“What if I never marry or have children?”
Rachel Naomi Remen, MD, 67, clinical professor of family and community medicine at the University of California, San Francisco School of Medicine and author of Kitchen Table Wisdom and My Grandfather’s Blessings: “I have encountered two of women’s greatest fears: I’ve been single all my life, and I’ve had Crohn’s disease [a chronic inflammatory bowel disease] for the past 51 years. I always wanted to be a mother. I was one of the girls who played with dolls until I was 12 or 13 years old. I had the names of all my children picked out. Having a family was a major life dream. When I was diagnosed at age 15, it became clear that dream might not play out. Then as the clock ticked down toward 40, it was even more clear I probably wasn’t going to be a mother. Because of my illness, it was very difficult for me to maintain a relationship. Men of my generation were looking for someone to take care of them, and I needed someone to take care of me.
“I hear women say, ‘If it doesn’t turn out the way I planned, what then?’ Life is basically full of broken eggs. The whole art of this thing is finding your own recipe for making sponge cake. My mother’s final words were ‘I am satisfied.’ How do we live so that at the end of our lives we can say those words? I have done that. I have learned that I can be a mother in many different ways. The people who are unhappy are the people who get stuck in one way of doing it. You have to have a sense of possibility. Of course it’s a remarkable, life-altering experience to have your own biological children. As a former pediatrician, I’ve seen people transformed by this profound experience. But you can still grow people, even if they don’t come from your own body. There are so many who haven’t had parenting. You can be a mother to them. For the thousands of medical students I’ve worked with, I have done that.”