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Tendler starts the in-vitro fertilization (IVF) process to freeze her eggs. She finds the process daunting, as the fertility clinic doctor tells her over the phone that she must mix the hormones herself before injecting herself, using a video as an instructional reference. Then, a doctor, but not necessarily the doctor Tendler’s talking to, will perform her egg retrieval procedure. Tendler is unnerved that an unknown doctor will perform the procedure, especially given she’s paying $12,000 for the entire process. Tendler didn’t know children were optional until her early twenties since society conditions women to view motherhood as mandatory. She didn’t think seriously about children until her thirties. She views childrearing as inherently gendered, with women taking the brunt of the work because of gendered expectations. Her hesitations don’t stem only from men but also her desire to live her life on her terms.
Tendler calls Carmel, her friend who’s also gone through IVF, to discuss her fear about mixing the hormones herself. Carmel assures her it will become easier as time goes on. She mixes the hormones and injects herself and finds the injection portion easy. She wonders if her past with self-harm prepared her for this. Later, Tendler goes into the fertility clinic for a blood draw. A nurse takes her blood with a featherlight touch, and then Tendler goes in for a transvaginal ultrasound. The male doctor enters for the ultrasound, and Tendler asks him to change the condom on the probe as she has a latex allergy. Tendler only discovered the latex allergy after Reece once used a non-latex condom, and, for once, sex wasn’t painful for her. For 36 years, she believed sex was inherently painful for women. The doctor acts annoyed that there is a brief delay in changing the condom, which makes Tendler embarrassed.
Tendler returns home to inject more hormones, but the reference video shows a vial with no foil cap. Tendler then attempts to remove the foil cap on her bottle, but she spills it down the drain. She calls the clinic to request another bottle, but they don’t carry the hormone on hand. She must drive from Connecticut to Brooklyn to pick up a new one. She loads Petunia in the car and drives to Brooklyn. Though the clinic told her the replacement would likely be free because of a manufacturing flaw, Tendler has to pay over $1,000 for the replacement.
Tendler’s mother drives her to her egg retrieval appointment. Tendler feels groggy afterward, and the nurse whispers to her that she had eight eggs retrieved. Tendler asks her mother for McDonald’s on the way home, and she wants to eat in the silent dark of her house. She watches Selling Sunset and cries as she eats.
At her follow-up, only four eggs were viable. Tendler decides to pursue another round of IVF, but a cyst on her ovary halts the process. The clinic tells her to start again when the cyst is gone, but Tendler decides she’s done. While planning Carmel’s birthday trip, Carmel reveals to the friend group that she’s pregnant. Tendler is happy for her, overjoyed by the beauty of Carmel’s pregnancy, but she is afraid that she will soon be the only childless friend. She worries she will be left behind by the tidal wave of communal motherhood. She tells Carmel nothing will change between them after the baby, but she’s not sure either can keep that promise.
Tendler meets Javier on a dating app, and the pair have an emotionally tumultuous relationship characterized by Javier becoming more avoidant the harder Tendler tries to cling to him. He stays in frequent contact with his ex-girlfriend while giving Tendler hints and gifts that bely romantic affection for her. Javier’s behavior prompts Tendler to realize that she no longer wants volatility and dismissal to be indicative of love. She wants to find a better way to love.
In April, Tendler calls Petunia’s vet. Petunia has been diagnosed with heart disease and either a brain tumor or brain stem disease. Both are terminal. Tendler’s mother comes to the house and offers to dig a hole next to the magnolia tree for Petunia. She cannot dig the hole, and Tendler implores her to stop, take a breath, and calm down. Her anxious energy is difficult for Tendler to handle, but she reminds herself that her mother also loves Petunia and will share in the grief of her loss. Tendler and her mother take Petunia for a walk in her stroller. Petunia would walk for a time in her previous years, but she would “frog out” and lay down when she became tired. Tendler then purchased a stroller so that Petunia could walk until she “frogged out” and then continue the walk in her stroller.
Petunia’s vet and her tech arrive to euthanize Petunia. Beforehand, Tendler carries Petunia from room to room in the house, reminding Petunia of the activities they did together in each room. She then plays peaceful music as the vet injects Petunia with the medication to render her unconscious and then slowly stop her heart. It takes more than the average amount of medication to stop her heart, which Tendler finds fitting. Petunia was a survivor until the very end.
After Petunia’s death, Tendler still feels her presence in the house. She calls a healer to host a crossing-over ceremony. The healer tells Tendler that Petunia is ready to go, but she’s afraid Tendler won’t be okay without her. Tendler thanks Petunia for being her constant companion and promises Petunia that she will survive without her. The next day, Tendler no longer feels Petunia in the house. She is crushed, but she is okay.
Tendler sits at her dining room table, working on her memoir. Two and a half years have passed since her hospitalization, and she decides to finally read her medical records to see what her doctors said about her. Tendler has several issues with Dr. Samuels’s report. Dr. Samuels uses the word “denies” to describe how Tendler describes not having symptoms of mania, psychosis, and ADHD. The use of the term “deny” makes Tendler feel as if Dr. Samuels did not believe her; she would’ve preferred he use more neutral language. She also takes offense with his characterization of her dislike and distrust of men, which Dr. Samuels attributes to Tendler’s difficult relationship with her mother. Tendler is upset that Dr. Samuels blames a woman, specifically her mother, for the pain and heartache men have caused her that led to her developing an aversion to men. She qualifies this with an understanding that men can look outside of themselves and be kind and sensitive. She doesn’t hate men, but she has untangled her identity from her connection to various men, particularly romantic partners. Finally, Dr. Samuels diagnoses Tendler with generalized anxiety disorder, major depressive disorder, intermittent explosive disorder, and borderline personality disorder. Tendler is shocked by the last two diagnoses; her current therapist refutes both diagnoses.
Tendler ends the memoir with a reflection on her current emotional state. She says, in some ways, she’s messier than she’s ever been, but she’s also in a healthy space. She has the tools to cope with her anxiety and depression, and she can experience the richness of life and grief without being crushed, thanks to the work she put into herself. She looks at her Cuban oregano plants and thinks back to her time at Dalby with gratitude.
The final chapters of Men Have Called Her Crazy further develop The Impact of Gender Dynamics on Personal Identity, as Tendler recounts her experience with freezing her eggs after her divorce. Tendler’s meditations on motherhood are informed by her experience with her mother and her perception of the inequalities of childrearing in heteronormative relationships. Tendler never thought that motherhood was optional until her twenties, and when she realized having children was not mandatory, she began to have a reluctance toward it. She writes:
My reservations about motherhood have been shaped by my feelings about men, their general incompetence, their propensity toward selfishness, and their inability to empathize with the female experience. My obsession with equality in relationships restricts me from balancing the weight of what men put into child-rearing versus what women do (248).
Tendler’s refusal to romanticize motherhood emphasizes a larger feminist critique of traditional gender roles, where women overwhelmingly bear the brunt of the emotional and practical aspects of childrearing. Tendler does not believe that parenthood can be equal among mothers and fathers, as she finds that the qualities frequent in men are not conducive to equitable and fair sharing of familial duties. Like the financial inequality in her relationship with Theo and the emotional and ideological inequalities in her relationships with Sam and Reece, Tendler worries that any relationship in which she had a child would be incredibly unequal, leading to resentment and suffering. This reflection demonstrates her increased ability to refuse to settle for relationships that perpetuate inequality or cause her further emotional harm.
Tendler also explores the societal expectations associated with motherhood. She worries that if she is the only one of her friends to not have children, she will feel left out of her friends’ lives. However, she also acknowledges that her friends with children may also feel this way, noting, “I know mothers feel excluded from life too. I guess that’s the paradox of being a woman: no matter what path you choose, chances are you’ll feel invisible” (249). This observation reveals the societal pressure on women to conform to traditional roles. Regardless of their choice regarding motherhood, society makes women feel unseen and left out of certain opportunities because, as Tendler illustrates, society is built upon a patriarchal foundation that favors men and their desires. In acknowledging this paradox, Tendler deepens her critique of gendered societal expectations, particularly the way women are made to feel inadequate.
This patriarchal foundation also impacts The Process of Healing and Self-Discovery, as when she reads the medical notes from her time in inpatient. While reading them, she finds evidence of implicit misogyny in her male providers, specifically when Dr. Samuels blames her relationship with her mother for her aversion to men. She reflects on this, writing, “What I see here is deflection and denial of the ways men have impacted my psyche. What I see here is that my rejection of and rage toward the patriarchal structures that govern nearly every aspect of life couldn’t possibly be my authentic reality” (290). Tendler feels that the way society is structured is inherently patriarchal, and her rejection of this is an inherent part of her understanding of herself. She realizes that her anger is not only justified but also necessary for her self-empowerment. When men try to tell her that the world isn’t as she experiences it, it causes her anger. This anger mirrors her own mother’s but is not caused by her mother, as Dr. Samuels suggests. Rather, her anger toward men and societal expectations is rooted in a critique of a patriarchal system that limits her—and other women’s—autonomy.
Despite this rage and rejection, by the end of the memoir, Tendler is in a better emotional and mental state. Even when her beloved dog Petunia dies, she thinks, “I am crushed. I am lonely. But I am okay. I am okay” (284). She is devastated by the loss of Petunia, but the grief does not destroy nor encourage her to return to the self-destructive behavior in which she previously engaged. Previously, she said Petunia was her only motivation for living, but Tendler’s growth has given her the strength to continue. In a metatextual reference to the act of writing the memoir, Tendler references her ability to finish the text as evidence of her ability to finish something meaningful. She emphasizes her ability to make art even out of the most difficult parts of her life, writing, “I chose the path of writing this book, I stayed the course, I did not turn left, and that’s something. Maybe more than something. Maybe it’s a victory” (294). She triumphs over her fears that her life has no trajectory and that she will never accomplish her goals because of her Mental Health and Societal Expectations. She finds joy in life where she can, ending the text with a scene of herself looking at the Cuban oregano plants from Dalby House, a reminder of the work she’s done and will continue to do for herself.
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