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…

. . . .

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In this tender, funny, and deeply personal episode of Grand Exit, Tamatha and Chelsea introduce their moms—Susan and Tammi—for the very first time!

What unfolds is a conversation that spans decades: from giving birth during turbulent world events, to raising daughters who challenge and change them, to the shifting tides as the parent-child roles begin to reverse.

You can expect to hear:

- How they navigated motherhood through war zones, newsrooms, and small-town kitchen tables

- The arguments that broke something that begged for a rebuild anyway

- Family quirks and the little traditions that, often unexpectedly, become woven into legacy

- What they wish they could tell their younger selves about motherhood

This one's a rare, four-way conversation on love, letting go, and the joy of being “in each other’s orbit,” through every chapter of life.

. . . .

Digging what you're hearing?

- Share Grand Exit with someone who matters to you

- Rate + review Grand Exit - tell us what it inspires in your world

- Connect on Instagram: @grand.exit

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