Elaine has a master’s degree in communication and has worked in global health for over 23 years. She currently manages a clinical trial in Malawi for the University of Washington (though she now works part-time and from home). Elaine Douglas is the primary caregiver for her wife, Diane, who has MSA. She and Diane have two 23-year-old daughters who provide love and encouragement – as well as tangible support. They also have a strong community of family and friends who help tremendously.