Ask Dr. Mia: Navigating Dementia Caregiving

Send us Fan MailThis episode features Gina and Allie from Care Patrol discussing the complexities of transitioning seniors into retirement communities. They share insights on planning, choosing the right care level, understanding state regulations, and navigating family dynamics to ensure a smooth and suitable move.Allie Spangler, OTR/L, CSA brings extensive experience and deep passion for helping others. She has supported hundreds of families in navigating care options for their loved ones with confidence and clarity. Prior to joining CarePatrol, Allie worked as an occupational therapist across a variety of healthcare settings, primarily serving geriatric patients in acute care, long-term acute care, and inpatient rehabilitation. Through this experience, she developed a strong ability to guide individuals and families.Gina Gordon, RN, CSA brings over 30 years of healthcare experience and a deep passion for serving others. Inspired by both her professional background and personal experiences, she opened CarePatrol of Winston-Salem to better support families navigating senior care decisions.Prior to CarePatrol, Gina built a long and meaningful career in healthcare, gaining firsthand insight into the complexities of care and the importance of advocacy. As the daughter of aging parents, she understands both the rewards and challenges families face and values the opportunity to connect with each client on a personal level.CarePatrol of Winston-SalemAllie Spangler, Occupational Therapist (OTR/L), Certified Senior Advisor (CSA)®PO Box 20302 Winston-Salem, NC 27120O: 844-218-2273 | D: 564-565-4562 | F: 336-866-0758CarePatrol.com | Senior Care Podcast | Facebook | LinkedIn Other ResourcesNorth Carolina Assisted Living Regulations - https://www.ncdhhs.gov/about/divisions/licensingMemory Care Best Practices - https://www.alz.org/help-support/caregiving/stages-behaviors/memory-careCare Management Resources - https://www.care.comChapters00:00 Introduction to Care Transitions03:00 Proactive vs Reactive Planning for Care06:16 Navigating Community Transitions08:54 Understanding Care Levels and Community Types12:03 State Requirements for Assisted Living16:46 Staffing Ratios and Their Importance18:37 Leadership and Stability in Care Communities25:22 Advice for Sandwich Generation Caregivers31:55 Choosing the Right Agency for CareSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this insightful interview, Annie Guest shares her journey through caregiving, the importance of radical acceptance, and how interior design can support mental health during challenging times. Discover practical tips for managing burnout, decluttering, and creating spaces that nurture the mind and body.Annie Guest had a varied career in book publishing, advertising, and law, before she took another jump to work as a mental health therapist and publish her first book. In Design For Your Mind, Annie combines her passion for people and their potential with her love for interior design and her appreciation for the design choices that support the mind and body.Visit https://www.annieguestdesignforyourmind.com/Chapters01:00 Navigating Caregiving Challenges08:50 The Journey of House Redesign15:11 Empowering Caregivers24:00 Preventing Burnout in CaregivingResourcesDesign for Your Mind by Annie - https://www.amazon.com/Design-Your-Mind-Annie/dp/XXXXXXVVA Pickup - Furniture Donation Service - https://vvapickup.orgAttention Restoration Theory - https://en.wikipedia.org/wiki/Attention_restoration_theorySupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailThis episode covers recent advances in Alzheimer's research, including the potential link between shingles vaccination and dementia prevention, the biological shifts in aging, and promising biomarkers and treatments like lithium. Dr. Mia discusses how these findings could impact future therapies and personal health decisions.Shingles Vaccine: The Wales/Australia Natural Experiment in Cell: https://www.cell.com/cell/fulltext/S0092-8674(25)01256-5?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867425012565%3Fshowall%3DtrueMore Recent Article on Shingles Vaccine and Cardiovascular Risk: https://techfixated.com/shingles-vaccine-drastically-cuts-heart-risk-nearly-in-half-in-new-study/Massive Biomolecular Shifts: Scientific article in Nature 2024: https://www.nature.com/articles/s43587-024-00692-2From ruins to research: How an ancient brain survived to help understand Alzheimer’shttps://www.nuscimagazine.com/from-ruins-to-research-how-an-ancient-brain-survived-to-help-understand-alzheimersAncient Brain, GFAP and NFL; The Scientific Paper on GFAP and NFL in blood: https://pubmed.ncbi.nlm.nih.gov/41376134/Lithium as an Alzheimer's Treatment: https://news.harvard.edu/gazette/story/2026/01/an-alzheimers-breakthrough-10-years-in-the-making/ (or the pretty pictures in this: https://hms.harvard.edu/news/could-lithium-explain-treat-alzheimers-disease)The pilot study in humans: https://jamanetwork.com/journals/jamaneurology/fullarticle/2845746#250915094Chapters00:00 Introduction to Alzheimer's Research News03:34 The Shingles Vaccine and Dementia Prevention06:03 Shingles Vaccine: Heart Health Benefits10:43 Timing & Accelerated Aging14:02 Ancient Brain Discoveries and Alzheimer's19:33 Exploring Lithium for Alzheimer's Treatment Alzheimer's, dementia, shingles vaccine, biomarkers, lithium, aging, neurodegeneration, Alzheimer's research, health tipsSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this insightful interview, Sue Lloyd-Davies discusses her book Pinkie’s Turnabout (Fitzroy, February 2026), inspired by her own experiences caring for a loved one with dementia and her work with children in caregiving situations. The conversation explores the emotional journey of caregiving, the importance of understanding dementia, and how families can foster open conversations about these challenges.Chapters00:00 Introduction to Pinky's Turnabout00:54 Inspiration Behind the Book03:20 Challenges of Caregiving06:41 Advice for Young Caregivers09:34 Navigating Grief and Emotions12:58 The Role of Pets in Caregiving15:36 Using the Book for Family ConversationsABOUT THE AUTHORSue Lloyd-Davies lives and writes in an old cottage in quirky Gulfport, Florida, where fuzzy cat, Arlo, loafs beside her keyboard and occasionally types an extra space or two into her stories. Caring for her mother, whose life — filled with friends, quilting and church — drifted into dementia, inspired her novel about Pinkie. When she’s not writing, Sue can be found under the oaks handing out hazelnuts to rescue squirrel Owen or careening around the community center in a line dance. Visit her at Suelloyddavies.com, where you can purchase a copy of the book (available wherever books are sold). PRAISE FOR PINKIE’S TURNABOUT“Drawing on personal experience, Lloyd-Davies confronts the hardships of caring for a loved one with dementia in this brutally tender debut. It’s a surprise-packed narrative that counterbalances nuanced examinations of complicated relationships and hard-earned life lessons against Jack’s delightfully snarky quips.” Ages 9–12. (Feb.)—Publishers Weekly – STARRED Review“Pinkie’s Turnabout is a layered story and an appealing pick for middle grade readers. An entertaining, heartfelt story and a great pick for classroom reading and discussion, all ages will find value in its themes of love and forgiveness, becoming self-aware, not judging by appearance, and the unmasking of subtle prejudices that often go unrecognized. Conflicts and troubles abound for Pinkie at every turn, but love and forgiveness win out in the end in a way that will make your heart grow three sizes. Never preachy, never didactic, the story shows through action and event how to be a better person.”―Clara Gillow Clark, writing coach and award-winning author of Hill Hawk Hattie and Hattie on Her WaySupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this heartfelt interview, Karen McGovern shares her personal and professional journey caring for loved ones at the end of life, highlighting the importance of compassion, preparation, and presence. Discover insights into end-of-life care, the role of doulas, and how to navigate grief and caregiving with grace.About Karon Keller McGovernKaron is a Certified End of Life Doula, Reiki Master and Reverend. Her business Loving Embrace – Transition Service Guiding the Clientand Family through the final Transition after Karon saw a real need to change how end-of-life patients were not receiving the best care with our medical system. Contact her by: [email protected] or 214-930-1195. Chapters00:00 Introduction to End-of-Life Care05:21 Navigating Dementia and Family Dynamics10:50 Becoming an End-of-Life DoulaSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia explores the groundbreaking Finger Study, a global research project on brain health and Alzheimer's prevention, and the US version, called POINTER study. Discover why lifestyle changes like exercise, diet, and cognitive activities can significantly improve brain resilience and delay cognitive decline.Chapters00:00 Introduction to the Pointer Study02:44 Understanding the US Pointer Recipe05:28 The Role of Exercise in Brain Health08:16 Dietary Impacts on Cognitive Function10:57 Gut-Brain Connection and Its Implications14:01 Cognitive Exercises and Health Monitoring15:51 Empowerment Through Lifestyle ChangesSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this conversation, Dr. Mia and Dr. Catherine Madison discuss the complexities of caregiving for individuals with dementia, drawing from personal experiences and professional insights. They explore the importance of understanding advanced care planning, and the vulnerability of dementia patients to health challenges. The discussion also covers legal considerations for caregivers, tools for initiating end-of-life conversations, and lifestyle changes that can enhance brain health. Dr. Madison emphasizes the need for open dialogue about death and dying, as well as the significance of research in improving dementia care.Dr. Catherine Madison, a board-certified neurologist and author of Navigating Memory Loss: Essential Questions and Answers on Alzheimer’s and Dementia. With over 40 years of experience in clinical neurology, Dr. Madison has dedicated her career to helping individuals and families understand, manage, and live well with cognitive decline.As the founding medical director of the Ray Dolby Brain Health Center in San Francisco, she developed a groundbreaking model of care that supports both patients and their loved ones, a holistic approach that has since influenced dementia programs nationwide. She continues this work through her private practice and her role with Jewish Family and Children’s Services (seniors at home), where she educates families on brain health, cognitive aging, and care planning.Dr. Madison is known for blending clinical expertise with a deeply human touch. Her new book translates the most current research on Alzheimer’s and dementia into clear, compassionate answers for those facing these conditions. She’s an engaging and empathetic guest who can speak on:How to recognize the earliest signs of memory loss—and what to do nextThe latest science on Alzheimer’s and other dementiasHow families can plan for care, maintain connection, and protect quality of lifePractical steps for supporting brain health as we ageGoodreads: https://bit.ly/4h7UbN5Amazon: https://bit.ly/4of9qGvBook: navigating memory losshttps://codaalliance.org/go-wish/#faqshttps://seniorsathome.jfcs.org/Chapters00:00 Navigating Memory Loss: Introduction to Dementia Care02:31 Personal Journey: The Impact of Caregiving05:16 Understanding Anosognosia: Awareness in Dementia08:08 Advanced Care Planning: Preparing for the Future10:55 The Vulnerability of Dementia: Health Challenges13:43 Legal Considerations: Directives and Estate Planning16:22 Conversations About End-of-Life: Tools and Techniques19:07 Lifestyle Changes: Enhancing Brain Health21:19 Research Insights: The Future of Dementia CareSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailEver wonder why the news reports on Alzheimer's causes are so confusing and what's the fuss about these amyloid plaques?This conversation delves into the evolving understanding of Alzheimer's disease, highlighting the shift from traditional diagnosis of exclusion to new definition by underlying pathology. Dr. Mia explains the differences between Alzheimer's disease and dementia, the role of amyloid plaques and tau tangles, and the complexities of diagnosing and treating Alzheimer's in the context of vascular dementia.This episode contains visuals, which could be followed along by YouTube video. Alzheimer's disease, dementia, amyloid plaques, tau tangles, cognitive impairment, vascular dementia, diagnosis, treatment, brain health, memory lossSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this conversation, Alex Drane and Dr. Mia discuss the challenges and realities of unpaid caregiving, emphasizing the importance of self-identification, data, and community support. They explore how caregivers often overlook their own needs while focusing on those they care for, and the necessity of finding respite and grace in their roles. The discussion also touches on the impact of caregiving on mental health, especially during stressful times like the holidays, and the need for a supportive community to help caregivers navigate their responsibilities.Archangels website: https://www.archangels.me/Intensity score quiz: https://www.archangels-cii.me/get-started/?utm_source=aacaregiverpage&utm_medium=weblink&utm_campaign=generalAbout Alexandra DraneAlexandra is co-founder and CEO of ARCHANGELS — a women-owned, public benefit corporation and omni-channel platform shamelessly hustling to make change happen for the 43% of adults across our nation serving as unpaid caregivers. ARCHANGELS engages and supports caregivers across all 50 states through partnerships with employers, consumer brands, health-plans/systems, communities, and states.Chapters00:00Introduction to Archangels and Caregiving02:58Understanding the Caregiver's Role and Identity05:44The Power of Data and Storytelling in Caregiving08:28Navigating Intensity and Self-Care as a Caregiver11:38The Importance of Respite and Support14:23Finding Grace and Permission to Care for Yourself17:09Community and Connection Among Caregivers19:56The Impact of Holidays on Caregivers23:08The Future of Caregiving and Advocacy26:02Closing Thoughts and Encouragement for CaregiversSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia talks about the common questions that come up in memory clinic such as: Chapters00:00 Understanding Dementia and Alzheimer's Basics02:54 Differentiating Between Mild Cognitive Impairment (MCI) and Dementia06:19 Exploring Types of Dementia11:01 Stages of Dementia ExplainedSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailThe "Mom, You're Grounded Podcast" hosts Allison and Jennifer discuss the GUIDE program with Dr. Mia, an innovative Medicare initiative designed to support caregivers and patients through comprehensive services and respite care. Mia Yang, a geriatrician, shares her expertise and insights on GUIDE (GUiding an Improved Dementia Experience) program.Self refer: [email protected] -NC [email protected] NC greater Charlotte areawww.MiaYangMD.com"Mom, You're Grounded Podcast"https://youtu.be/u_VH0SAWuk4?si=Xepgc__BXNyxZvznChapters00:00 Introduction to Caregiving Challenges01:09 Understanding the GUIDE Program02:11 Mia Yang's Background and Expertise04:44 Innovative Approaches in Dementia Care06:39 Respite Care and Financial Support08:40 Adult Daycare Options and Benefits10:05 Navigating the GUIDE Program12:28 Eligibility and Enrollment Process14:45 Choosing the Right Medicare Plan18:38 The Evolution of the GUIDE Program20:23 Geographical Coverage of GUIDE Programs22:09 Respite Care Options and Limitations23:56 Success Stories from the GUIDE Program26:40 Recognizing the Need for Help29:19 The Emotional Toll of Caregiving32:32 Connecting with the GUIDE Program35:45 Mia Yang's Podcast and ResourcesSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of the Ask Dr. Mia podcast, Dr. Mia speaks with Jodi Colada, a director of caregiver outreach, about engaging activities for family caregivers of loved ones living with dementia. They discuss the challenges caregivers face in getting their loved ones to participate in activities, the importance of creating a supportive environment, and various creative expressions that can foster connection. Jodi shares practical tips, resources, and tools to help caregivers engage their loved ones meaningfully, emphasizing the value of participation and the joy of shared experiences.Chapters00:00 Engaging Activities for Dementia Caregivers00:17 Introduction to Jody Kalata and Her Expertise00:45 Connecting with the Audience01:00 Engaging Activities for Dementia Caregivers11:13 Creative Expression Through Art and Music21:06 Practical Tools and Resources for CaregiversJodi Kolada is the Director of Caregiver Outreach and Non-Clinical Team Member Education with Well∙Spring Solutions. Jodi has a master’s degree in Gerontological Studies from Miami University of Ohio. She is a certified co-leader of Powerful Tools for Caregivers.  She is a certified instructor of the Dementia Dialogues Program from the Arnold School of Public Health at the University of South Carolina. She leads the agency’s efforts to successfully provide a combination of evidence-based programs, educational classes, retreats, and monthly support groups to family caregivers. She also presents to faith, civic and community organizations about caregiving issues.Below are some of Jodi's helpful resources;SITESwww.nationaldaycalendar.com – online database of holidays and celebrations – can spark great conversation and incudes activity ideaswww.backthenhistory.com – provide an email address to receive a daily message about the history of everyday objects - can spark great conversation and activity ideashttps://dementianc.org/helpsupport/music-memory-at-home/  Music & Memory is an evidence-based program which helps people living with dementia find joy and connection to life through musical favorites.  They help to develop a personalized playlist, and provide a Music & Memory at Home Kit, which includes a digital music player uploaded with the person’s favorite music, headphones, a Bluetooth speaker and written guides. Both the primary caregiver and the program listener (person with a dementia diagnosis in a home setting) must be in NC.https://www.goldencarers.com/activities - activity ideas & helpful resourceshttps://mariasplace.com/ - activity ideas Free APPSWord Search ColorfulFlower GardenJigsaw Puzzles RealMy Reef 3D Aquarium GAMES Shut the Box  -basic mathRory’s Story Cubes - storytellingSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this conversation, Dr. Mia discusses her personal experiences with caregiving and grief, emphasizing the importance of understanding one's role as a caregiver, the challenges of caregiver burnout, and the necessity of seeking support. She reflects on her relationship with her mother and the complexities of love and acceptance in the context of caregiving. Important Resources from this episode;Archangels Caregiver Quiz and Resourceshttps://www.archangels.me/for-caregivers ianacare- The Platform For Caregivershttps://ianacare.com/caregivers/Chapters00:00 Introduction to Caregiving and Burnout02:15 Personal Journey with Caregiving05:31 Navigating Grief and Caregiving07:44 Defining a Good Daughter10:02 Acceptance and Presence in Caregiving11:06 Navigating Caregiving and Personal Relationships16:38 Resources for CaregiversSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia discusses the top misconceptions surrounding dementia and Alzheimer's disease, emphasizing the importance of understanding the differences between the two, the complexities of diagnosing dementia, and the implications of early diagnosis. She also addresses the common belief that Medicare covers in-home care for dementia patients and clarifies the realities of dementia care funding.https://www.cms.gov/priorities/innovation/innovation-models/guideChapters00:00 Understanding Dementia: Common Misconceptions00:51 The Role of Medicare in Dementia Care01:02 Understanding Dementia and Alzheimer's Disease09:20 The Complexity of Diagnosing Dementia18:18 The Importance of Early Diagnosis26:13 Navigating Medicare and Dementia CareSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia and Dr. Christina Hugenschmidt discuss their insights from the Alzheimer's Association International Conference (AAIC 2025) this summer, and the importance of early diagnosis and lifestyle interventions. They explore the gut-brain connection, innovative drug research, and the impact of nutrition and environmental factors on cognitive health. The conversation emphasizes the need for social engagement and support for caregivers, highlighting the multifaceted approach required in managing dementia and promoting brain health.Chapters00:00 Introduction to Dementia Caregiving and Research02:01 Personal Journey in Caregiving03:51 Understanding Dementia: A Personal Journey15:57 Lifestyle Interventions for Brain Health27:57 The Impact of Hormones on Caregiving39:53 Research Innovations in Dementia Treatment45:47 Environmental Factors and Brain HealthChristina Hugenschmidt, PhD, MS, LCMHC, is a Associate Professor, Director of Wake Forest Memory Counseling Program. She is a neuroscientist and a counselor. Her experiences in clinical practice led her to question how support groups can be used to improve brain health. She began working with the Memory Counseling Program (MCP) after joining Gerontology and Geriatric Medicine and the Sticht Center for Healthy Aging and Alzheimer’s Prevention at Health/Wake Forest School of Medicine in Winston-Salem North Carolina in 2012 and was recently appointed MCP director following Dr. Shaw’s retirement. Her experiences leading and developing a support group for people with dementia have profoundly shaped how she views dementia and her research into how positive experiences like this group can support the well-being of people living with dementia and their care partners. Her research uses brain imaging to explore how common aging-related changes in the body, such as mobility, obesity and diabetes affect brain health, and how these effects on the brain can be modified by everyday lifestyle, like engaging in exercise and arts practices. https://improvment.wfu.edu/about/improvment-team/AXS-05 dextromethorphan and bupropion for AD agitationUS version of world wide FINGER- US POINTER studyMIND diet slows cognitive decline with agingOther AAIC 2025 press conferences or highlights: https://aaic.alz.org/releases-2025/highlights-aaic-2025.aspSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia provides a comprehensive overview of Medicare and Medicaid, explaining their differences, coverage options, and the implications of recent legislative changes. She emphasizes the importance of understanding these programs, especially for vulnerable populations, including the elderly and immigrants. The discussion also highlights the challenges faced by those needing long-term care and the critical role of advocacy in shaping healthcare policy.Chapters00:00 Understanding Medicare and Medicaid Basics09:57 Medicare Coverage and Misconceptions13:59 The Impact of Recent Legislation on Medicaid18:31 Challenges for Immigrants and Healthcare Access27:18 Advocacy and the Future of Healthcare PolicyMedicare, Medicaid, healthcare, insurance, legislation, advocacy, immigrants, dementia care, long-term care, eligibilitySupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this heartfelt episode of the Ask Dr. Mia podcast, Dr. Mia sits down with Tamra Stokes, a transformational life coach, author, speaker, and founder of Reimagining Life Coaching. Known as The Authentic Caregiver Coach, Tamra empowers overwhelmed family caregivers to heal emotionally, rediscover themselves, and find fulfillment amid the demands of caregiving. Drawing from over 20 years as an educator and 4.5 years as the primary caregiver for her mother, Tamra brings wisdom, empathy, and lived experience to her work. Her coaching blends mindset shifts, emotional release, breathwork, nature-based grounding practices, and journaling to guide clients through emotional discord and into purposeful transformation. Together, they explore the dynamics of sibling relationships in caregiving, highlighting the importance of understanding personal strengths and maintaining open communication. Tamra also discusses valuable resources like the Caregiver College and Wake Forest Memory Counseling Program that provided her with essential tools and community support. Additionally, listeners can find support through the Alzheimer's Association support group search. Tune in to discover insights on family bonds, caregiving challenges, and the power of shared experiences.To book a discovery call with Tamra, visit: link.coachgrowthsolutions.com/widget/bookings/talkwithtamra. Follow Tamra on social media: Facebook: The Authentic Caregiver Coach, Instagram: @tamistokes422, YouTube: @ReimaginingLifeCoaching, TikTok: @siasees. #SiblingSupport #CaregivingJourney #FamilyFirstFollow Dr. Mia on YouTube and BlueSky and Instagram Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of the Ask Dr. Mia podcast, Dr. Mia invites her husband, Dr. Alex Fertman, to discuss the nuances of palliative care and hospice, particularly in the context of dementia. They explore the differences between these two forms of care, the challenges families face when dealing with dementia, and the difficult decisions surrounding feeding tubes and end-of-life care. The conversation emphasizes the importance of understanding what constitutes a 'good death' and the dynamics within families as they navigate these tough discussions. Dr. Alex shares valuable insights on how families can prepare for serious illness and the significance of having open conversations about healthcare decisions.As an Assistant Professor in Palliative Medicine, Dr. Alex Fertman provides care to patients during serious illness. He works with patients and their families to provide care for the whole person, with particular focus on alleviating symptom burden and coordination of complex care. Dr. Fertman address all aspects of a person’s health, and collaborates with an interdisciplinary team consisting of counselors, chaplains, social workers, and pharmacists to provide excellent and comprehensive care. He enjoys active clinical teaching on inpatient rounds with students, residents, and fellows about palliative care and the art of being a great palliative care consultant.  Chapters00:00 Introduction to Palliative Care and Hospice03:46 Understanding Dementia and Its Challenges07:08 Navigating Feeding Decisions in Dementia09:58 The Concept of a Good Death12:47 Family Dynamics in End-of-Life Care16:05 Advice for Families Facing Serious IllnessSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of Ask Dr. Mia, Rohan Ramakrishna, co-founder of Roon, discusses the innovative healthcare technology platform designed to provide patients with reliable medical information. Roon aims to bridge the gap between patients and healthcare experts, offering personalized guidance and 24/7 support. Rohan shares insights into the journey of building Roon, the importance of expert vetting, and the platform's commitment to keeping the service free for users. The conversation also touches on the global reach of Roon and its future aspirations to expand access to healthcare information worldwide.Rohan Ramakrishna is a professor of neurosurgery at Weill Cornell Medicine and New York Presbyterian hospitals and the Co-Founder of Roon. He attended medical school at the University of Pennsylvania. He then completed training in neurosurgery at the University of Washington and MD Anderson Cancer Center.Like & Subscribe. Follow Dr. Mia on social media @askdrmia Chapters00:00Introduction to Roon and Its Purpose02:57The Journey of Building Roon06:03The Unique Features of Roon09:14Expert Vetting and Content Quality11:51User Engagement and Feedback14:57Global Reach and Future Aspirations#Roon, #healthcare technology, #patient information, #expert guidance, #caregiver support, #medical information, #health app, #user experience, #global access, #mental healthSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of the Ask Dr. Mia podcast, Dr. Mia interviews Amanda Gengler, a sociology professor and author, about her personal experiences as a caregiver for her mother with Alzheimer's and her young son. They discuss the complexities of navigating the healthcare system, the emotional labor involved in caregiving, and the challenges of family dynamics. Amanda shares insights on advocacy, the impact of her mother's recent fall, and the strategies she employs to manage stress and communication within her family. In this conversation, Amanda Gengler shares her experiences navigating the complexities of caring for a parent with dementia while also raising her child. The discussion delves into the emotional challenges of family dynamics, the importance of communication with children about illness, and the unique burdens faced by the sandwich generation. Amanda reflects on the surprises and difficulties encountered in her caregiving journey, emphasizing the need for open conversations about death and dying.Disclaimer: There were audio issues with this episode and some of the interview was edited out. For the full unedited video check out the Ask Dr. Mia Channel on YouTube. Link below;https://youtu.be/iBrJKKqWoJw?si=67JXHVSFq-v1YNjYAbout Amanda Gengler, Ph.DAn associate professor of sociology at Wake Forest University who completed her PhD in Sociology at Brandeis University and a Masters degree in Social Work at the University of Wisconsin-Madison. She is the author of the book, "Save My Kid" How Families of Critically-Ill Children Cope, Hope, and Negotiate an Unequal Healthcare System, and her current research examines the emotional dynamics of routine pediatric care. She regularly teaches undergraduate courses on the Sociology of Health and Illness, the Sociology of Birth and Death, and the Sociology of Care Work.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of the Ask Dr. Mia podcast, host Dr. Mia speaks with Sam Simon, a lawyer and playwright diagnosed with early-stage Alzheimer's disease. Sam shares his journey, including the impact of his diagnosis on his family, the importance of communication, and the challenges of navigating legal and financial planning. He discusses the emotional and practical aspects of living with dementia, the role of family dynamics, and the significance of advocacy. Sam Simon shares his personal journey with Alzheimer's disease, discussing the challenges and adaptations he and his wife, Susan, have made. He emphasizes the importance of finding meaning and purpose in life, and the power of love and connection in the face of adversity. To learn more about Sam and his play Dementia Man visit his website at https://www.dementiaman.com/ Follow Ask Dr, Mia on Instagram, BlueSky, and YouTube Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of Ask Dr. Mia, Jane Smith shares her experiences as a caregiver for her mother-in-law, who is facing dementia. The conversation explores the dynamics of caregiving, the challenges of setting boundaries, and the emotional complexities involved in caring for aging family members. Jane discusses her close relationship with her mother-in-law, the division of caregiving responsibilities among family members, and the impact of these responsibilities on her own family life. The episode also touches on how to communicate with children about dementia and the importance of maintaining family relationships amidst caregiving challenges. Visit the Ask Dr. Mia channel or visit https://www.miayangmd.com/ for more info and episodes or follow @askdrmia on Instagram, BlueSky Chapters00:00 Intro00:49Intro and Navigating Caregiving Dynamics10:29The Good Cop, Bad Cop Dilemma20:03Balancing Family Relationships and Caregiving29:59Communicating with Children about DementiaSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailPharmacist Molly Hinely talks about how to help those who might forget to take meds with Dr. Mia.  Good vs bad medications for memoryRight use of technology in helping to remember medsPotential benefits and risks of various supplements. Sign up for Dr. Mia's email list to get a medication organization sheet. Molly Hinely, PharmD, BCPS is the manager for the Atrium Health Wake Forest Baptist Health pharmacy population health team located in Winston Salem, NC.  She leads a pharmacy team who supports the organization’s transitions of care and value-based care programs in collaboration with nurse navigators, social workers, and community health workers. She also is the residency program director for the PGY2 Population Health Management and Data Analytics program at Wake Forest Baptist Health. Molly’s areas of interest include care transitions, post-acute care, value-based care, medication adherence, social determinants of health, progressive care models and health outcomes.  She earned her Doctor ofPharmacy degree from the University of South Carolina, completed a pharmacy practice residency at New Hanover Regional Medical Center in Wilmington, and has been in practice for 13 years.Links: hero dispenser: https://herohealth.com/Med Minder pill dispenser: https://medminder.com/Live Fine med dispenser 28 days with lock https://www.livefineproduct.com/products/automatic-pill-dispenser-with-frosted-lid-and-large-displayFollow Dr. Mia on social media including YouTube and BlueSky @askdrmiaKeywordspharmacy, transitions of care, medication management, community pharmacist, memory loss, supplements, geriatric care, caregiver support, medication technology, patient advocacyChapters00:00 Introduction to Transitions of Care Pharmacy02:51 Navigating Medication Management for Loved Ones06:10 The Role of Community Pharmacists09:06 Simplifying Medication Regimens11:54 Technology in Medication Management15:11 Understanding Medications That Affect Memory20:02 Supplements and Their Impact on Memory30:11 Advocating for Better Medication ManagementSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia and Dr. Kristin Beavers discuss the relationship between weight loss and bone health, emphasizing the importance of exercise, nutrition, and monitoring bone density through DEXA scans. They explore the impact of new diabetes medications GLP-1 inhibitors (such as ozempic, wegovy) on bone health and provide practical tips for maintaining bone density, particularly in older adults.Kristen M. Beavers, PhD, MPH, RD, is a Professor of Internal Medicine, Section on Gerontology and Geriatric Medicine and an Associate Director of the Sticht Center for Healthy Aging and Alzheimer’s Prevention at Wake Forest University School of Medicine. She received her BS from Cornell University in Human Biology, Health, and Society; MPH and RD from The University of North Carolina at Chapel Hill inNutrition; and PhD from Baylor University in Exercise, Nutrition, and Preventive Health. Dr. Beavers’ academic and professional interests lie in the study of nutrition and exercise as interdisciplinary sciences, specifically as they relate to prevention and etiology of chronic disease and disability. She has been continuously funded by the NIH for the past decade and has developed a strong research program focused on mitigating loss of bone mass and strength in persons undergoing intentional weight loss, with three NIH-funded clinical trials underway.TakeawaysWeight loss can lead to bone loss, especially with caloric restriction.DEXA scans are crucial for assessing bone density and osteoporosis risk.Calcium and vitamin D are essential for bone health, especially during weight loss.Protein intake should be increased to help preserve bone and muscle during weight loss.Weight-bearing exercises are important for maintaining bone density.New diabetes medications GLP-1 inhibitors may be associated with bone loss, but more research is needed.Balance training is important to prevent falls and fractures in older adults.Older adults should be screened for osteoporosis, especially if they have risk factors.Maintaining adequate nutrient intake is challenging during weight loss.Prior fractures are a significant indicator of osteoporosis risk.Chapters00:00Introduction to Bone Health and Weight Loss02:56Understanding Bone Loss During Weight Loss05:56DEXA Scans: Measuring Bone Density08:59Osteoporosis: Risk Factors and Screening11:59Emerging Diabetes Medications and Bone Health14:57Exercise: Loading Bones to Prevent Loss17:57Nutrition: Key Nutrients for Bone Health20:59Practical Tips for Maintaining Bone Density23:57Conclusion: Summary of Key TakeawaysSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of Ask Dr. Mia, host Dr. Mia Yang speaks with Josh Marquess about his family's journey in transitioning his grandmother with Alzheimer's into a memory care facility. They discuss the special bond Josh has with his grandparents, the early signs of Alzheimer's, the emotional challenges of witnessing the progression of the disease, and the difficult decision-making process regarding care options. Josh shares insights on the benefits of memory care, the importance of family support, and the positive aspects of change in caregiving situations.TakeawaysThe bond with grandparents can be profound and impactful.Early signs of Alzheimer's can manifest in confusion and anxiety.Recognizing the progression of Alzheimer's is crucial for family members.The decision to move a loved one to memory care is often difficult but necessary.In-home care can be a viable option for early stages of Alzheimer's.Memory care facilities offer specialized support and activities for residents.Long-term care insurance can alleviate some financial burdens of memory care.Understanding the differences between assisted living and memory care is essential.Positive experiences can still be had in memory care settings.Reframing the narrative around caregiving can lead to a more positive outlook.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of the Ask Dr. Mia podcast, Dr. Mia speaks with Jeannine Bryant, a downsizing expert, about the challenges and emotional aspects of helping seniors transition to smaller living spaces. They discuss the concept of "right sizing", the importance of planning, and when to seek professional help. Jeannine shares practical tips for decluttering, navigating family dynamics, and handling crisis situations, especially for those with memory issues. The conversation emphasizes the emotional journey involved in sorting through belongings and the importance of timing in the moving process, along with resources available for families.TakeawaysRight sizing is about finding the perfect balance in living space.Planning ahead is crucial for a smooth transition.Professional help can ease the burden of moving.Emotional attachments to belongings can complicate downsizing.Start the decluttering process early to avoid overwhelm.Focus on keepsakes that bring joy and memories.Family dynamics can create tension during the moving process.Crisis situations require careful planning and support.It's important to respect the wishes of the older adult.Resources are available to assist families in the transition process.Rightsizing expert Jeannine Bryant is the owner and CEO of Changing Spaces SRS, a senior move management company in Lincoln, Nebraska.  She has helped provide rightsizing and relocation services to seniors since 2010.  During that time, she has been actively involved in the downsizing and moving processes of thousands of older adults. She is the author two books on the rightsizing process, Keep the Memories, Not the Stuff and Ready to Rightsize?  A step-by-step guide to your rightsizing journey.She provides free resources filled with downsizing tips for older adults on her website www.EasyRightsizing.com, including downloadable worksheets, books, and an online course to guide people through the downsizing process with ease. Bryant has been featured on numerous podcasts and is a regular contributor on various TV news stations.  Originally from North Dakota, she holds a Bachelor of Arts degree from Northwestern College in Orange City, IA and a Master of Arts degree from University of Nebraska – Lincoln. Website: https://easyrightsizing.com/Facebook: https://www.facebook.com/EasyRightsizing/Instagram: https://www.instagram.com/easyrightsizing/Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailSummaryIn this episode of Ask Dr. Mia, Dr. Mia shares her personal journey as a caregiver for her mother, who passed away from ovarian cancer. She discusses the challenges of navigating caregiving, grief, and the complexities of relationships between caregivers and their aging parents. Dr. Mia emphasizes the importance of understanding and accepting the wishes of loved ones, especially when it comes to treatment options, and reflects on her own experiences and feelings of unresolved anger and abandonment. The podcast aims to provide valuable insights and support for caregivers and those dealing with aging-related issues.TakeawaysDr. Mia shares her personal journey as a caregiver.The importance of understanding the wishes of loved ones.Navigating the complexities of caregiver relationships.Grief counseling can help caregivers cope with their emotions.Alternative treatments can be a point of contention in caregiving.The podcast aims to bridge the gap in geriatric knowledge for the lay audience.Caregiving often brings unresolved feelings to the surface.Communication styles can differ significantly between generations.Acceptance of a parent's limitations is crucial in caregiving.The podcast serves as a voice of solidarity for caregivers.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this special crossover episode Dr. Mia is interviewed by Rachel Zimmer, host of  "The Hygge Nurse." In this episode they discuss Dr. Mia's origin stories- how she decided to go into geriatrics and her current career focus. Rachel and Mia also talk about a recent study they worked on, which examined at the impact of caregiving, specifically on Black and Latino populations. They also discuss caregiving tips, including managing stress and navigating the healthcare system. Links to "The Hygge Nurse" podcast and other resources are below. Dr. Mia podcast will take a hiatus after this episode. Resources List:The Hygge Nurse Hosted by Rachel Zimmerhttps://www.hyggeabode.com/pages/the-hygge-nurse-podcastUCLA Caregiver Education Videos and Resources:https://www.uclahealth.org/medical-services/geriatrics/dementia/caregiver-educationCreating Moments of Joy Along the Alzheimer's Journey by Jolene Brackeyhttps://www.enhancedmoments.com/Dementia Matters Podcast:- Podcast by the Wisconsin Alzheimer's Disease Research Center on memory care research.Brain Spotting Music on Spotify:- Bilateral auditory stimulation music for stress relief.https://brainspotting.com/https://www.youtube.com/playlist?list=OLAK5uy_kHWc_TguRKMYgq0b_4ajY8phTP-VfhDYkKey Takeaways:1. Understanding Caregiver Well-Being:- Importance of self-care for caregivers.- Strategies to find moments of respite and self-care activities.- Differentiating between internal thoughts and external constraints to reduce self-blame.2. Navigating the Healthcare System:- Challenges caregivers face in the healthcare system.- Tips for managing transitions of care, such as moving from home to hospital.- Importance of clear communication and finding language-concordant care.3. Practical Tips for Caregiving:- Handling common dementia-related behaviors like refusal to bathe or take medications.- Importance of creating joyful moments despite the challenges.- Utilizing mindfulness, journaling, and bilateral stimulation techniques like brain spotting for stress relief.4. Research Insights:- Overview of a study on the well-being of Black and Latino caregivers.- Impact of cultural and language barriers on caregiver experiences.- Importance of presence and empathetic listening in caregiving. Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia interviews Dr. Mariana Wingood, a physical therapist specializing in geriatrics. They discuss the importance of physical activity for older adults and strategies to motivate them. Dr. Wingood emphasizes the need to understand what is important to each individual and tailor exercise programs accordingly. They also explore the benefits of incorporating physical therapy into activities like gardening and provide resources for finding exercise programs. The conversation touches on preventing injuries, recovering from injuries, and the role of healthcare providers in empowering older adults to be active. Dr. Wingood shares her research focus on empowering healthcare providers to support older adults in their physical activity goals.keywordsphysical therapy, geriatrics, physical activity, motivation, exercise programs, gardening, injuries, recovery, healthcare providersHere are some of the resources mentioned:National Council on Aging: has a lot of resources on fall prevention and about evidence-based exercise programshttps://www.ncoa.org/older-adults/health/prevention/falls-preventionhttps://www.ncoa.org/article/evidence-based-falls-prevention-programs - this is where people can go to learn about the different types of programs available nationallyWorkout to Go: Booklet and videos from NIA's Go4Lifehttps://goaging.org/wp-content/uploads/2015/11/workout_to_go.pdfhttps://www.youtube.com/playlist?list=PL4k5szV5a-xDyNmxsceJikRn6EBUzPxmPhttps://www.nia.nih.gov/health/exercise-and-physical-activity/exercise-and-physical-activity-worksheets --> this has some great worksheets to help people get moving Silver Sneaker Online Exercise Classeshttps://www.youtube.com/playlist?list=PLVcN_NI2Mb2-7HN8nS4c2VTYdMHMjcK9hhttps://tools.silversneakers.com/Search/OnlineClassesAARP Videoshttps://www.youtube.com/playlist?list=PLXQ-JEOv9JjGq9MbKmsIl4GlhcRR2mfMchttps://www.aarp.org/health/healthy-living/staying-fit/Local places to look for exercise programs; Senior Centers/Community Centers/Multigenerational Centers, Libraries, Universities, Churches, Parks and Recreational DepartmentsMatters of Balance: https://healthyagingnc.com/workshop/a-matter-of-balance/.TakeawaysUnderstanding what is important to older adults is key to motivating them to be physically active.Incorporating physical therapy into activities like gardening can make exercise moSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailSummaryIn this episode, Dr. Mia discusses five things that can help with healthy aging: exercise, diet, sleep, stress and mental health, and positive age-related perceptions. She emphasizes the importance of aerobic exercise and getting at least 8,000 steps a day. She also recommends a Mediterranean-style diet (MIND diet) with plenty of fresh vegetables. Dr. Mia provides tips for improving sleep hygiene and managing stress, including meditation and journaling. She highlights the impact of social isolation and the importance of positive age-related beliefs. Overall, she encourages small steps towards a healthier lifestyle to age well in the future.Study on 8k steps: https://pubmed.ncbi.nlm.nih.gov/32207799/MIND diet: https://pubmed.ncbi.nlm.nih.gov/34334393/Podcast episode with Dr. Jamie Hughes Sleep Hygiene Episode https://youtu.be/fxZNWR6HBSQDr. Rebecca Levy: https://ysph.yale.edu/about-school-of-public-health/communications-public-relations/publications/public-health-magazine/article/becca-levy-and-the-fight-against-ageism/Dr. Levy’s study on positive aging perspectives on cognition: https://pubmed.ncbi.nlm.nih.gov/32527600/Keywords: healthy aging, exercise, diet, sleep, stress, mental health, positive age-related perceptionsTakeawaysRegular exercise, particularly aerobic exercise, is crucial for healthy aging.A Mediterranean-style diet with fresh vegetables is beneficial for overall health.Improving sleep hygiene and managing stress are important for well-being.Social connections and positive age-related beliefs contribute to healthy aging.Small steps towards a healthier lifestyle can make a significant difference in aging well.Chapters00:00Introduction and Overview03:00The Importance of Exercise for Healthy Aging08:39Eating Well: The Mediterranean Diet14:27Improving Sleep Hygiene and Managing Stress22:10The Impact of Social Connections on Aging25:50Promoting Positive Age-Related Beliefs30:13ConclusionSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailBill Cohen, a certified senior advisor, shares his experience in helping families navigate the challenges of caregiving for a loved one with dementia. He emphasizes the importance of open communication and allowing each family member to express their opinions and concerns. Bill also discusses the training required to become a certified senior advisor and the holistic approach they take to caregiving. He highlights the role of financial considerations in caregiving decisions and the potential for family disputes. Bill provides insights on when to seek the help of a counselor, social worker, or senior advisor, and the importance of self-care for caregivers.The site to find certified senior advisors is https://portal.csa.us/locator/Bill Cohen’s loving and talented mother, Sheila, lost her home to Hurricane Katrina. Then, she lost her health, ability to create beautiful art and, ultimately, her life due to Alzheimer's. For almost 10 years, Bill was her primary caregiver and advocate, not just her son. He turned his personal loss into his passion supporting other caregivers.  After “retiring” from state employment and entering his “encore career” seven years ago, Bill is a caregiver support group and memory café leader, a podcast guest, a speaker, a Certified Senior Advisor (CSA)®, a trained elder mediator, and a caregiving support consultant. He has completed several caregiving courses through the Alzheimer's Association and the Society for Certified Senior Advisors (CSA)®, and earned business degrees from Boston and Portland State Universities.  Bill is a native New Englander and has lived in the Portland, Oregon area for almost 40 years with his wife and supporter, Lori. Contact and learn more about Bill Cohen:https://cohencaregivingsupport.com/serviceshttps://linktr.ee/[email protected] Find your local Certified Senior Advisors at https://portal.csa.us/locator/Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia uses a composite patient Ms. Smith's story to demonstrate her journey through different levels of care, from home to hospital, to skilled nursing facility (SNF), and then back to home. She discusses assisted living vs nursing home vs memory care unit and insurance payment options for them.Additional resources:Eldercare Locator (acl.gov)Nursing home facility ratings per Medicare: enter your zip code belowFind Healthcare Providers: Compare Care Near You | MedicareTransitioning into assisted living, memory care, or other retirement community:Find Assisted Living, Memory Care and Senior Living | A Place for MomGeriatric care managers:What Is a Geriatric Care Manager? | National Institute on Aging (nih.gov)Transcript & more info on www.miayangmd.comMusic & disclaimerTranscripts on www.miayangmd.com.Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailSummaryJenny Kim, a family caregiver for her elderly parents, shares her experience managing their finances and healthcare. Her father, who has severe dementia, insists on withdrawing large amounts of cash and giving it away. Jenny has power of attorney but faces challenges with banks and bill companies. She hired a geriatric case manager to help with appointments and medical coordination. Dr. Mia suggests involving an elder law lawyer to address the financial issues. Jenny emphasizes the importance of cherishing the moments of lucidity and appreciating the life her parents have had.Keywordsfamily caregiver, elderly parents, finances, dementia, power of attorney, geriatric case manager, elder law lawyer, lucidityTakeawaysManaging the finances and healthcare of elderly parents can be challenging, especially when they have cognitive decline.Having power of attorney may not always be sufficient to handle financial matters, as banks and bill companies may not honor it.Hiring a geriatric case manager can provide support and assistance in managing appointments and medical coordination.Involving an elder law lawyer may be necessary to address financial issues and establish stricter controls on spending.Cherishing the moments of lucidity and appreciating the life of elderly parents is important, even in the face of difficult circumstances.Chapters00:00 Introduction and Background08:17 Realization of Cognitive Decline and Taking on Responsibilities12:46 Challenges with Financial Management29:12 Seeking Legal Assistance for Financial IssuesSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia opens up about her personal experience with her mother's ovarian cancer diagnosis and the grief she is going through. She discusses the initial diagnosis, the challenges of treatment, and the emotions she has been experiencing, including anger, helplessness, guilt, and grief. Dr. Mia shares her strategies for processing grief, such as self-coaching, journaling, exercise, meditation, and finding moments of joy. She emphasizes that there is no right way to grieve and that everyone's journey is unique.Keywordsgrief, ovarian cancer, diagnosis, treatment, emotions, anger, helplessness, guilt, strategies, processing grief, self-coaching, journaling, exercise, meditation, moments of joyTakeawaysGrief is a common and uncomfortable emotion that everyone experiences differently.There is no right way to grieve, and it's important to give yourself permission to feel and process your emotions.Strategies for processing grief include self-coaching, journaling, exercise, meditation, and finding moments of joy.It's important to distinguish between real guilt and fake guilt and make decisions based on your values and what is best for you.Grief is a lifelong process, and it's normal to have waves of intense emotions even after the initial loss.Finding ways to connect with your loved one's memory can bring comfort and solace during the grieving process.Chapters00:00Introduction and Background04:20The Uncomfortable Topic of Grief13:40Navigating Feelings of Helplessness and Guilt28:07Finding Moments of Joy in Grief31:07Conclusion and Final ThoughtsSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia interviews David McLawhorn, a grief counselor, about his work and the topic of grief. David shares his personal journey into grief counseling and discusses the differences between grief and depression. He also explains the phases of grief and the challenges of anticipatory grief and ambiguous loss. David provides insights into how grief counselors can support individuals who are grieving and recommends resources for further reading. The conversation emphasizes the importance of being present, listening, and practicing self-care when supporting someone who is grieving.Keywordsgrief, grief counseling, loss, depression, phases of grief, anticipatory grief, ambiguous loss, grief support, companioning, self-careTakeawaysGrief work often chooses the individual, as many people involved in grief counseling have been personally affected by loss.Grief and depression have similarities, but grief is a normal and necessary response to loss, while clinical depression can block the healing process.Grief is not a linear process and can involve a range of emotions and grief bursts that come in waves.Anticipatory grief occurs when individuals grieve the losses they have experienced and the losses they know will come, such as in cases of cancer or dementia.Grief counselors provide support by companioning individuals, being present, listening, and avoiding platitudes or trying to fix the grief.Self-care is essential for any helping professional to prevent burnout and maintain their ability to support others.Recommended resources for understanding and navigating grief include books by Dr. Alan Wolfelt, Claire Bidwell Smith, David Kessler, and Megan Devine.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailSummaryDr. Mia interviews Dr. Monique Nugent about her book 'Prescription for Admission' and discusses various topics related to navigating the healthcare system and hospital stays. They cover the inspiration behind the book, common questions and quick guides for patients, understanding inpatient medicine, options for discharge, safety and goals of care, improving communication with the inpatient team, transitioning to post-acute care, choosing the right rehab facility, and mental health tips. The conversation provides valuable insights and practical advice for patients and their loved ones.TakeawaysTake an active role in your healthcare and participate in your hospitalization.Understand the options for discharge and consider post-acute care settings.Improve communication with the inpatient team by requesting a family meeting.Choose the right rehab facility by visiting and considering your goals and needs.Practice mental health tips, such as square breathing, to reduce anxiety.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn the final episode of season three, Dr. Mia reflects on her love for working with people living with dementia and their caregivers. She shares the inspiring story of a couple, Bill and Pat, who exemplify the extraordinary daily acts of caregiving. Dr. Mia discusses the importance of acknowledging, validating, and redirecting communication strategies for dementia care. She also explores the complex emotions and grief that caregivers experience and emphasizes the need for self-compassion and mental health support. Dr. Mia concludes the episode by expressing her gratitude to the listeners and announcing an extended break before the start of season four in April 2024. Chapters00:00Introduction and Podcast Statistics01:28Why I Love Working with People Living with Dementia02:27Inspiration from a Couple's Story03:26Honoring the Extraordinary-ness of Caregiving04:26The Love and Care Provided by Bill05:21Moments of Clarity in Pat's Decline06:20Bill's Continued Connection with Pat06:50Bill's Experience Shared with Medical Students07:19The Power of Caring08:19The Poem 'Do Not Ask Me to Remember'09:35Communication Strategies for Dementia Care10:35AVR: Acknowledge, Validate, Redirect12:58Holding Space and Staying Grounded in Caregiving14:13Processing Grief in Caregiving15:10Grief in Anticipation of Loss16:07The Complicated Relationship with a Loved One17:35Grief in Moments of Crisis18:36The Interplay of Parkinson's Disease and Cancer21:35The Work of Grief and Soul-Making24:31The Importance of Feeling and Holding Space27:25Taking an Extended Break and GratitudeSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia interviews Jeff Bloomfield, an estate planning lawyer from Carolina Estate Planning, to discuss the importance of estate planning and related legal documents. They cover topics such as the difference between a trust and a will, the probate process, and the impact of Medicaid on long-term care services. They also address common issues with power of attorney and guardianship, and emphasize the importance of estate planning for everyone, regardless of their wealth. Jeff provides insights on finding a reputable lawyer and highlights the limitations of online estate planning programs. Overall, this conversation highlights the need for advanced planning and the benefits of consulting with a lawyer for personalized advice.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia talks with her colleague Dr. Tim Hughes, about vascular and metabolic conditions' contribution to Alzheimer's disease and related dementias. Timothy Hughes, PhD, is an Associate Professor in the Department of Internal Medicine at Wake Forest School of Medicine. He is a neuroepidemiologist cross-trained in cardiovascular epidemiology and multimodal brain imaging. His research focuses on untangling the complex relationships between vascular and metabolic diseases' contributions on dementia. Lancet commission report - https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltextSummary of SPRINT MIND: https://www.nia.nih.gov/news/does-intensive-blood-pressure-control-reduce-dementiaMESA participant webpage: https://www.mesa-nhlbi.org/ParticipantWebsite/default.aspxAlz Association’s Trial Match: https://www.alz.org/alzheimers-dementia/research_progress/clinical-trials/trialmatchResearch Match https://www.researchmatch.org/If people want to participate in ACE study:  [email protected];  and https://www.acetrial.org/Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia talks with Caroline Prioleau, writer for the Global Brain Health Institute at University of California San Francisco's Memory & Aging Center and co-lead of the Hear/Say oral history project that collects stories from people's experiences with dementia, aging, creativity and caregiving. We talked about a new documentary called Keys Bags Names Words - about hope in dementia. Sign up for a virtual or in-person screening here. Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia talks with Dr. Ashley Sanderlin about how to advocate for yourself or your love ones within the healthcare system. Ashley H. Sanderlin, PhD is a passionate researcher that investigates modifiable risk factors and early interventions for Alzheimer’s disease. She was the first African American to attain a PhD in Neuroscience from Michigan State University. As an Assistant Professor in Biology at NC A&T State University, Dr. Sanderlin serves as the site Principal Investigator of the North Carolina Brain Health Registry and lead faculty in the Center for Outreach in Alzheimer’s Aging and Community Health (COAACH), which is the nation’s most prominent outreach and education centers focused primarily on the impact of Alzheimer’s on African Americans and their caregivers.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia talks about the other main reason why people end up in nursing homes- "legs not working" aka falls, especially the factors that affect people's balance and what to do about each of the risk factors. New format of episode with screen share, check out Dr. Mia's new YouTube Channel if you would prefer to follow along visually. Medications that increase risk of fallsCDC's STEADI program on fall prevention STEADI program's brochures specifically for patients & caregivers: home safety check list and chair rise exerciseMyMobility plan: plan ahead for mobility changes as we ageHow to use Apple Podcast app to subscribe on iPhone- tutorial videoOr subscribe via email on my website: scroll down, on right side.  Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode of Ask Dr. Mia podcast, Dr. Mia talks to her colleague, neuropsychologist and memory researcher Dr. Bonnie Sachs. Dr. Bonnie Sachs is a board-certified clinical neuropsychologist who specializes in working with older adults with memory loss and other cognitive disorders. Her areas of focus, both clinically and in research, include mild cognitive impairment (MCI), Alzheimer's disease (AD), and other forms of neurodegenerative diseases like Parkinson's disease, Frontotemporal dementia, Vascular dementia, and Lewy Body dementia. Dr. Sachs is an Associate Professor in the Departments of Neurology and Internal Medicine, Section of Gerontology & Geriatric Medicine, and is also an Investigator with the Wake Forest Alzheimer's Disease Research Center (ADRC). Additionally, Dr. Sachs enjoys education training and she currently co-directs the Clinical Neuropsychology Fellowship Program at the Wake Forest School of Medicine.Dr. Sachs talks about how she became interested in the field, the training for neuropsychologists, what they do, and when patients should see a neuropsychologist. Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailReturning back to Season 3 of Ask Dr. Mia Podcast talking about what is Comprehensive Dementia Care and Medicare's new program to pay for it. Health Affairs' article on Comprehensive Dementia Care: https://www.healthaffairs.org/content/forefront/payment-comprehensive-dementia-care-five-key-recommendationsMedicare's GUIDE program: Guiding an Improved Dementia Experience:  https://innovation.cms.gov/innovation-models/guideD-CARE Study: https://www.dcare-study.org/Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailFor the last episode of season 2, Dr. Mia talks about lecanemab, a monoclonal antibody against amyloid, results since the show's most popular episode on lecanemab released on 10/7/2022. Lecanemab or Clarity AD clinical trial results in New England Journal of Medicine (NEJM) Death related to lecanemab, reported in Science, related to Cerebral Amyloid AngiopathyDonanemab press release by Lilly Key points: 1) Aducanumab approval process eroded public's trust and careful screening for patients for real-world implementation of lecanemab is needed to build back trust. 2) Actual number of patients eligible for lecanemab will be much smaller than the total number of persons living with Alzheimer's disease in the country: studies estimate anywhere from 1% to 12% of patients seen in real world clinics.  3) Our healthcare infrastructure is not ready for early, timely, and accurate detection of Alzheimer's disease and tracking patients on monoclonal antibodies. Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailIn this episode, Dr. Mia talks with Dr. Trey Bateman about Lewy Body dementia, unique challenges in diagnosis, different treatment options compared to Alzheimer's dementia, and his research on Mild Behavioral Impairment. Dr. James (Trey) Bateman is a behavioral neurologist at Wake Forest University School of Medicine and the Salisbury Veterans Affairs Medical Center. His clinical care is spread across both Wake Forest and the Salisbury VA, where he focuses on the evaluation and care of people with neurodegenerative conditions, especially those with prominent neuropsychiatric symptoms. His research is focused on the role of chronic psychosocial stress and dementia risk and the role of early neuropsychiatric symptoms in the prodromal stages of neurodegenerative cognitive disorders.More information on Dementia with Lewy BodiesAnticholinergic medications based on the 2023 American Geriatrics Society Beers list of medications to use with caution in older adultsSupport groups specifically for caregivers and persons living with Lewy Body Dementia Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailWith the recent news of Bruce Willis' diagnosis of frontotemporal dementia, I talk with Dr. Halima Amjad about her own personal journey with her late father's FTD diagnosis as well as her professional role in dementia care and research. Dr. Halima Amjad is an assistant professor of medicine at the Johns Hopkins University School of Medicine. Her career as a geriatrician and health services researcher centers around people living with dementia. She cares for patients at the Johns Hopkins Memory and Alzheimer’s Treatment Center. Her research focuses on medical care challenges in dementia, including underdiagnosis, hospitalization, and primary care support. Her advocacy work includes serving on the Board of the Association for Frontotemporal Degeneration and as chair of the Maryland Virginia I. Jones Alzheimer’s disease and related dementias council.The Association for Frontotemporal DegenerationSupport the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailSleep, everyone wants it or better versions of it. Dr. Mia talks with Dr. Jaime Hughes about sleep for older adults. Jaime Hughes is an Assistant Professor at Wake Forest University School of Medicine, Department of Implementation Science and Section on Gerontology and Geriatric Medicine. As an implementation scientist, Dr. Hughes focuses on how to spread programs that work into different settings, including healthcare clinics and community-based services. She has a particular interest in programs to help older adults sleep well and move more. Her work is supported by a team of public health and clinical researchers who comprise the AMAZE Research Team – Atrium Health Wake Forest Baptist Movement And Zzz’s for Everyone. Dr. Hughes received her PhD from UNC at Chapel Hill and her MPH and MSW from University of Michigan.Interested in learning more about research opportunities in sleep and aging? Email Dr. Hughes' team at [email protected].  Other resources:Sleep and AgingHealthy Sleep HabitsCognitive Behavioral Therapy for Insomnia Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia talks with Dr. Rosanne Leipzig, a trailblazer in transforming the way we approach aging individually and as a society.  In her 40+ year career, she has treated thousands of patients and trained hundreds of doctors and practitioners in all specialties of medicine.  She is the Gerald and May Ellen Ritter Professor and Vice Chair, Emerita of the Brookdale Department of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai in New York City.  We talked about her new book, Honest Aging: An Insider’s Guide to the Second Half of Life. * Rosanne's inspiration for writing the book* Ageism, both external and internal* What is normal as we age and how to talk to loved ones about it* How old is too old to hold public office* Sex! No, older adults don't just stop having sex when they get to a certain ageYou can purchase Honest Aging book from the publisher, on GoodReads, Bookshop, and Amazon.Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders. 

Send us Fan MailDr. Mia talks with Frances Hall and Bob Cain about the unique needs of adult children who are caring for their aging parents and how their organization Adult Children of Aging Parents (ACAP) helps. Frances Hall is the founder of ACAP, a 501(c)(3) non-profit organization providing information, resources, and community for adult children caring for their aging parents and themselves. Bob Cain is a Chapter Coordinator for the Winston-Salem NC chapter of ACAP and Vice President of Marketing for Piedmont Home Care. We talked about why the word "caregiver" is notably missing from ACAP's name. ACAPCommunity Podcast; specifically sibling dynamics episode with Alyssa Botte (Dec 20, 2020). Videos from various chapters on YouTube. Locating via zip code on Eldercare Locator your Area Agency on Aging's Family Caregiver Specialist. Piedmont Triad Area contacts here. Email:  [email protected] 1-877-599-ACAP (1-877-599-2227)This episode was edited and transcribed by Bear Beat Productions. Support the showVideo on Ask Dr. Mia YouTube channelTranscripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. Email: [email protected] expressed are exclusive of Dr. Mia Yang and not reflective of her or guest speaker's employers or funders.