This episode of This American Life, hosted by Tobin Lowe, explores the profound impact of labels on human lives. The first story introduces Sarah and Ethan, a couple in their 40s who have been dating for 10 months but deliberately avoid calling each other boyfriend or girlfriend. They fear the expectations and permanence that labels bring, especially given their past long-term relationships and Ethan's young daughter, who doesn't yet know about Sarah.
The second act shifts to Marie, a Haitian CNA in Boston with Temporary Protected Status (TPS). As the Trump administration ends TPS for Haitians, Marie faces losing her job of 12 years. She keeps her status secret from coworkers, and her boss Colin tries to find a quiet, dignified way to remove her from the schedule. The story captures Marie's final shift, filled with small acts of care, as Colin finally pulls her aside to deliver the news, leaving both emotional.
Next, comedian Janet McNamara recounts her decade-long struggle to get an autism diagnosis. After being asked if she's autistic at a comedy club, she faces workplace conflicts and two failed evaluations. A recent overwhelming experience with a child leads her to try again, and she finally receives a diagnosis, transforming how she understands herself and interacts with others.
Finally, writer Alfred Jung Lee reflects on how descriptions focus on differences, using his late wife's battle with cancer and death to question what truly defines a person. He grapples with which details matter—her distinctive reactions, her routine habits, or the shared humanity that makes her like everyone else. The episode ultimately shows how labels, whether chosen or imposed, shape identity, connection, and loss.
A quick warning, there are curse words that are unbeaped in today's episode of the show.
If you prefer a beeped version, you can find that at our website, thisamericanlife.org.
From WBEZ Chicago, it's This American Life. I'm Tobin Lowe, sitting in for Ira Glass.
The story of Sarah and Ethan's relationship starts with heartbreak. She had just gotten
out of a 12-year relationship. He was separated after 13 years of marriage. Neither of them
were particularly interested in jumping into something new too fast. But their mutual friends
thought, hey, they have that in common. They're both in their 40s, both a little wobbly from
their last relationships. They should date. Here's Ethan.
I think they saw us both as like people who didn't know what they were doing and thought
maybe these two could figure it out together.
That's both like sweet and maybe a little insulting.
Yeah, yeah. I'm going to take it as sweet.
They hit it off, kept seeing each other.
Doing datey stuff. Dinners, museums, walks in the park. And as weeks and then months
went by, they advanced to the stage of hanging out with no particular plans.
At one point, a kind of big thing happened. A friend of Sarah's died. Ethan knew how
hard she was taking it. So he asked her, you want to go to a ballgame? Take your mind off
things? And it felt nice to let him take care of her in that way. It's now been 10 months.
So you're in college.
You make contact pretty much every day. You see each other regularly. You're not seeing
anybody else. Is he your boyfriend then?
No.
Obviously. This is Sarah. What do you refer to him as?
I guess I use his name.
Okay.
And I will often say he's the person I'm sort of seeing.
This sort of feels crucial there.
Or kind of.
Uh-huh.
Or I guess I'm. There's always a bit of a qualifier.
Gosh. Um, I think both of us have sort of avoid using the boyfriend-girlfriend terms.
In fact, a couple weeks ago, they had a conversation about whether it was time to
have the what-are-we conversation. And they decided to put it off.
Ethan and Sarah are your classic example of let's not put a label on it.
You know couples like this. And I understand that people do this. But I'm always a little like, why are you doing this dance? Like, if it looks like a boyfriend duck and it quacks like a boyfriend duck, it's just a boyfriend duck, right?
Some of my friends will refer to him as my boyfriend, but. You're making a face.
Not very comfortable with it.
Why do you think that is? What does it bring up for you? What is the feeling?
It feels like if we put a label on it, gosh, we're going into the tunnel again.
Like, it feels like it could last a long time. And that's a little scary.
And if I'm someone's girlfriend, I want to be prioritized in a certain way.
And I'm going to be reciprocal in that.
It's not something that I'm comfortable with right now.
There are other considerations they're thinking about.
Like Ethan's daughter, who is 10.
And still doesn't really know about Sarah.
He's thought a lot about what putting a label on this thing with Sarah would trigger.
If dad had a girlfriend, I think that that would feel very significant to her.
Yeah, I think that that would, I think it would feel like a big deal to a 10-year-old.
When I was hearing this described to me at first, I was like, to be honest, I was like,
oh, this sounds very, like, teenager-y, immature.
Like, we don't want to call it anything.
And now the more that I've talked to you, it's like, oh, it's a very mature
and sort of being honest with yourself about what you want and what comes with putting a label on it.
Oh, yeah. Absolutely.
Because there's expectations.
And having no expectations is so much nicer right now.
I get what she's saying.
Labels, they're powerful.
They can distill you down to a single word, can get stuck on you without your permission.
I still think about the day when my dad introduced me as his husky boy.
I thought about that label for years.
Today on our show, we have a story of a woman who spent more than a decade trying to get a particular label put on her.
And we see what happens when a label that's holding someone's life together gets peeled away.
And also, today, I have the all-powerful label.
So I am commanding you to stay with us.
It's This American Life, Act One, Last Shift.
The label being assigned in this first story is temporary.
It's a label that can feel meaningful and definitive.
You know the thing will end, whatever it is.
But temporary is also a flexible term.
Your life on Earth is temporary, but it can go on for a hundred years.
The temporary label plays an important role in the U.S. immigration system
for something called Temporary Protected Status, TPS.
TPS is a status given to a country all at once.
It allows eligible people from that country to live and legally work in the U.S.
if their home country has become unsafe.
Safe or unstable, for instance, because of war or disaster.
And if war or disaster goes on, TPS can be extended.
For some countries, it's been extended for more than 25 years.
Wars can last a long time.
A 30-second earthquake can cause damage that takes years to recover from.
Last week, the Trump administration succeeded in ending TPS for people from Haiti.
A judge removed the last roadblock.
It affected a huge number of people.
More than three.
300,000 Haitians.
Many have been here in jobs and lives far longer than anyone would consider temporary.
So, 300,000 people were facing an end all at once.
Hannah Jaffe-Waltz spent time last week with one of them at her job, a woman named Marie.
And no one, including Marie, knew which day would be her very last on the job.
Here's Hannah.
I'd heard about Marie before I showed up at the nursing home in Boston.
Her boss told me,
He was losing his best CNA.
The pride of the building, he said.
A CNA is a certified nursing assistant.
Families love Marie, he told me.
When I walked in, the senior nurse leader, Florinette, walked me up to the second floor,
pointing out details and people along the way.
And she pointed to a room and said,
The woman staying in this room refused to be moved from her chair to the bed by anyone but Marie.
If Marie is not here, we have to make sure that we,
go and tell her why Marie is not here.
Why did you. Because she's used to Marie.
She's used to her, and Marie treats her with respect.
So, she really is an exemplary CNA.
I've worked with many CNAs.
I know everyone.
This is Marie.
Oh, hello.
How you doing?
I've heard so much about you.
Oh, really?
Well, this is another Marie.
Okay.
Yes.
This is another Marie.
Got it.
Apparently, there are other CNAs.
There are a lot of Maries in this building.
Marie Gillette, Marie Claire, Marie France.
I ask Florinette, how much of the staff here is Haitian?
And she says, oh, we all are, except for. And she scans the floor.
Her.
She's not Haitian.
But I think I see three CNAs already, and all three of them are Haitian.
And then, a small woman in glasses, gold hoops, ponytail, and pink scrubs
are all the same.
Marie's not a dweller.
For a person who's a star, she's the opposite of flashy.
She's focused, quiet, exceedingly polite.
But I'm asking questions, and I can tell she's distracted, glancing at the rooms behind me
where her residents are.
I have somebody in the bathroom for now.
I cannot stay for too long.
Okay.
Okay.
Okay.
Thank you.
Thank you for coming.
Oh, I'm so glad to be here.
From there, Marie is in motion.
And she invites me to follow her.
From one resident to the next.
I'm coming, Marie.
I'm coming.
I'm coming.
In and out of bathrooms and linen closets, between bedsides, humming evangelical hymns
to herself as she changes sheets.
And cleans up messes.
I thought we were going to talk about this huge change that was about to happen in Marie's life.
about what is likely her last week on this job.
but actually it seems like I'm going to watch her do her last week on the job.
And the other nurses and CNAs are watching me and my microphone
and asking each other, what's she doing?
She's following Marie? Why?
Because she's good at her job?
And then they want to talk and add on,
saying I can also tell you how good Marie is at her job.
She never say no.
She always be there for everybody.
She's just really special.
She knows all their little quirks,
and she'll be training someone and say,
you know, they like a sock on their left foot but not on their right.
And she remembers all those things that you don't have to remember to do your job.
She's great.
And do you know what's happening with Marie this week, at the end of this week?
I do not, no.
I get out of the conversation, awkwardly,
and have a couple more moments
just like this, where I gather, bit by bit,
that nobody here knows the major thing
that is happening in Marie's life.
Marie has invited me here, knowing I'm doing a story
about people on TPS, about her job ending.
But the people she works with don't know her job is ending,
or that she's on TPS.
Even though most people who work here are Haitian,
some of them are on TPS, like Marie is, but most aren't.
A woman on staff named Nancy
told me, "we give each other privacy."
We don't ask questions directly because we don't know
who has it, who doesn't have it, and things like that, you know?
So we just stay, talk as a group.
Nancy said the day that the Supreme Court allowed the Trump administration
to end TPS for Haitians, the staff got together at the end of the day
and talked about how sad it was that TPS was ending, how scared people were.
She said Marie, in particular, was very,
very sympathetic in those conversations toward our other co-workers who have TPS.
But Nancy clearly did not know Marie is one of those co-workers.
You know, and she was feeling for everybody else.
Everybody was talking about it, especially Marie,
because she's very caring like that for everybody.
How's it going?
Good.
Yeah?
I catch Marie coming out of her room and pull her aside,
pull her aside for a minute, and your co-workers have been asking what I'm doing.
And I've been saying I'm following you, and nobody seems to know about TPS and that stuff.
Do you, do you want me not, I have not said anything?
Not.
Do you, so you haven't talked to people here about it?
No, I don't want to talk to them about it.
Okay. Can I ask why?
I just don't.
Yeah.
Okay.
If something happened, I cannot.
If something had come, I will tell them, but for now, no.
Yeah.
If something happens, you would tell them on that day.
Is that what you mean?
Yeah.
Okay.
I'm not going to, after 12 years, I'm not, I'm not going to just disappear.
No, I will tell them.
But for now, no, I don't tell them anything.
They don't know anything about me.
I learned, the more I talked to more people, that this silence is common.
Yeah.
There were so many people on TPS moving through their workdays in restaurants, airports, schools,
quietly knowing it could end at any moment and not telling anyone.
Over 300,000 Haitians on TPS.
That is so many people.
As immigration statuses go, temporary protective status strikes me as the most important.
It's not an employment visa, where there can be a path to a more permanent status, like a green card.
TPS offers no path.
It leads nowhere.
You can have it for years.
You can have it for decades.
It can be terminated at any time.
The executive branch has discretion to offer TPS and discretion to take it away.
With other immigration statuses, there's a process.
There are steps to take and a system for appeals.
TPS is more like a gift from the king, just a thumbs-up, thumbs-down kind of system.
Haiti is arguably more dangerous than it was in 2011, when Marie was granted TPS.
But President Obama was into TPS for Haitians back then, and President Trump today is not.
So it's like a vibes-based immigration status?
When I asked Marie how she was thinking about TPS, she'd just shrug.
What's there to say? What can I do?
She told me in Creole, through an interpreter.
I understand the danger that's hanging, but there's nothing else I can do.
She doesn't have a lot more to say about that.
And maybe there just isn't a lot more to say.
So how was this going to go, the actual end?
For weeks, I'd been thinking about TPS.
It was unclear when, exactly, the TPS termination for Haitians would go into effect.
Like, what day?
And employers were constantly refreshing government websites and checking the news
to try to figure out when to tell their employees they couldn't come back.
And how should they do it?
Marie's boss, Colin, told me he was trying to figure out what was the least disruptive,
least public way to do this that would protect his employees' privacy.
Should he just take them off the schedule?
Put them on PTO and tell everyone they're on vacation, and then they just won't come back?
Should he do that now? Should he wait?
The deadlines kept changing.
TPS was ending on Friday.
Then it seemed like maybe it was Monday.
But at the end of the day on Monday, I called him, and it seemed like maybe it wasn't Monday?
I have no idea.
I have no idea what's going on right now.
I've heard nothing.
It feels like, yeah, today is the date, but I'm not sure.
I'm not getting anything from, you know, a government source that says absolutely it's the date.
Is there, like, someone to reach out to?
I can't answer that question without being sarcastic.
I mean, I don't know that there is somebody.
Tuesday, I walked into the nursing home at 2.45.
I saw Colin on my way into the building.
Sitting at his desk on the first floor by the entrance.
Button down, large beard, he's 40 years old.
I tell Colin I talked to Marie and said I'd be here today for the start of her shift at 3.
And he said. I did meet with HR today, and we have made a company-wide decision that at this point we are going to take anyone affected by TPS off the schedule.
The lack of guidance, we feel like we have to remove them from the schedule.
Wow, okay. So is she working today?
She's working today.
Um, she's working today.
Does she know that?
I have not talked to her yet, no.
I'm waiting for Marie to come in, um, I'll let her get settled, and then I'll have a conversation with her probably around 4 or 5 o'clock.
How come you wouldn't just tell her when she gets here?
I don't think it's right to kind of grab somebody walking through the door.
Hey, you're walking through the door, let's, so I want to let her settle and kind of have a normal chain, and then I'll kind of sit down and have a conversation with her.
Um, when we both have time and space to do that.
But I do want to have a face-to-face conversation.
Meanwhile, Marie is already here. She's upstairs. She came in through a different door. Her coworkers are greeting her as she sets up.
Hi, beauty, how are you?
I'm okay, baby.
She's in lavender scrubs and a gold and silver head wrap, arranging her cart for her shift. Marie doesn't just grab one of the pre-stocked carts.
I like to fix my cart. I have to fix it.
You have to do it yourself?
Yeah, yeah. I know. I put towels, pads, sheets, gowns, pillowcases, face gloves.
All of a sudden, everything Marie is doing becomes the last time she will do it. Counting the blankets and stacking them neatly on the middle shelf.
Fitted sheets, diapers, and cream go on the top shelf, pushing her cart to room 101 as the morning shift heads out.
Okay.
Bye, Albert.
Bye.
Bye, Marie.
Excuse me.
Nothing more, ma'am.
Drive safe home.
Thank you.
Checking on each resident.
Hi, Marie.
Hi, how are you?
I didn't see you yesterday.
It was my day off.
Oh?
Yeah.
I like your silver.
Thank you.
Pretty.
You got to watch out the sun.
Yeah.
Put your sunglasses on.
Yeah.
Next door, room 100, is full of visitors.
Marie maneuvers quietly around the family, arranging sheets, wiping surfaces.
Filling water cups.
This job is a series of endless, small gestures.
It's delicate.
It's close, difficult work.
Marie is both productive and invisible.
She preps a bath, and then gently guides the family on how they can be helpful as she
washes and changes their 94-year-old mother.
I don't know what to do.
Marie is on her way out of room 100, arms full of dirty linens,
when Colin enters the hallway to her unit.
He walks toward her.
But then keeps going.
He walks right by her.
It looks like he made a last-minute calculation that this is not the time.
Marie rolls a cart of soiled linens to the next room,
pulls up next to a co-worker and whispers to her,
asks her where another CNA is today.
Marie says, did she call out?
The co-worker says, yes, I think it's about the TPS thing.
They closed it.
Marie says, that's what I heard.
Then a call button lights up.
She heads toward it, back down the hall.
Then she's on her way out of that room,
and I interrupt, and I ask, have you checked in with Colin?
He told me anything happened, he will call me.
He saw me when he came here earlier, but we did not talk.
Okay.
And you haven't asked him anything?
No, no, no.
I don't want to embarrass him.
Why would it be embarrassing for him?
Because he doesn't like me to leave.
He doesn't want you to leave?
Yeah.
Yeah.
He's not happy to see me leave.
I'm not going to ask him anything.
Next to us, a man in the hallway with bright yellow socks
has been using his long legs to drag his wheelchair back and forth,
saying, I don't know, I don't know, I don't know.
And a nurse leans close to Marie and says,
could you help my friend with the catheter?
For the catheter?
Yeah.
Yeah.
Come.
Come, Pop.
Colin comes by again, glances in the rooms,
but Marie is in the bathroom.
Pull the pins down.
She empties the catheter.
As this is happening, Colin does a lap.
Marie pushes the man back into the hallway
and Colin spots her coming out of the room.
But the man with the yellow socks is agitated
and pointing at his pants.
He wants Marie to change his pants, too.
So they're back into the room.
Take your time.
No, no, don't slide.
Colin disappears back downstairs.
How do you end a 12-year career without interrupting,
without disruption, without anyone noticing?
Colin is looking for an opening to do this quietly,
but there is not one.
This is a person who is. is busy and needed.
CNAs are hard to find and hard to keep
all over the country.
The average time people stay in these jobs
is two years.
And here's Marie.
Her boss doesn't want her to leave,
and she doesn't want to leave.
He doesn't want to embarrass her,
and she doesn't want to embarrass him.
This is not the version of removing people
that we've seen so much of in the last year and a half.
It's not people grabbed in public,
pulled out of cars in dramatic,
sometimes violent videos.
This is a silent play
being performed in workplaces across the country.
The quietest ending everyone involved
can possibly pull off.
By 5.30 p.m., when the dinner trays arrive,
Marie is moving between residents,
arranging bedside tables, delivering food trays.
A visitor tells her,
we're going to head out now.
My grandma's alone.
Keep an eye.
Marie reassures her.
Then spots a man who's come to have dinner with his wife.
Marie finds a folding chair,
places it behind him without saying anything,
and keeps walking.
Meanwhile, Colin is on the second floor now,
and he's not leaving.
I can hear him faintly somewhere
on the other side of the nurse's office.
He's at the nurse's station,
talking to some guy about printers, I think.
At 6 p.m., Colin just walks straight to Marie's unit
and scans the area.
He sees her carrying empty dinner trays.
He says quietly,
hey, Marie, you got a minute?
Sure, she says.
She places the trays down
and follows him down the hall.
They go into a room with an interpreter.
It takes seven minutes.
Colin doesn't want me to record,
and when Marie comes out,
I don't turn the recorder back on.
She says to me,
well, they're taking me off the schedule.
For now, until he has more information.
This is maybe the end.
I tell her I'm sorry.
She says, they said I can go home now
or finish my shift.
It's up to me.
I have the choice.
And then Marie does something
I have not yet seen her do.
She talks about how good she is at this job.
She says, when I started here in 2014,
my salary was very low.
Every year, they saw the way I'm working
and the work I've done,
and every year they gave me more.
Right now, I won't tell you how much I make,
but it's double where I started.
I tell her, I'm sure you deserve it.
She gets choked up and says thank you.
Then she says she's decided to finish her shift
and she should get back to it.
She stands up and walks back down the hall.
She says, I'm sorry.
She says, I'm sorry.
She says, I'm sorry.
She says, I'm sorry.
So the whole reason I've been thinking about labels lately is because of this next story
we're doing today.
It's about Janet McNamara, very funny comedian, who had this odd thing happen to her 15 years
ago when she was first getting started.
What happened was, this one night, she's performing at a comedy club in Boston, where she's proudly
from.
I think all Irish Catholics are.
Anyway, she gets off stage, goes to the green room, when the owner of the club stops her.
He just kind of said, like, out of curiosity.
What's that thing when you look up in the air and you dart your eyes?
And I do this thing, I have really bad memory recall, so I look up in the air a lot when
I can't think of a word or I can't think of what I'm going to say next.
And I said, that's what I do when I'm thinking.
And he said, have you ever been tested for autism?
And I said, no.
I've never considered that I'm autistic before.
Literally, nobody has ever said it to me before.
And where was this comedy?
Comedy club?
It was called Dick Daugherty's Comedy Vault.
And this guy, Dick Daugherty, he's the first person who asked me if I was autistic.
Oh, it was the namesake of the club.
Yeah.
He named a club after himself.
Yes, correct.
Gosh.
Janet kind of brushed it off, thought it was sort of funny.
And she is a comedian, so she started getting on stage around Boston, telling the story
about this guy asking this question out of nowhere.
It got laughs.
But also. After the show, people would come up to her and say, hey. I'm autistic, just to let you know, you're also autistic.
They would say it that bluntly?
Yeah.
And how would that feel?
How would you react?
I would say, I don't think I am.
Janet says, as a kid growing up in the 90s, she'd been tested many times for learning
disabilities, for anxiety.
Never once did any of those medical professions. say the word autistic.
When she talked about it with her family, her friends, they'd say, yeah, it's a little
weird that you get your hair cut in slow increments, so no one says, hey, you got a haircut.
But mainly, they said. You're not autistic, you're from Boston.
But the fact that people kept saying it to her after shows, it raised a curiosity.
She thought, it's probably nothing, but what's the harm in asking my psychiatrist if he thinks
it's possible?
Here's Janet talking on stage about what this all led to.
It was when Asperger's was still a thing.
It's not a thing anymore.
Now they call it the autism spectrum.
They unnamed it.
He was a Nazi.
Asperger's was a Nazi thing.
Yeah, read a book.
I remember I took the test,
and the guy, he just looked up from his notebook,
and he goes, well, people with Asperger's
generally have above-average IQs.
So.
And I'm not smart enough
to be mildly autistic.
Is what that doctor told me.
This, again, was her actual psychiatrist.
Janet decided to let it go,
partly because this was back in the 2010s,
and the idea of an adult getting tested for autism,
it just wasn't in the air the same way it is now.
She thought, okay, that's it.
No need to keep pushing for a test.
So for years, autism was just a funny bit on stage,
part of her stand-up.
But offstage, Janet had a day job,
and what was happening there
would turn out to be not so funny.
Offstage, Janet had found what she thought
was the perfect job.
She was an accountant,
worked her way into it after being a bookkeeper
for a plumbing company right out of college.
She liked accounting because she was essentially
a problem solver.
Looked at ledgers, Excel spreadsheets,
pointed out where there were errors.
And her boss loved her,
because Janet got her job done quickly and efficiently.
No small talk, no bullshit.
She even got raises regularly.
That is, until one day,
she got a new boss,
one who liked small talk,
wanted more group meetings,
more socializing amongst coworkers.
Early on, this new boss asked Janet to meet
one of her friends,
one-on-one, so they could get to know each other.
And she said, you know,
I have two kids, I enjoy hiking.
And then she turned around and
showed me her two kids
with a. She showed me a. She turned around and picked up
a framed picture of her two kids and went to hand it to me.
And I just said, I could see that from here.
When I walked into her office,
I saw the pictures
of her kids. I immediately knew
when I walked into her office,
she has two kids, they're about 12 years
old, the boy's older
than the girl.
Okay, cool.
I know all this information.
I know this. I got it.
And then she just tells me verbally
and then hands me the picture
and I'm like, I already know this.
Like, why are we talking about this?
You have a picture, that's why you have a picture on your desk
is so that people don't start asking you
if you have kids because there's a picture on your desk.
Janet talks in her act about
how things started to sour for her in the workplace.
I was having a hard time at work
at the time.
I was having a hard time at work
because of my personality.
Yeah, they said I was rude at work.
They said I had bad tone.
They said I had
bad tone in my emails.
I was like, how could you have
bad tone in an email? I wasn't singing.
I was like, you people need to relax.
I told my boss
to relax.
During a performance improvement plan.
And even though she joked
about it on stage, it was serious.
It seemed like she might lose her job.
And what made it so
difficult was that it felt like she wasn't
being asked to improve her work.
She was always good at that part.
It was like she was being asked to change
her personality, her fundamental
way of being, which, how do you
even go about fixing that?
She became so anxious
and stressed about it, she took medical
leave for a while, hoping she could figure out
a solution. And then she went to talk
to a doctor about what that might look like.
Like a more private desk
away from the chatter of the office.
The ability to sit out those meetings with large
groups of people.
She asked the doctor if he could help her ask
for these accommodations. And he said,
those sound like what you'd ask for if you
were autistic. Again,
that label.
Janet decided to look into a diagnosis
again. This time, because the need
had become dire.
Music.
Janet goes for her first
official autism test, which
this time was an actual real
deal test. Testing for
autism, by the way, is complex
because there's no blood test.
Instead, there are usually multiple
sessions during which the tester is
looking at social interactions, sensory
issues, repetitive behaviors, or
fixated interests. And then they
take all of this into account to assign
a diagnosis. Which is
what Janet went through this time.
I don't know if anybody's ever had one. It's like this whole thing.
It's like a three-day thing. You look at pictures
of people and they're like, they look happy,
they look sad. And they send surveys.
And I was perfect. I had everything
perfect. And I didn't get the diagnosis.
Like I said, I didn't get it. And he knew I wanted it, too.
I didn't get it.
And I'll tell you what happens. At the end of the day,
the guy, he just came back
and he just looked at me right in the eye.
Which I did not care for.
I swear, I swear, I swear,
he just looks me right in the eye and he goes,
he goes, he goes,
you are so
close.
I swear to God, he goes, you're so close.
You just didn't quite hit all the criteria.
And the criteria
didn't hit. The only reason why
I'm not autistic, according to him,
is because the tags on my shirts don't bother me.
Yeah, I don't have sensory issues.
I was pissed.
I was all ready to go back
to work and be like, hey,
I don't have to look at you.
It's not that I'm rude.
It's that I don't understand.
It turns out I'm just rude.
You can tell that I'm rude
because the tags on my shirts don't bother me.
And that's the difference between rude and autistic.
It definitely felt,
it felt like I had no choice
but to change.
It felt like I had no choice.
But to start
playing the game,
which is
talking about the weather
and saying hi to people
and I did
like start learning
people's kids' names.
How long do you feel like you were able to
keep that up at that job specifically?
Oh, like three months.
My brain just wasn't,
it's so hard to describe it.
It's probably what dementia feels like.
In that you know,
this isn't hard,
but your brain just can't do it.
Like I just couldn't function.
Janet cycled through several corporate jobs after that.
She said she'd do well,
but then hit a wall
as the demands of interacting
and socializing would increase.
She'd have to quit
or face being fired.
That's the cycle Janet's been in for the last decade.
Trying to avoid situations in everyday life
that would make her uncomfortable,
but then when they do happen,
talking about them on stage for laughs
and how she still can't get a fucking diagnosis.
So she's just
kind of been toughing it out.
Until recently, when she had an experience
that flipped her thinking about everything.
She took a kid to the movies,
a kid she was babysitting,
a kid she knew well,
and at the movies, this kid started to cuddle
with her, as little kids do.
And it was so uncomfortable to me
that she was stroking my arm,
but I also understood
that it was a little kid
and that
you can't just tell a little kid
to like,
like I understood that it was like
a harsh way of showing affection
and I just felt so stuck
and I started like crying.
Because you had to deal with it.
It was your problem to deal with.
I felt like I'm the adult.
I just need to like take this.
Janet went from discomfort
to just being flat out mad at herself.
How awful,
how awful is that?
How awful can you argue as like a person
if you just want to say to a little kid,
like, stop touching me.
Like, stop cuddling with me.
Stop showing me affection.
Like, it just doesn't feel good
on a human level as a person
to not want to cuddle with a little kid.
And for that to be an overwhelming experience.
She told all this to her current therapist.
And her therapist said to her,
I think we should revisit getting a diagnosis.
I think it's right for you
and the other testers got it wrong.
Janet was ready to stop blaming herself.
So she agreed.
It was very much a,
maybe there's nothing wrong with me.
Maybe my brain is just wired different.
And maybe I need to not beat myself up.
And that's when I interviewed Janet.
When she was trying, yet again,
to get a diagnosis.
When I talked to her,
it was right before she was diagnosed.
before she was
out to find out her results. When they did finally come in, she was standing outside a bar. It was 11
p.m., she opened an email with a report, and then the next night she went on stage in Portland, Maine
and dropped the news. And the lady was like, I don't know what's going on, but you're definitely
autistic. She was like, you're autistic because you are interested in people, and you're just not
interested in things that are boring, and you're not interested in boring people who don't do
puzzles correctly. And she said, I have a rigid personality. I'm rigid.
And I said, I'm not rigid, I'm just most of the time right.
And we talked about how my least favorite thing my therapist says,
sometimes my therapist will be like, hey, two things can be true.
And I'll be like, yeah, I agree, two things can be true, but in this case, one thing is true.
The next time I see her, she tells me she's pretty stoked about it.
But not always.
Not for the reason I thought.
She tells me about a recent experience interacting with a woman in a class she's taking.
I sit in a specific seat every day, and I walked in, and she was sitting in my seat, and
she said to me, I'm sitting in your seat, do you want me to move?
And I said, no, it's okay, I'll sit over here.
And she was like, are you sure?
And we had this like back and forth, and I actually said, actually, I really want to sit in that seat,
can you move?
And she moved.
And she wasn't upset at all.
She was perfectly fine with it.
And I've just never felt that scene before, where somebody's sitting in my seat, they saw my face,
they saw I was distressed, they didn't see it as a control thing, or like, I'm taking it,
like, they didn't take it personally, that I was like, you're in my seat.
Like, it felt very good.
Yeah, and there's no way she knew I was in my seat.
There was just something about the way I approached it, which is that I understood, I think, six months ago,
I would have said, she's an asshole, she's sitting in my seat, what's wrong with her?
How, why would she sit in my seat?
I would have taken it personally, like she was fucking with me, or she was messing with me by sitting in my seat,
as opposed to knowing that it's something that I'm specifically sensitive about, that I want to sit in the same place.
So, yeah.
Yeah.
It seems like it brings up a lot of emotion for you.
Yeah, it's weird.
It's like a different way of feeling seen, even without telling people about the diagnosis.
And there's something different.
I don't know exactly how I'm approaching people differently, that they're not taking it personally, that their behavior is affecting me.
I had no idea that it would be so different.
And I didn't realize that you don't even have to tell people.
I'm just, the way I'm approaching people is different.
It's true.
When we sat down for this last interview, we were waiting for the studio to be set up, and she said,
I'm fine if we don't make small talk while we wait, pretty matter-of-factly.
And I understood.
So we sat there, in a very comfortable silence.
Janet McNamara is a comedian.
You can watch her full special, Not Smart Enough, on YouTube.
Act 3, The Last Description.
You know, when you get down to it,
labels are just our way of pointing out what we think is remarkable about other people.
That's writer Alfred Jung Lee's argument.
He's been thinking a lot about what we notice in each other,
especially as he tries to describe someone very close to him.
Here's Alfred.
Not long ago, I was reading in a magazine profile
a description of a person who, quote,
has a prodigious white beard, wavy gray bangs, and dark beetling eyebrows.
A photo of the person was included,
and as I looked, I admired,
the efficiency of the description.
It did not say that the man had two arms and a nose.
These details were assumed.
Reflecting on this,
it occurred to me that when one describes a person,
one is also describing how that person deviates from the norm,
what makes them different from everyone else.
Recently, someone I'd never met
was supposed to pick me up from an airport in the Midwest,
and I offered a succinct description of myself.
Asian guy with too much luggage, I texted.
I walked out of the airport,
towing two suitcases, a carry-on, and a backpack.
I heard a stranger shout my name.
I was recognized before I'd even made it to the curb.
Description draws attention to what is different about a thing.
Asian guy with too much luggage
is a good description in Cedar Rapids.
Less so in Seoul.
The greater the focus on what is most different,
the better the description.
In an online support group,
I attended for spousal loss.
People often describe their dead spouses.
The descriptions usually followed a formula.
The points of variation included their job.
The dead spouse was an accountant,
a store manager,
a healthcare worker.
In personality, they were stubborn,
or loved to joke.
There was a woman who had liked motorcycles,
a man who had been a tender father to kids
who were not biologically his own.
Sometimes we shared pictures.
Even as I looked at the pictures
and listened to the descriptions,
I found it hard to understand that they were once alive.
When someone described their spouse as stubborn,
I took it to mean their spouse had been more stubborn
than the average person.
But I wasn't sure what this really said.
Most of a description goes unsaid.
Lately, my reality has transformed without my noticing,
and I have been struggling to describe it.
My father called me up to his house,
and he told me the other day from Korea,
and it gave me a chance to try.
I described the weather in my new hometown in the Midwest,
the one where I'd been picked up at the airport,
saying that it was in the 70s at the moment,
late in the afternoon,
that I was 10 minutes from campus,
where I'd decided to go back to school for a writing program,
and that the city was hilly and not flat.
He asked about my new friends and classmates,
and I told him what I'd been telling everyone.
Mid-20s to late 30s,
everyone seemingly said,
I told him about my studio apartment,
that there was enough room,
that it got good light,
about the places I could walk to from the apartment.
But there was something else hovering over our conversation,
another picture that was not being described.
It was what my life would have looked like
if things had gone according to plan,
and how this current situation,
far from anywhere I'd ever imagined,
may or may not have differed from that plan,
which might also inform whether or not
I was doing okay,
and, therefore,
whether or not my father needed to worry.
It was this second picture,
this other life that we were talking around,
and the extent to which my present life
may or may not have varied from it,
that our conversation was also about.
I remember one time when I felt I understood something
about one of the other dead spouses.
Instead of her spouse,
a woman described an electric razor.
It had belonged to her husband,
and he had used it on many mornings.
She used to hate the noise,
but now that he was dead,
she missed the sound of the stupid thing when she woke up.
Somehow, he came alive to me then,
though this detail was routine
and did not distinguish him.
She held the razor in her hand
and flipped it on for us.
People want to know what she looked like
Children, especially, want to see pictures.
But in the last five years of her life,
my wife's most noticeable characteristics
were often related to either cancer or treatment.
She lost and regrew her hair more than once,
and sometimes wore a rotation of wigs,
none of which quite suited her.
She gained and lost large amounts of weight,
and over time, her face swelled.
When one looks at a picture of her from these years,
one often sees a sickness,
a person, before anything else,
while at other times,
one sees someone vibrant and healthy.
I am not sure which version to describe.
More variables.
She was 28 when she was diagnosed with stage 4 cancer,
33 when she died.
Her driver's license says she was 5'6 and 115 pounds,
with brown hair and green eyes,
although the weight was incorrect,
perhaps one of those things she had felt out as a teenager
and carried over for years.
It became correct again as she seconded,
and then dropped well below that number.
In my memory, her eyes are more brown
than the green that was documented.
I could say that when I was a kid,
But when she was healthy, her hair was thin, often not much longer than shoulder length,
sometimes worn with a headband and usually not long enough to tie up, although I can't
even be sure about this last part without checking photographs.
When she was young, her dad used to tease her about having a big head.
Sometimes I offer that she was white, but usually I wait until the question is asked.
Sometimes I envy the white person with a dead spouse, of whom the question would be less
likely to be asked.
In her eulogy, I describe the thing about her that I found most distinctive.
The way the air around her would transform and still, and her entire body react when
she felt something deeply.
Whether she was encountering a view of the ocean, the dye of a fabric, a memory.
In these moments, she might whisper or cry.
And I felt that if I told her the truth, she would not believe me.
When I touched her skin, she would dissolve into vapor.
In those moments, I could also see the young child who had been too sensitive to the world.
In family lore, she had been a problem child, emotional and inconsolable, prone to tantrums.
A sense of injustice followed her throughout her life and still got the better of her sometimes.
Perhaps for this reason, she was a quick and firm judge of character.
She gave me a list of people she did not want at her memorial.
I can also describe those less obvious distinctions that reveal themselves only after long periods
of attention.
That she tilted her head slightly, as a greeting, when she walked towards someone she knew.
That in her sleep, she raised her arms into the air and slowly scratched one and then
the other.
That she became nervous and reached for my hand when an airplane was about to take off.
Yet increasingly, these details feel irrelevant.
As time passes, she becomes more to me.
The things that made her just like other people.
I think of two arms and two ears, and a nose that sometimes ran.
She owned socks and scarves.
Wrapped a towel around herself after a shower.
Wrote cards.
Rode the bus.
Walked around puddles.
Opened and closed curtains.
Listened and asked questions.
Got hungry and tired.
I was a little bit of a crybaby.
Well, today's show, the person holding the label of producer was me.
I was edited by our executive editor, Emmanuel Berry.
The people who put today's show together include Fia Benin, Dana Chivas, Emmanuel Jochi, Cassie
Howley, Adrienne Lilly, Seth Lind, Molly Marcello, Andrea Marks, Catherine Raimondo, Stowe Nelson,
Nadia Raymond, Anthony Roman, Ryan Remery, Ruby Schwartz, Alyssa Shipp, Christopher
Switala, our managing editor, Sarah Abdurrahman, our senior editors, David Kestenbaum and Nancy
Updike.
Special thanks this week to Betsy Johnson, Alan Phillips, Lindsay Nader and Marta Chmielewicz
at Autism Speaks, Corey Andreas, Seun Gong, Leading Age, Melissa Honig, Evelyn Martin,
Marta Marte, Amina Dubuisan, Eve Vila, and the other workers on TPS who shared their
experiences with us.
Thanks also to all of our This American Life partners.
Their support is an essential part of our budget.
Subscribe as a life partner and you'll get regular exclusive bonus episodes, you'll listen
ad-free, and you'll help us continue to make the show.
Join at thisamericanlife.org/lifepartners.
That link is also in the show notes.
This American Life is delivered to public radio stations by PRX, the public radio exchange.
Thanks as always to my boss, Ira Glass.
He's off this week working on his new radio show, That American Life.
He says our show is old news.
I'm like, I already know this, like, why are we talking about this?
I'm Tobin Lowe.
Ira Glass will be back next week with more stories of This American Life.
I'm Tobin Lowe.
I'm Tobin Lowe.
I'm Tobin Lowe.
I'm Tobin Lowe.
I'm Tobin Lowe.
I'm Tobin Lowe.
I am Tobin Lowe.
I'm Tobin Lowe.
I am Tobin Lowe.
room with 196 other people. There were lots of tedious jobs. Um, just filling up the vending
machines. Is that your full-time job? Yes. Filling up vending machines all day for 12 hours.
That's next week on the podcast or on your local public radio station.
Podcast Summary
Key Points:
Sarah and Ethan avoid labeling their 10-month relationship as boyfriend/girlfriend due to fear of expectations and past heartbreak, plus concerns about Ethan's daughter.
Temporary Protected Status (TPS) for Haitians is being terminated by the Trump administration, affecting over 300,000 people, including Marie, a dedicated CNA at a Boston nursing home.
Marie keeps her TPS status secret from coworkers, and her boss Colin struggles to quietly remove her from the schedule, leading to an emotional final shift.
Comedian Janet McNamara spends years seeking an autism diagnosis after being repeatedly told she might be autistic, facing workplace conflicts and two failed tests before finally receiving a diagnosis.
Writer Alfred Jung Lee reflects on how descriptions highlight differences, using his late wife's illness and death to explore what labels and details truly capture about a person.
The episode explores the power and limitations of labels—romantic, legal, medical, and personal—and how they shape identity, expectations, and human connection.
Summary:
This episode of This American Life, hosted by Tobin Lowe, explores the profound impact of labels on human lives. The first story introduces Sarah and Ethan, a couple in their 40s who have been dating for 10 months but deliberately avoid calling each other boyfriend or girlfriend. They fear the expectations and permanence that labels bring, especially given their past long-term relationships and Ethan's young daughter, who doesn't yet know about Sarah.
The second act shifts to Marie, a Haitian CNA in Boston with Temporary Protected Status (TPS). As the Trump administration ends TPS for Haitians, Marie faces losing her job of 12 years. She keeps her status secret from coworkers, and her boss Colin tries to find a quiet, dignified way to remove her from the schedule. The story captures Marie's final shift, filled with small acts of care, as Colin finally pulls her aside to deliver the news, leaving both emotional.
Next, comedian Janet McNamara recounts her decade-long struggle to get an autism diagnosis. After being asked if she's autistic at a comedy club, she faces workplace conflicts and two failed evaluations. A recent overwhelming experience with a child leads her to try again, and she finally receives a diagnosis, transforming how she understands herself and interacts with others.
Finally, writer Alfred Jung Lee reflects on how descriptions focus on differences, using his late wife's battle with cancer and death to question what truly defines a person. He grapples with which details matter—her distinctive reactions, her routine habits, or the shared humanity that makes her like everyone else. The episode ultimately shows how labels, whether chosen or imposed, shape identity, connection, and loss.
FAQs
TPS is a U.S. immigration status given to eligible people from countries deemed unsafe due to war or disaster, allowing them to live and work legally in the U.S. It can be extended if conditions persist, but it offers no path to permanent residency.
Marie's job ended because the Trump administration succeeded in terminating TPS for Haitians, affecting over 300,000 people. Her employer removed her from the schedule due to lack of guidance, marking the end of her 12-year career as a CNA.
Janet faced multiple challenges, including an initial dismissal by a psychiatrist who said she wasn't 'smart enough' for Asperger's, and a later test that she failed because she lacked sensory issues like shirt tags bothering her. She eventually received a diagnosis after a therapist revisited the idea.
The diagnosis helped Janet stop blaming herself and see her brain as wired differently. It changed how she approached people, leading to more positive interactions, like when she asked someone to move from her seat and felt seen without needing to disclose her diagnosis.
The episode explores how labels, like 'boyfriend,' 'TPS,' 'autistic,' or descriptions of a person, can be powerful, shaping expectations and identity. It shows both the weight of labels and the relief that can come from embracing or shedding them.
Sarah and Ethan avoided labels because they feared the expectations that come with terms like 'boyfriend' or 'girlfriend,' which felt scary after long previous relationships. They preferred having no expectations, which felt nicer at the moment.
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