Canada's MAID Debate w/ Dr. Ramona Coelho

For a caregiver, grief doesn’t always start when someone dies. It can start months or even years earlier, while you’re still doing everything you can for the person you love. Then they die, and everything changes again. In Episode 56 of The Caregivers Podcast, Dr. Mark welcomes back hospice nurse and end-of-life educator Les Harp, known online as That Hospice Guy. Les was the primary caregiver for two wives, Cassie and Sonia, and lost both of them to cancer. He talks about caregiver grief from both sides of the bedside: anticipatory grief, the relief and guilt that so often follow a death, and the silence that comes when the caregiving suddenly stops. He also explains why grief isn’t something you “get over,” and how he found a way to build a life with love and joy in it again. Click here to watch on YouTube.

How do you know when keeping a parent at home is asking more than you can give? And what if you promised you’d never move them into a care facility? In this episode, Dr. Mark welcomes back Senior Living Advisor Janice Martin. Together they walk through the move into care, from recognizing it’s time to what happens after you go home. They follow a model family as care needs grow, and they track the costs at every stage: in-home care, assisted living, memory care, and the hidden add-ons families don’t see coming. The numbers are eye-opening.

This week, Dr. Mark Ropeleski sits down with hospice nurse, author, and creator behind Broken and Brave Health, Tiffany Lin Smith. Known for saying the quiet parts about caregiving out loud on TikTok, Tiffany joins Dr. Mark to unpack the unvarnished realities of modern healthcare, the overwhelming demands placed on family caregivers, and why true survival requires self-preservation over performative self-care. Together, they confront systemic issues ranging from nurse burnout and bureaucratic charting overload to corporate healthcare priorities, the trillion-dollar unpaid care economy, and the dangerous assumption that families automatically know how to provide complex medical care. Tiffany also shares practical guidance on setting boundaries to protect relationships, holding honest end-of-life and goals-of-care conversations, managing sibling friction, and reclaiming your identity both during caregiving and after it ends.

When someone you love receives a cancer diagnosis, life shifts in an instant - and the waiting can feel endless. This week, Dr. Mark sits down with Charlotte Bayala, who has cared for her husband through thyroid cancer for nearly 14 years. Charlotte shares the raw, unspoken realities of family caregiving: the sudden thrust into medical procedures without training, navigating severe scan anxiety ("scansiety"), and why standard advice around "self-care" often fails overwhelmed caregivers. Together, they explore the essential shift from self-care to self-preservation, practical daily grounding rituals through breathwork, maintaining identity and humor, and what it truly takes to protect your connection with your partner through long-term uncertainty. Click here to watch a video of this episode.

Can a caregiver heal while still caregiving? What does recovery look like when daily responsibilities may continue for years? This week, Dr. Mark is rejoined by trauma-informed coach Greg Fougere to explore the deeper layers of caregiver burnout, nervous system survival mode, and self-abandonment. Together, they discuss why high competence can become a trap, why having free time often fails to bring rest, and how self-curiosity serves as the foundation for staying connected to yourself without letting caregiving consume your identity. Click here to watch a video of this episode.