Something was terribly wrong. My lower abdomen was swollen and sore. I had lost nearly ten pounds in the past two weeks. I could no longer keep my food down, and a screaming pain ripped through my vagina every time I peed. In order to keep this mysterious condition from my strict Mennonite missionary parents, I ran outside after almost every meal and vomited behind the hedge near the veranda of our house.

It was November of 1969. Just a few weeks earlier, I had graduated at the top of my high school class at the Liceo de San Carlos in Asunción, Paraguay. My life lay ahead of me like a shiny blank whiteboard, inviting me to imagine endless possibilities. Now, at home at my parents’ leprosy station for summer vacation, I felt only a dark cloud of pain and confusion.

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