

listening

and

they

want

to

convert

it

to

memory
,

which

is

something

I'm

not

skilled

at
.

But

where

would

they

find

that

petition
?

Dana
47:57

Yes
,

it

is

changeorg

NJEndometriosis
.

If

you

Google

that
,

you'll

see

a

picture
.

It's

a

yellow

background

of

a

woman

clutching

her

belly
,

and

that's

our

petition
.

Alanna
48:05

OK
,

so

changeorg
.

Dana
48:08

And

then

NJEndometriosis

legislation
.

I

believe

is

the

rest

of

the

link
.

Alanna
48:12

OK
,

perfect
,

so

go

ahead

and

sign

that
,

be

part

of

the

team
,

even

if

it's

in

New

Jersey

and

you're

not

in

New

Jersey
.

It

takes

sometimes

only

one

state

to

start

the

chain

effect

of

change
,

and

so

even

though

you're

not

in

that

state

doesn't

mean

that

it

won't

affect

your

state

at

some

point

or

you

at

some

point
,

so

that's

a

really

good

place

to

start
.

Do

you

have

anything

to

impart

on

all

of

us

when

it

comes

to

this

In

closing
?

Dana
48:39

We

all

have

a

responsibility

to

just

share

our

knowledge

and

make

sure

that

others

are

educated

and

empowered
.

The

phrase

Heather

Godone

always

uses

is

each

one
,

teach

one
.

And
.

Dana
48:50

I

think

that

there's

so

much

to

be

said

for

that

I

wouldn't

know

half

of

what

I

know

if

it

wasn't

for

folks

like

her

and

Kate

Boyce

and

other

advocates

sharing

their

knowledge
,

and

I

think

that

we

all

have

a

responsibility

to

do

that
,

not

just

in

our

endo

social

media

pages

and

all

of

that
,

but

in

our

personal

lives

too
,

and

I

don't

often

share

as

much

on

my

personal

social

media

about

these

things

for

obvious

reasons
,

but

I've

shared

a

little

bit

and

it's

actually

directly

led

to

a

number

of

people

reaching

out

privately

who

didn't

know

that

this

was

a

thing
,

and

they've

been

diagnosed

with

endo

and

hadovlations

or

they're

struggling

to

find

a

doctor

who

can

give

good

care
,

and

so

we've

been

able

to

tap

into

the

network
,

so

folks

who

we

all

know

through

our

community

to

get

them

good

care
.

Dana
49:33

And

so

I

think
,

yeah
,

just

do

something
.

Whatever

it

is

that

falls

within

your

skill

set
,

whether

it's

again

a

podcast
,

whether

it's

showing

up

to

the

legislature
,

whether

it's

making

really

great

social

media

graphics

whatever

it

is
,

make

an

effort

to

do

something
.

Alanna
49:47

Absolutely
,

that's

so

good
.

That's

so

good

If

you

want

to

follow

more

of

what

Dana

is

doing

and

her

journey

and

then

also

just

to

be

connected

with

her
.

She

is

on

Instagram

and

your

Instagram

is

endoeatsnj
.

Dana
50:04

That's

it
,

yes
,

that's

me
,

that's

you
.

Yes
,

I

started

when

I

was

making

dietary

changes

and

so

it's

full

of

chocolate

recipes

and

that

has

slowed

down

quite

a

bit

lately
.

But

yeah
,

you

will

see

a

lot

of

food

recipes
.

Alanna
50:16

I

love

that

because

food

speaks
.

Yeah
,

right
,

people

don't

love

food
,

Right
?

Yeah
,

the

best

place

to

gather

is

around

the

table
,

which

is

why

I

record

this

at

a

table
,

because

I

want

people

to

feel

like

they're

just

having

dinner

with

me

and

having

a

conversation
,

because

that's

the

best

time

to

have

a

conversation

and

the

best

conversations

come

from

it
.

So

I'm

here

for

it
.

I'm

here

for

it
.

Love

that
.

Gratitude for Podcast Empowerment

Alanna
50:41

Thank

you

so

much
,

dana
,

for

taking

your

time

and

for

all

the

work

that

you're

doing
,

and

I'm

excited

to

see

what

change

you

can

elicit

in

the

future
.

But
,

furthermore
,

I'm

just

excited

to

be

able

to

be

on

this

journey

with

you

and

have

another

person

have

my

back
.

So
,

thank

you
.

Dana
50:58

Thank

you

so

much

for

all

that

you're

doing
,

for

having

me

here

today

and

all

of

the

great

work

you're

doing

with

your

podcast
.

I

am

so

impressed

by

your

interviews

and

the

folks

who

you're

hosting

again

to

teach

others
,

to

empower

others

and

educate

others
.

Alanna
51:11

So

thank

you

for

all

that

you're

doing
.

Thank

you
.

That

means

a

lot

to

me
.

Thank

you
,

and

until

next

time
,

everyone

continue

advocating

for

you

and

for

those

that

you

love
.

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