Skip to main content

My Journey Reveals the Human Cost of Gaps In Trans Healthcare

Picture this: you have an appointment with a dermatologist to discuss acne treatments. For the paperwork, you have to use a name that isn’t yours, and makes you uncomfortable when people use it and say that you’re a woman on paper, even though you aren’t. Nowhere does it ask if you go by another name, even a nickname, and when you arrive, the wrong name is used repeatedly, and people keep calling you “she” and “her.” When you’re taken back to see the doctor, they ask what medications you’re on. You don’t want to leave anything out, so you say it.

“Testosterone.”

The doctor raises an eyebrow, and instead of asking you what to call you or how you’d like to be referred to, he makes assumptions and begins a spiel about how you’ll never be able to fully treat your acne since as long as you’re on hormones, you’re in an eternal “puberty,” and the only option is Accutane, which requires a monthly pregnancy test. While this diagnosis has some merit, such a snap assessment isn’t true.

Since I started my transition and journey as a transmasculine (a term used for those assigned female at birth who lean towards being more masculine-identified, but not necessarily a man), nonbinary individual, I have had countless interactions with doctors, other health professionals, and staff along these lines.

It’s experiences like this that make trans folks around the world feel alienated and alone every day. For trans women, trans men, and people who identify elsewhere off the spectrum, the experience is often similar. A glaring lack of trained professionals is evident, and while many have good intentions, it can be tempting to avoid medical care whenever possible.

Shedding Light on Transgender Healthcare Services in the United States

The United States faces a significant deficiency in comprehensive and educated health professionals, particularly doctors, when it comes to transgender healthcare. Despite strides (and steps back) in societal understanding and acceptance of diverse gender identities, the medical field has lagged in providing adequate training and education on transgender-specific health issues.

Many healthcare providers lack the knowledge and cultural competence necessary to deliver affirming and effective care to transgender individuals. The consequences of this gap are profound, as it contributes to the perpetuation of health disparities and barriers to accessing essential services.

Healthcare settings and practitioners generally emphasize “men’s health” or “women’s health,” overlooking gender-diverse individuals. Registration forms typically lack options for indicating a gender identity distinct from the assigned sex at birth, and health screenings and insurance policies are based on a binary male-female model, neglecting the needs of gender-diverse patients.

Medical education is affected by societal biases, sometimes leading to stereotypes and prejudices by medical students. Only 26% of doctors overseeing family medicine clerkships feel comfortable teaching transgender healthcare to students.

Recognizing this deficiency, the Association of American Medical Colleges advocates for a comprehensive approach to LGBTQ+ health education at all levels of medical training. It suggests a “layered” strategy, integrating gender-affirming healthcare education throughout the curriculum. However, many medical schools still fall short of incorporating such care seamlessly, often resorting to add-on approaches like standalone lectures or small-group activities. On average, medical schools provide just five hours of instruction on gender-affirming healthcare practices, highlighting the lack of comprehensive training in this crucial area.

Lack of Educated Doctors Equals Avoidance of Treatment

Another instance of incompetent care I experienced was in 2021 when I received top surgery (subcutaneous mastectomy, male/masculinizing chest contouring) through Kaiser Permanente in Denver.

My surgeon was well-intentioned and really took the time to listen, inspired by her trans best friend to provide comprehensive and continually improving care. However, despite her best efforts, many other staff fell far short of her level of understanding.

After completing the World Professional Association for Transgender Health or WPATH screening (a grueling process trans folks have to complete by answering questions with a licensed therapist to prove that their care is necessary) and having many appointments up until the surgery, I arrived the day of the surgery and was called every pronoun under the sun, mostly incorrect — I use they/them — when my surgery team should have been prepped on what to call me.

My partner was also misgendered through my surgery and their own about six months later by the same team for the same procedure. Of course, people make mistakes, and I don’t expect perfection, but I expect some level of effort when receiving care.

Due to limited training on gender-affirming care during medical education, gender-diverse individuals often find themselves educating their primary care providers. I have found myself in the position of teacher instead of simply being a patient over the years. This deficiency in understanding and provision of competent care has significant consequences, with one in three gender-diverse adults avoiding preventive care or not being offered such services. Alarmingly, 19% of transgender individuals report being outright refused care.

These disparities may contribute to the higher rates of tobacco use, obesity, alcohol consumption, depression, and cancer risk factors among gender-diverse populations.

With so much stress surrounding being transgender already, I know many people who will outright avoid going to the doctor and instead get hormones and even services without safe consultation, relying on more shady methods such as buying from a friend who has a prescription or even relying on illegal and risky sources.

I know a trans woman, for instance, who went in to see her doctor and disclosed at the beginning of the appointment that she was trans and hadn’t yet had bottom surgery. They got through most of the exam, talking about how she had been buying unused hormones from other trans women and how she wanted to start her transition properly with a doctor. After this whole conversation, the doctor told her to prep for a pap smear, leading to an awkward experience for both of them when the doctor should have known that wasn’t something physically possible to provide yet.

Transgender Health Services are Life Saving

A 2020 study in The American Journal of Psychiatry revealed that transgender individuals who underwent gender-affirmation surgery experienced an 8% reduction in the likelihood of seeking mental health treatment each year post-surgery.  This surgery also brought about various positive effects, such as improved self-image, enhanced sexuality, sexual satisfaction, and increased social affirmation, contributing to a better quality of life.

I know many people who have struggled emotionally with depression and suicidal ideation while awaiting surgeries and care around their identities. While gender-affirming services aren’t a cure-all, they greatly increase quality of life once completed.

Despite these evident health benefits, a substantial knowledge gap exists among physicians when it comes to caring for transgender patients. Many doctors lack training in gender-affirmation procedures, leading to inadequate care, especially when complications arise from these surgeries. This gap is particularly problematic since trans patients often seek surgery in states where such procedures are legal, yet aftercare is managed by primary physicians unfamiliar with transgender care. This overall lack of awareness and training can significantly impact the outcomes for trans patients.

When I started hormone replacement therapy in 2019, I started with Plume Health (when it was still called Mariposa), a trans-led healthcare company that offers discreet hormone prescriptions and monitoring for $100 a month. Initially, the company didn’t accept insurance, but I didn’t want to use insurance anyway for safety purposes within my family. Now, Plume offers its services for $40/month with qualifying insurance, but even with that, care like this is often out of reach financially. You shouldn’t have to go somewhere special to get the care you deserve that will likely change the course of your life for the better.

The barriers are manyfold, whether it be uneducated doctors, the WPATH process, getting good therapists, financial roadblocks, etc. These services are guarded, and they make sure you really need it before it’s provided. Only about 3% of adults who transition end up de-transitioning.

How Can We Do Better?

So, what can be done to help address this issue? Behavior change marketers can be crucial in addressing the lack of trauma-informed, culturally relevant, and trans-specific healthcare by implementing targeted strategies that promote awareness, education, and inclusivity. (Similar progress, of course, must be made in closing broader health inequities).

For trans-specific health care, I recommend:

  • Creating inclusive messaging:
    • Develop messaging that is inclusive, respectful, trauma-informed, culturally diverse, and affirming of gender identities and sexual orientations for doctors and healthcare professionals.
  • Collaborating with advocacy groups and healthcare professionals
    • Work closely with LGBTQIA+ advocacy groups, healthcare professionals, and organizations to gain insights and collaborate on creating effective campaigns.
  • Creating educational campaigns
    • Develop educational campaigns that raise awareness about trauma-informed care, cultural competence, and trans-specific healthcare needs for doctors and healthcare professionals, as well as transgender individuals and allies.
  • Helping facilitate and encourage training for healthcare providers
    • Invite healthcare providers who are knowledgeable and sensitive to the community’s needs to offer training sessions to increase their peers’ understanding of trans-specific healthcare needs.
  • Using positive role models and testimonials
    • Highlight positive stories and testimonials from individuals within the trans communities who have had positive healthcare experiences to inspire and encourage individuals to keep medical care.
    • Showcase diverse role models within the healthcare field to inspire confidence and trust in providing the correct care to the community.
  • Addressing systemic barriers
    • Advocate for policy changes and institutional practices to eliminate systemic barriers to trauma-informed, culturally relevant healthcare and ensure inclusive healthcare policies.
  • Providing accessible resources
    • Develop easily accessible resources, such as brochures, online materials, and helplines, that offer information on trauma-informed, culturally relevant, LGBTQIA+, and trans-specific healthcare services for doctors, healthcare workings, and patients.

By employing these strategies, we can create a more inclusive and supportive healthcare environment and happier, healthier patients.


AI's Risks and Opportunities: How Creatives Should/Shouldn't Use it in Their Work

AI is a powerful tool that can help everyone work smarter, more creatively, and more efficiently. It also creates significant risk if we don’t handle it with care. Check out this short guide from SE2’s Eric Anderson and Creative Law Network‘s Dave Ratner on how creatives should and should not use it in their work.

Download the PDF Guide


Alvina Talks Shift: Breaking Barriers: Women's Journeys in the Professional World

SE2’s newest principal, Alvina Vasquez, interviewed SE2 Principal Susan Morrisey in another episode of her podcast, Alvina Talks Shift. They reflected on the challenges they faced, such as harassment and being pigeonholed, both as women and as a Latina in business. Alvina shared her journey from the male-dominated broadcasting industry to working in a women-dominated environment. Susan talked about balancing work and parenting. The women also contemplated the significance of Women’s History Month and stressed the importance of reflecting on its implications in their own lives and experiences. 

Watch the full episode here. 

Begin Transcript: 

Alvina Vasquez: 

Let’s talk about creating a life and country we are proud of together. Welcome to Alvina Talks Shift. I am your host, Alvina Vasquez.  

This is part two of an amazing interview we had last week with Susan Morrisey. We connected after the first episode, and I said that I didn’t think we got to discuss everything that we needed to. Susan has some questions for me too, so let’s kick it off.  

Susan, welcome back.  

Susan Morrisey: 

Thank you. I’m so excited to be working with you every day and I do have some questions for you.  

In our first episode together, we talked about what it was like for me coming up in the working world. Now I want to hear what’s it been like for you, coming up as a woman and a Latina in business. What kinds of barriers or obstacles did you encounter?  

AV: 

I started in broadcasting, which was very male dominated. That’s why the issue of workplace harassment and hostile work environments was so ingrained in me – because that’s what the broadcasting world was like. Very male dominated, very macho. People could say whatever they wanted to you. I mean, I had men telling me they were having dreams about me, very gross stuff that. I just had to deal with it and move on. There wasn’t an HR department where you could go because they were very small stations. There was no one you could complain to.  

I feel like women now have so much more voice than they used to. We had to cover up because we didn’t want to be harassed at work. But then I moved into the advocacy world and worked with women almost exclusively. So, it was super interesting to make that switch.  

Just like with any leader, you have good ones and bad ones, no matter which gender they are or how they identify. I think it’s given me resiliency and the opportunity to decide, what are the things that are worth fighting for? What are the things I’m going to pick at and what are the things that I just need to let go and move on? And just set those expectations for myself.  

I’ve been thinking a lot about leadership. Of course, I was the owner of my company before I became an owner of SE2. But I was thinking about it this weekend because last week I was really sick and really tired, and I was like, okay, I think I need to take some time off. It was because I was wrestling a bit with what I think an owner of a company should be like and act like – and wondering whether I’m living up to that. I feel like that was kind of setting me back, so I needed the weekend to reset and get myself to a place where I am confident in what I’m doing. Stuff was just piling on and I thought, ugh, I just need a breath.  

Every new environment gives us new challenges, and we have to know when it’s time to take a break and just reset, so that we can refocus on what needs to get done.  

SM: 

Absolutely. And, by the way, you are doing just fine, the way you’re acting as an owner of a business. You don’t need to worry about that. There’s no imposter in how you’re perceived, whatsoever.  

So, that gives me some insight into some shared experiences that you and I had in terms of coming up as women in business. What’s different, however, is that I was a white woman coming up in business and you’re a Latina. Can you reflect on that experience and how it might have been different for you?  

AV: 

Yeah, I get pigeonholed a lot – like, I’m only good at Latino stuff, at Latino outreach. That’s why working with the governor’s campaign as the political director for all constituencies was so important to me. It got me out of a box and into other rooms and talking to different people.  

Also, I’m a third-generation Latino, so may not know exactly the experiences of an immigrant family. Sometimes, I might not be the right person or have the right experiences. But I know how to engage with those audiences and those constituencies. I’ve learned, over time, how to relate to them and understand and be open to listening to their experiences. But just because I’m Latina doesn’t mean I know the immigrant experience.  

I don’t know if we’re given the grace to have multiple life experiences and have multiple generations. We’re kind of like put in a box, like, oh, Latino, immigrant, Spanish speaker. And then there’s the issue of whether you speak Spanish well enough, whether you get enough credit for speaking Spanish. When I went through the Latino Leadership Institute, they talked about language justice in a different way. When my parents moved here, they were told never speak Spanish at home because my brother was stuttering. In fact, what he was doing was translating. So, it was a reverse racism. We lost our language and I had to relearn it. New immigrants come here and they’re like, oh, you don’t know how to speak Spanish, so you get judged on that. It kind of puts you in a weird place. I identify with white community and middle-class family – that stuff. But I also understand how the impacts of all this racism from the past has impacted me, my future and my kids as well.  

SM: 

Speaking of kids, how is Romero?  

AV: 

Oh my god, he’s so much fun. What’s interesting about a toddler is that you kind of see their brain expand every day. Every day there’s a new word or you see him make sense of something that didn’t make sense yesterday. It’s pretty amazing to see that experience.  

SM: 

You’re going through a period right now that’s also similar to what I went through. My kids are in their mid-20s now. Being a working mom, trying to work and, in your case, own a business and be out in the community and having a toddler – that’s a heavy load. How do you balance all that?  

AV: 

I mean, you don’t. You’re good at some things one day, then other days you’re good at something else. But I’m glad you brought that up because I wanted to talk about when I came to the office last year, when we were still talking and negotiating about the ownership and I had to bring the baby with me. I was on my way to the airport and so I didn’t have anywhere to take him. He just had to come with me. And you said something in that meeting; something like, how amazing is it that you’re a business owner selling your business and your toddler’s here with you.  

SM: 

Hey, I remember trying to coach my kids’ soccer – being in the field coaching little, little kids – while also getting calls about bills that clients were working on at the Capitol. And I just had to do both. I knew I had to have that moment where I was, you know, being a good mom by taking my turn at coaching soccer. But I also had to keep those other plates spinning.  

So, he is welcome anytime that you need to combine those two roles of yours. Because I get it. Been there, done that! 

AV: 

It’s so exciting because that’s the legacy he’ll have now. Oh my God, I’m getting emotional. That’s the legacy he’s going to have because you all invested in me and I invested in that business. So, I think that’s really exciting. And, you know, he’s adopted, so who knows what the outcomes could’ve been in his life. It could have been anything. And so, thank you for your support.  

SM: 

Something tells me that his outcomes are going to be good, with you as a mom, as a working mom.  

AV: 

He’s a good networker. He is always shaking hands. He knows how to work a room. 

SM: 

Those experiences of combining parenting with working, I think they only add to who you are and how effective you are. It’s tough, I’m not going to lie. It’s tough to keep all the plates spinning, but ultimately it’s a good mix. 

AV: 

Changing subjects, now that I’m on the SE2 team, what do you think is the future of our work and what we’ve talked about in terms of developing community relationships?  

SM: 

Doing this kind of work has really changed. I think the way that agencies like ours used to work with communities is that we would come to them pretty late in the process and say, Hey, we’ve developed this campaign. Can you push this out in your community? You know, can you take our work and share it with your community? And that has really shifted. Now we’re making sure that we’re doing research directly with them. We’re testing messages and creative directly with them. We’re getting their input on a strategic level and on a creative level for the campaigns that we’re creating. We can’t just go to them with an ask. It has to be a mutually beneficial dynamic.  

And that’s where you come in, to help us stay focused on continuing that evolution and making sure that we’re working with communities early, often, and in an authentic way. Not to check a box, but to really make sure that we’re really hearing their voices and incorporating their perspectives and stories into the work we’re doing.  

AV: 

So, we’re going to wrap up here in a minute, but this is Women’s History Month, and I made a comment on my Facebook that everybody loved, because I was like, I’m celebrating me. I have this whole support network of people, but I’m the one who made changes. I’m the one who took chances and I’m the one who got these things done. So, when people do these big celebrations, like women’s day, blah, blah, blah, what do you think about that? Is it good? Is it worth it?  

SM: 

I think the celebration month or day is only meaningful if you reflect on its application in your own life and in your own experience. I don’t know that those days really achieve anything if you don’t take a take a minute to think about it. You know that saying, Think globally, act locally. I think it’s the same thing. Recognize the global celebration going on but think about how to give meaning to it in our own experiences and circles of influence.  

AV: 

Well, thank you Susan, for another amazing episode of Alvina Talks Shift. We’re going to have lots of conversations. I love our chats. I know we’re the two women partners, but every time I walk away from a conversation with you, I’ve learned something. And I just feel safe, I feel like you’ve got my back. So, thank you for that, Susan. And thank you for joining me on this episode.  

SM: 

Absolutely. Thanks for having me.  

AV: 

Thank you for listening to Alvina Talks Shift. Please like, share, and subscribe and as always, engage, empower, evolve. If you like this episode, or if you want more content like this, go to alvinatalksshift.com or wherever you listen to podcasts.


Alvina Talks Shift: Women's Rights, Policy Battles, and Mentorship with Susan Morrisey

SE2’s newest principal, Alvina Vasquez, interviewed SE2 Principal Susan Morrisey in her latest podcast, Alvina Talks Shift. Susan shared her experiences working with the late Congresswoman Pat Schroeder, a champion for the rights of women and families, and reflected on the sometimes-lengthy battles for policy change. She also discussed the importance of commitment to long-term advocacy, challenges and misconceptions faced by women in political and business spaces, and the significant impact of mentorship in her own career. 

Watch the full episode here. 

Begin Transcript: 

Alvina Vasquez: 

Let’s talk about creating a life and country we’re proud of together. I’m your host, Alvina Vasquez. Welcome to Alvina Talks Shift.  

Today I have a very special guest, Susan Morrisey. We’ve been working together for around three years, but now are partners since I sold my business to SE2.  

I’m so excited to have you on, Susan, because I feel that you and I have similar backgrounds in the political and nonprofit space. So, I want to explore that a little with you today and where you think the future is for communications, marketing, and PR.  

But first, I want to tap into your experience of working with the late Pat Schroeder, who was given credit for mentoring a lot of young people when she was in Congress. That was a time when very high-profile things were happening that really changed the trajectory of women in the workplace. Like the case involving Clarence Thomas: We learned about hostile work environments and all these new terms that changed how women were interacting and interfacing in professional settings.  

Susan Morrisey: 

Yes, it was an interesting time for women and in my own career. There were a lot of high-profile issues affecting women and families. Pat had been working on the Family and Medical Leave Act at that point for many years, and it finally passed – groundbreaking legislation that made sure that people didn’t have to choose between going to work and taking care of important family needs, like the serious illness or death of a loved one, or the birth or adoption of a child.  

So, there were some pivotal as well as some negative things happening with respect to women. Sexual assaults in the military became a very high-profile issue. As you mentioned, Clarence Thomas and the treatment of Anita Hill when she testified before Congress, and the Violence Against Women Act. Pat was that champion who was unafraid to take on some of these issues, whether it was defending women or working to advance the rights of women, including taking care of their families. She never shied away from these issues and was a champion until the end.  

AV: 

And just to highlight how long these fights take, in Colorado paid family leave was only passed in 2020, just four years ago. That expands the rights for workers to take time off for, like you said, death, family illness, adoption in addition to having a child or even taking on family children. So that’s how long it takes to win some of these battles.  

SM: 

Yes, and I think advocates, including those who are working on behalf of women and family issues, have to be committed to the long haul. When I think about some of the women I was fortunate to work with on these issues when I was working with Schroeder, many of them are still doing that same work today. Childcare has taken on a whole new level of importance in the collective conversation now, especially since COVID happened, and there’s just much more attention being given to that issue. But I remember working with Anna Jo Haynes, who was a fierce and relentless advocate for quality childcare 40 years ago. So, these things do take a long time and you might be looking for incremental change at a policy level year after year. You just have to stay committed to the fight.  

AV: 

It’s interesting that you bring up Anna Jo, because she is a huge influential person in our community. I think she’s credited with so many big wins for children and education. So, I’m glad you brought that up because it makes me think about the impact of that generation of women leaders, and how we can take those stories to younger women so that they can carry on the torch.  

SM: 

Yes, I have a daughter who just turned 27, so I get to interact with the young feminists of today – and they do use the word “feminist”. For some time that term carried sort of a negative connotation. But young women today do care about important issues, whether they’re issues that affect women specifically or not. Issues like abortion rights are very important to young women and they may not have fully appreciated, 10 years ago in their lives, the magnitude of some policy decisions being made – in Congress, at the state capitol, or in the courts. As they come into adulthood, however, I think they really get it.  

What I would tell young women today that are thinking about how they can become involved in community issues is that you have to stay committed to that long game. Their lives change so dramatically, from the time they go from being children to teens to young adults. The idea of working on an issue for years might seem daunting to young people, in a world where everything around them, in the media and their own lives, changes so quickly. But it can take years or even decades to really change an issue. So, staying committed over the long term – being unafraid to say what you mean and mean what you say, and not being afraid to be called a feminist or somebody who is loud and really using their voice – that’s what our voices are for.  

AV: 

Speaking of longevity, you’ve been with SE2 for 25 years, right? You all have been around changing lives for 25 years! What made you switch from working on policy issues to being more on the marketing/ communication side of things?  

SM: 

Well, you’re right: We have been doing this work for 25 years. I’ve been with SE2 for about 23 years, and it really was a seamless transition for me. Working for Pat Schroeder, I got to understand the power and influence that communications can have on important issues. So, I was just able to move pretty seamlessly into the work that we’re doing today because the common thread is talking about important issues. However you’re doing that, whether it’s through media, or through in the work that you do, Alvina, with community outreach – if you’re doing something that you really care about, that transition seems easy. It may not have seemed easy at the time, but when I look back, it really was easy because I was doing something that I loved.  

AV: 

What were some of the challenges or differences between working in the political space and the business space, especially as a woman?  

SM: 

There are many more women in policy work and politics today than when we were younger, so that has been interesting to watch. What is the same is that women who really use their voice and are unapologetic about saying and standing up for what they believe are still called “shrill” or even the B word. Women even today are still called those things if they’re very fierce. So, while there are more women in that space, some of the criticisms continue to be the same.  

I do think there is a balance that you have to strike when you are a woman in business – between bringing those skills and attributes that are really a natural to women, like hearing a room and mediating differences, with digging in and really advocating for what you believe and being tough. Because in many respects, the business world continues to be a man’s world, and in my experience, men are not necessarily going to wait for you to advocate for what you believe. You have to get out there and do it yourself.  

AV: 

So, in our conversations, you’ve mentioned to me that you were part of a cohort that provided support to business leaders like yourself. Let’s talk about mentorship and how mentorship never ends. I’ve talked about this with other folks as well and think that at all levels of our career, we should always be looking around for those kinds of support. When have you done that during your career and what was most impactful about those experiences?  

SM: 

One of the most important mentors I ever had was my mother. Before she passed away five years ago, my mom had her own business. She was a consultant, and I did everything in her office growing up and as a teenager. I traveled with her and would see her just being a woman in business. So, being around other women in business, I think, is important. Whether you call it an official mentorship or not, I learned so much from watching. It was a mentorship that I didn’t really ask for, but inadvertently received and it had probably the most profound influence on my life as a woman in business. But I’ve had other important mentors that are men. I have learned a great deal from our partner, Eric Anderson, who I’ve worked with now for almost 25 years, and have gained so much from those relationships with male mentors as well.  

AV: 

It’s almost like when you’re in these spaces, you just have to absorb what’s happening around you and just be aware of decisions that people are making, listen to how they’re interacting with the client, and just pick up on those little things. Also, recognizing we’re not perfect and we’re all just trying to do our best, at the end of the day.  

What do you do when you have a bad day or if something goes wrong? How do you recover from that?  

SM: 

Well, I want to come back to that in a second. But before I forget it, I want to follow up on something you said in terms of the little things that you pick up by just being with someone, observing them as they do their work. I think a real, very significant change occurred with COVID and everything that is still with us in the business world post-COVID. I believe young people in business today are at a disadvantage because they’re not working in an office with people who have been doing their work longer than them. Not being able to collaborate and work around people in person, I believe, is impacting people in business today. I don’t know if we’ve fully seen the effects of that.  

And then back to your question about what I do when I am having a bad day. I am not going to lie: I have had many bad days in my career – days where I had to go get in my car and drive around because I thought I was going to cry at work. I’ve had those experiences. Sometimes just a change of location helps. And talking things through with others, whether it’s coworkers or other people, not even coworkers, can help me get through some tough experiences.  

And lastly, the thing that I think is just the greatest gift to all of us is that we live in Colorado. So, just getting outside: It does wonders when you’re having a bad moment. Go for a walk. It’ll change your outlook on the day. 

AV: 

Yeah, I feel like we should all take our jobs and ourselves seriously, but never so seriously that the rest of the day is going wrong because we’re unable to recover. We’re obviously all trying our best. If we fail at something, in the big scheme of things it’s not going to have a huge impact. And we can make somebody else’s day better by just moving through it.  

I had a speech coach that told me I cry a lot. I’m a crier. She said, “If you ever are crying in a speech, just keep talking. That’s the only way for the crying to go away.” I feel like that’s a good lesson for life: Just keep going, keep talking, and try to get through it until it goes to the back of your mind and you’re able to recover and get back to doing whatever you need it to get done that day.  

SM: 

Absolutely. Whatever terrible thing happened today, whether it was your responsibility or not, in the scheme of things, you’re right: It’s not going to be a big deal when you look back on it. 

AV: 

I feel like it’s like the rear-view mirror thing. Things in the rear might look closer than they appear, but those things are way back. Just move on.  

Well, we’re running out of time, but I wanted to talk a little bit about what do you do for fun. I see you in the office a lot and we’ve done business meetings together, but I want to know more about you. What do you do when you’re just having a day off?  

SM: 

I have a horse, and it is the thing that just makes me so happy. I get outdoors a lot and try to be active, whether it’s walking or skiing or going up to the mountains. Whatever I can do to be outside is energizing for me.  

AV: 

Well, Susan, I really appreciate it this time. Thank you so much for taking a chance – for bringing me into the fold and making me a part of SE2. It’s a huge opportunity and I’m so excited about all the things that we can do together.  

I remember the first time we talked on the phone: I hung up and said to a coworker of mine, “This is going to be a big deal.” I am so glad this came to fruition and now I’m part of the SE2 team.  

SM: 

Yes, absolutely. You are bringing a whole new perspective and vitality and network to the work that we do, and I’m so excited.  

AV: 

Thank you, Susan.  

Now concludes another great episode of Alvina Talks Shift. Thank you for watching. Please like, share, and subscribe. And, as always, engage, empower, and evolve.  

If you like this episode or if you want more content like this, go to alvinatalksshift.com or wherever you listen to podcasts. 


Solutions start with honest conversations. Tell us what you’re navigating now or building next. We’ll listen, ask questions, and help you think it through.

Schedule a complimentary conversation with one of our strategists.

Privacy Preference Center