This week on Grand Exit, Tamatha and Chelsea are profoundly moved by Myra Sack—author of Fifty-Seven Fridays: Losing Our Daughter, Finding Our Way, and founder of the nonprofit Emotion—for a conversation about what it means to live in the deep.

After her daughter Havi was diagnosed with Tay-Sachs and given 12–18 months to live, Myra and her husband created a weekly ritual called “Shabbirthday,” celebrating the birthdays Havi would never get. What unfolded was a way of living that was raw, intentional, communal, and in some ways, unexpectedly full.

You can expect to hear:

- How ritual can hold what feels unbearable

- The moment Myra stopped ignoring her parental instinct, to hear what her daughter’s soul was saying

- What it means to “do everything” without medical intervention

- What it’s like living with one foot in the land of the living and the other in the land of dying

- And how Havi lives in ways that feel so…within reach
This episode is about grief, yes—but even more, it’s about presence, community, and how love can expand time.

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How do you know when you’re truly alive—not just happy, but whole?

In this episode of Grand Exit, Tamatha and Chelsea unpack the “vital signs” of living fully—not the medical kind, but the emotional, spiritual, and relational markers that tell us we’re awake to our own lives.

You’ll hear:

- Why delight—especially in the joy of others—can be a powerful indicator of vitality

- How “shoulds,” ego, and obligation can be roadblocks to aliveness

- The role of collective wellbeing in our own ability to feel fully alive

- Practical questions to help you identify your own vital signs

It’s a conversation that invites you to monitor—not measure—your own aliveness, and to remember that engaging fully with life also means engaging with our own mortality.

. . . .

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This week on Grand Exit, Tamatha and Chelsea are joined by Dr. Jared Rubenstein — a pediatric palliative care doctor who brings clarity, humor, and heart to conversations people all too often avoid, even in the moments they matter most.

Together, the three explore medicine’s blind spots, cultural weirdness with death, and how care changes when we slow down and truly listen.

You can expect to hear:

• A working definition of palliative care; and what keeps 70% of Americans from knowing that
• How end-of-life conversations, and naming what’s already with us (instead of ‘staying positive’), can connect patients with family members and care teams
• Two questions that reframe everything: “At baseline, what does a good day look like?” And “What are we actually fighting for?”
• A solid (and goofy) reminder of how palliative care is the fire department; not the fire
  

And more…

. . . .

Digging what you're hearing?

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