Becky Routson, LCSW, a social worker, mom, and Megan's friend of 12 years, joins the show to talk about the f*****y that is women's health. Her second pregnancy turned into months of limbo: an ultrasound with no fetus, weekly blood draws from November to February, two D&Cs, and a molar pregnancy that meant months of cancer monitoring. Megan shares her own loss, a stillbirth at 41 weeks, and the two get into disenfranchised grief, the dumb shit people say, what providers could do differently tomorrow, choosing to be a one-child family, and why joy and grief can live in the same room. They close on borrowed hope: the idea that hope is contagious, even when you're not ready to hold your own. Heads up: covers miscarriage, stillbirth, pregnancy loss, and medical trauma. Frequent strong language. KEY TIMESTAMPS [00:00] Intro & Trigger Warning [00:51] Meet Becky [01:45] Check-In: Perfect Saturday Morning, Pre- and Post-Motherhood [04:36] The F*****y That Is Women's Health [05:41] An Ultrasound With No Fetus [08:08] Three Months of Weekly Blood Draws [09:10] Two D&Cs and a Molar Pregnancy [11:07] A System Not Built Around Patients [12:40] Megan's Loss at 41 Weeks [15:58] Why "Try Again" Erases a Life [16:34] Disenfranchised Grief, Explained [18:52] Shit You Should Never Say [20:01] The Heartbeat Through the Wall [21:28] Women's Health Is Invasive From Day One [23:56] Burnout on the Provider Side [25:44] Needing Someone to Blame [29:30] Acceptance Isn't Approval [30:19] The Anniversary That Reopened Everything [32:03] People Show Up, Then Forget [34:44] A Stranger at the Gym Who Knew [37:13] Joy and Pain Can Coexist [38:20] Dark Humor at the Bar [40:23] Re-Envisioning a Family of Three [41:54] Borrowed Hope [43:36] Biggest Takeaway: Share Your Story STANDOUT QUOTES "Acceptance doesn't mean I like that this thing has happened... it means I am able to accept it as reality." - Becky "I'm not changing my mind. This is grief." - Becky "I have two, and I have one that I get to raise." - Megan "If somebody is in their joy, that doesn't negate my pain. And my pain is not shitting on their rainbow either." - Megan "There are good people. There is joy and there is hope." - Becky THE TOOLKIT: SHOWING UP AFTER PREGNANCY LOSS For friends, family, and providers: 1. Skip the platitudes. "You're still young," "try again," "one is enough," and "they're in heaven now" make you feel better, not them. 2. Don't ask. Not when the next baby is coming, not whether she's pregnant. Make space for whatever part of the journey she wants to share. 3. Remember the dates. Grief shows up years later. Anniversaries matter. 4. Hold hope without forcing it. Hope is contagious. You can carry it for someone without shoving it down their throat. 5. Providers: ask what accommodations a patient needs, and don't schedule loss follow-ups next to prenatal visits. RESOURCES - Postpartum Support International: provider directory for perinatal mental health certified (PMH-C) therapists, plus support for loss. HelpLine: 1-800-944-4773. https://www.postpartum.net/ - Book: Medical Apartheid by Harriet A. Washington - Look for a provider who specializes in disenfranchised grief, miscarriage, stillbirth, and infertility - Episode 11 with Lindsay Matthews covers perinatal and postpartum mental health - Episode 17 (Parts 1 and 2) covers trauma CRISIS SUPPORT 988 - Suicide Prevention Lifeline Text HOME to 741741 - Crisis Text Line Find a Therapist: Psychology Today: https://www.psychologytoday.com/us Rise & Thrive Wellness: https://riseandthrivewellness.net/ CONNECT Email: ihavesh1t2say@gmail.com @ihavesh_ttosay (Instagram) | IHaveSh_tToSay (TikTok) - Host: Megan Campbell, LCPC, ATR-BC - Producer: Brian T Prairie - Operations Manager: MacKenzie Cloy - Guest: Becky Routson, LCSW New episode every two weeks on Tuesdays.