WEBVTT
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We're all very different.
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We're all on our different spectrums of disability diagnosis.
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And so therefore, we've got to we've got to do the one that fits with us best.
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And especially, you know, if you're having memory loss, it does.
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It has to also work for the family and the caregivers.
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I always tell people.
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It was such an interesting aha moment because I used the medical model to intervene on saving my life when I was shy.
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But the overutilization of the medical model resulted in me having to then use the medical model to then save my life again.
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So I was like, this is just like really bizarre.
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Some of us would hit moments in our lives where we just realize, like, wow, we could just come upon something.
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And if I don't do something or I don't say something, nothing's gonna get done.
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And again, um, it doesn't mean that it's gonna be successful, but I wanted to do it anyway.
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Parenting up Caregiving Adventures with comedian Jace Mouse is the intense journey of unexpectedly being fully responsible for my mama.
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For over a decade, I've been chipping away at the unknown, advocating for her, and pushing Alzheimer's awareness on anyone in anything with a heartbeat.
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That's why I thought it's comedy.
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Don't be ready for the joke.
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Caregiver newbie, OG, and village members just willing to prop up a caregiver.
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You are in the right place.
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Hi, this is Z.
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I hope you enjoy my daughter's podcast.
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Is that okay?
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Today's supporter shout out comes from YouTube.
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Johnnyque Unique 8361 gave a very insightful response to one of my clips asking, Who's in your emergency contact list?
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What's your village, village?
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And she says, I never saw one of them whilst I was on life support.
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But my girls from Europe, Australia, and the Philippines, they all showed up.
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My family are not my choice, but my best things are.
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I know what you're talking about, girl.
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That's all I'm gonna say on that.
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I know what you're talking about.
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Now, if you would like to be the recipient of a supporter shout out, please leave us a review on Apple Podcasts, YouTube, or Instagram.
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We are parenting up everywhere.
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Today's episode, Caregivers Without Barriers, Chanda's fight for care equity.
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Parenting up family.
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I know y'all are probably sick of me saying how excited I am about this new guest.
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But this time, we have a first, an initial impression.
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We have never had anyone like this before.
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Ever.
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Five plus years, six seasons, and we're having our first carie interview.
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Do you hear what I'm saying?
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She is the recipient of what caregivers do.
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She's about to tell us about how she became a Carrie who helps the people who probably don't help so much.
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We ain't gonna name their names, but we're gonna say that everybody is not good at this stuff.
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And she has taken advocacy to a new level in the stratosphere.
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So without further ado, it's my girl Shanda.
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How are you doing, honey?
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Oh, thank you so much for having me.
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I'm so excited to be the first Carrie on the show.
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And um, I think this is gonna be a wonderful conversation.
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Agreed.
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Now, the first thing I I have a bit of a bone to pick, it's not really you, but it's your environment.
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You're in Colorado, I'm in Georgia, it's the fall winter, and it's colder where I am than where you are.
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And I just gotta say, I'm not I'm not in love with it.
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I know the cold weather's horrible.
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It's like I mean, I love being all cozy and warm inside, and at the same time, it's just so exhausting.
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So sorry I took it for I took your warmth.
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Thank you.
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Well, if you know, I do like you, so if somebody has to have it, it's better to be a person like you.
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Yeah, yeah.
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Now, primarily our listenership, viewership have uh caries that are in the space of dementia.
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As I'm sure everybody can see and hear, cognitive decline is not what's happening here.
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So I don't want anybody to think that you found um the hope serum for dementia, and they're like, oh my gosh, she looks great, she's talking so clear, she's laughing, her eyes are bright and bushy.
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How the hell does she have dementia?
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Well, she doesn't.
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But without caregivers, her life would not run well.
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So let us know how you came to need caregivers.
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Absolutely.
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So when I was nine years old, I was accidentally shot in the back of the neck.
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Um, it severed my spinal cord between the C5, C6 um cervical part of my spine.
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And so I from nine until I'm in my 40s now.
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And so from that time, I have relied on caregivers all the way from family members to then transitioning away from family into um caregivers through various um particular programs, whether that be home health care agencies, whether that be through government programs that allow you to kind of facilitate that.
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So my experience of um the caregive role and knowing that there's been a variety of ways in which I've um been able to be a recipient of that has been pretty, pretty vast, right?
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And so I have so much empathy and so much um knowledge about how that relationship, um how those relationships work and how oftentimes they don't work.
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And um, but also as an individual, um, I function.
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So with my paralysis, I function from um no movement, no mobility from my armpits down.
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So I'm in a power wheelchair, uh, function daily by using an adaptive vehicle so I can drive.
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Um, I have a service dog, but he's retired, so I'm kind of like if I drop something, I'm like, gotta I'll I just have to wait, you know.
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Like he just stares at me, which has been a really fun uh recent journey for the two of us.
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And so um, so you know, that's where that's where it all began for me was my injury, and now being in in my 40s, um, there's just been so much that I know that you and I are gonna get into.
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So yeah.
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Yeah, now listen here, Parenting Up Community.
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I we came to know Chanda with the Chanda Center, and if you've heard of it and you recognize what a badass we have as a guest today.
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Before we get into everything that the Chanda Center um uses as services and how she services a community even broader than what her needs are, I want to stick to the as your space and as a career for a moment.
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You have been uh we're talking like maybe three decades.
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And so, as you mentioned, there's been a vast change, maybe in what your needs are.
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There's been a vast change in technology.
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When you were 10, these power wheelchairs didn't exist at all.
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Not like they are now.
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Oh, yeah, not like they are now.
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Like the one I one I was first in, like I swe I mean it was, yeah, it was definitely not as advanced as it is today.
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So what I want to uh find out from you is as a career, overall have you had a preference to family versus in-home help versus you know what, this might be better if I'm at uh I go to a center where they have really trained professionals to manage whatever it is I need.
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Yes.
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Um, so yeah, and I want to I want to kind of preface with the lens that um I'm definitely um, as we mentioned, I'm I'm still young, I'm not going through levels of dementia, right?
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So that I just want to note that that my experience may come across a little bit different, but I know that there will be points of um relatability that we can have.
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And so when you when you ask that question, the first thing that popped in my mind, which usually when that first comes to my mind, I'm like, that's the answer.
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And so for me, it's it's not that one or the other has been better, but rather having the network of all of them and having choice is truly what I've enjoyed.
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So for example, um, you know, being with my mom when I was younger, that's all that I knew, right?
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That's all that she knew.
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She she was gonna take care of her little baby, right?
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Like I mean, even till up to 18.
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But then I got to the point where I needed independence, right?
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So I wanted to move away from that care that was directly with my family.
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And so at that time, then I started using home home health care agencies.
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That experience wasn't so great for me.
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That experience was if you can't find a home health care agency that can have consistent caregivers where rollover's not a big deal, that um, you know, that they're gonna show up on time.
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They're actually gonna show up on time and not be high or trashed or something in some kind like okay, the same happens in Georgia.
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Okay, well, I think it happens all over the world.
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So you're like, ooh, it happens in Georgia too.
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So it's like it's so for me, um that model wasn't my favorite, but I learned a lot in that model because then I was empowered to really jump into a different model where I now have the opportunity to choose my own caregivers.
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And so, for example, in the state of Colorado, if there is a family member that would be taking care of someone such as myself or even somebody with severe dementia or memory loss, there is a program in which the families can choose the caregivers.
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So it's they can use their Medicaid dollars to say, you know what, I I can actually pay a family member to take care of this family member.
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Or if I already have a full-time job and caregiving is not my AMO, I can hire someone that I trust to come in and use those Medicaid dollars that would typically go to a home health care agency, but directly into the pockets of the people that you trust or a family member that's already doing the work that had to potentially stop a job to do it, and they're gonna get paid to do it.
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So for me, really, um, but even as of today, with my caregive, like with me living in that um direct that uh care, uh care directness, you know, direct care of like I get to choose my own caregivers, believe me, they still there are still times where I need a break from them.
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And so when my mom comes into town, so when my mom comes into town, I'm all like, PTO, you got the night off.
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Woo-hoo.
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And then like they're they're feeling the same way, right?
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They're like, thank God, she's giving me the night off, right?
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Because we intimately connect every single day of our lives.
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And so I hope that kind of answers the question.
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It's it's like yes, it does.
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Yeah, and I just don't think that there's one right way, too, because I feel as though we're all very different, we're all on our different spectrums of of disability diagnosis, and so therefore we've got to we've got to do the one that fits with us best.
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And especially, you know, if you're having memory loss, it does, it has to also work for the family and the caregivers.
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Correct.
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Correct.
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There's so much overlap in what you just said, at least what I've experienced as being my mom's caregiver and what I've witnessed in other people, which is I don't give a freak how much you like somebody.
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There's a point when 24 hours a day, two or three days, two or three weeks in a row, and you you feel like the walls are closing in.
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And just to have interaction with another person, another human.
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And it doesn't mean that the routine changes, but if the players change, it can give a little bit of like an energetic boost to the whole team.
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That's what I think.
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Absolutely.
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And I think too, what's really important to be careful is that so with like my caregiving schedule, I have one that does five days and then one that does two days because that person that does my five days, I'm not doing seven days.
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Like, so you've got to get really creative in that person that does those two days.
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I don't want them to do seven days.
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And so, but it gives that that that nice breakup of change of, you know, you do the same routine, but it's a little different.
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And that little difference in your routine makes it feel a lot lighter for the caregiver and the caregivee because the mundaness of it can get to a point.
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I will be honest, it sometimes it can get dark when it's too mundane and you're not having the ability to be um flexible um with that schedule and changing it up a little bit.
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So totally that that there's another bit of the overlap.
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And when we had our discovery call, I remember being so excited at the notion of we could start to blend care for dementia and care for those with physical disabilities because the caregivers are operating in much the same sphere.
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And if those two communities were to unite and have uh a massive march on capital in in uh in DC, how much uh louder would our collective voices be?
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And so we'll get uh more into that in a second.
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So you are uh nationally and internationally known as the hardest working woman in disability advocacy.
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So please share the Shanda Center is a blueprint for what can be done when a person decides that's a fucking enough.
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Please share the services of the Shand Center.
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Okay, wait, wait.
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I want to say a little bit my own way so everybody listen.
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She started this whole thing because she couldn't find what she needed.
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And that is such a parenting up, caregiving, cary uh uh focus for the parenting up community is what you need may not exist.
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Perhaps you have to create it or you have to find out if it exists in another state, maybe another country, maybe just another neighborhood.
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But just because you can't find it doesn't mean it's a not a worthy pursuit.
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So often I believe people, oh man, well, I guess this is the best I can do because I haven't seen anything else.
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I was mesmerized, Janda, by your ability to say, I'm advocating for me and anyone, even closely related to my um physical limitations.
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So tell us about that.
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Yeah, so when you know, I mentioned I was injured at nine, and uh when I turned 21, I started having severe chronic pain.
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Like, granted, I had already had a lot of secondary conditions, which they identify as being um secondary conditions are what comes from your primary condition.
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So let's talk about like when you have a spinal cord injury, there can be bladder, bowel, all kinds of muscle atrophy, you name it.
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So think about your um your your dementia or memory loss folks, where that's their primary, but there's so many secondary things that are happening with that, right?
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The way that the the typical continence is huge.
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All those, yes.
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And so, and oftentimes some of those, um, our current model of healthcare wants to address most of those with medication.
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And so that's what I did from nine until 21.
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And then I turned 21, started having chronic pain, and the discussion was like, oh yeah, that's another secondary condition, and um provided me an opioid, and that was right at the peak of the opioid epidemic in 2003.
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And so I got extremely sick, and I always tell people it was such an interesting aha moment because I used the medical model to intervene on saving my life when I was shot, but the overutilization of the medical model resulted in me having to then use the medical model to then save my life again.
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So I was like, this is just like really bizarre.
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But after they then intervened, because I got so sick I was down to 59 pounds.
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I had to.
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Hold on, hold on, hold on, Shanda.
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I know this is your story and you've told it many times, but it but it it may be new to many in the parenting up community.
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So you just hit upon two things.
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First, you got down to 59 pounds as an adult.
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Mm-hmm.
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21.
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That is scary.
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Very scary.
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Second, you mentioned the opioids making you sick, and because you live in Colorado, I don't want people to think, oh, she was just high, she just got too high.
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No, she didn't just get too high, at least not this time.
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It wasn't even legal then.
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But so if you can share what the sickness was that really pushed you to say, okay, this medication, this feeling is not going to be able to last.
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Well, yeah, I I think that it all of that cumulation of utilizing all of those medicines and not moving my body was what was what was the issue.
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Because in medicine, we're not supposed to mask the issue, we're supposed to address the issue.
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We all know this.
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It is the most simplest way of health, human, and healing.
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And for some reason, it is a constant complex in our healthcare community.
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And it's like you don't throw pills at something and think that it's going to go away.
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It's just not.
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It's either going to help a little bit, it could get um better, or it could get um actually worse, which cost more medication to address it.
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And so the the symptoms of my chronic pain plus all those others and just overutilization of medication is what caused me to finally have failure to thrive because it's like your body after that length of time, it there's no vitality in that.
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There's no, there's no like I'm tired all the time, I'm lethargic, I'm not like I'm not aware, I'm not ambitious, I can't even go to work, I can't, I can't um socialize, right?
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Just because I'm fighting my everyday symptoms.
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And so then when I got sick and then I um, you know, I obviously needed medical intervention or else I was gonna die.
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And so, and some of the other things was overutilizing like 911 and going to the ER and all of these things that are just so costly.
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And so when I was finally hospitalized when I was 59 pounds, because of that, um when they they started feeding me intervenously, they put a feeding tube in.
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I don't even remember probably the first week that I was there.
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So they saved my life.
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And I think this is the part where um we stepped back a little bit and we said, guess what?
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Let's let's have a conversation about how are we gonna redefine how we're gonna approach Chanda's healthcare.
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And so that was with my mom and my sister.
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My sister had been studying yoga for many years, and she's like, Why aren't we utilizing the things that Chanda's body before she was nine, she would move that body?
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Should we get blood circulate but blood circulation and lymphatic drainage?
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Like our bodies are are essential to have movement to them.
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Now, if we can't do that on our own, anyone, right?
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Spinal cord, um, memory loss, you know, uh dementia, any of that, we need the ability to have someone to help us move.
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I can't go to the gym, I can't work out alone.
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So there were the recommendations like, hey, go start some acupuncture massage, chiropractic, physical therapy.
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I went and did that, and I tell you, and I've told everyone that the reason we're having this conversation today is because it saved my life.
00:22:37.680 --> 00:23:08.079
And so um that was the spark of that saving my life, but then it created a spark of like kind of creating a path of two separate places that we'll probably go into when it's like legislative changes, systemic changes, because knowing systemically, if we change the issue, we're going to create more sustainability for a population that is needed, but then also creating a nonprofit to address some of the issues now, whereas systemic change could take years.
00:23:11.119 --> 00:23:17.119
Generations, yes, especially if the generation doesn't want it to change, so we're not getting into that.
00:23:17.519 --> 00:23:21.920
But um you were in listen again, badass.
00:23:22.079 --> 00:23:23.519
You're in your 20s.
00:23:24.480 --> 00:23:34.319
You have just fought uh courageously for the second time to stabilize your life.
00:23:35.680 --> 00:23:43.599
What occurred, or what do you think thrust you into this role of advocacy?
00:23:43.759 --> 00:23:57.519
Because figuring out what worked for you, you could just kind of tell a few of your friends who may that you may have met along the way in various hospitals and treatments, hey guys, I think you should do acupuncture and dah dah da.
00:23:57.759 --> 00:24:07.119
But what were you have you always been activist and community-oriented, or did something occur in your 20s?
00:24:07.440 --> 00:24:26.079
Yeah, the the moment of finding a new and more healthier way of living, because after I did that and it saved my life, like I was like my my energy level increased, I had more clarity because I had less medications.
00:24:26.160 --> 00:24:30.880
I was like, wow, like like I so I had so much more health.
00:24:31.039 --> 00:24:35.519
And it just again goes back to when you feel healthy, you can actually do something.
00:24:35.680 --> 00:24:53.200
And so when you have um, like I I keep telling people there was almost this moment where it's like the the mental clarity was so strong and so um, I think motivated that I don't think that I had a choice at that point.
00:24:53.359 --> 00:24:59.279
Like I just started doing because I was I was passionate about what saved my life.
00:24:59.519 --> 00:25:05.279
I was passionate about researching whether it was just my story and finding out that it wasn't.
00:25:05.440 --> 00:25:13.039
Um, I was passionate about uh calling up Medicaid and saying, you know, I've just been saving you a lot of money because I'm doing these other services.
00:25:13.279 --> 00:25:25.599
And then finding out that it wasn't my story and that there were other people struggling with it, and the fact that nothing was being done about it, like it just lit a fire under my ass.
00:25:25.680 --> 00:25:30.000
And I was just like so passionate, and I was like, this has to change.
00:25:30.160 --> 00:25:45.119
And I but I think that that's um, you know, some of us will hit moments in our lives where we'll we just realize like, wow, we have just come upon something, and if I don't do something or I don't say something, nothing's gonna get done.
00:25:45.279 --> 00:25:55.200
And again, um it doesn't mean that it's gonna be successful, but I wanted to do it anyways, and so I was just like, let's do it.
00:25:55.680 --> 00:25:57.599
That is such an amazing point.
00:25:57.759 --> 00:26:17.519
That point of it doesn't mean it's gonna be successful, it might not catch fire, you may not do it for long, but if there's this push of intuition where you're passionate about it and there's a fire in your belly, the courage to say, Well, I'm gonna try and we will see.
00:26:17.839 --> 00:26:18.240
Yeah.
00:26:18.480 --> 00:26:35.359
I kind of felt like there was almost like I had a choice, but I almost didn't have a choice because I was so on fire that it was almost like the fire was leading me down a path that I almost was not, and I just like it, it was going, right?
00:26:35.440 --> 00:26:37.440
And I'm like, I'm like, I'm just gonna keep going.
00:26:37.519 --> 00:26:42.319
And I know that we all know these moments because we'll feel them in life, you know what I mean?
00:26:42.400 --> 00:26:51.200
And and it just so happens that things start following and falling in the right place, and you're like, okay, this is exactly where I'm supposed to be, so I'm gonna keep going, you know.
00:26:51.279 --> 00:26:54.079
And so I think that that helped as well.
00:26:54.319 --> 00:27:19.920
Um, and just knowing that I had to be very strategic and articulate in the way that I spoke to people about it, because you know, back in 90, you know, back in I mean 91 when I was first injured, but even in when I brought this forward in 2003, 2005, like people still talked about integrative healthcare and integrative medicine as like woo-woo kind of stuff.
00:27:20.079 --> 00:27:22.000
And it's like, or or that it's spa.
00:27:22.240 --> 00:27:26.480
And I'm like, no, this this is what keep me, this is what's keeping me alive.
00:27:26.720 --> 00:27:42.480
So I want to legitimize it by really being able to articulate and explain to people how it works, why it works, and why it's important, and show the cost effectiveness and the improved quality of life.
00:27:42.640 --> 00:27:48.480
And there's a lot of that that is um really critical to move the needle on it.
00:27:48.720 --> 00:27:49.359
Yep.
00:27:49.680 --> 00:27:57.440
And that is the same thing that we see in the dementia community in terms of what movement will do.
00:27:58.079 --> 00:28:07.039
So there may be years where um a person can still walk or use their arms, and then it starts to slow down.