Witness Marks: Stories From a Heart Transplant

I’ve never really been one for goal setting; New Year’s resolutions aren’t usually my thing. As a fitness instructor, I never even endorsed the idea. My thoughts on goal setting were always centered on changing simple habits, finding enjoyable hobbies, and seeing how life evolves from there. I still recommend this approach. But something about surviving a heart transplant—and getting older—has made me want to aim for something this coming year. Nothing wild. Just a little something to work toward. It’s normal to come out of a traumatic experience—especially a medical trauma—feeling a little lost, or as some say, a little empty. When we think we  should  be feeling joy and gratitude, we might instead feel guilt, purposelessness, or our own version of grief. Many of us assume a transplant will change us, improve us, only to wake up and realize that the only things that have changed are a new organ and a regimen of life-sustaining medications. I can attest to all of these feeling...

The holiday season arrives each year dressed in bright lights and confident cheer, announcing itself as a time when everyone is supposed to feel warm, grateful, and whole. Songs insist on joy. Social media posts glow with parties and matching sweaters. Calendars fill with gatherings and traditions. But sometimes this season quietly overlaps with something much heavier: reality—illness, exhaustion, and a sadness that feels out of place among all the celebration. Being sick during the holidays carries a particular loneliness. Sickness already narrows the world—your body asks you to slow down, to cancel plans, to listen closely to discomfort. When it coincides with a season that emphasizes togetherness and energy, that narrowing can feel like exclusion and loneliness. You may watch celebrations from a distance, physically or emotionally unable to participate. Even minor illnesses can feel larger in December, as if they are stealing something precious and irreplaceable. There is also the e...

This week, I celebrate two bonus years. Two more years granted to me through the generosity and foresight, during a time of grief, of a donor family; the discipline and hard work of healthcare professionals; the love and support of family, friends, and the most wonderful husband; and by the sheer goodness of a loving God. At my recent follow-up visit with my transplant team, one of my favorite doctors asked what words I had to offer after two years. I blurted out, without much thought, “Don’t take it for granted.” But then I really got to thinking: what do I really want to say after this last year? While 2025—year two after transplant—challenged me in ways I could not have foreseen, it also blessed me in ways I previously hoped and prayed for. Looking back on it all, what have I learned? In an episode of Malcolm Gladwell’s podcast  Revisionist History , he talked about well-known celebrities and personalities and their 12 rules for life—rules like “Always stand up straight,” “Alway...

My stepdad was a man of simple abundance—and by abundance, I mean  abundance . The man was a bit of a hoarder. He collected things. He loved tools, electronics, toys—anything anyone might possibly consider useful. If it existed, odds were it had a home somewhere in his collection. He was also a connoisseur of little joys. He found pleasure in the simplest things. From him, I learned the satisfaction of an uncomplicated, unpretentious snack plate, assembled without fuss and shared with loved ones on a quiet Sunday evening at home. He loved food—especially sharing it. He learned to cook at a young age and even taught cake-decorating classes for a time. He passed his collection (read: hoard) of cake pans along to me. Whenever I feel compelled to bake a cake shaped like, say, a rocking horse, I know I’ll find the perfect pan in his stash. One of his favorite foods to share was Chinese food. Growing up, he’d hunt down the best Chinese restaurants, form friendships with the owners, and s...

I recently learned that the very thing that drives so many people where I live crazy is also the secret behind our spectacular sunsets. It turns out that the dust, the high altitude, and the bone-dry air—the trio that makes daily life feel like a battle with the elements—are the same ingredients that paint our skies in colors that look almost unreal. For years I’ve grumbled about the dryness that clogs my nose at night and leaves my eyes feeling like sandpaper. And the dust—don’t even get me started. The slightest breath of wind can fling enough grit into the air to make you wonder if we’re all going to die of black lung. But then evening comes, and suddenly all that irritation feels like the price of admission. Because, wow. Our sunsets don’t just appear; they  perform . Bold and fiery—light and color spilling across the sky and over the mountains in a way that can't be captured in words. What’s really happening is a little atmospheric artistry. As the sun sets, its light comes th...

I’ve heard it said that honesty is the first casualty of illness. I’d say honesty is the first casualty in any struggle. I first learned this when I took my then fourteen-month-old daughter in for a developmental evaluation ordered by her pediatrician, after we first noticed her having seizures. After watching her “play” for almost an hour, a speech therapist and a registered nurse brought me their assessment: moderate to severe global delays. With a cry trapped in my throat, I asked, “Will she catch up?” The two women looked at each other, looked at my daughter, looked at the floor—never looking at me—and said, “We’ve seen miracles.” Was it a lie? Maybe. Maybe not. I don’t know. But I do know it wasn’t complete honesty. This was my first exposure to the secret language of worry. Since that time, I’ve become quite fluent in this unique dialect. It begins with the eyes. They look down and to the right, or over your left shoulder somewhere. Or the face turns toward you, but the eyes look...

 My son is currently facing one of those big life choices: which path to choose after college. He is currently pre-med, but we all know that while many are called, few are chosen. Meaning, not everyone who intends on going to medical school will actually find themselves on that journey. He has also set his sights on possibly applying to a PA (physician assistant) program as well. At any rate, his desired outcome is to work with patients in healthcare and he is diligently preparing himself now, however it may look in the future. Someone close to him recently said, "We've decided you need to go to medical school because one day you'll look back and regret not going all the way." Upon hearing this, I immediately bristled. While I believe my son is smart enough to get into medical school, if he chooses some other graduate degree program I will be proud of him and will never see him as not having gone "all the way." And here is why: My son's reasoning for goi...

In the movie Elizabethtown , the character Drew Baylor stands in his aunt's kitchen with a group of new-to-him relatives following his father's viewing. While visiting estranged family in Kentucky, Drew's father had passed away from a heart attack and Drew was sent by his mother and sister from Oregon to take care of the funeral and bring his father's remains home. Chaos ensues. In this particular scene, the night is warm, the light is low, they're obviously tired both physically and emotionally, yet they're smiling as they revel in a sweet melancholy that often follows traumatic life events.  I love this scene. It calls to mind a difficult-to-describe sentimentality that you have to experience to understand. It is this almost peaceful longing, a reverent recall of difficult times. As if the slow let down  that happens following the adrenaline rush and fear, provides its own serotonin release, cementing a beautiful nostalgia all its own. This is what my family e...

Sit with me for a minute, will you, and let me tell you about a dream I had that wasn't really just a dream at all. First, I have to give you the back story. We were driving through Salt Lake City when Aaron's phone rang. It was a friend from work who had a connection to a PA who worked with an electrophysiologist--a cardiologist who specializes in heart rhythm disorders--who could fit me in for an appointment fast. We were desperate and accepted the next available opening. With that we had inadvertently agreed to see the very doctor who had treated me 25 years earlier. I had not liked him then--we'll just say his bedside manner was lacking--and, sadly, we found we did not like him still. Nevertheless, within a month he made the diagnosis of ARVC, placed an ICD, and referred me to an interventional cardiologist for follow-up care.  Over the next two months, Aaron and I both had misgivings; we were both waking up in the middle of the night feeling like I needed to change pro...

 Another day, another 5-mile walk in the autumn sun. I've said it before and I'll say it again: what a privilege. There was a time I would have taken that for granted--not just the walking, but the friendship and camaraderie that comes with the miles spent exercising with friends. What seems like a lifetime ago, I was a runner. Running for me was a solitary activity. And this was just how I liked it. It gave me time to myself and space for my thoughts. Pounding my burdens into the pavement was my therapy.  I began walking with friends once I bought my first home and had a few kids--that's when I discovered the joy of friendly female companionship, and I learned how doing something hard together--specifically,  something physically demanding like exercise--can solidify and strengthen relationships. But then the business of motherhood, the noise of life, began crowding things out, and my near-daily walks with friends was sacrificed on the altar of "more important" t...

 Today I walked five miles. The sun was shining and the air was the perfect autumn-day crispness. We had the trail pretty much to ourselves--Christine, Millie, and I--and we were free to talk about whatever came to our minds as we filled the miles with our words.  Five miles. What a privilege. At one point we passed another neighborhood friend, Megan. She commented that we were fast--and we are fast, trucking along at a pace of 15 or 16 minutes a mile--to which Millie and Christine both responded, "Well, Fiauna has a new, young heart! It wants to go fast!" I have a 21-year-old heart. That's a fact that still brings me to tears. My donor was only 19 years old when her life ended and her heart was donated to extend mine.  After my transplant, while still in the hospital, the social worker came to my room in a rare moment of privacy and asked if I wanted to know what little information she could share about my donor. Surprisingly, I had to think about it for a minute. Did I ...