Formally trained in the visual arts, Kay was a producer and writer in the gaming industry for 10 years before transitioning into film. Her first long form documentary production, Hard To Believe (2015), on the killing of prisoners of conscience for their organs in China, is airing on PBS stations across America and was selected for the ReFrame International Film Festival. Kay has been an outspoken advocate for and writer on human rights in China since 2001 when she was arrested for protesting on Tiananmen Square in Beijing and experienced the inside of a Chinese prison.