Lucy Kalanithi: What Loss Can Teach Us About Living (The Perspective Shift That Changes Everything)
Ten years after the loss of her husband, neurosurgeon and bestselling author Paul Kalanithi, Dr. Lucy Kalanithi reflects on how grief continues to evolve rather than disappear. In this deeply moving conversation with Jay, she shares what it means to find purpose alongside pain, why the goal isn't to fix suffering but to make meaning from it, and how staying present through life's hardest moments can transform the way we love, heal, and truly live.
In this episode you'll learn:
How to Live Through Grief
How to Support Someone Grieving
How to Talk About Death
How to Stay Present Through Pain
How to Comfort Without Trying to Fix
How to Honor Loved Ones
How to Raise Resilient Children
No matter what season of life you're in, remember that joy and sorrow can exist side by side. Healing isn't about leaving pain behind, it's about learning to carry it with greater compassion, presence, and hope.
With Love and Gratitude,
Jay Shetty
JAY’S DAILY WISDOM DELIVERED STRAIGHT TO YOUR INBOX
Join 900,000+ readers discovering how small daily shifts create big life change with my free newsletter. Subscribe https://news.jayshetty.me/subscribe
Check out our Apple subscription to unlock bonus content of On Purpose! https://lnk.to/JayShettyPodcast
What We Discuss:
00:00 Intro
01:20 Life After Loss
03:22 A New Perspective on Death
07:15 Does Time Really Heal?
08:36 Does Everything Happen for a Reason?
11:12 Helping Someone at the End of Their Life
15:33 The Biggest Myth About Grief
17:56 Preparing for Death
23:08 Lessons From Facing Death
30:28 You Are Stronger Than You Think
35:33 Let Your Child Find Meaning On Their Own
40:02 Choosing Family Despite Uncertainty
43:48 A Different Way to Grieve
47:38 Keeping a Loved One Alive After They’re Gone
50:33 Can You Love Again?
53:23 What Real Partnership Means
57:19 Letting Go vs. Giving Up
01:02:39 Sitting With the Dying
01:05:58 Sharing Life-Changing News
01:08:41 How to Live Well
Episode Resources:
LinkedIn | https://www.linkedin.com/in/lucy-kalanithi-baab214
X | https://x.com/rocketgirlmd
See omnystudio.com/listener for privacy information.
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Speaker 1: Ten years after losing our husband, Lucy joins me to
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Speaker 1: explore what grief looks like after a decade.
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Speaker 2: He ultimately got the news that he had a chest
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Speaker 2: X ray that essentially looked like a cloudy sky. I
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Speaker 2: mean it was like dense with tumors. We both knew
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Speaker 2: what it meant. I never thought I was going to
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Speaker 2: feel okay. It was like Paul died and I was like,
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Speaker 2: it's all over.
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Speaker 1: What did being so close to death teach you about
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Speaker 1: life and living?
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Speaker 2: There's two big questions, what would be left undone? And
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Speaker 2: how can I live most fully in the time I
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Speaker 2: have left?
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Speaker 1: Hey, everyone, welcome back to on Purpose, the place you
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Speaker 1: come to become a happier, healthier, and more healed. Today's
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Speaker 1: guest is doctor Lucy Killanethy. Ten years after losing our husband,
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Speaker 1: best selling author and neurosurgeon, Paul Kallaneity, Lucy joins me
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Speaker 1: to explore what grief looks like after a decade, how
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Speaker 1: love evolves after loss, and what being so close to
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Speaker 1: death can teach us about being fully alive. Lucy Kalanathy,
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Speaker 1: Welcome to On Purpose.
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Speaker 2: Thanks for having me.
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Speaker 1: I have waited for this conversation since I've read the
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Speaker 1: book and when Breath Becomes There, and I've read it
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Speaker 1: when I still lived in New York when I moved
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Speaker 1: to the States, and it moved me so much because
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Speaker 1: I hadn't really come across a book like that that
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Speaker 1: felt like it was written at such a powerful moment
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Speaker 1: and such a pivotal moment in someone's life. And then
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Speaker 1: to have your reflections within it as well, it's kind
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Speaker 1: of left an imprint on me. And then my team
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Speaker 1: and I were sitting down and were thinking about bookstad
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Speaker 1: and it had an impact on us as a team,
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Speaker 1: and this came to mind immediately. And so I can't
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Speaker 1: tell you how grateful I am for your time and
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Speaker 1: energy for the trip over here. I know you've traveled here,
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Speaker 1: especially to be with us in LA, and just want
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Speaker 1: to start off by saying thank.
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Speaker 2: You, thank you so much.
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Speaker 1: Tell me what does it feel like remembering Paul ten
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Speaker 1: years on?
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Speaker 2: I used to think life was like a mountain that
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Speaker 2: you climb, like I'll follow the path and then I'll
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Speaker 2: get where I'm going. And now, like having lost Paul,
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Speaker 2: having taken our daughter from being a baby to now
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Speaker 2: being a seventh grader, I think of life much more
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Speaker 2: as like a series of moments. In a way, It's
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Speaker 2: like that my marriage and Paul's illness and even medical school, right,
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Speaker 2: those were all mixed together at medical school, residency, being married,
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Speaker 2: losing him, that was like a chapter. And now I'm
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Speaker 2: in such a different chapter. It's actually kind of amazing
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Speaker 2: for the opportunity to like dip back in, like to
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Speaker 2: get sort of like talking about Paul in a way
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Speaker 2: that's really embodied because you're also experiencing him and we're
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Speaker 2: talking about him like in a real way. And at
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Speaker 2: the same time, he's like sprinkled through my life all
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Speaker 2: over the place. Like you know, I'll go through like
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Speaker 2: a breakup and think like what would Paul say, you know,
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Speaker 2: in the situation to me, to him? And also just
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Speaker 2: like what would Paul think of Katie. She's so differ
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Speaker 2: She's such a like singular specific person, not a baby,
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Speaker 2: you know. So I guess like the things I can
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Speaker 2: say about it are like ten years on, you know,
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Speaker 2: I never thought I was going to feel okay. It
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Speaker 2: was like Paul died and I was like it's all over.
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Speaker 2: Who am I? What happened? Like it's me and I'm
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Speaker 2: here and I have this baby. But I'm so lonely.
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Speaker 2: How is this ever going to fill in? And my
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Speaker 2: mom said, like, things will fill in, It'll become okay.
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Speaker 2: And I was like, I literally don't believe you. But
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Speaker 2: it's like things do, like things become okay. And then
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Speaker 2: at the same time, like even after you lose someone,
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Speaker 2: like they don't even remain static, even though they're gone,
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Speaker 2: like you're not static. You continue to learn new things
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Speaker 2: about them, you know. With Paul, I hear from Paul's
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Speaker 2: readers about his book, and that's sort of like an
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Speaker 2: ongoing relationship with him through other people. Anyway, I guess
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Speaker 2: it's all just like a beautiful terrible mix.
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Speaker 1: Thank you for sharing that. Yeah, is there anything you
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Speaker 1: understand different about Paul?
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Speaker 2: Yeah, I mean, like the thing that makes me feel
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Speaker 2: like when it burst into tears is actually a thing
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Speaker 2: I don't yet understand, which is you know, Paul, he
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Speaker 2: was a doctor. He was like young neurosurgeon, really interested
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Speaker 2: in meaning immortality, like thought he would become a professor
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Speaker 2: of philosophy or a writer, and then sort of surprised
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Speaker 2: himself by going into medicine and was incredibly intoxicated by neurosurgery.
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Speaker 2: Because the brain is just an organ in our body,
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Speaker 2: like our liver, like our heart, but then it's also
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Speaker 2: the seat of identity. And he was so interested in, Okay,
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Speaker 2: if you're undergoing like brain trauma, a stroke, you know,
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Speaker 2: a tumor, how does that alter your identity and meaning?
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Speaker 2: But also how does like neurosurgery alter your sense of identity.
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Speaker 2: He was really interested in patients who are facing like
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Speaker 2: upheavals in meaning and identity. Then he himself became sick,
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Speaker 2: had to face this whole upheaval, had to face the
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Speaker 2: end of his life. And I felt like as Paul
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Speaker 2: was going through this serious illness and dying, I really
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Speaker 2: felt immediately in it with him. I felt so like
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Speaker 2: fused with him. We had to do so many things
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Speaker 2: together to take care of him, to make sure the
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Speaker 2: book got written, to cope, to like show up for
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Speaker 2: each other in like every way. But I wonder whether,
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Speaker 2: like when and if something happens to me and I'm
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Speaker 2: sick and dying, if I'll read Paul's book and see
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Speaker 2: how much I didn't understand and see like new things
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Speaker 2: in the words, or like reflect on his experience and
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Speaker 2: think like, oh is he alone in that? And so
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Speaker 2: like that sort of breaks my heart, like what did
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Speaker 2: I miss? You know, an answer to your question of
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Speaker 2: like how have I gotten to know Paul differently? Yeah,
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Speaker 2: I mean when someone dies, like stories come rushing in,
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Speaker 2: and then I think reading his book at different phases
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Speaker 2: of my own life, I even get different things, even
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Speaker 2: though I knew him so well. And then I think,
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Speaker 2: you know, just the process. There's a flip side, which
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Speaker 2: is like how to not flatten someone after they die.
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Speaker 2: Like I think, like when someone dies, they're sort of
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Speaker 2: suddenly they become like so amazing and perfect and I
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Speaker 2: can't believe we lost this person, and all those things
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Speaker 2: are true. But at the same time, it's like he like,
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Speaker 2: you know, left his socks on the floor and it
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Speaker 2: annoyed me, like, you know, just he was just a
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Speaker 2: regular person, and he was funny, and he drank too
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Speaker 2: much whiskey, and he like just he was like textured,
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Speaker 2: you know. And so I often think about, like all
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Speaker 2: the things I do remember about him, how do I
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Speaker 2: keep those like in memory and keep him like complicated
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Speaker 2: instead of like mythic.
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Speaker 1: Both of those answers to what you said. You almost
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Speaker 1: feel like you don't understand, which maybe you never will
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Speaker 1: until we're all in the same position and going through
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Speaker 1: something similar. And when we're facing not lost through someone else,
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Speaker 1: but loss of our safe right, there may be certain
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Speaker 1: things that we miss on that journey and we don't
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Speaker 1: recognize and maybe we shouldn't until sure, yeah I couldn't,
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Speaker 1: Yeah exactly. But then on the flip side, the idea
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Speaker 1: that you're saying that, it's almost like, sometimes we don't
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Speaker 1: celebrate people and until their God, sure we only see
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Speaker 1: all the bad things.
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Speaker 2: Isn't that interesting?
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Speaker 3: Yeah?
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Speaker 1: And then as you're saying on the flip side, when
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Speaker 1: someone goes, we only see the good things, and we do,
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Speaker 1: and it's so fascinating how the mind does that, right,
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Speaker 1: I guess he would know as a neuro said, like
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Speaker 1: you know why we do that?
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Speaker 2: Yeah?
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Speaker 1: Yeah? And where that comes from? Like why is it
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Speaker 1: that we kind.
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Speaker 2: Of like, what's the neuroscience of grief, the.
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Speaker 1: Neuro science of that grief of how we block people's
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Speaker 1: good things when they're alive and block people's you know,
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Speaker 1: bad things when they're gone.
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Speaker 2: And greater is it about remembering like remember to notice
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Speaker 2: when you have your person here and then yeah, when
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Speaker 2: they leave, remember to Yeah, don't forget.
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Speaker 1: When you hear the age old phrase time heels or wounds.
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Speaker 1: How does that sit with you?
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Speaker 2: I mean, it's sort of like simplistic, and it actually
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Speaker 2: makes it sound like the wounds will then go away,
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Speaker 2: And so I don't believe that part, but I do believe.
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Speaker 2: I do think time heals all wounds in a certain way.
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Speaker 2: Prince Harry was writing about grief and he said something
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Speaker 2: like grief is a wound that festers. I was sort
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Speaker 2: of like, oh, I don't agree with that, because if
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Speaker 2: something festers, it's like untended, right, And so I do
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Speaker 2: think like there will always be a scar, there will
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Speaker 2: always be something that looks different, feels different, something you're carrying,
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Speaker 2: something you're literally caring on your body. Like that's also
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Speaker 2: how grief feels. I think if you can sort of
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Speaker 2: think to yourself like it's going to be okay in
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Speaker 2: some way you just don't know what okay means, and
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Speaker 2: like sort of let the pain move through you, you
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Speaker 2: will end up somewhere you know that's different and better
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Speaker 2: than you thought.
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Speaker 1: Yeah, it's interesting how all these statements have stood the
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Speaker 1: test of time, but they have so much nuance when
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Speaker 1: you're actually living them. Yeah.
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Speaker 2: Yeah, And some of them don't work right, like yeah,
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Speaker 2: or you have to side which ones work for you,
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Speaker 2: Like if someone sends you a card with something on it,
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Speaker 2: or if someone says, you know, everything happens for a
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Speaker 2: reason and you don't believe that it's not helpful, but
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Speaker 2: you're right. I think many of those, like things in
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Speaker 2: literature sayings like that, hold up.
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Speaker 1: What do you feel about that one? Everything happens for
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Speaker 1: a reason.
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Speaker 2: I don't subscribe to that necessarily, but I think more
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Speaker 2: than I did before, I think when hard things happen,
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Speaker 2: I do believe something beautiful will come out of it,
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Speaker 2: something even if the only thing that comes out of
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Speaker 2: it is that you suffered, which connects you to every
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Speaker 2: human being everywhere across time ever, and then potentially deepens
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Speaker 2: your empathy for other people, or deepens your ability to
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Speaker 2: be a friend, or you know, whatever it might be.
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Speaker 2: So and then I think, like suffering, have you read
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Speaker 2: man search for meaning?
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Speaker 1: Yeah?
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Speaker 2: Of course, yeah, of course, yeah, no, no, no, you're saying, yeah,
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Speaker 2: I'm not prize you read us. That's why I say,
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Speaker 2: And like Victor Frankel, who you know, survived the Holocaust
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Speaker 2: in a concentration camp and then went on to become
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Speaker 2: a therapist. Afterward, he talks about witnessing all of these
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Speaker 2: people and how they survived the unsurvivable, and he ends
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Speaker 2: up talking about like how purpose or relationships like you
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Speaker 2: wouldn't survive just because you had those, but you could
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Speaker 2: only survive if you had something you were waiting for
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Speaker 2: or someone who was waiting for you on the other side.
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Speaker 2: And ultimately he ends up talking about how suffering is
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Speaker 2: actually a really meaningful part of our lives. He says,
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Speaker 2: like his construction is that meaning comes from three things,
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Speaker 2: and he says he conceives of work and love and suffering,
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Speaker 2: and I love that. He says, work is like the
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Speaker 2: things you do and create, you know, like the imprint
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Speaker 2: you leave on the world. Maybe love is like all
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Speaker 2: the types of love between people. And then gratitude also,
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Speaker 2: and just like love writ large, and then suffering he
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Speaker 2: talks about how like suffering is not this sort of
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Speaker 2: like side event that you wish would go away. It
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Speaker 2: is here. It will be here, whether something beautiful comes
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Speaker 2: out of it, whether it connects you to other people,
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Speaker 2: or whether just like the pure achievement of just persisting alone.
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Speaker 2: I think there is like actual meaning in that. And
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Speaker 2: so I think the idea of like everything happens for
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Speaker 2: a reason. It's like a reason will be found, but
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Speaker 2: only you can find it. No one can tell you
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Speaker 2: what it is, and no one can tell you that
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Speaker 2: it's okay, Like that's only yours and maybe it takes years.
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Speaker 1: I appreciate that and the idea that there wasn't some
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Speaker 1: predetermined reason or some reason that had to be the way.
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Speaker 1: It was a journey of discovery.
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Speaker 2: Yeah, and I think some people think that. And that's
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Speaker 2: also like a beautiful story or a beautiful you know.
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Speaker 1: What for you was actually helpful as you just talked
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Speaker 1: about the need for relationships, the need for meaning. What
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Speaker 1: was useful to hear from your relationships the time? Yeah,
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Speaker 1: and what do you find useful now? Yeah, and helpful?
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Speaker 2: This isn't about other people, actually, but this was a
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Speaker 2: really helpful thing for me. Is so, Paul got sick
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Speaker 2: and we were both doctors, and there was something in
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Speaker 2: that that was immensely helpful. And obviously like the privilege
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Speaker 2: and logistics and all of that kind of stuff that
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Speaker 2: came out of like being a healthcare person and a
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Speaker 2: doctor was very helpful. But the thing that was the
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Speaker 2: most helpful was having spent years and years taking care
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Speaker 2: of sick people and their families and thinking like, terrible
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Speaker 2: things can happen to wonderful people, whether it's like a
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Speaker 2: car crash or sudden diagnosis of cancer, and so when
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Speaker 2: he was diagnosed, like at one point I was like,
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Speaker 2: whatever you need to do to cope, go for it,
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Speaker 2: Like would you like to punch a wall? We have
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Speaker 2: all these walls, like they're all yours And he was like,
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Speaker 2: I don't need to, and I was like I don't
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Speaker 2: need to either, Like what's that about? And I think
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Speaker 2: it was kind of like Okay, turns out like it's
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Speaker 2: our turn to like be the people who are doing this.
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Speaker 2: So it was really helpful to sort of like have
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Speaker 2: that perspective. And Paul, in his writing wrote, you know
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Speaker 2: like people often ask, don't you ask why me? And
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Speaker 2: he said, well, why not me? Do you think is
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Speaker 2: really beautiful? And in terms of like what was helpful
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Speaker 2: for us in terms of coping, I felt like the
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Speaker 2: most important thing was just to feel witnessed. Actually didn't
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Speaker 2: need anyone to try to fix it, to try to
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Speaker 2: like say something that was going to fix it, or
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Speaker 2: that it was okay, Like one of the best condolence
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Speaker 2: cards I got after Paul died was it just said
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Speaker 2: this sucks really big, and I was like, oh, so amazing.
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Speaker 2: And it also wasn't like too flowery or too like
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Speaker 2: perfect or whatever. It was just like this is how
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Speaker 2: it's person feels, is definitely how I feel. Also, it's
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Speaker 2: still funny, Like even when you're dying, you're still you,
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Speaker 2: you know, like you're still funny. Like one thing that
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Speaker 2: did that was really helpful for Paul actually when he
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Speaker 2: was sick. You know, he was a thirty six and
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Speaker 2: thirty seven year old neurosurgeon, right, so he's used to
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Speaker 2: being like like healthy, dominant, in charge, in control, and
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Speaker 2: then like loses all of that in an instant. So
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Speaker 2: when people would come to visit and hang out, they'd
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Speaker 2: say like, oh, I'm coming to visit, Like what can
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Speaker 2: I do That's helpful? And I was like, just come
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Speaker 2: and hang out and like be just like be you,
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Speaker 2: like be funny, like ask Paul for career advice, you know,
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Speaker 2: if that's what you would do anyway, Like, just because
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Speaker 2: he's dying, like doesn't mean he doesn't want to know
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Speaker 2: what's going on with you. He's not like radioactive he's
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Speaker 2: not different, you know. I think illness can be so flattening.
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Speaker 2: It's like people get sick and it's like humor zips
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Speaker 2: out of the room, like sexuality zips out of the room,
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Speaker 2: and like you're just like I'm still me, Like I'm
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Speaker 2: still me, just the same and losing all of these abilities,
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Speaker 2: but I also still have all these capacities. So I
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Speaker 2: think just like making room for people's full self and
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Speaker 2: people to be like agentic and be if that's the word,
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Speaker 2: be an agent and like be a full person.
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Speaker 1: I think we all lose our powers when we love
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Speaker 1: someone and they lose someone totally. I think for a
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Speaker 1: lot of people listening and watching, I think a lot
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Speaker 1: of people become distant.
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Speaker 2: Totally because you don't really know what to do. Yeah,
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Speaker 2: And I think like showing up is half the thing.
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Speaker 2: And then also it's like I do think there's something
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Speaker 2: to like being specific, you know, like people often say
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Speaker 2: like let me know if there's any way you can help,
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Speaker 2: and you really mean it, and I've done that. But
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Speaker 2: I think when you're the sick person, it's like you
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Speaker 2: are quite overwhelmed, and so it is useful to just
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Speaker 2: like keep offering a little thing with no pressure. Like
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Speaker 2: I had some friends whose baby was in the hospital
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Speaker 2: and the husband was like the best thing anyone ever
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Speaker 2: did for us was say like I'm at them all
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Speaker 2: next door getting a burger, Like what do you want
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Speaker 2: on yours? I'll drop it off in twenty And they
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Speaker 2: were just like the works, thanks, and then like they
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Speaker 2: have to talk to the first and just like you
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Speaker 2: know that kind of stuff, Hey, like do you need
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Speaker 2: babysitting this week? Like let me know, Like I'm dropping
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Speaker 2: off food, do you want me to the doorbeller? Just
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Speaker 2: let you know, just text you when it's there, Just
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Speaker 2: like something that has no pressure but also is like
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Speaker 2: present and keep doing it.
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Speaker 1: What do you think most people misinterpret about grief?
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Speaker 2: One thing is like, oh if I say something, I'm
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Speaker 2: gonna remind her, or what if I say something then
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Speaker 2: I make her sad? And I think when you're a
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Speaker 2: grieving person, you're thinking about it all the time. It's
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Speaker 2: present for you all the time. And so I think
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Speaker 2: if somebody says like, hey, I heard what happened, I've
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Speaker 2: been thinking about you. You know, hey, I heard what happened,
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Speaker 2: Like how are you doing today? Is there anything you
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Speaker 2: can do? It doesn't remind you. It just makes you
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Speaker 2: feel seen and connected at a time when like it's
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Speaker 2: really hard to feel connected. My mom said this amazing
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Speaker 2: thing when we were growing up. She used to say,
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Speaker 2: when in doubt, describe, And it basically meant like, even
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Speaker 2: if you don't know what's happening for you, or even
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Speaker 2: if you don't know the perfect, perfect thing to say,
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Speaker 2: like you can just describe what's going on, so you
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Speaker 2: can just say, like, I heard that so and so died.
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Speaker 2: It's really sad. E've ben thinking about you so much.
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Speaker 2: I wish I knew the perfect thing to say, and
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Speaker 2: I don't, but I want you to know I love you,
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Speaker 2: And like that doesn't that sound so cozy nice? Yeah,
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Speaker 2: And it's like they didn't have to say a special, perfect,
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Speaker 2: wise thing. They just described you know. So I think
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Speaker 2: that's also really helpful.
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Speaker 1: Describing what you're going through is sometimes better than trying
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Speaker 1: to say the perfect thing or the right thing. Yeah, absolutely, Yeah,
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Speaker 1: to just be like this is the worst day ever.
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Speaker 2: Yeah, yeah, this is hard.
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Speaker 1: Yes, this is hard, Yeah, this is this is really difficult.
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Speaker 1: It's so much more, I don't know, there's something about
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Speaker 1: it that opens up the heart rather than closes it totally. Yeah,
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Speaker 1: just it's almost acceptance.
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Speaker 2: Yes, yeah, yeah. Can I just come sit with you?
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Speaker 2: This looks so hard, yes, exactly.
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Speaker 1: Yeah, Yeah, to admit that to ourselves, that's what we
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Speaker 1: struggled to do. What was I've It's been really interesting
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Speaker 1: as I was preparing for this interview. I've had friends.
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Speaker 1: I mean, I've lost friends to cancer over the last
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Speaker 1: few years. I've lost spiritual mentors, have lost friends and
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Speaker 1: different scenarios. But I had a friend recently who is
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Speaker 1: going through it in the States. His partner's a doctor,
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Speaker 1: but he's not. Yeah, and his partner wasn't as supportive
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Speaker 1: as he wanted them to be because to him, cancer
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Speaker 1: felt like the big sea word that was scary from
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Speaker 1: the moment he heard it. But her take was You're
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Speaker 1: going to be fine. They're going to figure it out.
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Speaker 1: And I was wondering, what were the kinds of conversations
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Speaker 1: you both had as both being doctors, and what was
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Speaker 1: the most important conversation you think you had at that time.
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Speaker 2: The way Paul got diagnosed was he'd been getting sicker
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Speaker 2: and sicker, and then he ultimately got the news that
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Speaker 2: he had a chest X ray that essentially looked like
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Speaker 2: a cloudy sky. I mean, it was like den sw
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Speaker 2: with tumors. We both knew what it meant. You know,
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Speaker 2: we're going to the hospital tomorrow for a CT scan
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Speaker 2: and it's going to show, you know, metastatic cancer. And
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Speaker 2: it was so interesting because as we were packing for
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Speaker 2: this hospital stay, he was going to go and get
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Speaker 2: expedited work up. I was packing like practical things like
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Speaker 2: phone charge or insurance card, like fuzzy socks or whatever.
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Speaker 2: And he packed books. It was so interesting. He packed
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Speaker 2: Being in Time by Heidegger and Mere Christianity by C. S. Lewis,
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Speaker 2: and then a novel called Cancer Ward by Sulsan Nitsen.
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Speaker 2: And it was this sort of like immediate recognition of
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Speaker 2: like the doctor stuff is not going to help me,
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Speaker 2: Like I need to turn to words and literature and
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Speaker 2: we just need to turn to like the human experience
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Speaker 2: of this. And for him that was like, oh, I'm
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Speaker 2: back to literature. So that was really interesting. I think
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Speaker 2: one of the most important conversations was right away, which
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Speaker 2: was we ended up looking at the CT scan ourselves
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Speaker 2: and sort of like wordlessly absorbing this diagnosis of like
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Speaker 2: he was like looking at a patient scan and then
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Speaker 2: you're like, oh my gosh, it's you, like it's you.
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Speaker 2: And then we like got into the hospital bed together
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Speaker 2: and then he said I want you to remarry before
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Speaker 2: we almost talked about anything, which was really beautiful, like
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Speaker 2: beautiful and felt so sort of like shocking at the time.
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Speaker 2: But then there's like all these layers to that, Like
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Speaker 2: the biggest one is like I love you into a
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Speaker 2: future where I will not be there. Like that's amazing.
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Speaker 2: That's such like an amazing kind of love. And people
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Speaker 2: have it, right, people have it for their children, and
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Speaker 2: people have it for their spell. It's like I love
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Speaker 2: you forever, independent of my existence, right, But he also
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Speaker 2: was saying with that sentence like it was so stark
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Speaker 2: that it was kind of like Okay, I'm gonna go
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Speaker 2: I'm gonna go there immediately and then implicitly tell you
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Speaker 2: like we can talk about anything. And that was really helpful,
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Speaker 2: like super super helpful. And I think like the battle
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Speaker 2: metaphor for cancer is so pervasive, like it started with
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Speaker 2: like Nixon's War on cancer, but then now it extends
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Speaker 2: to like individual level like we'll beat it, we'll fight it,
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Speaker 2: we're gonna win, yeah, surviving, And I think that metaphor
418
00:21:18,240 --> 00:21:21,719
Speaker 2: is so flimsy, you know, interesting, Like it's sort of
419
00:21:21,720 --> 00:21:24,160
Speaker 2: like there's winners and losers and there's like one thing
420
00:21:24,160 --> 00:21:26,359
Speaker 2: you're supposed to do here, and it's just like survive
421
00:21:26,560 --> 00:21:29,119
Speaker 2: at all costs. And I think there's like when you
422
00:21:29,160 --> 00:21:31,960
Speaker 2: survey people with cancer, there's like so many things people
423
00:21:32,000 --> 00:21:35,359
Speaker 2: hope for. It's like people hope for dignity, people hope
424
00:21:35,400 --> 00:21:38,720
Speaker 2: for like functionality as long as possible. People hope that
425
00:21:38,760 --> 00:21:41,560
Speaker 2: their loved ones will be okay. I don't know. There
426
00:21:41,600 --> 00:21:46,159
Speaker 2: was sort of just like this panoply of hopes that
427
00:21:46,240 --> 00:21:49,560
Speaker 2: I think like we knew to like sidestep the battle metaphor,
428
00:21:49,600 --> 00:21:51,720
Speaker 2: which was really helpful. And I think part of that
429
00:21:51,840 --> 00:21:54,040
Speaker 2: was just we knew how sick he was. We couldn't
430
00:21:54,040 --> 00:21:57,520
Speaker 2: get away from it. We could not escape like understanding
431
00:21:57,560 --> 00:22:00,000
Speaker 2: how sick he was, which was like the worst part,
432
00:22:00,160 --> 00:22:02,800
Speaker 2: but in some ways the best part, because then we
433
00:22:02,800 --> 00:22:03,760
Speaker 2: could decide what to do.
434
00:22:20,440 --> 00:22:23,920
Speaker 1: What I'm hearing you say is that it's it wasn't
435
00:22:24,160 --> 00:22:27,560
Speaker 1: the doctor conversation or the medical conversation, because that was
436
00:22:27,600 --> 00:22:30,119
Speaker 1: almost accepting what was in front of you. Yeah, but
437
00:22:30,200 --> 00:22:32,320
Speaker 1: it was the conversations that you both allowed each other
438
00:22:32,400 --> 00:22:34,760
Speaker 1: to have beyond the knowledge that you both were.
439
00:22:34,800 --> 00:22:37,320
Speaker 2: Well luckily and at the same time, like I made
440
00:22:37,320 --> 00:22:40,680
Speaker 2: it sound easy, and it like totally it was so
441
00:22:40,680 --> 00:22:45,000
Speaker 2: so painful and like so confusing and just so like
442
00:22:45,119 --> 00:22:48,120
Speaker 2: it took months months for us to like even feel
443
00:22:48,119 --> 00:22:49,639
Speaker 2: like we had our feet on the ground, you know,
444
00:22:50,119 --> 00:22:53,040
Speaker 2: and then things are like it's a constantly shifting landscape,
445
00:22:53,119 --> 00:22:53,440
Speaker 2: you know.
446
00:22:54,080 --> 00:22:57,200
Speaker 1: And he's going through his emotions, you're going through yours, Like, yeah,
447
00:22:57,200 --> 00:23:01,560
Speaker 1: I can't imagine that they align every day when I
448
00:23:01,600 --> 00:23:03,960
Speaker 1: wonder about just the work that you're doing as well,
449
00:23:04,000 --> 00:23:06,520
Speaker 1: and as we kind of navigate this conversation, I'm like,
450
00:23:07,200 --> 00:23:10,240
Speaker 1: I know that in my life, when I lose someone
451
00:23:10,280 --> 00:23:13,200
Speaker 1: i'm close to, especially when they're around the same age,
452
00:23:13,920 --> 00:23:19,119
Speaker 1: there's something different than when I lose someone older, because
453
00:23:19,200 --> 00:23:21,760
Speaker 1: at least when someone's older or add an aide that
454
00:23:21,920 --> 00:23:27,040
Speaker 1: feels appropriate for loss, there's that story that you can
455
00:23:27,080 --> 00:23:30,200
Speaker 1: tell yourself. Whereas I lost one of my monk friends,
456
00:23:31,000 --> 00:23:32,560
Speaker 1: he was still a monk when he passed away. We
457
00:23:32,600 --> 00:23:36,199
Speaker 1: lived in the monastery together, but he passed away a
458
00:23:36,240 --> 00:23:38,760
Speaker 1: few years back now, and he died of stage four
459
00:23:38,800 --> 00:23:41,640
Speaker 1: colon cancer. Yeah, and he was like maybe two years
460
00:23:41,640 --> 00:23:45,600
Speaker 1: older than me. Yeah, And I remember watching him through
461
00:23:45,640 --> 00:23:48,040
Speaker 1: the whole journey present with him, talking to him on
462
00:23:48,080 --> 00:23:49,880
Speaker 1: the phone, seeing him when I could, when I went
463
00:23:49,920 --> 00:23:54,560
Speaker 1: back and visited him, And I almost feel like I
464
00:23:54,680 --> 00:23:58,320
Speaker 1: learned so much more from him about life than I've
465
00:23:58,320 --> 00:24:01,439
Speaker 1: ever taught or known. And I wanted to know, Like
466
00:24:01,480 --> 00:24:04,119
Speaker 1: what did being so close to death teach you about
467
00:24:04,200 --> 00:24:05,000
Speaker 1: life and living?
468
00:24:05,280 --> 00:24:09,399
Speaker 2: Yeah, it's hard to separate actually, like being so close
469
00:24:09,440 --> 00:24:14,280
Speaker 2: to death and being so close to Paul, because it
470
00:24:14,359 --> 00:24:17,560
Speaker 2: was like so embodied, you know, and it's funny. It's
471
00:24:17,560 --> 00:24:20,240
Speaker 2: like you're talking about your friend dying and like what
472
00:24:20,320 --> 00:24:23,360
Speaker 2: a surprise that is when someone young dies, And it's
473
00:24:23,400 --> 00:24:26,000
Speaker 2: like the way I've ended up, like conceiving of it
474
00:24:26,040 --> 00:24:28,399
Speaker 2: is sort of like turns out that's what was going
475
00:24:28,480 --> 00:24:30,919
Speaker 2: to happen. Like that helps me a lot. Actually, I
476
00:24:30,960 --> 00:24:35,640
Speaker 2: think like being so close to someone who's dying actually
477
00:24:35,760 --> 00:24:40,680
Speaker 2: taught me something about dying, which is that until you die,
478
00:24:40,760 --> 00:24:44,280
Speaker 2: you're alive, you know. Like what happened for Paul was
479
00:24:44,320 --> 00:24:48,360
Speaker 2: like he got he was a neurosurgeon, got diagnosed with cancer,
480
00:24:48,640 --> 00:24:50,639
Speaker 2: worked for a year as a neurosurgeon, Like this is
481
00:24:50,680 --> 00:24:53,120
Speaker 2: who I am, This is what I care about. Then
482
00:24:53,160 --> 00:24:57,120
Speaker 2: I got pregnant during that year on purpose. Then he
483
00:24:57,200 --> 00:25:01,280
Speaker 2: had sort of serendipitously and because he was a beautiful writer,
484
00:25:01,840 --> 00:25:05,840
Speaker 2: transitioned to writing first essays and then a memoir, and
485
00:25:05,840 --> 00:25:09,200
Speaker 2: so he sort of like built a new vocation during
486
00:25:09,200 --> 00:25:11,439
Speaker 2: the time that he was sick. And it's like he
487
00:25:11,600 --> 00:25:18,000
Speaker 2: was so sick and so like debilitated and still like
488
00:25:18,040 --> 00:25:22,160
Speaker 2: physically still and like wan, you know, he was ill,
489
00:25:22,880 --> 00:25:27,159
Speaker 2: and at the same time he was so like engaged
490
00:25:27,160 --> 00:25:29,199
Speaker 2: in what he was doing, like so just sort of
491
00:25:29,200 --> 00:25:33,199
Speaker 2: like intellectually engaged in the world of ideas and in
492
00:25:33,240 --> 00:25:35,639
Speaker 2: the world of relationships too, like being a new dad,
493
00:25:36,680 --> 00:25:40,400
Speaker 2: and it was just really interesting to see. Like one
494
00:25:40,400 --> 00:25:43,520
Speaker 2: of the book reviews of Paul's book was by this
495
00:25:43,600 --> 00:25:46,000
Speaker 2: doctor named Gavin Francis, and he wrote like this book
496
00:25:46,040 --> 00:25:49,959
Speaker 2: is unforgettable or this book is something it is crackling
497
00:25:50,000 --> 00:25:52,600
Speaker 2: with life. And I just remember thinking, like, oh, how
498
00:25:52,640 --> 00:25:56,600
Speaker 2: amazing to be crackling with life when you're dying. And
499
00:25:56,680 --> 00:25:58,399
Speaker 2: I think the same thing is true with aging, the
500
00:25:58,520 --> 00:26:00,919
Speaker 2: same thing is true with like disability to your patienthood.
501
00:26:00,920 --> 00:26:04,760
Speaker 2: It's like there's this idea that like you know something
502
00:26:04,840 --> 00:26:07,560
Speaker 2: about like a human identity is taken from you when
503
00:26:07,600 --> 00:26:10,240
Speaker 2: you're aging. But it's like some of my favorite people
504
00:26:10,240 --> 00:26:13,120
Speaker 2: are little old ladies who are so giggly and hilarious
505
00:26:13,160 --> 00:26:15,840
Speaker 2: and like not afraid of anything, you know, and like
506
00:26:16,560 --> 00:26:18,320
Speaker 2: I used to think like little old lady and now
507
00:26:18,320 --> 00:26:22,160
Speaker 2: I think like, gosh, like Spitfire, who like knows everything
508
00:26:22,280 --> 00:26:25,960
Speaker 2: and like, you know, nothing shocks her. And so I
509
00:26:26,000 --> 00:26:28,199
Speaker 2: think the thing it taught me also as a doctor,
510
00:26:28,280 --> 00:26:33,040
Speaker 2: you know, like just how totally human like everyone is,
511
00:26:33,240 --> 00:26:34,560
Speaker 2: you know, And I think when you're at work as
512
00:26:34,600 --> 00:26:38,200
Speaker 2: a doctor, there's so much dehumanization. It's like you're at work,
513
00:26:38,200 --> 00:26:39,639
Speaker 2: you're rushing aroun you're hungry, you have to go to
514
00:26:39,680 --> 00:26:41,359
Speaker 2: the bathroom, you have to get to the oar and
515
00:26:41,440 --> 00:26:43,840
Speaker 2: so it's like all of the families like sleeping on
516
00:26:43,880 --> 00:26:47,919
Speaker 2: the sofas outside the ICU are sort of the furniture,
517
00:26:48,119 --> 00:26:50,720
Speaker 2: like they're the furniture at work because you're doing your job.
518
00:26:51,200 --> 00:26:54,359
Speaker 2: But also it's like you're constantly toggling between like this
519
00:26:54,480 --> 00:26:57,639
Speaker 2: is the worst day of this person's life and I
520
00:26:57,720 --> 00:27:00,320
Speaker 2: have thirty six minutes with them and then answer to
521
00:27:00,359 --> 00:27:03,720
Speaker 2: your question for real about like what can dying teach
522
00:27:03,800 --> 00:27:07,720
Speaker 2: us about being alive and living. Dying is like the
523
00:27:08,400 --> 00:27:10,560
Speaker 2: one of the most human things we do. It's like
524
00:27:11,040 --> 00:27:13,040
Speaker 2: it's too big for any model. It's too big for
525
00:27:13,080 --> 00:27:14,679
Speaker 2: a medical model, it's too big for like a lot
526
00:27:14,680 --> 00:27:18,199
Speaker 2: of religious models. It's not a medical event. It's like
527
00:27:18,280 --> 00:27:22,480
Speaker 2: a human thing. Frank Ostasski, he's like a Buddhist teacher
528
00:27:22,520 --> 00:27:25,400
Speaker 2: who found it Zen Hospice in San Francisco's so gorgeous.
529
00:27:25,440 --> 00:27:28,320
Speaker 2: He's so beautiful, and like he talks about how dying
530
00:27:29,440 --> 00:27:33,200
Speaker 2: is all about relationships, so interesting. It's like your relationship
531
00:27:33,280 --> 00:27:36,800
Speaker 2: to yourself, your relationship to people you love, your relationship
532
00:27:36,880 --> 00:27:39,280
Speaker 2: to like holiness, whatever that would be. He's like, it
533
00:27:39,359 --> 00:27:43,919
Speaker 2: explodes every kind of relationship. And then Ira BioC who's
534
00:27:43,920 --> 00:27:48,679
Speaker 2: this like really beautiful doctor here, actually talks about like
535
00:27:49,320 --> 00:27:51,399
Speaker 2: having worked with a lot of people who are dying,
536
00:27:51,440 --> 00:27:53,520
Speaker 2: and then like, you know, what they have to teach
537
00:27:53,560 --> 00:27:55,280
Speaker 2: to people who are living. And he's like it's two
538
00:27:55,320 --> 00:27:58,439
Speaker 2: big questions that he uncovers. He says, what would be
539
00:27:58,600 --> 00:28:02,720
Speaker 2: left undone are unsaid if I died now, you know,
540
00:28:02,880 --> 00:28:04,720
Speaker 2: like how can I live most fully in the time
541
00:28:04,760 --> 00:28:05,359
Speaker 2: I have left?
542
00:28:05,640 --> 00:28:05,879
Speaker 1: You know?
543
00:28:06,560 --> 00:28:09,880
Speaker 2: And I think there is sort of a like transcendence
544
00:28:10,000 --> 00:28:13,120
Speaker 2: and just like death is not like something that happens
545
00:28:13,160 --> 00:28:14,719
Speaker 2: like at the end of the road. It's like it
546
00:28:14,800 --> 00:28:17,640
Speaker 2: is here all the time. It is something you can
547
00:28:17,760 --> 00:28:21,760
Speaker 2: like tap into like finitude or transcendence. Like even like
548
00:28:21,800 --> 00:28:24,439
Speaker 2: a traffic jam and you're just like roadreach, I'm going
549
00:28:24,480 --> 00:28:26,320
Speaker 2: where I'm going. I hate these people, they're in my way.
550
00:28:26,440 --> 00:28:29,800
Speaker 2: Like it's like no, like you are the people, you
551
00:28:29,840 --> 00:28:34,560
Speaker 2: are the traffic. Everyone in this traffic jam like was
552
00:28:34,600 --> 00:28:38,280
Speaker 2: a tiny baby like will be on a deathbed, has
553
00:28:38,320 --> 00:28:40,840
Speaker 2: someone who loves them, who will be like bereft when
554
00:28:40,840 --> 00:28:44,400
Speaker 2: they're gone, like God willing right, and so like suddenly
555
00:28:44,480 --> 00:28:47,320
Speaker 2: zooming out to that, you're like who cares about the traffic?
556
00:28:47,560 --> 00:28:51,400
Speaker 2: Everything's beautiful? So I don't know. I think there's like
557
00:28:51,480 --> 00:28:56,080
Speaker 2: a real like luminosity that can be found like when
558
00:28:56,120 --> 00:28:59,560
Speaker 2: someone's dying, and then at the same time, like traffic
559
00:28:59,600 --> 00:29:02,680
Speaker 2: jams suck and like yeah, you know, when someone's dying,
560
00:29:02,720 --> 00:29:04,920
Speaker 2: you also have to like make dinner and you know,
561
00:29:05,920 --> 00:29:08,080
Speaker 2: pick up the prescription. But I think it's like a
562
00:29:08,080 --> 00:29:12,160
Speaker 2: constant toggle between like zooming and zoom and transcendence, you know,
563
00:29:12,200 --> 00:29:14,480
Speaker 2: which is like hopefully what we can all do, like
564
00:29:14,560 --> 00:29:15,240
Speaker 2: every day.
565
00:29:15,320 --> 00:29:18,440
Speaker 1: Yeah, yeah, yeah, it's zooming and zoom yeah, as you said,
566
00:29:18,480 --> 00:29:20,520
Speaker 1: yeah yeah, For a few months now, my team and
567
00:29:20,560 --> 00:29:23,840
Speaker 1: I've been creating these zoomed out versions when you were
568
00:29:23,840 --> 00:29:30,040
Speaker 1: describing that of almost like city crosswalks, parks, yeah, and
569
00:29:30,040 --> 00:29:34,400
Speaker 1: and we just replace these little thoughts on what everyone's
570
00:29:34,440 --> 00:29:37,720
Speaker 1: going through what and and people are like moving around
571
00:29:37,760 --> 00:29:39,520
Speaker 1: in the park or sometimes.
572
00:29:39,200 --> 00:29:41,040
Speaker 2: It's you like a scribe, like a story.
573
00:29:41,280 --> 00:29:41,600
Speaker 1: Correct.
574
00:29:41,640 --> 00:29:42,720
Speaker 2: I play that game with my kids.
575
00:29:42,800 --> 00:29:45,240
Speaker 1: Yeah, oh, tell me about that.
576
00:29:45,560 --> 00:29:47,160
Speaker 2: We just play that like at dinner and stuff. We're
577
00:29:47,200 --> 00:29:49,720
Speaker 2: out to dinner, we're talking about yeah, yeah, we'll be
578
00:29:49,760 --> 00:29:52,120
Speaker 2: like what are you talking about? And then you'll be like, oh,
579
00:29:52,120 --> 00:29:54,320
Speaker 2: this person just walk by, like his dog's name. Sometimes
580
00:29:54,320 --> 00:29:56,640
Speaker 2: it's just sort of like silly, it's like his dog's
581
00:29:56,720 --> 00:29:59,240
Speaker 2: name is Peanut, and just make it up. But sometimes
582
00:29:59,240 --> 00:30:02,160
Speaker 2: it's like, oh, like do you think he's just gone
583
00:30:02,160 --> 00:30:04,960
Speaker 2: through a breakup? Like look at his face? Ah, Like
584
00:30:05,480 --> 00:30:06,719
Speaker 2: just we just sort of make it up, like as
585
00:30:06,720 --> 00:30:08,920
Speaker 2: a way to pass the time. But it is sort
586
00:30:08,960 --> 00:30:09,800
Speaker 2: of like an empathy game.
587
00:30:09,880 --> 00:30:13,080
Speaker 1: Absolutely. Yeah. So we're doing exactly the same thing except
588
00:30:13,120 --> 00:30:16,640
Speaker 1: creating it on social media and sharing them as stories
589
00:30:16,680 --> 00:30:19,240
Speaker 1: for people to zoom out a little bit, and so
590
00:30:19,320 --> 00:30:21,640
Speaker 1: we'll take different scenes, whether it's an airport or whether
591
00:30:21,640 --> 00:30:23,960
Speaker 1: it's a park, or whether it's a crosswalk, and we'll
592
00:30:24,000 --> 00:30:25,760
Speaker 1: have lots of people walking around, and we'll just put
593
00:30:25,800 --> 00:30:29,720
Speaker 1: little stories on top of them. I love thinking that
594
00:30:29,800 --> 00:30:32,840
Speaker 1: way because I always know that if I cut someone
595
00:30:32,840 --> 00:30:34,960
Speaker 1: off in traffic, I feel I have a good reason.
596
00:30:35,240 --> 00:30:36,280
Speaker 1: Sure if someone cuts me.
597
00:30:36,240 --> 00:30:39,200
Speaker 2: Off, they're an asshole.
598
00:30:39,320 --> 00:30:40,520
Speaker 1: Yeah, exactly.
599
00:30:40,640 --> 00:30:42,520
Speaker 2: Yeah, so what are you trying to show? Are you
600
00:30:42,600 --> 00:30:45,000
Speaker 2: just trying to show like everyone has like a rich
601
00:30:45,040 --> 00:30:46,240
Speaker 2: life as rich as yours.
602
00:30:46,680 --> 00:30:49,959
Speaker 1: Yeah, and we're not alone in our suffering. Yes, so
603
00:30:50,520 --> 00:30:53,040
Speaker 1: you may feel like you're suffering right now, You're definitely
604
00:30:53,080 --> 00:30:57,000
Speaker 1: not alone, right that everyone you meet may simply be
605
00:30:57,080 --> 00:30:59,640
Speaker 1: projecting their own suffering onto you, and it is in
606
00:30:59,760 --> 00:31:03,120
Speaker 1: a election of who you are totally, and everyone has
607
00:31:03,120 --> 00:31:03,960
Speaker 1: a story.
608
00:31:03,680 --> 00:31:04,520
Speaker 2: Everyone has a thing.
609
00:31:04,680 --> 00:31:08,280
Speaker 1: Yeah. Yeah, and so just trying to help us I
610
00:31:08,320 --> 00:31:11,440
Speaker 1: guess transcend. But then I like your version of it's
611
00:31:11,440 --> 00:31:15,360
Speaker 1: still bullshit transfit, So I need to make one of that.
612
00:31:15,640 --> 00:31:17,480
Speaker 1: I think we need to end it with that. I
613
00:31:17,560 --> 00:31:19,560
Speaker 1: think you it's so cool.
614
00:31:19,640 --> 00:31:20,320
Speaker 2: Can't wait to see that.
615
00:31:20,440 --> 00:31:23,120
Speaker 1: Yeah, you know, as you're saying it, was just it's
616
00:31:23,200 --> 00:31:26,320
Speaker 1: helpful to hearing it from you as you're answering these questions.
617
00:31:26,360 --> 00:31:30,400
Speaker 1: I'm so honestly like it's stirring so much within me
618
00:31:30,480 --> 00:31:34,440
Speaker 1: because when you sit down with someone who's really done
619
00:31:34,480 --> 00:31:36,800
Speaker 1: the work and really had to work through grief and
620
00:31:36,840 --> 00:31:40,000
Speaker 1: really had to think through this loss on such a
621
00:31:40,000 --> 00:31:46,920
Speaker 1: personal level, your answers are beyond any logic in a
622
00:31:46,920 --> 00:31:51,880
Speaker 1: beautiful ways and their counterintuitive almost, and that's what's so
623
00:31:53,280 --> 00:31:54,720
Speaker 1: helpful and refreshing.
624
00:31:54,800 --> 00:31:56,600
Speaker 2: And yeah, you know, it's so weird though it was
625
00:31:56,680 --> 00:31:59,640
Speaker 2: like partly it helps you and then partly it doesn't,
626
00:31:59,640 --> 00:32:02,640
Speaker 2: because like the next thing that comes is also really hard.
627
00:32:02,800 --> 00:32:06,920
Speaker 2: Like sometimes I think that about talking about Paul and
628
00:32:07,040 --> 00:32:10,560
Speaker 2: like going through that experience, Like Paul's memoir came out
629
00:32:11,120 --> 00:32:13,360
Speaker 2: a little under a year after he died, and then
630
00:32:13,400 --> 00:32:16,040
Speaker 2: I immediately went on a book tour, like an unexpected
631
00:32:16,080 --> 00:32:20,280
Speaker 2: book tour, and was like processing in real time, like
632
00:32:20,360 --> 00:32:24,440
Speaker 2: what had happened really just like aching through grief and
633
00:32:24,480 --> 00:32:28,840
Speaker 2: describing it. And now I'm describing like I went through
634
00:32:28,840 --> 00:32:30,720
Speaker 2: this process and what came out of it, which is
635
00:32:30,760 --> 00:32:33,920
Speaker 2: like a wonderful thing. But then like the things that
636
00:32:33,960 --> 00:32:35,840
Speaker 2: are happening for me, like I talked to somebody the
637
00:32:35,840 --> 00:32:38,440
Speaker 2: other day actually who said this, who said like, oh,
638
00:32:38,480 --> 00:32:41,440
Speaker 2: I'm raising this like challenging teenager, and it's the hardest
639
00:32:41,480 --> 00:32:44,640
Speaker 2: thing I've ever done. And then she was like, well,
640
00:32:45,280 --> 00:32:46,920
Speaker 2: I told a friend that, and the friend said, wait
641
00:32:46,960 --> 00:32:50,760
Speaker 2: a second, Like twelve years ago, your wife had cancer
642
00:32:50,960 --> 00:32:53,120
Speaker 2: and you had young children. Isn't that the hardest thing
643
00:32:53,120 --> 00:32:54,800
Speaker 2: you've ever done? And she was like, oh, it is.
644
00:32:55,200 --> 00:32:58,560
Speaker 2: It definitely is. But right now this feels like the
645
00:32:58,600 --> 00:33:01,720
Speaker 2: hardest thing, like it's the new hardest thing. Yeah, you know,
646
00:33:02,080 --> 00:33:03,440
Speaker 2: But at the same time, I think you end up
647
00:33:03,480 --> 00:33:06,040
Speaker 2: realizing like, Okay, I've done a hard thing before, you know.
648
00:33:06,160 --> 00:33:10,000
Speaker 2: Like Jane Fond on Julia Louis Dreyfus's podcast, she was like,
649
00:33:10,000 --> 00:33:13,560
Speaker 2: people always say that being old is hard, and she's like, no,
650
00:33:13,680 --> 00:33:16,560
Speaker 2: being young is hard. She's like, being old is amazing,
651
00:33:16,840 --> 00:33:19,520
Speaker 2: Like you've been through so many things. You know you
652
00:33:19,560 --> 00:33:22,400
Speaker 2: can do it. And I was like, that's awesome.
653
00:33:22,560 --> 00:33:25,640
Speaker 1: If we're able to pull from that well, yeah, of
654
00:33:26,200 --> 00:33:29,400
Speaker 1: experience and tragedy, and if we're able to look at
655
00:33:29,400 --> 00:33:31,600
Speaker 1: it and go Because I think I think I think
656
00:33:31,680 --> 00:33:35,720
Speaker 1: humans don't give themselves enough credit for how much they've survived. Same. Yeah,
657
00:33:35,760 --> 00:33:38,400
Speaker 1: we don't give ourselves enough credit because we don't. We
658
00:33:38,440 --> 00:33:40,480
Speaker 1: don't look back at that moment and think we were strong.
659
00:33:40,520 --> 00:33:42,040
Speaker 1: We look back at it and think we were weak.
660
00:33:42,160 --> 00:33:44,200
Speaker 2: That's so interesting that we just went I was a
661
00:33:44,200 --> 00:33:46,480
Speaker 2: stupid teenager. And then you're like, no, you had to
662
00:33:46,560 --> 00:33:46,880
Speaker 2: learn that.
663
00:33:46,960 --> 00:33:49,440
Speaker 1: Yeah, yeah, no. The way to learn that exactly like
664
00:33:49,560 --> 00:33:51,920
Speaker 1: owning that is what gives you what I think what
665
00:33:52,000 --> 00:33:54,880
Speaker 1: you're sharing, which is, oh, I can look back and think, wow,
666
00:33:54,960 --> 00:33:57,880
Speaker 1: I got through the heart and I can relate to that.
667
00:33:57,880 --> 00:33:59,400
Speaker 1: I mean, I remember talking to my mom one So
668
00:33:59,480 --> 00:34:01,800
Speaker 1: my mom is not someone who gives me motivational advice
669
00:34:01,960 --> 00:34:05,000
Speaker 1: or gives me wisdom. She's loving and caring, but not
670
00:34:06,080 --> 00:34:10,719
Speaker 1: a wise sage in her words. And I remember I
671
00:34:10,760 --> 00:34:13,319
Speaker 1: was going through my most difficult fight yet at a
672
00:34:13,320 --> 00:34:16,879
Speaker 1: certain point in my life around nine years ago, and
673
00:34:17,320 --> 00:34:18,919
Speaker 1: I was talking to my mom and she was asking
674
00:34:18,960 --> 00:34:20,640
Speaker 1: me how I was and what I ate for dinner,
675
00:34:20,680 --> 00:34:23,560
Speaker 1: which it was usually our conversation, and I just said
676
00:34:23,600 --> 00:34:25,239
Speaker 1: to her, was like, yeah, you know, I'm doing alright.
677
00:34:25,239 --> 00:34:26,840
Speaker 1: I'm just stressed out doing a bit, you know. And
678
00:34:27,000 --> 00:34:30,000
Speaker 1: I would say that in a passing way, and she said,
679
00:34:30,680 --> 00:34:34,719
Speaker 1: you're good at dealing with stress. And I was like, ah, like,
680
00:34:34,760 --> 00:34:35,640
Speaker 1: my mom doesn't.
681
00:34:35,400 --> 00:34:36,560
Speaker 2: Just say it was so helpful.
682
00:34:36,840 --> 00:34:39,520
Speaker 1: Yeah, And I said, what do you mean and she said, well,
683
00:34:39,760 --> 00:34:41,520
Speaker 1: when you were in my womb, you went through a
684
00:34:41,520 --> 00:34:42,120
Speaker 1: lot of stress.
685
00:34:43,120 --> 00:34:43,960
Speaker 2: That's so beautiful.
686
00:34:44,160 --> 00:34:47,480
Speaker 1: And it was like, oh my gosh, it gave me
687
00:34:47,719 --> 00:34:51,360
Speaker 1: so gift, so much. It's still what I turned to
688
00:34:52,160 --> 00:34:56,160
Speaker 1: when I need strength. Oh my god, and it broke
689
00:34:56,200 --> 00:34:57,840
Speaker 1: through the challenge I had at that time, like it
690
00:34:57,880 --> 00:35:00,680
Speaker 1: gave me all the results and conviction because my mum
691
00:35:00,920 --> 00:35:04,120
Speaker 1: just reminded me that, well, that's so beautiful. It was unbelievable.
692
00:35:04,200 --> 00:35:07,200
Speaker 2: It's amazing too, because she's saying like that's such an
693
00:35:07,239 --> 00:35:09,720
Speaker 2: embodied thing, because like, oh my gosh, I'm gonna cry,
694
00:35:09,920 --> 00:35:13,200
Speaker 2: because like she's telling you like you're the fact that
695
00:35:13,239 --> 00:35:15,960
Speaker 2: you were in a fetus right, Like she's telling you
696
00:35:16,040 --> 00:35:19,239
Speaker 2: like your body already knows how to do this, Like
697
00:35:19,320 --> 00:35:23,120
Speaker 2: your body did this before you like could even before
698
00:35:23,120 --> 00:35:24,280
Speaker 2: when you were pre verbal.
699
00:35:24,719 --> 00:35:25,480
Speaker 1: Yeah.
700
00:35:25,520 --> 00:35:28,680
Speaker 2: Wow, what a like amazing form of trust she gave
701
00:35:28,719 --> 00:35:29,480
Speaker 2: you and yourself.
702
00:35:29,719 --> 00:35:32,040
Speaker 1: I've been thinking a lot about this idea of the
703
00:35:32,120 --> 00:35:34,799
Speaker 1: stories of your parents and the stories of your ancestors.
704
00:35:35,680 --> 00:35:38,360
Speaker 1: And when I think about the stories of my parents,
705
00:35:38,360 --> 00:35:40,879
Speaker 1: which I learned early on, but not in as much
706
00:35:40,920 --> 00:35:43,839
Speaker 1: detail as I wished. I just heard about how much
707
00:35:43,880 --> 00:35:46,520
Speaker 1: they went through. And I was thinking about this with Katie.
708
00:35:46,640 --> 00:35:49,000
Speaker 1: Is where I'm going with Yeah, And it's almost like
709
00:35:49,120 --> 00:35:51,040
Speaker 1: I didn't live that with them. I didn't live in
710
00:35:51,080 --> 00:35:52,840
Speaker 1: those homes they grew up in. My dad grew up
711
00:35:52,840 --> 00:35:55,360
Speaker 1: in the slums in India, my mom grew up in
712
00:35:55,360 --> 00:35:59,440
Speaker 1: a war torn country. They both moved to England, you know,
713
00:35:59,560 --> 00:36:02,080
Speaker 1: and they got married. And when I think about that,
714
00:36:02,160 --> 00:36:05,239
Speaker 1: I'm like, Wow, that is that's so difficult, Like my
715
00:36:05,280 --> 00:36:08,240
Speaker 1: parents did something really hard. Yes, my mom was studying
716
00:36:08,280 --> 00:36:10,960
Speaker 1: for her exams when she had soldiers on her rooftop.
717
00:36:11,040 --> 00:36:11,200
Speaker 2: Wow.
718
00:36:11,800 --> 00:36:17,200
Speaker 1: And my dad shared a bathroom with like twenty five families. Yeah,
719
00:36:17,440 --> 00:36:20,040
Speaker 1: And when I think about it, thank God, that is insane.
720
00:36:20,080 --> 00:36:21,480
Speaker 1: And then when you think and you're like, but I
721
00:36:21,520 --> 00:36:24,480
Speaker 1: come from that, sure, Like like I come from that,
722
00:36:24,560 --> 00:36:27,440
Speaker 1: and like what Yeah, And so I wonder when like
723
00:36:27,760 --> 00:36:30,720
Speaker 1: for Katie, who, yeah, as we were talking about earlier,
724
00:36:30,760 --> 00:36:34,640
Speaker 1: like doesn't necessarily know her father, but how do you
725
00:36:35,080 --> 00:36:40,279
Speaker 1: think about creating that experience for her in helping her
726
00:36:40,719 --> 00:36:41,640
Speaker 1: make sense of it.
727
00:36:41,640 --> 00:36:43,720
Speaker 2: It's interesting that you're saying this thing about your parents,
728
00:36:43,800 --> 00:36:46,319
Speaker 2: because like the hardest thing is when your parents lay
729
00:36:46,360 --> 00:36:48,400
Speaker 2: it out for you, right, Like you do need to
730
00:36:48,440 --> 00:36:52,880
Speaker 2: sort of absorb it yourself. You know, I did, and
731
00:36:53,040 --> 00:36:56,680
Speaker 2: you're like, okay, but like it's so beautiful that you
732
00:36:56,920 --> 00:37:00,359
Speaker 2: really absorbed it. So it's like, I guess I hope
733
00:37:00,440 --> 00:37:03,200
Speaker 2: Katie will do that, you know, from reading Paul's book
734
00:37:03,320 --> 00:37:07,160
Speaker 2: or from like watching me and you know, being me,
735
00:37:08,600 --> 00:37:10,879
Speaker 2: whatever she takes from that. But I think I think
736
00:37:11,080 --> 00:37:18,000
Speaker 2: so much about how to give her sort of like spaciousness,
737
00:37:18,640 --> 00:37:20,920
Speaker 2: like support and spaciousness to like figure out what it
738
00:37:20,920 --> 00:37:25,800
Speaker 2: all means to her, you know, because she's her own person.
739
00:37:26,040 --> 00:37:29,040
Speaker 2: Her childhood is very different from mine in this other way, right,
740
00:37:29,120 --> 00:37:33,200
Speaker 2: Like she has the hardship of losing a parent I didn't.
741
00:37:34,000 --> 00:37:37,560
Speaker 2: She's like decidedly not Paul. She's decidedly not me. She's
742
00:37:37,640 --> 00:37:42,400
Speaker 2: very specific. I think none of us honestly like comes
743
00:37:42,400 --> 00:37:46,360
Speaker 2: to appreciate that our parents are like full human beings.
744
00:37:46,360 --> 00:37:49,360
Speaker 2: Like I remember in my twenties being like, wait a second,
745
00:37:49,480 --> 00:37:53,960
Speaker 2: my dad is not a professional dad. He's like a dude.
746
00:37:54,520 --> 00:37:57,799
Speaker 2: He's just a dude. Like that explains so much, Like
747
00:37:57,920 --> 00:38:00,000
Speaker 2: that explains so much in a really like gorgeous way.
748
00:38:00,080 --> 00:38:02,640
Speaker 2: You know, he's like someone who's just amazingly doing his best.
749
00:38:03,360 --> 00:38:07,799
Speaker 2: Katie has fewer like signposts to know who Paul was,
750
00:38:08,719 --> 00:38:11,319
Speaker 2: but she has this book to read, and the book
751
00:38:11,440 --> 00:38:16,400
Speaker 2: essentially says like it's important to try hard, it's important
752
00:38:16,400 --> 00:38:19,640
Speaker 2: to do your best, and I love you like he's
753
00:38:19,719 --> 00:38:22,240
Speaker 2: you know, Paul wrote so much about striving and about
754
00:38:22,239 --> 00:38:25,520
Speaker 2: struggling to find meaning and about you know, like about
755
00:38:25,800 --> 00:38:29,319
Speaker 2: facing death squarely. And then at the end, he like
756
00:38:29,360 --> 00:38:31,919
Speaker 2: stops and he's writing in the second person to her
757
00:38:32,280 --> 00:38:34,040
Speaker 2: and like writes a message to her, and that's the
758
00:38:34,120 --> 00:38:37,920
Speaker 2: last piece that he puts for her. As I'm raising Katie,
759
00:38:38,560 --> 00:38:42,840
Speaker 2: I try to have her sort of taken like random
760
00:38:42,920 --> 00:38:46,759
Speaker 2: information about Paul, like just truly random, Like you love
761
00:38:46,840 --> 00:38:49,040
Speaker 2: taking a hot shower. I hate a hot shower. I
762
00:38:49,080 --> 00:38:52,479
Speaker 2: get in and out like you and Daddy like love
763
00:38:52,520 --> 00:38:55,359
Speaker 2: a hot shower. He loved a hot shower. You take
764
00:38:55,400 --> 00:38:58,960
Speaker 2: the hour power share shower, just like Daddy. So that's
765
00:38:59,000 --> 00:39:00,839
Speaker 2: just like a random thing that you would know if
766
00:39:00,840 --> 00:39:03,879
Speaker 2: you were like growing up like next to someone. Right,
767
00:39:04,160 --> 00:39:06,000
Speaker 2: So I try to give her those kinds of things
768
00:39:06,080 --> 00:39:08,640
Speaker 2: instead of just like your dad died and he was
769
00:39:08,640 --> 00:39:10,279
Speaker 2: so wonderful and he left you. It's like I try
770
00:39:10,320 --> 00:39:13,040
Speaker 2: to give her like sort of specifics that are like
771
00:39:13,200 --> 00:39:16,520
Speaker 2: neither here nor there, but they're like they like create
772
00:39:16,560 --> 00:39:20,239
Speaker 2: a tapestry. Yes, she like sees his brothers, who are
773
00:39:20,280 --> 00:39:23,160
Speaker 2: like really funny and amazing and sort of like just
774
00:39:23,239 --> 00:39:25,960
Speaker 2: funny in the way that he was. And then I
775
00:39:26,000 --> 00:39:28,120
Speaker 2: don't know what her interaction will be with Paul's book,
776
00:39:28,280 --> 00:39:30,759
Speaker 2: Like it's all over our house. It's like you all over,
777
00:39:30,840 --> 00:39:33,240
Speaker 2: but like we five copies and they're on different bookshelves
778
00:39:33,280 --> 00:39:35,319
Speaker 2: and they're around, and I don't know when she's going
779
00:39:35,400 --> 00:39:36,640
Speaker 2: to pick it up. I don't know what she's going
780
00:39:36,719 --> 00:39:38,080
Speaker 2: to take. I don't know if he's going to feel
781
00:39:38,120 --> 00:39:41,279
Speaker 2: really close, if he's gonna feel really far, or if
782
00:39:41,280 --> 00:39:43,120
Speaker 2: she's going to say, like I'm not interested in this,
783
00:39:43,280 --> 00:39:44,759
Speaker 2: or if she's going to be thirty and produce a
784
00:39:44,800 --> 00:39:48,880
Speaker 2: movie out adaptation, Like I have no no idea, but
785
00:39:48,960 --> 00:39:52,080
Speaker 2: I hope that she'll find some way that helps her,
786
00:39:52,280 --> 00:39:55,400
Speaker 2: like you did understand like where she came from and
787
00:39:56,000 --> 00:39:58,480
Speaker 2: that she was loved and yeah, she came from this,
788
00:39:58,680 --> 00:40:01,239
Speaker 2: like that's really beautiful to HER's say that I came
789
00:40:01,280 --> 00:40:03,960
Speaker 2: from that. Yeah, so I have no idea.
790
00:40:03,880 --> 00:40:06,480
Speaker 1: Yeah, yeah, no, of course you don't. But I appreciate
791
00:40:06,600 --> 00:40:11,319
Speaker 1: how you incorporate the story, the tapestry, the natural, the
792
00:40:11,400 --> 00:40:15,040
Speaker 1: real of what an experience is and and they're not heavy.
793
00:40:15,120 --> 00:40:20,919
Speaker 1: Also the version that's digestible and inhales. Yeah yeah, without yeah, yeah.
794
00:40:22,600 --> 00:40:25,279
Speaker 2: Because I've done a lot of like speaking and you know,
795
00:40:25,400 --> 00:40:27,800
Speaker 2: doing this book tour and connecting with like grief groups
796
00:40:27,800 --> 00:40:29,799
Speaker 2: and just all kinds of stuff since Paul died, I've
797
00:40:29,800 --> 00:40:32,319
Speaker 2: actually asked people for advice, like if anyone here in
798
00:40:32,320 --> 00:40:34,919
Speaker 2: this audience is the kid you know who like lost
799
00:40:34,920 --> 00:40:36,719
Speaker 2: your grandparent or lost whom ever, and then you don't
800
00:40:36,840 --> 00:40:39,640
Speaker 2: know them and you're piecing it together, what advice do
801
00:40:39,640 --> 00:40:42,520
Speaker 2: you have? And like the resounding advice has been like
802
00:40:43,560 --> 00:40:47,160
Speaker 2: don't put away the pictures, don't lock it up, you know,
803
00:40:47,320 --> 00:40:51,600
Speaker 2: like let the kid sort of like have access, ask questions,
804
00:40:51,640 --> 00:40:55,040
Speaker 2: like discover it and just don't like put it away.
805
00:40:55,520 --> 00:40:58,560
Speaker 1: What was it like making that decision to have Katie
806
00:40:58,600 --> 00:41:02,840
Speaker 1: at the time and then actually go through both coming
807
00:41:02,920 --> 00:41:06,160
Speaker 1: to terms with Paul's mortality and then you know, wanting
808
00:41:06,200 --> 00:41:07,360
Speaker 1: to create life together.
809
00:41:07,840 --> 00:41:09,759
Speaker 2: Paul and I had sort of always thought like that
810
00:41:09,800 --> 00:41:12,040
Speaker 2: would be the moment when we would think about having children.
811
00:41:12,160 --> 00:41:14,719
Speaker 2: Like he was at the end of his residency. I
812
00:41:14,800 --> 00:41:17,279
Speaker 2: was in attending by then, this is when things will
813
00:41:17,320 --> 00:41:21,320
Speaker 2: like ostensibly become easier. And then right at that moment,
814
00:41:21,360 --> 00:41:25,120
Speaker 2: he's diagnosed with metastatic terminal cancer. The prognosis is like
815
00:41:25,239 --> 00:41:27,640
Speaker 2: months to a few years. But we both looked at
816
00:41:27,640 --> 00:41:29,640
Speaker 2: each other and thought like, maybe we should do this
817
00:41:29,840 --> 00:41:33,719
Speaker 2: still sort of like surprised ourselves, and he was more
818
00:41:33,760 --> 00:41:36,560
Speaker 2: certain than I was. He really really wanted to and
819
00:41:36,640 --> 00:41:40,440
Speaker 2: I needed to sort of shore up like the practicality.
820
00:41:40,600 --> 00:41:43,080
Speaker 2: So it was sort of like is the family on
821
00:41:43,160 --> 00:41:46,960
Speaker 2: board with this? Like we refinanced the mortgage, like all
822
00:41:47,000 --> 00:41:50,000
Speaker 2: of these things. It's like, can I be a solo parent?
823
00:41:50,200 --> 00:41:52,640
Speaker 2: Like that is what I'm going to be? And then
824
00:41:52,719 --> 00:41:56,360
Speaker 2: I also was honestly worried about his I was worried
825
00:41:56,400 --> 00:41:58,680
Speaker 2: about like what you said, like how to hold like
826
00:41:59,040 --> 00:42:01,399
Speaker 2: birth and death and all of it at one time.
827
00:42:01,440 --> 00:42:05,799
Speaker 2: And I asked him actually and was like, are you
828
00:42:05,880 --> 00:42:09,280
Speaker 2: are sick? And like, as you're going through this process,
829
00:42:09,920 --> 00:42:15,120
Speaker 2: don't you feel like having a child will make dying
830
00:42:15,160 --> 00:42:20,000
Speaker 2: more painful for you, And he said, he said, wouldn't
831
00:42:20,040 --> 00:42:22,520
Speaker 2: it be great if it did make it more painful,
832
00:42:23,680 --> 00:42:27,600
Speaker 2: which just like cracked the whole thing open. And I
833
00:42:27,600 --> 00:42:31,760
Speaker 2: think actually, for anybody who has a child, like nobody
834
00:42:31,800 --> 00:42:33,840
Speaker 2: is doing it because it's going to make their life easier.
835
00:42:34,040 --> 00:42:36,880
Speaker 2: There's like a million things we do that make our
836
00:42:36,920 --> 00:42:42,120
Speaker 2: lives harder, like everything everything right, Like you know, climb
837
00:42:42,200 --> 00:42:44,960
Speaker 2: a mountain all the way to the top to come
838
00:42:45,040 --> 00:42:47,680
Speaker 2: down again in the exact same day. It's like you
839
00:42:47,719 --> 00:42:50,600
Speaker 2: didn't do that because it was easy, And so I
840
00:42:50,680 --> 00:42:52,600
Speaker 2: just think, wouldn't it be great if it did? Has
841
00:42:52,680 --> 00:42:55,919
Speaker 2: changed my life so much and cracked open like not
842
00:42:56,000 --> 00:42:59,919
Speaker 2: necessarily the best one. Sometimes you cannot have joy without
843
00:43:00,200 --> 00:43:03,920
Speaker 2: risking pain or inviting pain. And for me, it was
844
00:43:04,000 --> 00:43:07,160
Speaker 2: like another layer of uncertainty. It's like pregnancy itself is
845
00:43:07,239 --> 00:43:11,600
Speaker 2: like so much uncertainty, so much fear. Then I actually,
846
00:43:11,640 --> 00:43:14,319
Speaker 2: as a new mom, had to keep reminding myself, like
847
00:43:15,160 --> 00:43:16,320
Speaker 2: you know, it's like you go in and you like
848
00:43:16,360 --> 00:43:18,520
Speaker 2: make sure the baby's still breathing, and you're like, is
849
00:43:18,520 --> 00:43:20,840
Speaker 2: everything okay? She gets a fever and it's such a panic,
850
00:43:21,400 --> 00:43:23,160
Speaker 2: and like I had to remember and be like I
851
00:43:23,200 --> 00:43:25,840
Speaker 2: am ninety nine percent certain that this person is going
852
00:43:25,920 --> 00:43:28,600
Speaker 2: to be fine. Katie, I'm ninety nine percent certain that
853
00:43:28,640 --> 00:43:31,360
Speaker 2: Paul will not be fine. Yeah, So like that is
854
00:43:31,440 --> 00:43:35,160
Speaker 2: now like where I need to hold like my energy.
855
00:43:35,600 --> 00:43:38,080
Speaker 2: So that was kind of like helpful. Like when she
856
00:43:38,160 --> 00:43:41,200
Speaker 2: was a baby, it was like it's so easy to
857
00:43:41,200 --> 00:43:43,680
Speaker 2: wish away time, you know, it's like, oh, I can't
858
00:43:43,680 --> 00:43:45,600
Speaker 2: wait till she sleeps through the night, or like what's
859
00:43:45,640 --> 00:43:48,520
Speaker 2: she going to be like when she's like eighteen, And
860
00:43:48,560 --> 00:43:50,719
Speaker 2: there was none of that. It was like, this is
861
00:43:50,760 --> 00:43:53,640
Speaker 2: like the moment that Paul will be here for is
862
00:43:53,680 --> 00:43:57,799
Speaker 2: like Katie's infant hood and like Paul's final years, and
863
00:43:57,840 --> 00:44:00,640
Speaker 2: so there was no like wishing away the moment all
864
00:44:01,280 --> 00:44:04,200
Speaker 2: present and it turns out like that's actually really good
865
00:44:04,239 --> 00:44:07,200
Speaker 2: for you. It's like the reason people like learn to
866
00:44:07,280 --> 00:44:09,920
Speaker 2: meditate or you know. Or it's like I'm washing my
867
00:44:09,960 --> 00:44:11,840
Speaker 2: hands in the sink, like this is the feeling of
868
00:44:11,880 --> 00:44:15,200
Speaker 2: the cool water. It was like that. It was like
869
00:44:15,200 --> 00:44:19,440
Speaker 2: like a baby cries, someone dies, I'm here like in
870
00:44:19,480 --> 00:44:23,120
Speaker 2: this moment, you know, and so yeah, and I still
871
00:44:23,200 --> 00:44:26,440
Speaker 2: can access that somewhat. And then I also am like,
872
00:44:26,760 --> 00:44:28,880
Speaker 2: you know, we're the pencils for seventh grade, so like,
873
00:44:29,360 --> 00:44:31,920
Speaker 2: but anyway it was, it was like beautiful and amazing
874
00:44:32,000 --> 00:44:35,120
Speaker 2: and really good that we did it and just.
875
00:44:36,120 --> 00:44:49,240
Speaker 3: Yeah, it worked out. Taught me a lot.
876
00:44:57,840 --> 00:45:02,200
Speaker 1: Were you always so? And or did this accelerate it
877
00:45:02,239 --> 00:45:04,800
Speaker 1: in a way that because when I hear you speak,
878
00:45:04,840 --> 00:45:07,760
Speaker 1: I'm just like, God, this is like a lot of growth,
879
00:45:07,880 --> 00:45:10,200
Speaker 1: a lot of in a short amount of time, a
880
00:45:10,239 --> 00:45:13,120
Speaker 1: lot of taking on a lot of different things in
881
00:45:13,160 --> 00:45:16,000
Speaker 1: a short amount of time. And it's almost like do
882
00:45:16,040 --> 00:45:18,560
Speaker 1: you feel like you were somewhat prepared for it from
883
00:45:18,560 --> 00:45:19,760
Speaker 1: somewhere in your past.
884
00:45:20,040 --> 00:45:23,600
Speaker 2: The heaviest lift for me, actually, I think in terms
885
00:45:23,640 --> 00:45:27,640
Speaker 2: of like training my brain and heart to hold a
886
00:45:27,640 --> 00:45:30,799
Speaker 2: million things actually was in medical school. I was like,
887
00:45:30,840 --> 00:45:33,400
Speaker 2: I cannot believe I'm using like every fiber of my
888
00:45:33,480 --> 00:45:37,880
Speaker 2: being to figure out like intellectually and emotionally how to
889
00:45:37,920 --> 00:45:40,759
Speaker 2: take care of sick people and a tend to like
890
00:45:40,960 --> 00:45:44,359
Speaker 2: every every layer of what's happening in this room and
891
00:45:44,400 --> 00:45:47,600
Speaker 2: then like make it ten thousand decisions about like how
892
00:45:47,600 --> 00:45:50,080
Speaker 2: to make it all happen. So that was really hard.
893
00:45:50,200 --> 00:45:52,839
Speaker 2: I also went through an episode of depression and residency
894
00:45:53,320 --> 00:45:57,040
Speaker 2: that was incredibly painful. I wasn't like hospitalized, but I
895
00:45:57,080 --> 00:46:00,080
Speaker 2: took two weeks off work and I felt like I
896
00:46:00,160 --> 00:46:01,920
Speaker 2: just felt like I didn't exist. I mean, it was depression.
897
00:46:01,960 --> 00:46:04,600
Speaker 2: It's like depression, like Andrew Solomon says about depression, like
898
00:46:05,400 --> 00:46:09,040
Speaker 2: depression is not the opposite of happiness, it's the opposite
899
00:46:09,040 --> 00:46:13,240
Speaker 2: of vitality. Just like so interesting. That was really hard,
900
00:46:13,280 --> 00:46:16,520
Speaker 2: and I think like making it through that, I don't
901
00:46:16,560 --> 00:46:18,719
Speaker 2: even think I could put into words what it like
902
00:46:19,200 --> 00:46:23,680
Speaker 2: taught me. But touching that like pain like left me
903
00:46:23,880 --> 00:46:27,160
Speaker 2: with I don't know, some sort of ability to approach
904
00:46:27,320 --> 00:46:29,920
Speaker 2: darkness or something just to be like okay, like I
905
00:46:29,960 --> 00:46:32,440
Speaker 2: don't know, I have no idea. Yeah, and then I
906
00:46:32,480 --> 00:46:34,160
Speaker 2: just have like really good friends or we're talking all
907
00:46:34,200 --> 00:46:37,319
Speaker 2: the time, like I'm a processor by talking honestly, you know.
908
00:46:37,400 --> 00:46:38,799
Speaker 2: And then at the same time, it's like I went
909
00:46:38,800 --> 00:46:41,080
Speaker 2: through this hard thing of all these ideas about like
910
00:46:41,880 --> 00:46:45,480
Speaker 2: what helps me cope, and then you go through a
911
00:46:45,520 --> 00:46:48,560
Speaker 2: breakup and you're like heartbroken, you hate everything and you
912
00:46:48,560 --> 00:46:50,719
Speaker 2: have to start again, or like you know, you have
913
00:46:50,760 --> 00:46:52,279
Speaker 2: to figure out how to explain it to a kid,
914
00:46:52,320 --> 00:46:55,640
Speaker 2: and then you know, like that's impossible or they think
915
00:46:55,680 --> 00:46:59,200
Speaker 2: you're stupid. You know, like I don't know, it's all everything,
916
00:46:59,320 --> 00:46:59,960
Speaker 2: It's all everything.
917
00:47:00,719 --> 00:47:03,520
Speaker 1: It's the transcendence and boos, yeah, you know.
918
00:47:03,760 --> 00:47:06,040
Speaker 2: This actually makes me think of this thing, Yeah, transcendence
919
00:47:06,080 --> 00:47:09,560
Speaker 2: of bullshit. Do you know this idea It came out
920
00:47:09,560 --> 00:47:13,600
Speaker 2: of Dan Gilbert at Harvard, the social psychologist, this idea
921
00:47:13,640 --> 00:47:16,000
Speaker 2: of like the end of history illusion, So like he
922
00:47:16,040 --> 00:47:18,320
Speaker 2: talks about like when you're asking this question of like
923
00:47:18,320 --> 00:47:20,239
Speaker 2: like what got you to where you are today? And
924
00:47:20,280 --> 00:47:23,000
Speaker 2: then like he interviewed a bunch of people and he said, like,
925
00:47:23,200 --> 00:47:25,040
Speaker 2: how much do you think you've changed in the past
926
00:47:25,040 --> 00:47:27,800
Speaker 2: ten years? And everyone said so much, like so much.
927
00:47:28,040 --> 00:47:29,200
Speaker 2: And they said, how much do you think you're going
928
00:47:29,239 --> 00:47:30,560
Speaker 2: to change in the next ten years? And some people
929
00:47:30,560 --> 00:47:33,600
Speaker 2: said probably not a lot. And he interviewed people every
930
00:47:33,680 --> 00:47:35,880
Speaker 2: age and there's like a little a little bit of
931
00:47:35,880 --> 00:47:39,960
Speaker 2: a slowdown like in midlife, but essentially everyone changes all
932
00:47:40,000 --> 00:47:42,880
Speaker 2: the time, everyone changes the same amount. In the ten years.
933
00:47:43,200 --> 00:47:45,880
Speaker 2: You walk around thinking it's the end of history illusion
934
00:47:46,120 --> 00:47:49,279
Speaker 2: of like I'm me, I've made a hair, I've got
935
00:47:49,280 --> 00:47:52,960
Speaker 2: it sorted. Here we go, you know, and then in
936
00:47:53,040 --> 00:47:55,399
Speaker 2: ten years you'll be like a whole different you. It's
937
00:47:55,440 --> 00:48:00,120
Speaker 2: like different sensibility, or like different frameworks, like isn't that crazy?
938
00:48:00,520 --> 00:48:02,440
Speaker 2: So I don't know, I find that really helpful. I
939
00:48:02,480 --> 00:48:03,000
Speaker 2: don't know why.
940
00:48:03,080 --> 00:48:06,400
Speaker 1: Yeah, yeah, allowing ourselves to be new and different. I mean,
941
00:48:06,400 --> 00:48:08,560
Speaker 1: it's interesting. When you first said that question, I was like, Oh,
942
00:48:08,560 --> 00:48:10,719
Speaker 1: I'd say I haven't changed much in the last ten years.
943
00:48:10,800 --> 00:48:12,640
Speaker 1: Might that would be my initial take. I feel like
944
00:48:12,640 --> 00:48:14,480
Speaker 1: I knew who I was, I'm pretty much the same person.
945
00:48:14,800 --> 00:48:17,399
Speaker 1: But I think that's not fully true. I think there's
946
00:48:17,800 --> 00:48:20,399
Speaker 1: also an end of history illusion from ten years ago. Yeah. Yeah,
947
00:48:20,400 --> 00:48:22,640
Speaker 1: that's in the sense of like I made up my
948
00:48:22,640 --> 00:48:24,759
Speaker 1: mind who I was ten years ago then and I
949
00:48:24,760 --> 00:48:28,120
Speaker 1: stopped that, and it's like, well that's not obviously true. Yeah,
950
00:48:28,160 --> 00:48:32,160
Speaker 1: that's fascinating. That's interestingly cool to play. Yeah, it's refreshing
951
00:48:32,160 --> 00:48:35,719
Speaker 1: to allow yourself to say I have changed my ability
952
00:48:35,719 --> 00:48:37,439
Speaker 1: and my values have changed, or what I care about
953
00:48:37,440 --> 00:48:38,800
Speaker 1: has changed, and then.
954
00:48:38,640 --> 00:48:40,799
Speaker 2: When a big hard thing happens, you're like, oh, it's
955
00:48:40,840 --> 00:48:41,640
Speaker 2: going to make them me.
956
00:48:42,000 --> 00:48:44,839
Speaker 1: Yeah yeah, yeah, yeah. I like Dan's works. I love
957
00:48:44,880 --> 00:48:47,040
Speaker 1: to change. That's really cool. I wanted to ask you,
958
00:48:47,080 --> 00:48:49,319
Speaker 1: as you're going back to something you said earlier, what
959
00:48:49,400 --> 00:48:51,759
Speaker 1: about Kate Katie reminds you most about Paul.
960
00:48:52,239 --> 00:48:56,160
Speaker 2: Her eyes in her hands, her stubbornness, it's like infuriating.
961
00:48:56,600 --> 00:49:01,080
Speaker 2: She very much knows her own mind, which is infuriating. Yeah,
962
00:49:01,160 --> 00:49:05,640
Speaker 2: it's like an entire parenting toolboxes are unavailable to me
963
00:49:05,680 --> 00:49:08,680
Speaker 2: because she's not a pleaser. And then she's like an
964
00:49:08,680 --> 00:49:13,279
Speaker 2: incredible physical comedian, which Paul was. Also. Those are the
965
00:49:13,320 --> 00:49:16,080
Speaker 2: things I think I would say. She's introverted, like Paul,
966
00:49:16,160 --> 00:49:20,759
Speaker 2: I processed by like speaking, like relating. Sometimes they don't
967
00:49:20,760 --> 00:49:23,000
Speaker 2: even know what I think until I've said it, and
968
00:49:23,080 --> 00:49:26,680
Speaker 2: Paul was much more like inward. I think that's like,
969
00:49:27,040 --> 00:49:29,839
Speaker 2: that's sort of like why he's like when breath becomes
970
00:49:29,840 --> 00:49:32,920
Speaker 2: arispun out of his illness, because he was like turning
971
00:49:33,040 --> 00:49:36,759
Speaker 2: and processing and reading and writing. And she's introverted like that.
972
00:49:37,400 --> 00:49:39,400
Speaker 2: But then she'll give you like, you know, like a
973
00:49:39,480 --> 00:49:42,720
Speaker 2: little gleam you know, of something she's thinking.
974
00:49:43,560 --> 00:49:46,399
Speaker 1: Yeah, as she ever asked you anything about Paul, like
975
00:49:46,480 --> 00:49:48,640
Speaker 1: from her own curiosity.
976
00:49:48,239 --> 00:49:50,400
Speaker 2: Totally, and she's actually, it's so interesting you asked that
977
00:49:50,440 --> 00:49:53,279
Speaker 2: because I was going to say, of course, and then
978
00:49:53,800 --> 00:49:56,480
Speaker 2: but it's not necessarily of course, she's just sort of
979
00:49:56,480 --> 00:50:00,880
Speaker 2: in the mix gleaning. But recently she started to she
980
00:50:00,920 --> 00:50:04,440
Speaker 2: said like, could you make me an album of videos
981
00:50:04,440 --> 00:50:07,160
Speaker 2: of Daddy? And I was like sure, And it's like
982
00:50:07,200 --> 00:50:09,320
Speaker 2: I so badly want to be like what's she watching?
983
00:50:09,320 --> 00:50:11,719
Speaker 2: When's she watching them? You know, cause she's like having
984
00:50:11,719 --> 00:50:14,240
Speaker 2: I bad time. But like there's a bunch of videos.
985
00:50:14,280 --> 00:50:16,440
Speaker 2: There's like some interviews, and there's some goofy like sketch
986
00:50:16,480 --> 00:50:20,360
Speaker 2: comedy stuff, and there's some like Thanksgiving, someone shot a
987
00:50:20,440 --> 00:50:22,920
Speaker 2: video of whatever, and so like she can look at
988
00:50:22,960 --> 00:50:26,960
Speaker 2: that and then she asks for like stories. I'll tell
989
00:50:26,960 --> 00:50:28,839
Speaker 2: her a story of like, oh, he here's a story
990
00:50:28,840 --> 00:50:31,480
Speaker 2: about Daddy, like you know, chess tournament when he was
991
00:50:31,520 --> 00:50:33,640
Speaker 2: in seventh grade and he was like really braddy and
992
00:50:33,680 --> 00:50:36,520
Speaker 2: a terrible loser, and so like, well, you know, she's
993
00:50:36,600 --> 00:50:38,680
Speaker 2: like ah, but then there, you know, there's a lesson
994
00:50:38,719 --> 00:50:42,000
Speaker 2: in that, and she like recently, like of her own volition,
995
00:50:42,200 --> 00:50:44,200
Speaker 2: like put a small photo of the two of them
996
00:50:44,239 --> 00:50:46,879
Speaker 2: next to her bed, you know, And I was like, oh,
997
00:50:46,960 --> 00:50:49,399
Speaker 2: so interesting, Like she's like claiming him.
998
00:50:49,680 --> 00:50:51,120
Speaker 1: That's realful. Yeah.
999
00:50:51,280 --> 00:50:53,279
Speaker 2: You know. What else is interesting though, is like she
1000
00:50:53,320 --> 00:50:55,880
Speaker 2: doesn't have a sibling, Like it's me and her, and
1001
00:50:55,920 --> 00:50:59,279
Speaker 2: she really wants a sibling. She wants a little sister. Specifically,
1002
00:50:59,520 --> 00:51:02,279
Speaker 2: she really wants me to keep dating so she can
1003
00:51:02,280 --> 00:51:04,160
Speaker 2: have a sit And I'm like, we can't engineer that
1004
00:51:04,200 --> 00:51:07,520
Speaker 2: whole thing if you post it. But it's interesting because
1005
00:51:07,520 --> 00:51:09,719
Speaker 2: I actually think like for her, losing Paul was a
1006
00:51:09,760 --> 00:51:14,080
Speaker 2: big thing, and not having like a dad there is
1007
00:51:14,120 --> 00:51:17,520
Speaker 2: a big thing, but not having a sibling is actually
1008
00:51:17,560 --> 00:51:21,000
Speaker 2: also a big thing. Or having like our family look
1009
00:51:21,080 --> 00:51:24,279
Speaker 2: different from like most of the families at school, the
1010
00:51:24,320 --> 00:51:27,239
Speaker 2: permission slip is different. Like she's not self conscious about it,
1011
00:51:27,239 --> 00:51:30,040
Speaker 2: but I think she knows it and it's a thing.
1012
00:51:30,760 --> 00:51:32,640
Speaker 2: So it's actually kind of interesting because it's not the
1013
00:51:32,680 --> 00:51:36,080
Speaker 2: only thing, you know. It's like she's piecing together, like
1014
00:51:36,520 --> 00:51:39,360
Speaker 2: you know, all of it, like the structure of everything,
1015
00:51:39,440 --> 00:51:40,479
Speaker 2: as every kid is doing.
1016
00:51:40,560 --> 00:51:43,359
Speaker 1: Right about that, I mean, you mentioned earlier that Paul
1017
00:51:43,360 --> 00:51:47,239
Speaker 1: obviously wanted you to remarry. Obviously Katie's encouraging you to date.
1018
00:51:47,360 --> 00:51:49,840
Speaker 1: Like what was that process like for you? Because you
1019
00:51:49,840 --> 00:51:51,480
Speaker 1: can say it when he's there and say, Okay, I
1020
00:51:51,600 --> 00:51:53,879
Speaker 1: understand that that's how you love me, yeah, in that
1021
00:51:53,920 --> 00:51:56,960
Speaker 1: forever way. Yeah, but what does that actually look like
1022
00:51:56,960 --> 00:51:58,920
Speaker 1: for the individual who has to go on and try
1023
00:51:58,960 --> 00:52:01,400
Speaker 1: to love again? Did you even begin to open your
1024
00:52:01,400 --> 00:52:03,920
Speaker 1: heart and mind to that possibility. Yeah, And when did
1025
00:52:03,960 --> 00:52:05,040
Speaker 1: it feel possible.
1026
00:52:05,239 --> 00:52:07,560
Speaker 2: I wasn't like trying to open my heart, so I
1027
00:52:07,600 --> 00:52:10,799
Speaker 2: was just like it was just pure intuition. I was
1028
00:52:10,840 --> 00:52:12,520
Speaker 2: just sort of like, we I'll know when I know,
1029
00:52:13,239 --> 00:52:14,920
Speaker 2: you know. For my wedding ring, I was like, I
1030
00:52:14,920 --> 00:52:18,759
Speaker 2: guess I'll take it off sometime, it's not today. And
1031
00:52:18,800 --> 00:52:21,200
Speaker 2: then like six months after Paul died, I went swimming
1032
00:52:21,320 --> 00:52:23,600
Speaker 2: and like took the ring off and then came out
1033
00:52:23,680 --> 00:52:27,120
Speaker 2: of the lake and was like, oh, I think I'm
1034
00:52:27,160 --> 00:52:30,120
Speaker 2: not going to put it back on. And then like,
1035
00:52:30,239 --> 00:52:32,680
Speaker 2: right now I have like my engagement ring in Paul's
1036
00:52:32,680 --> 00:52:35,879
Speaker 2: wedding ring on this hand, which is interesting, but maybe
1037
00:52:35,920 --> 00:52:37,960
Speaker 2: I'll take them off. Like if I were like dating
1038
00:52:37,960 --> 00:52:40,239
Speaker 2: someone really seriously, I think I would take off Paul's ring,
1039
00:52:40,320 --> 00:52:43,200
Speaker 2: you know. So I was in this like support group
1040
00:52:43,239 --> 00:52:45,960
Speaker 2: called Hot Young Widow's Club after Paul died. It was
1041
00:52:46,000 --> 00:52:49,040
Speaker 2: Nora mcinnernie made. It was incredible and there was actually
1042
00:52:49,120 --> 00:52:51,560
Speaker 2: a lot of conversation in the group. It was it
1043
00:52:51,600 --> 00:52:53,400
Speaker 2: was on Facebook at the time. There's a lot of
1044
00:52:53,400 --> 00:52:57,120
Speaker 2: conversation about like what did your person say about dating again?
1045
00:52:57,200 --> 00:52:59,360
Speaker 2: Like did you have this conversation or not, because I
1046
00:52:59,360 --> 00:53:01,279
Speaker 2: think a lot of people who had that conversation felt
1047
00:53:01,320 --> 00:53:04,080
Speaker 2: really freed by it. Some people thought like what would
1048
00:53:04,080 --> 00:53:05,400
Speaker 2: they want me to do? Or like is it a
1049
00:53:05,400 --> 00:53:08,200
Speaker 2: transgression or is it a disloyalty? And I don't think
1050
00:53:08,200 --> 00:53:10,560
Speaker 2: so at all, Like I think like not at all.
1051
00:53:11,120 --> 00:53:14,120
Speaker 2: But I think like I'll also always love Paul. It's
1052
00:53:14,239 --> 00:53:17,520
Speaker 2: really interesting and I think like the analogy for me,
1053
00:53:17,719 --> 00:53:19,959
Speaker 2: I mean, it's just like love is infinite, like there's
1054
00:53:20,160 --> 00:53:23,080
Speaker 2: totally enough love to go around. And I think for me,
1055
00:53:23,239 --> 00:53:25,640
Speaker 2: it's not a perfect analogy, but it feels a little
1056
00:53:25,640 --> 00:53:29,719
Speaker 2: bit like if someone's child had died and then they
1057
00:53:29,719 --> 00:53:35,319
Speaker 2: had another child, you would never think like, oh this
1058
00:53:35,440 --> 00:53:39,040
Speaker 2: child replaced the other child, or do they have enough
1059
00:53:39,080 --> 00:53:42,279
Speaker 2: space to like love the new child. You'd be like, no,
1060
00:53:42,600 --> 00:53:45,960
Speaker 2: they're just different, Like it's a little different once your partner, right,
1061
00:53:46,000 --> 00:53:47,520
Speaker 2: But I'm like Paul. The way I think of it
1062
00:53:47,560 --> 00:53:50,240
Speaker 2: now is like Paul's my family, Like he's my family.
1063
00:53:50,480 --> 00:53:53,480
Speaker 2: His family's my family, Like he's my family forever. And
1064
00:53:54,360 --> 00:53:58,239
Speaker 2: I absolutely like can fall in love, have fallen in love,
1065
00:53:58,360 --> 00:54:01,840
Speaker 2: Like it's just like they're enough love to go around,
1066
00:54:02,440 --> 00:54:05,960
Speaker 2: you know, it's been like pretty easy in a way,
1067
00:54:06,239 --> 00:54:08,319
Speaker 2: and I think the grief part was actually the harder part.
1068
00:54:08,400 --> 00:54:11,239
Speaker 2: It's like I needed to like heal to be like
1069
00:54:11,360 --> 00:54:14,719
Speaker 2: ready and be like emotionally available for like anything. Like
1070
00:54:15,320 --> 00:54:18,520
Speaker 2: I was just like parenting my kid and surviving and
1071
00:54:18,560 --> 00:54:20,920
Speaker 2: then I became ready. Let me know if you want
1072
00:54:20,920 --> 00:54:23,919
Speaker 2: to set me up. Yeah, they have to have one
1073
00:54:24,080 --> 00:54:25,160
Speaker 2: daughter younger than eleven.
1074
00:54:26,640 --> 00:54:29,640
Speaker 1: Yes, I got it. That's a good cry. We're going
1075
00:54:29,680 --> 00:54:32,040
Speaker 1: to put it out on the show, right exactly. I'm
1076
00:54:32,080 --> 00:54:34,640
Speaker 1: hearing from you that it's that it's that intuitive show.
1077
00:54:34,880 --> 00:54:38,000
Speaker 1: It's to me, Yeah, it's not something that you consciously
1078
00:54:38,040 --> 00:54:39,000
Speaker 1: pursue or prepare.
1079
00:54:39,200 --> 00:54:40,880
Speaker 2: Like It's probably similar for a bunch of people, right,
1080
00:54:40,920 --> 00:54:43,279
Speaker 2: like after someone gets divorced and it is like going
1081
00:54:43,320 --> 00:54:46,080
Speaker 2: through the like devastation and like identity and like what
1082
00:54:46,120 --> 00:54:48,080
Speaker 2: was what and what was my role? No? No, no, it's just
1083
00:54:48,120 --> 00:54:51,279
Speaker 2: like it's all an upheaval. Right. That's like also so
1084
00:54:51,560 --> 00:54:55,520
Speaker 2: like terribly hard, and so I don't know. Then it's like, yeah,
1085
00:54:55,520 --> 00:54:56,240
Speaker 2: when are you ready?
1086
00:54:56,400 --> 00:54:58,879
Speaker 1: Yeah? Absolutely, when are you ready? And I think that's
1087
00:54:58,920 --> 00:55:02,480
Speaker 1: the question that keeps quizzing in their mind. But like
1088
00:55:02,480 --> 00:55:05,960
Speaker 1: you said, you can only know internally. It's not a tactical,
1089
00:55:06,560 --> 00:55:08,680
Speaker 1: practical thing, right, you can kind of put it into
1090
00:55:08,680 --> 00:55:11,799
Speaker 1: a number of months or years, and yeah, it doesn't
1091
00:55:11,840 --> 00:55:14,280
Speaker 1: it doesn't work that way, right. How do you define
1092
00:55:14,280 --> 00:55:14,840
Speaker 1: love today?
1093
00:55:15,239 --> 00:55:17,480
Speaker 2: I mean I saw you talk about it actually on
1094
00:55:17,520 --> 00:55:20,399
Speaker 2: a clip where you were like, the person who loves
1095
00:55:20,440 --> 00:55:23,759
Speaker 2: you will never use your wounds against you, And then
1096
00:55:23,800 --> 00:55:26,600
Speaker 2: you talked about how your wife like holds no judgment
1097
00:55:26,680 --> 00:55:29,520
Speaker 2: for you, and I was like, of course, of course,
1098
00:55:29,760 --> 00:55:32,720
Speaker 2: because you're you, like and I don't mean you're Jay Shatty.
1099
00:55:32,760 --> 00:55:36,600
Speaker 2: I mean like you're you're the person they love, so like, yeah,
1100
00:55:36,600 --> 00:55:39,200
Speaker 2: there's no judgment of whatever the thing is. There's just
1101
00:55:40,000 --> 00:55:42,399
Speaker 2: like partnership. It doesn't mean you could like endlessly hurt
1102
00:55:42,400 --> 00:55:45,919
Speaker 2: the person either, but like, I don't know that's part
1103
00:55:45,960 --> 00:55:47,879
Speaker 2: of it. I think I think there is like an
1104
00:55:47,960 --> 00:55:51,879
Speaker 2: unconditionality to love for sure. And at the same time,
1105
00:55:51,920 --> 00:55:54,760
Speaker 2: I think like that is more true for like children
1106
00:55:54,760 --> 00:55:57,880
Speaker 2: than adults. Like you don't love adults unconditionally, right, You
1107
00:55:57,920 --> 00:56:01,840
Speaker 2: like have boundaries that like adults, like importance can't actually cross,
1108
00:56:02,000 --> 00:56:04,239
Speaker 2: but like as long as you can like work a
1109
00:56:04,320 --> 00:56:09,879
Speaker 2: relationship within that like real like partnership and spaciousness and
1110
00:56:10,080 --> 00:56:11,240
Speaker 2: like non judgment.
1111
00:56:11,520 --> 00:56:12,480
Speaker 1: Yeah, it's a hard question.
1112
00:56:12,719 --> 00:56:13,560
Speaker 2: It's a really hard question.
1113
00:56:13,719 --> 00:56:16,799
Speaker 1: You say, I'm always changing my mind. I think there's
1114
00:56:16,880 --> 00:56:19,879
Speaker 1: so many nuances and facets to it that it's so
1115
00:56:20,000 --> 00:56:21,759
Speaker 1: it's such a hard question. I think that's why we
1116
00:56:21,800 --> 00:56:24,480
Speaker 1: all struggle with it so much in finding it and
1117
00:56:24,520 --> 00:56:25,120
Speaker 1: looking for it.
1118
00:56:25,160 --> 00:56:26,879
Speaker 2: That's the answer to right, is like I would also
1119
00:56:26,920 --> 00:56:29,120
Speaker 2: be like fun and growth, But it's like at the
1120
00:56:29,160 --> 00:56:31,120
Speaker 2: same time, you're like, it's sort of like that thing
1121
00:56:31,160 --> 00:56:33,759
Speaker 2: where it's like you know when you're know, like it's intuitive.
1122
00:56:34,239 --> 00:56:37,719
Speaker 1: Yeah, I mean ultimately it's teamwork, and teamwork requires all
1123
00:56:37,760 --> 00:56:40,640
Speaker 1: those things you just said. Yeah, teamwork should be fun,
1124
00:56:40,680 --> 00:56:44,319
Speaker 1: and it should have growth, and it should have mutuality,
1125
00:56:44,400 --> 00:56:47,400
Speaker 1: and it should have reciprocation totally, it should have connection
1126
00:56:47,600 --> 00:56:51,600
Speaker 1: and communicate and so teamwork just it feels very simplistic,
1127
00:56:51,680 --> 00:56:53,320
Speaker 1: but it gives you a good visual.
1128
00:56:53,480 --> 00:56:56,200
Speaker 2: Yeah, And at the same time, like I do think
1129
00:56:56,239 --> 00:56:59,200
Speaker 2: it's like, I mean, you know this, but like obviously
1130
00:56:59,200 --> 00:57:01,120
Speaker 2: it's never going to be or fit either. Like there's
1131
00:57:01,120 --> 00:57:05,120
Speaker 2: something actually really romantic and like choosing and like choosing
1132
00:57:05,200 --> 00:57:07,520
Speaker 2: like on a daily basis, you know, like that's very
1133
00:57:07,640 --> 00:57:11,200
Speaker 2: romantic of like sometimes one person's up, one person's down.
1134
00:57:11,280 --> 00:57:16,440
Speaker 2: Sometimes it's like you know, difficult, you know, but similarly
1135
00:57:16,520 --> 00:57:17,720
Speaker 2: like that's your team.
1136
00:57:18,040 --> 00:57:22,880
Speaker 1: Yeah, yeah, exactly exactly, and it's it's shared yeah, experience,
1137
00:57:22,920 --> 00:57:25,960
Speaker 1: it's a shared life. It's a co created life. Yeah,
1138
00:57:26,080 --> 00:57:29,400
Speaker 1: it's a co creation I think is so important and
1139
00:57:29,720 --> 00:57:32,560
Speaker 1: co holding and co co everything.
1140
00:57:32,880 --> 00:57:36,000
Speaker 2: Well, also like you're still like two beings like correct,
1141
00:57:36,080 --> 00:57:39,640
Speaker 2: you're you correct, absolutely, Yeah, Yeah, it's complicated. I mean
1142
00:57:39,680 --> 00:57:41,400
Speaker 2: it's like it's a constant as you're saying this, it's
1143
00:57:41,440 --> 00:57:44,280
Speaker 2: like similarly to the like end of Illusion, end of
1144
00:57:44,320 --> 00:57:47,080
Speaker 2: History illusion. It's like it's never done and dusted, like
1145
00:57:47,120 --> 00:57:49,320
Speaker 2: it's like it's like constantly like work.
1146
00:57:49,400 --> 00:57:51,680
Speaker 1: Yeah, yeah, absolutely. I wanted to talk to you a
1147
00:57:51,720 --> 00:57:55,360
Speaker 1: bit about this idea of and I know you've spoken
1148
00:57:55,360 --> 00:57:58,560
Speaker 1: about this, this idea of like reimagining how we die,
1149
00:57:59,160 --> 00:58:01,840
Speaker 1: because yeah, it kind of goes back to what you
1150
00:58:01,840 --> 00:58:06,240
Speaker 1: were saying earlier about the survivor or the beating cancer approach.
1151
00:58:06,640 --> 00:58:10,880
Speaker 1: My monk friend who passed away, like he was very
1152
00:58:10,920 --> 00:58:14,440
Speaker 1: positive and he almost just didn't let anyone in to
1153
00:58:14,600 --> 00:58:16,920
Speaker 1: what he was feeling and going through, and that was
1154
00:58:16,960 --> 00:58:20,600
Speaker 1: his version of how he dealt with it, and as
1155
00:58:20,600 --> 00:58:22,760
Speaker 1: far as I know from him, I believe he was
1156
00:58:22,760 --> 00:58:24,640
Speaker 1: happy with that. And then of course at the end
1157
00:58:24,640 --> 00:58:26,600
Speaker 1: of his life he needed support and help and everything,
1158
00:58:26,600 --> 00:58:30,600
Speaker 1: and he got that. I wonder what your take is
1159
00:58:30,640 --> 00:58:33,200
Speaker 1: on having obviously done this. It has been a doctor
1160
00:58:33,240 --> 00:58:37,440
Speaker 1: has seen patients, been at grief groups. Like when you
1161
00:58:37,480 --> 00:58:40,240
Speaker 1: think about this idea of people battling between letting go
1162
00:58:41,360 --> 00:58:45,280
Speaker 1: and giving up, and like what the difference is and
1163
00:58:45,520 --> 00:58:47,760
Speaker 1: what you do when you get a diagnosis and how
1164
00:58:47,800 --> 00:58:50,560
Speaker 1: you weigh up whether I should fight till the end
1165
00:58:50,880 --> 00:58:52,560
Speaker 1: or whether I'm giving up or actually am I just
1166
00:58:52,640 --> 00:58:55,520
Speaker 1: letting go? Like can you help make sense of that
1167
00:58:55,560 --> 00:58:56,240
Speaker 1: to some degree?
1168
00:58:56,400 --> 00:59:02,160
Speaker 2: Totally? I mean no, I mean I hear you about
1169
00:59:02,160 --> 00:59:03,840
Speaker 2: your friend, and it really is like to each his own,
1170
00:59:04,000 --> 00:59:07,440
Speaker 2: like people really have different ways of coping. It is
1171
00:59:07,480 --> 00:59:12,600
Speaker 2: a weird time to die in America in history because
1172
00:59:12,680 --> 00:59:16,440
Speaker 2: like that sort of like battle idea, Like death is
1173
00:59:16,560 --> 00:59:19,840
Speaker 2: very medicalized and like very sort of like western medicalized
1174
00:59:20,040 --> 00:59:23,160
Speaker 2: right now here. And I think there's like a lot
1175
00:59:23,200 --> 00:59:26,720
Speaker 2: of reasons for that, but the battle metaphor is one
1176
00:59:26,720 --> 00:59:31,200
Speaker 2: of them. And another one is like we have all
1177
00:59:31,280 --> 00:59:35,320
Speaker 2: of this technology available that is like you know, built
1178
00:59:35,320 --> 00:59:38,439
Speaker 2: for emergencies, but is getting offered to people who are
1179
00:59:38,480 --> 00:59:43,959
Speaker 2: like ninety, you know, with like failing organs. I think
1180
00:59:43,960 --> 00:59:47,920
Speaker 2: there's so much taboo around talking about death and dying,
1181
00:59:48,240 --> 00:59:50,800
Speaker 2: and meanwhile also so much hunger to like crack it
1182
00:59:50,840 --> 00:59:53,240
Speaker 2: open and think about it. I think like suffering and
1183
00:59:53,320 --> 00:59:56,680
Speaker 2: dying are really hidden, like from view the way that
1184
00:59:56,720 --> 00:59:59,680
Speaker 2: they haven't been across history. For people, it's like really
1185
00:59:59,680 --> 01:00:01,640
Speaker 2: interesting to be like, oh, what's happening over there? Like
1186
01:00:01,680 --> 01:00:03,920
Speaker 2: how are we supposed to talk about it? So I
1187
01:00:03,920 --> 01:00:06,480
Speaker 2: think there's sort of this like cultural force to like
1188
01:00:07,400 --> 01:00:10,840
Speaker 2: intervene to like, you know, anyone who's been through like
1189
01:00:11,200 --> 01:00:14,320
Speaker 2: a serious illness with someone has seen how much sort
1190
01:00:14,360 --> 01:00:18,560
Speaker 2: of like momentum there is toward like aggressive medical care.
1191
01:00:19,160 --> 01:00:20,480
Speaker 2: I think of it when you were saying, like, how
1192
01:00:20,480 --> 01:00:22,920
Speaker 2: do you choose whether to like, you know, am I
1193
01:00:22,960 --> 01:00:25,640
Speaker 2: giving up? Am I beating it? I guess in my
1194
01:00:25,760 --> 01:00:27,640
Speaker 2: mind I sort of think of it as like a
1195
01:00:27,680 --> 01:00:30,360
Speaker 2: thing is happening, Like a thing is happening. It's like
1196
01:00:31,040 --> 01:00:35,320
Speaker 2: now there is Parkinson's here, or now this person has
1197
01:00:35,360 --> 01:00:38,200
Speaker 2: metastatic cancer, and like it's going to play out the
1198
01:00:38,200 --> 01:00:40,800
Speaker 2: way it's going to play out, and so like how
1199
01:00:40,840 --> 01:00:43,360
Speaker 2: do you like provide health care that's going to make
1200
01:00:43,360 --> 01:00:46,360
Speaker 2: that the best possible, like extend life as long as possible,
1201
01:00:46,480 --> 01:00:49,960
Speaker 2: extend functionality, like as long as possible, help people do
1202
01:00:50,080 --> 01:00:52,040
Speaker 2: the things that they want to do that are important
1203
01:00:52,040 --> 01:00:54,920
Speaker 2: to them. But there is some like building of like
1204
01:00:54,960 --> 01:00:58,920
Speaker 2: you can sort of choose healthcare within that to kind
1205
01:00:58,960 --> 01:01:00,920
Speaker 2: of like design your health care or like make your
1206
01:01:01,000 --> 01:01:05,360
Speaker 2: choices around what's important to you. But that requires like
1207
01:01:05,360 --> 01:01:07,640
Speaker 2: sort of facing up to like what is happening, what
1208
01:01:07,760 --> 01:01:11,680
Speaker 2: is possible, and then like having the teams taken care
1209
01:01:11,680 --> 01:01:14,080
Speaker 2: of you like also level with you about that with
1210
01:01:14,160 --> 01:01:18,120
Speaker 2: their knowledge and experience. I mean there's like two things
1211
01:01:18,120 --> 01:01:21,440
Speaker 2: like for I'll give you practical tip about it. But
1212
01:01:21,480 --> 01:01:23,640
Speaker 2: if people are like I am facing an illness, my
1213
01:01:23,640 --> 01:01:26,040
Speaker 2: family member has an illness, I want to be able
1214
01:01:26,080 --> 01:01:28,280
Speaker 2: to like figure this out, but like how on earth
1215
01:01:28,280 --> 01:01:31,720
Speaker 2: am I supposed to do that? One thing people can
1216
01:01:31,800 --> 01:01:36,440
Speaker 2: do is ask for a palliative care team to be
1217
01:01:36,520 --> 01:01:39,280
Speaker 2: part of their care. People get really scared around the
1218
01:01:39,320 --> 01:01:42,680
Speaker 2: word palliative, So like palliative care, hospice is a teeny
1219
01:01:42,720 --> 01:01:44,840
Speaker 2: part of it. So hospice is like palliative care for
1220
01:01:44,920 --> 01:01:48,080
Speaker 2: people who are actually dying soon, like you literally have
1221
01:01:48,120 --> 01:01:50,680
Speaker 2: to be certified like very likely more likely than not
1222
01:01:50,760 --> 01:01:53,200
Speaker 2: that you would die within six months. That's hospice. Then
1223
01:01:53,200 --> 01:01:55,200
Speaker 2: there's paladive care, which is huge. You could be like
1224
01:01:55,240 --> 01:01:58,600
Speaker 2: a twenty two year old with Hodgkins lymphoma who's going
1225
01:01:58,640 --> 01:02:01,800
Speaker 2: to be cured in two years and it's like really
1226
01:02:01,800 --> 01:02:03,840
Speaker 2: struggling and suffering, and they'll take care of you too.
1227
01:02:04,600 --> 01:02:06,400
Speaker 2: Or you could be someone with heart failure where it
1228
01:02:06,400 --> 01:02:08,040
Speaker 2: goes up and down and up and down for years,
1229
01:02:08,280 --> 01:02:09,880
Speaker 2: and you could have palliative care take care of you.
1230
01:02:10,160 --> 01:02:14,960
Speaker 2: And basically it's it's a concurrent care model alongside whatever
1231
01:02:15,000 --> 01:02:18,320
Speaker 2: other care you're getting, alongside the oncologist, alongside the neurologist
1232
01:02:18,440 --> 01:02:20,560
Speaker 2: or whomever is taking care of you. It's actually a
1233
01:02:20,600 --> 01:02:23,800
Speaker 2: medical specialty that only was recognized in the US twenty
1234
01:02:23,840 --> 01:02:25,440
Speaker 2: years ago. It grew up just like a little bit
1235
01:02:25,480 --> 01:02:30,680
Speaker 2: before that. But they combine like chaplaincy nurses, social workers,
1236
01:02:31,080 --> 01:02:34,360
Speaker 2: like doctors or other clinicians, and then they take care
1237
01:02:34,360 --> 01:02:36,240
Speaker 2: of your family too, So like when you walk in
1238
01:02:36,280 --> 01:02:38,400
Speaker 2: the door, they're like, who else is taking care of you?
1239
01:02:38,440 --> 01:02:40,560
Speaker 2: Who else is with you? Hey, does this person need something?
1240
01:02:40,560 --> 01:02:43,400
Speaker 2: It's so incredible It's like, if you could just dissolve
1241
01:02:43,960 --> 01:02:47,880
Speaker 2: the healthcare system, which Walter Cronkite side is neither healthy
1242
01:02:47,880 --> 01:02:50,880
Speaker 2: nor caring, norse system, you would just like start with
1243
01:02:50,920 --> 01:02:53,520
Speaker 2: palliative care and then just like build everything else around that.
1244
01:02:54,000 --> 01:02:57,400
Speaker 2: There's a lot of like miss misunderstandings about what palliative
1245
01:02:57,400 --> 01:03:00,320
Speaker 2: care is. But if anybody's struggling and isn't true where
1246
01:03:00,360 --> 01:03:03,439
Speaker 2: to turn for that? They're so incredible and you could
1247
01:03:03,440 --> 01:03:05,000
Speaker 2: just ask, You would just be like, can I have
1248
01:03:05,000 --> 01:03:07,160
Speaker 2: a palladive care specialist to be part of what we're doing?
1249
01:03:07,320 --> 01:03:10,080
Speaker 1: Yeah? Absolutely, thank you for sharing that. It feels like
1250
01:03:10,120 --> 01:03:13,840
Speaker 1: there's all these hidden things that exist already that that
1251
01:03:13,920 --> 01:03:16,600
Speaker 1: we miss out. And even even like the what was
1252
01:03:16,600 --> 01:03:22,440
Speaker 1: it the Hot Widows that's yeah, even the camp you
1253
01:03:22,440 --> 01:03:24,800
Speaker 1: were talking about earlier when before we started recording.
1254
01:03:24,920 --> 01:03:26,400
Speaker 2: Yeah, kid is at camp CASSM.
1255
01:03:26,640 --> 01:03:26,880
Speaker 3: Yeah.
1256
01:03:27,480 --> 01:03:29,760
Speaker 1: Yeah, And just there's all these things out there that
1257
01:03:30,120 --> 01:03:34,160
Speaker 1: people so many beautiful, so many beautiful things to help
1258
01:03:34,200 --> 01:03:37,560
Speaker 1: people at different stages and you almost don't know and
1259
01:03:37,560 --> 01:03:40,200
Speaker 1: and hopefully people who are in the position know, but
1260
01:03:40,320 --> 01:03:42,920
Speaker 1: if they don't, it's yeah, I really appreciate you sharing them.
1261
01:03:43,000 --> 01:03:43,520
Speaker 3: Yeah.
1262
01:03:43,600 --> 01:03:45,600
Speaker 1: I think this is such an important conversation that I
1263
01:03:45,640 --> 01:03:48,080
Speaker 1: feel like you're such a big part of, like how
1264
01:03:48,120 --> 01:03:51,600
Speaker 1: do we help people take back their dignity when they're dying?
1265
01:03:51,680 --> 01:03:54,000
Speaker 1: Like what does what does that actually mean? What does
1266
01:03:54,000 --> 01:03:54,560
Speaker 1: that look like?
1267
01:03:55,080 --> 01:03:59,400
Speaker 2: I think the broad strokes answer is like, don't forget
1268
01:03:59,480 --> 01:04:02,600
Speaker 2: that they're a part, don't forget that they are still them.
1269
01:04:03,240 --> 01:04:06,040
Speaker 2: Think about what you would want in that situation, you know.
1270
01:04:06,120 --> 01:04:09,280
Speaker 2: I think, like like we were saying, it's like illness
1271
01:04:09,280 --> 01:04:11,920
Speaker 2: and dying can be sort of so flattening of like
1272
01:04:12,000 --> 01:04:16,680
Speaker 2: your humanity, your complexity. It's so sort of like undignified, right,
1273
01:04:16,680 --> 01:04:20,240
Speaker 2: You're like you become sort of like infantilized, you know.
1274
01:04:20,400 --> 01:04:22,000
Speaker 2: Or if you're in a hospital or if you're somewhere,
1275
01:04:22,160 --> 01:04:24,800
Speaker 2: if you're in a healthcare facility, you're literally naked. You know,
1276
01:04:24,800 --> 01:04:27,080
Speaker 2: you're not even wearing your own clothes. So just as
1277
01:04:27,160 --> 01:04:32,040
Speaker 2: much as like people can protect your privacy, ask you
1278
01:04:32,080 --> 01:04:35,760
Speaker 2: what's important to you? Make things beautiful like sensually, you know,
1279
01:04:35,920 --> 01:04:39,400
Speaker 2: like there are flowers here, there's music here, Like people
1280
01:04:39,440 --> 01:04:42,080
Speaker 2: are touching you, like people are looking you in the eye.
1281
01:04:42,280 --> 01:04:44,880
Speaker 2: Like I don't know, I could say a million other examples.
1282
01:04:45,480 --> 01:04:48,240
Speaker 2: I also think like respecting what someone like cares about,
1283
01:04:48,680 --> 01:04:51,080
Speaker 2: like you know, when people are dying and they're trying
1284
01:04:51,080 --> 01:04:54,120
Speaker 2: to make a difficult decision like Paul did. I wrote
1285
01:04:54,120 --> 01:04:56,720
Speaker 2: about this in the end of Paul's book. But he
1286
01:04:56,840 --> 01:04:59,560
Speaker 2: was very, very sick and ultimately got rushed to the
1287
01:04:59,720 --> 01:05:02,840
Speaker 2: icy because he was suffering so much and couldn't breathe well,
1288
01:05:03,280 --> 01:05:06,040
Speaker 2: and then had to make this decision about whether to
1289
01:05:06,600 --> 01:05:09,120
Speaker 2: be intubated, like whether to be on a breathing machine.
1290
01:05:09,680 --> 01:05:11,840
Speaker 2: A lot of people who are sick end up sort
1291
01:05:11,840 --> 01:05:14,320
Speaker 2: of with a north star of what's really important to them.
1292
01:05:14,320 --> 01:05:16,080
Speaker 2: I want to be with my family. I want to
1293
01:05:16,120 --> 01:05:17,680
Speaker 2: be free of pain. I want to make it to
1294
01:05:17,720 --> 01:05:20,880
Speaker 2: my child's graduation. For Paul, his was I want to
1295
01:05:20,880 --> 01:05:24,040
Speaker 2: be mentally lucid, Like I want to be mentally lucid
1296
01:05:24,120 --> 01:05:26,400
Speaker 2: to like be with my family and keep writing as
1297
01:05:26,440 --> 01:05:28,280
Speaker 2: long as I can write. He literally was like writing
1298
01:05:28,360 --> 01:05:30,400
Speaker 2: up until like two to three days before he died,
1299
01:05:30,760 --> 01:05:36,000
Speaker 2: and so that decision about whether to be intubated became
1300
01:05:36,040 --> 01:05:39,000
Speaker 2: really clear, you know, where he's like, there's a chance
1301
01:05:39,040 --> 01:05:42,200
Speaker 2: if I get intubated, then I will not be extubated
1302
01:05:42,200 --> 01:05:45,040
Speaker 2: and instead, like we'll stop life support. And so for
1303
01:05:45,160 --> 01:05:48,600
Speaker 2: him it was like the way to like maintain his
1304
01:05:48,680 --> 01:05:52,600
Speaker 2: dignity was like or align with his values was like, Okay,
1305
01:05:52,600 --> 01:05:54,720
Speaker 2: if this is the end of mental lucidity, then this
1306
01:05:54,800 --> 01:05:58,720
Speaker 2: is the end, and like we'll listen to you, you know,
1307
01:05:58,960 --> 01:06:03,000
Speaker 2: like great like will make that happen, which was when
1308
01:06:03,040 --> 01:06:06,440
Speaker 2: that was actually happening, it was like incredibly confusing, incredibly painful,
1309
01:06:06,520 --> 01:06:09,960
Speaker 2: incredibly so hard, but also like so there was a
1310
01:06:10,000 --> 01:06:13,240
Speaker 2: grounding thing which was like, what's important to Paul.
1311
01:06:13,280 --> 01:06:16,240
Speaker 1: When I hear that, I think about how usually when
1312
01:06:16,240 --> 01:06:19,840
Speaker 1: we're losing someone, we're worrying about how it affects us yea,
1313
01:06:20,040 --> 01:06:23,880
Speaker 1: and yeah, they're the one who's going through lost too.
1314
01:06:24,400 --> 01:06:27,360
Speaker 1: It's shit, it shared. It is two ways, but it's
1315
01:06:27,360 --> 01:06:29,920
Speaker 1: almost like I think us, all of us naturally would
1316
01:06:29,920 --> 01:06:34,520
Speaker 1: want the person to stay totally, but there's a independence
1317
01:06:34,560 --> 01:06:38,320
Speaker 1: and decision that that person also needs clarity on and
1318
01:06:38,360 --> 01:06:39,840
Speaker 1: like you said, it may be yes, I want to
1319
01:06:39,840 --> 01:06:42,480
Speaker 1: do this, but his one was so specific to his
1320
01:06:42,880 --> 01:06:44,160
Speaker 1: total in the.
1321
01:06:44,080 --> 01:06:48,480
Speaker 2: World totally and at the same time, like medically, like
1322
01:06:48,520 --> 01:06:51,880
Speaker 2: families can go through real trauma like literal PTSD from
1323
01:06:51,920 --> 01:06:55,560
Speaker 2: like participating in medical care or having like their loved
1324
01:06:55,560 --> 01:06:57,880
Speaker 2: one get care that wasn't in line with their values,
1325
01:06:57,960 --> 01:06:59,960
Speaker 2: or that they ultimately thought like, oh that did cause
1326
01:07:00,040 --> 01:07:03,200
Speaker 2: them unnecessary suffering. So it's like there's always a trade off,
1327
01:07:03,240 --> 01:07:07,160
Speaker 2: you know, Like it's like it can hurt everybody.
1328
01:07:07,520 --> 01:07:09,920
Speaker 1: Do you believe anything needs to change in the standard
1329
01:07:09,920 --> 01:07:13,120
Speaker 1: protocol of how doctors deliver terminal news?
1330
01:07:14,280 --> 01:07:17,240
Speaker 2: Totally. When I was in medical school, which was twenty
1331
01:07:17,320 --> 01:07:21,000
Speaker 2: years ago, they were just starting to teach like, hey,
1332
01:07:21,080 --> 01:07:23,919
Speaker 2: make sure you attend to the emotion in the room,
1333
01:07:24,120 --> 01:07:29,280
Speaker 2: so like if someone is crying, pause, allows some space.
1334
01:07:29,360 --> 01:07:32,000
Speaker 2: It'll feel like a long time to you, doesn't feel
1335
01:07:32,000 --> 01:07:33,920
Speaker 2: like a long time to them. And then you can
1336
01:07:33,960 --> 01:07:36,800
Speaker 2: even say I see the tears in your eyes and
1337
01:07:36,880 --> 01:07:39,200
Speaker 2: just leave it. Or you can say this looks like
1338
01:07:39,240 --> 01:07:41,080
Speaker 2: it's feeling really sad, you know what I mean. Like
1339
01:07:41,080 --> 01:07:44,160
Speaker 2: we were learning those skills. It was really interesting because
1340
01:07:44,560 --> 01:07:46,680
Speaker 2: they were teaching it to us like they were skills
1341
01:07:47,000 --> 01:07:49,080
Speaker 2: because they actually are. And then you have a little
1342
01:07:49,120 --> 01:07:51,320
Speaker 2: mnemonic about like attend to the emotion in the room,
1343
01:07:51,320 --> 01:07:53,960
Speaker 2: but it's real, like it's you. It becomes part of you,
1344
01:07:54,960 --> 01:07:56,800
Speaker 2: I think, you know. There was a study of doctors
1345
01:07:56,840 --> 01:08:01,200
Speaker 2: that said half of doctors said they had given a
1346
01:08:01,200 --> 01:08:05,960
Speaker 2: prognosis that was rosier than what their actual medical opinion was,
1347
01:08:06,040 --> 01:08:08,840
Speaker 2: which is so interesting. It's like even in the hospital,
1348
01:08:08,880 --> 01:08:11,480
Speaker 2: it's like you sort of make this assumption of like
1349
01:08:11,560 --> 01:08:14,680
Speaker 2: what hope means to people, Like hope means longer life.
1350
01:08:14,720 --> 01:08:16,160
Speaker 2: So I'm going to say that I'm going to keep
1351
01:08:16,200 --> 01:08:18,200
Speaker 2: them on the outer bounds of what could be possible.
1352
01:08:18,680 --> 01:08:21,400
Speaker 2: But I think what many people respond to, like what
1353
01:08:21,439 --> 01:08:23,600
Speaker 2: I've ended up learning is a really good way to
1354
01:08:23,640 --> 01:08:26,920
Speaker 2: share with patients or even frame it to yourself is
1355
01:08:27,479 --> 01:08:31,280
Speaker 2: thinking a about like prognostication, for example, as a range.
1356
01:08:31,560 --> 01:08:33,320
Speaker 2: So like instead of saying like you have six months
1357
01:08:33,360 --> 01:08:35,679
Speaker 2: to live because like that's the median and the studies,
1358
01:08:36,200 --> 01:08:39,519
Speaker 2: you say, like it's likely a few months to a
1359
01:08:39,560 --> 01:08:43,559
Speaker 2: few years, which is like broader but more accurate really,
1360
01:08:43,960 --> 01:08:47,000
Speaker 2: and that's like enough information for someone to decide like
1361
01:08:47,080 --> 01:08:49,040
Speaker 2: do they want to have a baby like during this
1362
01:08:49,120 --> 01:08:49,840
Speaker 2: illness or not?
1363
01:08:49,920 --> 01:08:50,120
Speaker 1: You know.
1364
01:08:50,479 --> 01:08:53,040
Speaker 2: And then similarly, another way that we've been trained to
1365
01:08:53,040 --> 01:08:55,240
Speaker 2: tell people that we're training our students to tell people
1366
01:08:55,760 --> 01:08:58,639
Speaker 2: is a model where you say you share the best case,
1367
01:08:58,720 --> 01:09:02,360
Speaker 2: the worst case, and the most likely case, and actually
1368
01:09:02,439 --> 01:09:04,439
Speaker 2: people can have a lot people get a lot of
1369
01:09:04,479 --> 01:09:08,120
Speaker 2: information from that where they can decide like how much
1370
01:09:08,200 --> 01:09:10,360
Speaker 2: risk do I want to take to aim for the best,
1371
01:09:10,360 --> 01:09:13,120
Speaker 2: to prepare for the worst. And then they're kind of like, well,
1372
01:09:13,160 --> 01:09:15,559
Speaker 2: I'm still allowing space for the best, and in the meantime,
1373
01:09:15,800 --> 01:09:18,080
Speaker 2: I'll make sure my family knows what i want when
1374
01:09:18,080 --> 01:09:18,479
Speaker 2: I'm gone.
1375
01:09:18,640 --> 01:09:18,880
Speaker 1: Yeah.
1376
01:09:18,920 --> 01:09:22,760
Speaker 2: So, like I think, like doctors are being taught to
1377
01:09:22,840 --> 01:09:27,880
Speaker 2: allow just like space space, space space and more like accuracy.
1378
01:09:28,000 --> 01:09:31,240
Speaker 1: Yeah. Yeah, that's really helpful to hear. It's helpful to
1379
01:09:31,280 --> 01:09:33,600
Speaker 1: hear how humans process.
1380
01:09:33,880 --> 01:09:37,160
Speaker 2: Yeah, it's also like not just one conversation, Like, of course,
1381
01:09:37,240 --> 01:09:39,880
Speaker 2: the first time you hear the news, like then you know,
1382
01:09:40,000 --> 01:09:42,320
Speaker 2: hear anything else, right then you have to hear it again,
1383
01:09:43,200 --> 01:09:45,320
Speaker 2: you know, you hear it from different people. But yes,
1384
01:09:45,479 --> 01:09:47,959
Speaker 2: it needs to change, and it is changing thinkingness.
1385
01:09:48,360 --> 01:09:49,920
Speaker 1: I think right now in the world we're talking a
1386
01:09:49,920 --> 01:09:55,120
Speaker 1: lot about aging. Well, Yeah, what's your sense of what
1387
01:09:55,160 --> 01:09:55,880
Speaker 1: it means to die?
1388
01:09:55,920 --> 01:09:59,000
Speaker 2: Well, I think that living well is the same. I
1389
01:09:59,040 --> 01:10:01,360
Speaker 2: think like the way to not be afraid of dying
1390
01:10:02,120 --> 01:10:04,320
Speaker 2: is to feel that you've had a meaningful life. That's
1391
01:10:04,320 --> 01:10:07,040
Speaker 2: what I think. I think that's what ended up being
1392
01:10:07,080 --> 01:10:09,639
Speaker 2: true for Paul. And I'll just tell you like something
1393
01:10:09,640 --> 01:10:12,760
Speaker 2: beautiful that like Paul felt that, I hope I feel too,
1394
01:10:12,800 --> 01:10:15,160
Speaker 2: because I also think this sort of encompasses like a
1395
01:10:15,200 --> 01:10:18,640
Speaker 2: good depth is like similarly, if you're lucky enough to
1396
01:10:18,760 --> 01:10:22,920
Speaker 2: like have the tools to like build a life that
1397
01:10:22,960 --> 01:10:27,160
Speaker 2: you felt as meaningful. I think Paul ended up feeling like,
1398
01:10:27,200 --> 01:10:29,519
Speaker 2: not to sound cheesy, but I love this. He ended
1399
01:10:29,600 --> 01:10:33,839
Speaker 2: up feeling I'm not dying, feeling that I'm losing everything.
1400
01:10:34,200 --> 01:10:38,280
Speaker 2: I'm dying, feeling that I have everything, which I think
1401
01:10:38,360 --> 01:10:42,800
Speaker 2: is so cool. You know, so I don't know hasn't
1402
01:10:42,800 --> 01:10:44,719
Speaker 2: happened to me yet, so it'll be a surprise.
1403
01:10:45,000 --> 01:10:50,440
Speaker 1: That's a really powerful answer and quite an unfathomable mindset,
1404
01:10:50,600 --> 01:10:53,840
Speaker 1: because you could argue he he could have felt he
1405
01:10:53,840 --> 01:10:56,160
Speaker 1: didn't have everything, like he hadn't had Katie yet, and
1406
01:10:56,200 --> 01:10:58,920
Speaker 1: you know, like he hadn't had that experience, and which
1407
01:10:58,960 --> 01:11:01,160
Speaker 1: seems like the natural thing we all feel at that
1408
01:11:01,240 --> 01:11:03,000
Speaker 1: time where it's like I haven't done this yet or
1409
01:11:03,040 --> 01:11:05,280
Speaker 1: haven't seen this, or want to make it to this
1410
01:11:05,360 --> 01:11:06,599
Speaker 1: and sort of really say.
1411
01:11:06,400 --> 01:11:09,320
Speaker 2: It always be true, Yeah, that'll be true for everyone.
1412
01:11:09,439 --> 01:11:12,040
Speaker 1: But he was able to say he had everything he felt.
1413
01:11:11,720 --> 01:11:16,479
Speaker 2: That yeah or enough, like enough enough, yeah enough, yeah,
1414
01:11:16,560 --> 01:11:18,960
Speaker 2: I struggled with it later too, and then a friend
1415
01:11:19,040 --> 01:11:21,200
Speaker 2: was like, what if it was enough? And I was like,
1416
01:11:22,200 --> 01:11:24,679
Speaker 2: what if it was enough? Thank you so much, thanks
1417
01:11:24,720 --> 01:11:25,160
Speaker 2: for having me.
1418
01:11:25,360 --> 01:11:28,280
Speaker 1: So grateful, truly, I'm so grateful to meet you, so
1419
01:11:28,360 --> 01:11:31,200
Speaker 1: grateful for your openness, so grateful to learn about Katie
1420
01:11:31,200 --> 01:11:36,760
Speaker 1: and Paul and and yourself, And thank you truly in
1421
01:11:36,840 --> 01:11:40,360
Speaker 1: awe of your resilience and courage.
1422
01:11:40,560 --> 01:11:42,040
Speaker 2: That's like wild to hear you say that.
1423
01:11:42,320 --> 01:11:44,400
Speaker 1: It's true. I really mean it's.
1424
01:11:44,760 --> 01:11:47,320
Speaker 2: Yeah, what a treat I mean truly, Yeah, no, it's.
1425
01:11:47,520 --> 01:11:50,280
Speaker 1: It's melted my heart. Yeah, truly, I really mean that.
1426
01:11:50,560 --> 01:11:54,200
Speaker 1: Thank you. Thank you such a joy. If you love
1427
01:11:54,240 --> 01:11:57,920
Speaker 1: this episode, you love my conversation with Malala use off
1428
01:11:58,000 --> 01:12:02,439
Speaker 1: side on how she transformed dream adversity into global purpose.
1429
01:12:02,680 --> 01:12:04,880
Speaker 2: I was hanging out with some friends and what was
1430
01:12:05,120 --> 01:12:09,240
Speaker 2: supposed to be a fun night just took a sharp turn,
1431
01:12:09,680 --> 01:12:12,839
Speaker 2: and immediately I froze.
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