Ask Dr. Mia: Navigating Dementia Caregiving

Send us Fan Mail

In 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 McGovern

Certified End of Life Doula (2022) National Accreditation (2026)
Reiki Master (2016) and Reverend - Celebrations of Life &
Weddings (2016)

Business: Loving Embrace – Transition Service Guiding the Client
and Family through the final Transition (2025)
Executive Assistant: 50+ ye...

Send us Fan Mail

Dr. 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.

Chapters

00:00 Introduction to the Pointer Study
02:44 Understanding the US Pointer Recipe
05:28 The Role of Exercise in Brain Health
08:16 Dietary Impacts on Cognitive Function
10:57 Gut-Brain Connection and Its Implications
14:01 Cognitive Exercises and Health Monitoring
15:51 Empowerment Through Lifestyle Changes

Send us Fan Mail

In 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...

Send us Fan Mail

Ever 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 v...

Send us Fan Mail

In 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/

Send us Fan Mail

In this episode, Dr. Mia talks about the common questions that come up in memory clinic such as: 

Chapters

00:00 Understanding Dementia and Alzheimer's Basics
02:54 Differentiating Between Mild Cognitive Impairment (MCI) and Dementia
06:19 Exploring Types of Dementia
11:01 Stages of Dementia Explained

Support the show

Video on Ask Dr. Mia YouTube channel
Transcripts on www.miayangmd.com. Transcripts are automatically generated and may contain minor inaccuracies. 
Email: ask@miayangmd.com
Opinions expressed are exclusive of Dr. Mia Yang and no...

Send us Fan Mail

The "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: 
GuideAHWFB@advocatehealth.org -NC Triad

Guide@advocatehealth.org- NC greater Charlotte area

www.MiaYangMD.com

"Mom, You're Grounded Podcast"
https://youtu.be/u_VH0SAWuk4?si=X...

Send us Fan Mail

In 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.

Chapters

00:00...

Send us Fan Mail

In 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 Resources

https://www.archangels.me/for-caregivers 

ianacare- The Platform For Caregivers

https://ianacare.com/caregivers/

Ch...

Send us Fan Mail

In 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/guide

Chapters

00:00 Understanding Dementia: Common Misconceptions
00:51 The Role of Medicare in Dementia Care
01:02 Understanding Dementia and Alzheimer's Disease
09:20 The Complexity...

Send us Fan Mail

In 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.

Chapters

00:00 Introduction to Dementia Caregiving and Research

02:01 Personal Journey in Caregiving

03:51 Understanding...

Send us Fan Mail

In 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.

Chapters

00:00 Understanding Medicare and Medicaid Basics
09:57 Medicare Coverage and Misconceptions
13:59 The Impact of Recent Legislation on Medicaid
18:31 Challenges for Immigrants and Healthcare...

Send us Fan Mail

In 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...

Send us Fan Mail

In 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...

Send us Fan Mail

In 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 R...

Send us Fan Mail

In 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...

Send us Fan Mail

In 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, h...

Send us Fan Mail

In 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...

Send us Fan Mail

Pharmacist Molly Hinely talks about how to help those who might forget to take meds with Dr. Mia.  

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...

Send us Fan Mail

In 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...

Send us Fan Mail

In 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.

Takeaways
<...

Send us Fan Mail

In 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 a...

Send us Fan Mail

Summary

In 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...

Send us Fan Mail

In 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 ta...

Send us Fan Mail

Dr. 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...

Send us Fan Mail

Summary

In 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...

Send us Fan Mail

Bill 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...

Send us Fan Mail

Dr. 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 below
Find Healthcare Providers: Compare Care Near You | Medicare

Transitioning into assisted living, memory care, or other retirement community:
...

Send us Fan Mail

Summary

Jenny 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...

Send us Fan Mail

Dr. 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.

Keywords

grief, ovarian cancer, diagnosis, treatment, emotions...

Send us Fan Mail

In 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.

<...

Send us Fan Mail

Summary

Dr. 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.

...