Aging Together // Unfiltered

Pooja A. Patel, DrOT, OTR/L, BCG, CDP

TL;DR: A podcast for adult children of aging parents and family caregivers who want honest, no-fluff conversations about aging, care, and caregiving. We talk about what’s working, what’s broken, and what needs to change—without sugarcoating or euphemisms. Aging Together // Unfiltered explores the real challenges and hard decisions families face as they support aging loved ones. Hosted by Dr. Pooja A. Patel—a double-board certified occupational therapist and gerontologist, and longtime caregiver advocate—this show moves beyond “proper” conversations and into the realities families are navigating every day. After four seasons of carefully curated, polished discussions, this podcast is now intentionally unfiltered. Not for shock value, but because polite language hasn’t fixed broken systems—or made caregiving easier. Our elders and their families don’t need softer words. They need better care, clearer information, and honest conversations that lead to action. Each episode features clinicians, caregivers, innovators, and leaders who bring both professional expertise and lived experience. Together, we dive into aging in America—what’s working, what’s failing, and where families are being left to figure things out on their own. Topics include: Aging in place and long-term care optionsCare planning, transitions, and crisis momentsMental health, grief, and caregiver burnoutNavigating healthcare systems and resourcesAdvocacy, accountability, and better models of care This podcast is for the sandwich generation, long-distance caregivers, aging adults planning ahead, and professionals working in aging and care who want the truth—not platitudes. 👉 Follow Aging Together // Unfiltered if you’re navigating aging parents, caregiving decisions, or a healthcare system that wasn’t built with families in mind—and you’re ready for real conversations, not polite ones. 🎙️ Available on Apple Podcasts, Spotify, Amazon Music, and YouTube.  A production of Aging Together LLC.

  1. FEB 15

    Too Poor to Afford Care, Too Rich for Medicaid: The Forgotten Middle of Aging

    Send a text Summary In this conversation, Pooja A. Patel and Dr. Brandy Archie discuss the challenges faced by the 'forgotten middle' in elder care, particularly regarding Medicare's limitations and the lack of resources available for those who do not qualify for Medicaid. They explore the importance of health literacy, the role of technology in providing solutions, and the necessity of involving occupational therapists in planning for aging in place. The discussion emphasizes the need for better access to information and resources, as well as the importance of planning ahead to ensure safety and support for seniors. Takeaways Most families aren't choosing between luxury care and no care.Medicare only covers 80% of healthcare bills.The forgotten middle is misrepresented in elder care.Health literacy is crucial for accessing resources.Technology can bridge the gap in elder care.Occupational therapy is essential for aging in place.Planning ahead can prevent crises in elder care.Home modifications are often overlooked in planning.Access to information is a right, not a privilege.AskSAMIE aims to democratize access to clinical information.Chapters 00:00 Introduction to the Forgotten Middle in Elder Care02:26 The Role of Technology in Bridging Care Gaps05:06 Understanding Health Literacy and Its Impact07:47 Innovative Solutions for Elder Care10:19 The Challenges of Resource Accessibility13:08 The Importance of Provider Advocacy15:33 Future Directions in Elder Care Solutions18:44 The Importance of Health Literacy20:28 Elder Care and the Forgotten Middle21:07 Barriers to Home Modifications22:38 The Role of Occupational Therapists25:14 Planning for Aging in Place27:35 The Need for Tailored Solutions29:05 Long-Term Planning for Aging30:30 Accessing Community Resources32:23 The Importance of Early Planning34:07 Finding Occupational TherapistsAbout Dr. Brandy Archie, OTD, OTR/L, CLIPP: Dr. Brandy Archie is an occupational therapist who is certified in Living in Place and is the founder of AskSAMIE—a digital platform designed to make daily living safer, easier, and more affordable for older adults and people with disabilities. With over 17 years of experience in home health and elder-focused care, Dr. Archie built AskSAMIE to bridge the gap between clinical guidance and real-world solutions by combining AI-powered recommendations, adaptive equipment, and virtual OT support. Her work is grounded in the belief that accessibility should be a right—instead of a privilege.  FB, IG, & LinkedIn: @AskSAMIETwitter @Ask_SAMIEYoutube @Ask-SAMIESupport the show

    37 min
  2. FEB 1

    When Care Is an Hour Away: The Reality of Aging in Rural America

    Send us a text In this episode, Dr. Pooja A. Patel and Dr. Sydney Marshman delve into the critical issue of healthcare access in rural communities, emphasizing how geographical location significantly impacts the quality of care individuals receive as they age. They discuss the disparities in access to primary care, specialty services, and the challenges faced by families in rural areas when seeking medical attention. Dr. Marshman shares her experiences as an occupational therapist working with older adults in Iowa, highlighting the importance of home assessments and therapy services that cater to the unique needs of rural populations. The conversation also touches on the complexities of healthcare funding, the role of telehealth, and the implications of recent legislative changes on rural healthcare systems. Key Takeaways Access to care is not equal across different regions.Rural residents often face significant travel distances for healthcare services.Engagement with local communities and legislators is crucial for improving healthcare access.Chapters 00:00 Introduction to Rural Healthcare Access01:50 Understanding the Disparities in Care07:57 Challenges in Expanding Services12:04 The Role of Data and Interoperability20:02 Managed Care vs. Traditional Medicare26:03 Rural Health Transformation Program29:56 Impact of Medicaid Cuts on Rural Healthcare35:04 The Importance of Telehealth39:00 Call to Action: Community EngagementLearn more About Sydney: https://www.linkedin.com/in/sydney-marshman/About Sydney's Company: Happy at Home ConsultingCMS: Rural Health Transformation (RHT) Program Iowa HHS: Iowa's RHT Plan Talk of Iowa: What a $209M federal boost means for rural hospitals and what's still at risk in these communitiesSupport the show

    35 min
  3. S4E20: Women's Health - Hormones, Fitness, & Recovery | Karlin Soelberg

    11/15/2025

    S4E20: Women's Health - Hormones, Fitness, & Recovery | Karlin Soelberg

    Send us a text Summary In this conversation, Karlin D. Soelberg shares her personal journey of navigating health challenges after turning 40, particularly focusing on her experience with hormonal changes and the difficulties in finding appropriate medical care. She emphasizes the importance of patient advocacy and education in addressing women's health issues, especially when faced with dismissive attitudes from healthcare providers. Takeaways Patient advocacy is crucial in healthcare.Women need to be heard and taken seriously.You are the owner of your health. Be proactive in understanding your hormones.About the Guest Karlin D. Soelberg is the founder and CEO of Empowered Fitness & Recovery LLC, a premier wellness club in Arlington Heights, Illinois. Known for her bold, science-meets-soul approach, Karlin helps women break through burnout, balance their hormones, and rediscover their strength — inside and out.  As a best-selling author of Get The Edge: Hormone Health for Women, Karlin guides readers to understand the real story behind their changing bodies and reclaim their energy through smarter movement, recovery, and mindset. Her work blends the intensity of fitness with the power of restoration, showing that sustainable results come from harmony, not hustle. As a Yoga Alliance Registered Yoga Teacher (RYT 200) and passionate advocate for women’s health, Karlin’s mission is to help women thrive through every decade — not just survive them. Through Empowered Fitness & Recovery, she’s redefining what it means to age strong, live vibrant, and feel unstoppable. Socials: @empoweredfitnessrecovery Website: https://empoweredfitnessrecovery.com Support the show

    53 min
  4. S4E19: Navigating Grief - from SIL to Mother to Husband | Leslie Frank

    11/08/2025

    S4E19: Navigating Grief - from SIL to Mother to Husband | Leslie Frank

    Send us a text Summary In this conversation, Leslie Frank shares her extensive experience as a caregiver for her husband, mother, and sister-in-law, highlighting the emotional and logistical challenges of navigating long-term care. She discusses the importance of finding the right care setting, the complexities of grief, and the necessity of self-care for caregivers. Leslie emphasizes the value of support systems, patient advocacy, and the need for ongoing communication with care providers. Her insights provide a roadmap for others facing similar situations, encouraging them to focus on what truly matters for their loved ones while managing their own emotional well-being. Takeaways Being a caregiver for a spouse is deeply personal.Finding the right fit for care is crucial.Engagement in care settings is more important than aesthetics.Grief can manifest in unexpected ways during caregiving.Having a support system is essential for caregivers.Creating a care plan can alleviate stress.It's important to ask the right questions when seeking care.Self-care is vital for effective caregiving.Navigating long-term care requires ongoing adjustments.Emotional detachment can help in making objective decisions. About the Guest Leslie Frank is a serial entrepreneur and has a successful track record of developing customized, sustainable business solutions to drive growth. Her diverse background includes design, merchandising, manufacturing, business development, and licensing. But that’s not why she’s here today.  Through the various stages of her successful career, Leslie has spent the majority of her life being a caregiver–first for her mom and sister-in-law, and now for her husband. While navigating grief, Leslie has also had to navigate long-term care needs. Today, she’s joining us to share her story and some words of wisdom on how to find the right fit for your loved one.  Support the show

    45 min
  5. S4E18: Tech Tools to Support Elders | Alfred Poor, Health Tech Futurist

    11/01/2025

    S4E18: Tech Tools to Support Elders | Alfred Poor, Health Tech Futurist

    Send us a text Summary In this episode of the Aging Together podcast, Dr. Pooja A. Patel interviews Alfred Poor, a health tech futurist, about the intersection of health technology and aging. They discuss the evolution of health tech, the importance of wearable devices, and the challenges faced by caregivers. Alfred shares his personal experiences with technology in caring for his elderly mother and emphasizes the need for tailored solutions that respect the dignity and independence of aging adults. The conversation also highlights the role of employers in supporting caregivers and the necessity of bridging the digital divide to ensure access to technology for seniors. Takeaways Alfred Poor transitioned from teaching to health technology.HealthTech Insider aimed to provide context and solutions, not just gadgets.The aging population presents significant challenges for caregivers.Technology can alleviate stress for caregivers by automating tasks.Broadband access is a critical social determinant of health.Monitoring systems can provide peace of mind for caregivers.Employers should support employees with caregiving responsibilities.There is a need for tailored tech solutions for individual needs.AI can enhance remote patient monitoring and medication adherence.Engagement through technology can combat isolation in seniors. About the Guest Alfred Poor, The Health Tech Futurist, is a dynamic speaker and virtual event expert with an international reputation in technology fields. He was the editor of HealthTech Insider, a website that covered wearable and mobile devices for health and medical applications. A graduate of Harvard College, he is the author or co-author of 15 books and is widely quoted in major media outlets. He brings energy and humor to his presentations and tailors his programs to match the technical levels and interests of his audience.  https://www.linkedin.com/in/alfredpoor/https://alfredpoor.comSupport the show

    59 min
  6. S4E17: Cultural Perspective: Filial Piety & Remote Work | Vijay Sairam

    10/25/2025

    S4E17: Cultural Perspective: Filial Piety & Remote Work | Vijay Sairam

    Send a text Summary In this conversation, Vijay Sairam shares his transformative journey as a caregiver for his aging parents and how it shaped his mission to democratize access to remote jobs through his startup, Remote Job Central. He discusses the importance of flexibility in work for caregivers, cultural perspectives on caregiving, and the need for a supportive work environment that prioritizes family. Vijay emphasizes that caregiving is an expression of love and duty, and he advocates for remote work as a lifeline for those balancing personal and professional responsibilities. He encourages caregivers to stand up for their needs and highlights the mission of Remote Job Central to make remote jobs accessible to skilled talent worldwide. Takeaways Caregiving requires patience, presence, and adaptability.Remote work can provide crucial flexibility for caregivers.Cultural values shape beliefs about caregiving responsibilities.Caregiving is seen as an expression of love, not a chore.Flexibility in work is essential for balancing career and care.Remote jobs should be accessible to all, regardless of location.Quality time with loved ones is irreplaceable.Advocating for remote work is important for caregivers.Work should support life, not the other way around.Caregivers should give themselves grace and patience. About the Guest Vijay Sairam, a former caregiver for both of his parents, is now the Founder and Educator at Remote Jobs Central, a mission-driven startup dedicated to democratizing access to remote jobs for talented people worldwide and helping them work from anywhere, without any geographic restrictions. Vijay has been working remotely for over a decade and is widely recognized as a remote jobs expert and remote work advocate, especially for those who need it most.  remotejobscentral.comSupport the show

    26 min
  7. S4E16: The 8 Dimensions of Wealth(ness) | Jaelyn (Jae) Vickery, LSW, CFT

    10/18/2025

    S4E16: The 8 Dimensions of Wealth(ness) | Jaelyn (Jae) Vickery, LSW, CFT

    Send a text Summary In this episode of the Aging Together podcast, Dr. Pooja A. Patel interviews Jaylen Vickery, a certified financial therapist, about the intersection of financial wellness and emotional health. They discuss the seven dimensions of wellness, the importance of building a relationship with one's future self, and the challenges faced by caregivers. Jaylen shares her Five Reps to Wealth approach, emphasizing the need for compassionate accountability and the significance of preventative care in achieving a balanced life. The conversation highlights the emotional burdens caregivers carry and offers insights into navigating these challenges while promoting holistic health and wellness. Takeaways Money is emotions disguised as numbers.Understanding the seven dimensions of wellness is crucial.The Five Reps to Wealth approach helps in holistic living.Building a relationship with your future self is essential.Preventive care is often overlooked in financial planning.Caregivers face unique emotional challenges.Microdosing momentum can help in achieving goals.Emotions and experiences shape our feelings.It's important to find balance across all dimensions of life.Building wealth should be aligned with wellness. About the Guest WebsiteLinkedInInstagramFacebookBook a Financial Therapy ConsultationJae is fffering 50% off a 3-session bundle exclusively to our listeners! To get your discount, let her know how you found Dimensional Wealth LLC by listing Aging Together! Support the show

    51 min

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About

TL;DR: A podcast for adult children of aging parents and family caregivers who want honest, no-fluff conversations about aging, care, and caregiving. We talk about what’s working, what’s broken, and what needs to change—without sugarcoating or euphemisms. Aging Together // Unfiltered explores the real challenges and hard decisions families face as they support aging loved ones. Hosted by Dr. Pooja A. Patel—a double-board certified occupational therapist and gerontologist, and longtime caregiver advocate—this show moves beyond “proper” conversations and into the realities families are navigating every day. After four seasons of carefully curated, polished discussions, this podcast is now intentionally unfiltered. Not for shock value, but because polite language hasn’t fixed broken systems—or made caregiving easier. Our elders and their families don’t need softer words. They need better care, clearer information, and honest conversations that lead to action. Each episode features clinicians, caregivers, innovators, and leaders who bring both professional expertise and lived experience. Together, we dive into aging in America—what’s working, what’s failing, and where families are being left to figure things out on their own. Topics include: Aging in place and long-term care optionsCare planning, transitions, and crisis momentsMental health, grief, and caregiver burnoutNavigating healthcare systems and resourcesAdvocacy, accountability, and better models of care This podcast is for the sandwich generation, long-distance caregivers, aging adults planning ahead, and professionals working in aging and care who want the truth—not platitudes. 👉 Follow Aging Together // Unfiltered if you’re navigating aging parents, caregiving decisions, or a healthcare system that wasn’t built with families in mind—and you’re ready for real conversations, not polite ones. 🎙️ Available on Apple Podcasts, Spotify, Amazon Music, and YouTube.  A production of Aging Together LLC.