Best Life Best Death

Do you believe in the paranormal, the mysterious, the supernatural, the extra-ordinary? Whether you are a believer or not, I think you’ll enjoy this week’s extended BLBD episode with storyteller Orion Couling. Get ready for a ghost story, a wondrous story, and ruminations about architecture, culture, and history – not to mention a spontaneous reading of a monologue from Midnight Mass about what ha...

One of Barbara Karnes’ recent publications is a booklet on food at the end of life. She believes that more education is needed in this area, as families often worry when people who are nearing the end of life from disease or frailty lose interest in food. Barbara gently educates that food is “the gas that we put in our car to make it go.” And when the car is no longer working, it no longer needs g...

Ahh, denial. We all have it at times. How does denial play a role at the end of life? As BK says, “We’re a death-denying society, and we carry this denial inside on a level that I don’t know that we’re even aware of.” Combine that denial with the fact that caring for someone at the end of life is different than caring for someone who’s going to get better. Where can we find healing when the body c...

When Atul Gawande - surgeon, physician, son of a surgeon -  wrote Being Mortal in 2014, I wonder if he knew what staying power it would have. This timeless book captures many of the challenges we face in the US and other countries around aging, decline, disease, the medical system, and yes, ultimately death. Listen to this episode to hear a few compelling passages from the book about the importanc...

Tracy Chalmers has written a guidebook we can all lean on. Rooted in five principles of care, she offers practical ways to walk alongside the dying, build a web of support as a caregiver, and navigate the inevitable storms of an end-of-life journey. The Nature of the Journey: A Trail Guide for Companioning Your Person on the End-of-Life Journey is a resource you’ll return to again and again. What...

Talking with Jennifer and Karen brings BLBD back to basics, in the best sort of way. They share several “If Nothing Else” ideas. That is, “If I am not ready for big action steps, what little things can I do today to get myself better prepared for my inevitable end?” Death Doulas and Educators with The Heartwood Collective, these two women run courses for individuals, families and corporations call...

What does a deck of cards have to do with end-of-life education? Tools like The Dementia Deck , The Death Deck , and the EOL (End-of-Life) Deck offer easy-to-use, casual, and even uplifting ways to start meaningful conversations. Asking simple questions can help us understand our needs and wishes more clearly: “What does a good day look like for me?” “What brings me comfort in stressful situations...

In this episode, I sit down for a conversation with the producers of a documentary film called A Butterfly Has Been Released. The website sums it up beautifully: “With unfiltered honesty, authenticity, and humor, Allyson invites her family, friends and hospice coworkers into her dying experience. As time runs short, her community gathers to celebrate her life with a ‘living funeral,’ which Allyson...

Maria Popova is a Bulgarian-born writer, curator, and critic best known as the creator of The Marginalian (formerly Brain Pickings ), a long-running online publication exploring art, science, philosophy, and the human condition. What a treat to talk with her on this episode about birthdays, mortality, meaning, “un-selfing,” nature, daily practice, and the big questions that lie in the substrate of...

Join me on BLBD this week, for a gorgeous conversation with Diane Button. Author of several books, Diane’s latest is with Maria Shriver’s imprint, The Open Field, an imprint of Penguin Life. With this work, she turns towards the stories and wisdom of her clients and shares just what the title says: What Matters Most: Lessons the Dying Teach Us about Living. We share some of the experiences in the...

Jody Gelb has written a deeply moving memoir about the life and loss of her daughter. Brain damaged at birth, life with Lueza is as complex as you imagine it to be. Jody captures and condenses details of her experience through the years, and ultimately puts them together into what she calls a micro memoir. Wondering if these short chapters were “right,” Jody says, “At some point I thought, Can it...

This week’s podcast is especially close to my heart. In the spring of 2025, my family said goodbye to our beloved 16-year-old dog, Kaya. Sarah and I explore the many complex decisions that arise around the death of our cherished animal companions. With her years of experience and compassionate perspective, Sarah and I talk through the importance of acknowledging pet loss and holding the both/and ....

Director Scott Kirschenbaum joins me to discuss the powerful documentary, The Last Ecstatic Days , and the transformative journey of making this film. Drawn by a long-standing connection to Dr. Aditi Sethi and the story of Ethan Sisser, Scott traveled from California to North Carolina to document Ethan’s final days. The result is a deeply moving, life-affirming film that honors Ethan’s wish to sha...

To sum up this episode, I’d say: listen to learn all about Death Cafés from a seasoned facilitator! How does it work? Who attends? What sorts of things are discussed? And how can I find one near me? Pull up a chair at this conversation about Death Cafés – where talking about the end is just the beginning of a really lively conversation.

Rachel has her MDA – Master of Death Administration! Her personal experience settling estates led her to create a business as an After Loss Professional. So what does that actually mean? In this episode, we talk about “legacy organization” before death, and the management of everything that follows after. What do we need to know now? What blind spots might we be leaving behind? Why do so many of u...

Words straight from her website: “As a death doula, educator, and public speaker, Erin Merelli guides individuals, families, and communities to meet mortality with intention, courage, and love. Her message is simple but not easy: We are all going to die, and to manage that well, we need to talk about it.” Oh yes indeed! Erin’s clarity and ability to articulate why these conversations matter shines...

Description: On BLBD episode #145, one year ago, Kate and I talked extensively about VSED, Voluntarily Stopping Eating and Drinking. Her mother chose VSED to hasten her death, and we discussed her family’s experience in detail. Well, Kate is back with an update — and beautifully, remarkably, it’s about her father’s experience with VSED. After witnessing his wife choose VSED to bring her life to a...

Now this is a subject that I really enjoy covering: books. In this episode I chat with a teenager who is a voracious reader — and does she ever know death-themed books! She gives us the run-down on her six favorite books about death, and by the end of it, I challenge you to choose one to read. From settings of fantasy worlds, to cemetery plots; from characters who are the Son of Death, to terminal...

If you already heard Part I, then you know that this is an episode you do not want to miss! Personal and professional, we dive into what matters most. What are the values and models we hold in caring for the aging? Is there an opportunity to turn towards this often-avoided topic? Rather than jumping over the hard parts and romanticizing about “a good death,” can we instead stick with the mundane,...

This is a topic, a duo, and a two-part podcast that you do not want to miss! I love it when BLBD is both personal and professional, and these two episodes land in that deep space. It all started because I read Courtney Martin’s article “Lack of Eldercare Is Unconscionable” – how’s that for a title? – and when I reached out to Courtney, she suggested we include her father’s gerontologist in the con...

Dr. Holly Everett’s work helps us better understand roadside memorials and other public expressions of remembrance. Her 1998 master’s thesis, “Crossroads: Roadside Accident Memorials in and around Austin, Texas,” examines 35 memorials, exploring how they’re constructed and the cultural meanings they convey. What is the intent of a roadside memorial? Is it meant to be temporary or permanent? Are th...

Laura Cleminson believes that we could all use more preparation before the people we are close to are dying. How can we get that? Through conversation! Based north of Boston, Laura founded the Pre-Dead Social Club as a way to get her community talking. She creates structured — and fun — social events that bring strangers together to discuss an end-of-life topic, share information, and even touch o...

In this BLBD episode, author Kristina Amelong joins me to share the deeply personal journey behind her memoir What My Brother Knew . Through honest conversations and reflection, Kristina explores the life and death of her brother, who died at the age of 13 in a bicycle accident – which he knew would happen. How did he know? How did the family deal with this? How did exploring this family trauma ov...

What does “code status” really mean — and how does it affect the care we receive at the end of life? In this episode, Dr. Matthew Tyler returns to clarify common misunderstandings about CPR, DNR, and medical interventions during serious illness and the frailty of old age. We explore when full code makes sense, when it probably doesn’t, and how patients and families can make informed, values-based...

Dr. Matthew Tyler returns to explore the layers of palliative care — what it is, what it isn’t, and how it differs from hospice. We discuss everything from managing physical and existential pain to the role of family dynamics and coping skills in end-of-life care. Is pain at the end of life inevitable, and how can it be managed? What role can patients and families play in guiding medical decisions...