Practical Guidance for Caregivers: Lessons in Life, Love, and Aging with Dr. Golnosh Sharafsaleh

Practical Guidance for Caregivers: Lessons in Life, Love, and Aging with Dr. Golnosh Sharafsaleh

Welcome to back to Final Approach. I’m Jonathan Knaul, author and former test pilot, and in this episode, I’m joined by the highly accomplished Dr. Golnosh Sharafsaleh—a geriatrician, caregiver, author, and founder of Golden Oak Medicine in Asheville, North Carolina. We dive deep into the realities of caregiving, the urgent shortage of geriatricians, empathetic care models, and planning for aging and end-of-life. Whether you’re a current caregiver, facing the journey ahead, or seeking compassionate approaches to elder care, this episode will offer insight, support, and practical advice. In this episode, I talk with Dr. Sharafsaleh about her unique holistic approach to elder care, the story behind her book Life, Love, and the In Between, and the complex emotional and logistical landscape of family caregiving. We discuss her personal experiences as both a physician and a parent, confronting loss and transforming hardship into deep empathy for patients and families. Key topics include the American geriatrician shortage, integrating end-of-life care, teaching compassion, handling challenging family dynamics, self-care for caregivers, and essential legal preparations like powers of attorney. KEY TAKEAWAYS * Crisis in Geriatric Care: There are fewer than 7,000 geriatricians in the U.S., with only 13% of people in need able to access a specialist. We must urgently encourage more medical professionals into this essential, though often undervalued, specialty for a rapidly aging population. (08:23) * Holistic, Relationship-Driven Care: Dr. Sharafsaleh advocates a compassionate, holistic model—seeing patients in their homes, hospital, and offices, and always supporting caregivers as fundamental to patient health. (05:05) * Empathy & Compassion Can Be Learned: Empathy is not just innate—it can be taught and practiced, especially in medical training. Compassion stems from true understanding of patients’ and caregivers’ emotional worlds. (11:55) * End-of-Life & Palliative Integration: Bringing palliative and hospice care into the client relationship helps families navigate difficult transitions, supporting emotional acceptance and promoting dignity in the final journey. (15:01) * Caregiver Self-Care is Essential: Burnout is real. Caregivers must set aside at least an hour a day for themselves, seek community, and focus on gratitude—even in the hardest times. (25:47) * Family Dynamics & Difficult Histories: When caregiving for someone with whom you have a strained or painful past, try to see them as they are in the present—frail, vulnerable, and possibly changed. Compassion may open space for healing. (34:09) * Advance Planning is Critical: Start conversations about living wills, powers of attorney, and healthcare directives early. Planning for the future—whether you’ll give or receive care—can prevent crisis and ensure wishes are honored. (47:44) * Grieving and Transitioning Out of Caregiving: The “long goodbye” in dementia or end-of-life care is emotionally taxing, and finishing the journey as a caregiver leaves a void. Grieving, finding meaningful ways to give back, and re-entering life are all part of the process. (54:54) * Resources to Empower & Educate: Dr. Golnosh Sharafsaleh offers free, practical advice at Geriacademy.com and shares family and patient stories—and life lessons—in her book and newly released audiobook. (01:02:20) If you found this episode helpful, please share it with someone who’s on a caregiving path, working in elder care, or concerned about aging and planning. Check out Dr. Golnosh Sharafsaleh’s book, Life, Love, and the In Between [https://a.co/d/05PiZVZH], [https://a.co/d/05PiZVZH] available everywhere books and audiobooks are sold, and visit her free resource blog Geriacademy.com [https://www.geriacademy.com] for clear, actionable guidance on aging and caregiving. If you haven’t already, subscribe to the Final Approach podcast for future episodes on family caregiving, geriatric medicine, end-of-life journeys, and practical ways to navigate this challenging but rewarding stage of life. Let’s keep this vital conversation going—because together, we do better. Best in care, JK

Never Giving Up: How JB and Lisa Brown Balance Test Flying and Caregiving

Welcome back to Final Approach! I’m Jonathan Knaul, your host, and in this very special episode, I’m joined by two incredible guests: Lisa Brown and legendary test pilot Jim JB Brown. Together, we dive deep into the unique intersection of high-performance careers, family life, and the profound challenges—and rewards—of caregiving for aging loved ones. This episode shines a light on the personal and professional journeys of Lisa and JB, from Lisa’s work in educational publishing and the Flight Test Historical Foundation, to JB’s storied career as the highest-time F-117 pilot and past president of the Society of Experimental Test Pilots. We explore their transitions, including JB’s retirement and their move to North Carolina, and most importantly, their candid experiences as caregivers for their parents. We discuss the realities of living with and caring for family members with dementia, the emotional impact of difficult decisions like moving a loved one to a care facility, and how the aerospace community rallies around each other through adversity. You’ll hear both practical advice and heartfelt reflections on guilt, grief, and resilience. WHAT WE DISCUSSED 1. Lisa’s educational and museum leadership, and JB’s diverse flying and test pilot experiences. 2. The significance of the Antelope Valley in aerospace history; firsts like breaking the speed of sound and commercial spaceflight. 3. How Lisa supported her mom during years of progressive dementia. 4. JB’s story of losing his father and caring for his mother through decades of grief. 5. The emotional toll of caregiving, including guilt, anger, and finding ways to cope. 6. Financial and logistical challenges of elder care in the U.S. and Canada. 7. The critical importance of seeking professional help, support groups, and honoring your own life alongside caring for family. KEY TAKEAWAYS 1. Caregiving Isn’t a Solo Flight: Admitting you can’t do it alone—and seeking help—is vital for everyone’s wellbeing. 2. Emotions Are Signposts: Guilt, grief, and anger are normal; learning to manage them is part of the caregiving journey. 3. Never Give Up: Perseverance is a recurring theme, whether in the cockpit or at home caring for loved ones. 4. Prioritize Self-Care: You can’t be an effective caregiver if you neglect your own health and happiness. 5. Professional Care Has Its Place: Sometimes the best care comes from trained experts; making this choice honors your loved one’s dignity and your own limits. 6. The Aerospace Community is Supportive: Careers spent in high-stress environments can foster resilience and support networks that help in personal life. 7. Financial Reality of Elder Care: Costs are steep, and planning ahead is critical—especially in systems with limited government support. If you’re moved by our conversation, please visit finalapproachbook.com [http://finalapproachbook.com] for more resources, to read my story, or to sign up for our newsletter. Share this episode with anyone navigating caregiving—your story matters, and you are not alone. Reach out through the website. And remember, if you’re struggling, seek out community, conversation, and support—it can make all the difference. Thanks for joining me on Final Approach. Until next time, take care of yourselves—and each other. Best in care, JK

Inspiring Change at Pickering College: Community, Inclusion, and Lifelong Learning

Hey everyone, it’s Jonathan Knaul here, and welcome to another episode of Final Approach. In this very special conversation, I’m reconnecting with Dr. Cinde Lock—an inspiring leader, educator, and friend who’s currently the Head of Pickering College. For all our listeners curious about leadership, innovation in education, and the real-world challenges of caregiving, this episode is packed with insights and authentic stories that will resonate with you. In this episode, I have the privilege of catching up with Dr. Cinde Lock about her journey from international educator to becoming the first female head of Pickering College. We delve into her extensive background in global education, touching on her leadership roles in countries like South Korea, Trinidad and Tobago, Morocco, Saudi Arabia, Egypt, and the Ivory Coast. Dr. Lock shares how these experiences shaped her perspective and fueled her passion for helping students find purpose and confidence. We reflect on the unique values at the heart of Pickering College—rooted in Quaker traditions, simplicity, inclusion, innovation, and integrity—and discuss how these values shape the school’s community and drive its educational vision. The episode also opens up a deeply personal space as we talk about the challenges and emotional journey of family caregiving, sharing our personal stories about supporting loved ones through chronic illness. Dr. Lock provides heartfelt insight into how caregiving shaped her family dynamic, offering wisdom for balancing personal aspirations with the responsibilities we face at home. As always, we tie it all together by exploring the role vulnerability and presence play in leadership and education, arguing that being truly present—for students, staff, and family—is key to making a real impact. Plus, we touch on the innovative approaches now being championed at Pickering College, from project-based learning to reimagining the student experience. Key Takeaways 1. Pickering College’s rich history and commitment to vision-driven, inclusive education is paving the way for future innovators. 2. Dr. Cinde Lock’s global experience brings a unique perspective to leadership, blending international best practices with the heart of Canadian independent schools. 3. Vulnerability and authentic presence are crucial for effective leadership, especially when supporting diverse communities. 4. Being a caregiver—whether for a family member or within a school community—can be emotionally taxing, but it also fosters resilience, empathy, and strengthens relationships. 5. Innovation in education starts with the individual student, tackling real-world problems and fostering mentorship, rather than rigid curriculum-first models. 6. The values of diversity, equity, and inclusion must be protected and championed, especially in challenging times. 7. Storytelling, both in writing and through personal connection, has the power to give hope and understanding to caregivers and those navigating life’s difficult journeys. If you enjoyed this episode and want to learn more about innovative leadership and education, or if you’re navigating your own caregiving journey, I invite you to check out my book, which is written for caregivers searching for hope and connection, at finalapproachbook.com. For listeners interested in Pickering College, visit their website at PickeringCollege.ca and be sure to tune in to their radio station, CHOP FM 102.7, to get a taste of the vibrant school and local community. If this conversation resonated with you, please share it on your favorite social channels, leave us a review, and reach out with your own stories—we’d love to hear from you! Thank you for joining us on Final Approach. Until next time, let’s keep building community, fostering innovation, and supporting one another through the challenges and joys of life. Best in care, Jonathan

Inside the Journey of an F22 Test Pilot: Steve Rainey on Flight, Family, and Caregiving

Welcome to another episode of Final Approach. I’m your host, Jonathan Knaul, and this week’s episode is a heartfelt journey through aviation achievement, family bonds, and the realities of caregiving, all told through the story of my good friend and colleague, Steve Rainey (call sign “Hooter”). We sit down at my home in Palmdale, CA, to talk about the high-flying world of test pilots, but more importantly, the grounded challenges of caring for loved ones. In this episode, I introduce Steve, whose legendary aviation resume includes serving as the lead and chief test pilot on the F-22 Raptor for Boeing, Lockheed Martin, and the U.S. Air Force. We discuss his storied career, including his beginnings in rural Illinois, first flight experiences, and transitions through the Air Force Academy, Naval Test Pilot School, and flying the world’s largest wingspan aircraft at Stratolaunch. But our conversation takes a much more personal turn as Steve opens up about his recent journey as a caregiver to his father. He shares the emotional, logistical, and financial challenges faced when caring for aging parents, from remote monitoring, securing home caregivers, and navigating the health system, to the heartbreak of loss and the importance of community support. We reflect on the family environment at National Test Pilot School (NTPS), the power of having a strong support system—both at work and in personal life—and how being part of a caring team makes all the difference, especially during life’s toughest moments. KEY TAKEAWAYS 1. From Cockpits to Caring: Even the most accomplished professionals, including test pilots, face vulnerable moments—like those spent caring for aging parents. Sharing these stories helps normalize them and makes us stronger. 2. Value of Family & Support: Having a “family” at work, and a strong network of friends and colleagues, is invaluable when dealing with personal challenges. 3. Caregiving Realities: The transition to caregiving often comes with complex emotions, guilt, and logistical struggles, especially when negotiating between independence, dignity, and safety for loved ones. 4. Finding Good Help: Sometimes, the best caregiving resources come from personal connections, not just online searches or formal channels. 5. Cherish the Present: Spend time with your loved ones—don’t wait for “next time.” Those moments are precious and finite. 6. Aviation Community Lessons: The test pilot community’s emphasis on collaboration, safety, and mutual support has valuable lessons for caregiving—don’t try to do it alone. 7. Emotional Honesty Matters: Embracing and expressing emotion, even in traditionally stoic professions, is a form of true strength. If you’re moved by Steve Rainey’s story or facing your own caregiving journey, I encourage you to visit finalapproachbook.com [https://finalapproachbook.com]. There, you can join our caregiving community, sign up for our newsletter packed with support and tips, and learn more about my book, Final Approach: A Test Pilot Story of Caring for Loved Ones, available in print, audio, and ebook formats. If you’re a caregiver, know that you are not alone. Reach out, share your experiences, and build your support network—just like we do in aviation. And if this episode resonated with you, please share it, leave a review, and stay tuned for more candid conversations about flying, family, and finding your way through life’s final approaches. Best in care, Jonathan

Empowering Authors and Communities: Julie Broad’s BookLaunchers Story

Welcome back to Final Approach. In today’s special episode, I’m thrilled to interview Julie Broad, the dynamic CEO and founder of BookLaunchers. Julie and her talented team helped me produce my own book, Final Approach: A Test Pilot’s Story of Caring for Loved Ones, and I’m excited to dive deep into what makes their work so impactful for nonfiction authors, the real stories behind publishing, and how meaningful books can truly change lives. BookLaunchers is a powerhouse in the nonfiction publishing world that prides itself on producing “no boring books.” We discuss how Julie’s philosophy—that every book should be written for the reader, not the author—has helped more than 800 authors launch books that make a difference. Julie shares the holistic approach her company takes to guide authors through book creation, editing, design, marketing, and positioning, ensuring their stories have maximum impact. We also get real about the challenges and successes of running a business in today’s fast-changing publishing landscape, including shifts brought on by artificial intelligence and online scammers. Julie opens up about her transition from Canada to Las Vegas, balancing entrepreneurship with family life, and her resilience through the 2008 economic downturn. She highlights memorable stories from authors whose books have helped communities and inspired change—like Dr. Cynthia Pan's book on end-of-life strategies and Jonathan Stanley's viral journey sharing heart-centered leadership in the corporate world. Julie wraps up the conversation with practical advice for anyone wanting to write a nonfiction book, urging writers to focus on a specific reader and their hook, and emphasizing the power of self-publishing to produce books that look and feel traditionally published, but remain entirely yours. We close with actionable resources and how listeners can connect with Book Launchers to get started. KEY TAKEAWAYS * No Boring Books: Nonfiction doesn’t have to be dull; impactful stories must engage and serve readers—not just the author. * Write for the Reader: The book may be about you, but it’s written for a specific person with a problem or need; targeting your audience is key. * Holistic Publishing Approach: Success comes from alignment throughout editing, design, and marketing, with a clear vision of the target reader. * Self-Publishing Power: Today’s authors can publish professional, widely distributed books without storing copies in their garage—self-publishing is legitimate and accessible. * Resilience in Business: Being adaptable and facing challenges head-on, like the 2008 recession and recent shifts in the market, is essential for entrepreneurship. * Family and Business Balance: Parenting and launching a business in a new country requires determination, planning, and support. * Author Impact Stories: Books like Dr. Cynthia Pan’s Exit Strategies and Jonathan Stanley’s Purposeful Performance have changed lives—and even gone viral—by connecting authentically with readers. * Book Launchers Resources: Practical guides, a thriving YouTube channel, and hands-on help are available for anyone looking to write and publish nonfiction. Feeling inspired to share your own story in a nonfiction book? Visit booklaunchers.com/sevensteps [https://www.booklaunchers.com/sevensteps] to grab Julie’s free guide, "7 Steps to Write a Book That’s Set Up to Sell." Dive into BookLaunchers’ YouTube channel for expert insights and connect with Julie’s team for dedicated support. Let’s keep making no boring books, telling real stories, and helping readers on their final approach. If you enjoyed this episode, don’t forget to subscribe, leave a review, and share Final Approach with friends who want to make a difference through storytelling and community. Thanks for listening—see you on the next Final Approach! Best in care,  Jonathan