Most of us don’t think about death.

Not really.

We think about promotions.College tuition.Quarterly numbers.The next vacation.The next deal.

But we don’t think about how it ends.

In this episode, Lon sits down with Dr. Josh Russell, an ER physician who moved into palliative care, and the conversation goes exactly where most people avoid going.

Death.

Not in a morbid way.In a clarifying way.

Josh has lived on both sides of medicine.In the ER, he fought to save lives.In palliative care, he helps people finish them.

And somewhere between those two callings, he realized something we all quietly know: If you don’t prepare for how you want to die, the system will decide for you.

This is not a conversation about fear.It’s about agency.

It’s about the difference between being kept alive… and living on purpose.

It’s about what happens when the default setting of medicine collides with the reality that everything that begins ends.

And it’s about why the conversations we avoid — with our spouses, our kids, our doctors — are often the most loving conversations we’ll ever have.

IN THIS EPISODE

->Why the “Denial of Death” is the default human setting

->What actually happens if you do nothing to prepare for the end of your life

->The quiet violence of aggressive medical intervention

->Why palliative care is not about giving up — but about choosing well

->The difference between hope and honesty

->What most families wish they had talked about sooner

->Why stopping “the insanity” can be the most compassionate act of all

THE REAL QUESTION

If something happens tomorrow… Would the people you love know what you want?

Or would they be forced to guess?

And if you’re honest — are you living today in a way that would let you finish well?

Because here’s the uncomfortable truth:

We prepare more carefully for retirement than we do for death. And one of those is guaranteed.

WHAT JOSH MAKES CLEAR

Death is not the enemy.

Avoidance is.

The goal is not to control the ending.The goal is to face it honestly enough that the time before it matters more.

When you stop pretending you’re immortal, something changes.

You start caring less about being right.Less about ego.Less about status.

You start caring more about people.About presence.About unfinished conversations.

About legacy.

WHAT’S NEXT?

You don’t need a terminal diagnosis to start thinking clearly.

Have the conversation. Write the directive. Tell the people you love what matters. And then live like it matters.

If this conversation stirred something in you — good. That’s the point.

You can find Dr. Josh Russell at: https://www.linkedin.com/in/joshua-russell-md/ thefocusedexam.com

And if you’re ready to stop drifting and start living intentionally, join us inside the Normal 40 community. You can find everything related to Normal 40 here: https://linktr.ee/lon.stroschein