Her friend has cancer as well and friend is buying clothes for her kids to wear for when they are much older. She asks Nina if that is totally fucked up.
Totally fucked up I say.
Meaning: My friend, that’s one of the sanest things I’ve ever heard.
Meaning: I never stop being amazed by how simultaneously cruel and beautiful this world can be.
From The Bright Hour by Nina Riggs
J-Dub's Grin and Bear It 