Elizabeth left her teaching career after 24 years and moved to Mexico in 2014. One year later, she moved to Kuala Lumpur, Malaysia, to work for an e-learning company. During this time, Elizabeth wrote two blogs about her travels (https://tampicoandlisa.travellerspoint.com/ and https://expatriateinkualalumpur.com/). On the weekends, if she was not traveling, backpacking, or hiking, Elizabeth would pick a café in the city where she could write. Her challenge was to find the café using public transportation or walking. This is how her blog thetruthaboutdownsyndrome.com began. When she returned to the states in 2018, she used her blog to complete her book The Truth About Down Syndrome: Lessons Learned from Raising a Son with Trisomy-21.