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Welcome to Balancing Life's
Issues. I'm your host Kai,

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and we are here as always to help
normalize the mental health conversation

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around work-life balance

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As we celebrate mental health awareness
month. Let me drop this phrase on you.

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Mental health is health. What
was your reaction to that?

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I know for myself, it's comforting.

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I'm someone who didn't really explore my
own mental health until I was well into

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my twenties. Turns out I harbor a lot of
anger and anxiety. I didn't know that.

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And now that I'm on this mental health
journey that is full of ups and downs,

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I look forward to taking
care of myself mentally.

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So I can alleviate just a
little bit of that pressure,

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whether it's journaling in the morning,
putting down the laptop for a walk,

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or drawing a boundary
around a toxic relationship.

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These are all tools that I had to learn
so I could look forward to prioritizing

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myself and know that
didn't always come easily.

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But why was that? Like so many of us,

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the communities we grew up in didn't
have the tools to really talk about it.

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Listen, there's no one to blame here.
We are reflections of our society,

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and you can see the mental
health conversation being
normalized more and more

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every day. And today, as we kick
off mental health awareness month,

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I wanted to talk specifically
about uncertainty.

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While the importance of living with it,

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how many of you get anxious or stressed,

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frustrated when something
doesn't go according to plan
or you just can't seem to

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control the outcome of
relationship or task?

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We are wired to be planners
in crave order. I know I am.

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I thrive off of my schedule, the
consistency, the reliability.

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But my wife and I, we
have a baby on the way.

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So you can imagine the uncertainty
we are living with every day.

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Did we make a mistake? Will
everything go according to plan?

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Will my child be safe from
gun violence at school

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events that bring chaos and uncertainty
into our lives leads to fear.

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So how do we handle
uncertainty? I don't know.

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But that's why I've invited my friend
and colleague onto the show to talk about

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how she has survived
in an uncertain world.

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Diane Pulley Blank is an
exercise physiologist and
has worked in the world of

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mental health and wellness for over
25 years. Most recently though,

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she has found herself
delivering trainings, webinars,

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and podcasts for balancing
life's issues. But first,

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I'd like for you to hear her story.

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Almost 10 years ago, I guess,
um, I started getting, I,

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I coughed an awful lot at one point. And
um, and my rib started to really hurt.

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And I went to my, to my
gp and I said, and I said,

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and he did all kinds of tests.
And he said, oh, you know,

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I can't really find anything.
But it kept on recurring.

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And I went back again
and he did another test.

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And it turned out I have, um,

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bone marrow cancer or what's
called multiple myeloma.

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So I started treatment for that.

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Ended up having a bone
marrow transplant in, um,

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2014. And then I was fine for a while.

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I, everything was great. Then my number
started going in the wrong direction.

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I had another bone marrow
transplant. Um, in 2016.

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Everything was great for about
four years. And then of course,

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things started going south again.

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And I had what's called
CAR T-cell therapy.

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I was in a clinical trial because
it was not, um, recognized,

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uh, for multiple myeloma at that time.

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And I ended up, um, in a, in a clinical
trial, I had this CAR T-cell therapy.

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And I completed my two
years of that particular,

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um, trial about, oh,

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it was this past September and everything
was fine. Everything was going great.

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And then in February, my number started
going in the wrong direction again.

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So my doctor said, well, you know, oh,

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we're gonna have to start
looking at what else to do,

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and probably in the next
three to six months,

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you're going to need to
have something else done.

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And he gave me five
different alternatives.

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And the one that we kind
of settled on is, um,

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it actually is another clinical trial,

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and it is one that would require
me to be in the hospital for 10

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days to two weeks and
then get a treatment every

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six weeks for two years.

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So what that did to me
is it put me in limbo.

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I I had to, I had to take a look at
all the things that I had planned,

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that I had booked, that I was going to
be doing, where I was going to be going.

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Um, and I ended up having to cancel just
a whole bunch of things in anticipation

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of what's going to happen down the
line. And that is still going on.

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So every six weeks now, I have blood
work done, and then I have, uh,

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an appointment with my doctor.

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I actually had one today and
things were stable as of today.

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So we'll look again in another six weeks,

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which means I can plan
for the next six weeks.

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And then I don't know what's going
to happen after that. So it's very,

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very uncertain. And it just
leaves me, as I said, you know,

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kind of in this state of,
of limbo. I don't know,

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I don't know what I'm going to
do. I don't know what I can plan,

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that kind of thing. So it ended
up being deep breath time.

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Thank you so much for sharing.

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I know it takes a lot of courage
to be able to do that. Thank you.

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Um.

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So as you, uh, talk about
adjusting to the cadence of life,

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right? That what,

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no matter I think where you
are in life changes anyways,

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but for you, it's, it seems
to be changing an awful lot.

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That's true. That's true. But
thank you for saying that.

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It changes for everybody because
it does. It's not static. You know,

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we don't have a roadmap. We don't
know what's going to happen.

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Who would've predicted a pandemic two
years ago, three years ago? Mm-hmm.

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<affirmative>. Right, right. Who, who
can predict what's going to go on.

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And I think that we are
adjusting to living in this,

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in this feeling of, I don't
know what's gonna happen,

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but I'm gonna live for today. I'm
going to make the most of today,

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make the best of everything that's around
me. Make whatever plans I wanna make.

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And if they have to be changed,
eh, they have to be changed.

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Sure. You know, you had mentioned
a soon to be dad over here. Uh,

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we're due July 3rd, so
yeah, we just hit 31 weeks.

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Ooh, that's so exciting. Congratulations.

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Thank you so much. And I shouldn't say we,

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I should say my wife just
hit 31 weeks. I'm no,

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I'm here to help you pick
up the slack as needed.

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I know two of you hit 31 weeks together.
I will guarantee you that <laugh>.

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Well, and you know, I think
that's, that's kind of, uh, the,

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where I've lived the last, I'd say,
couple months especially. I think it,

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unfortunately, it took,

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it took some time for me to kind of
get around to the idea of like, oh,

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you're gonna be a dad. Because
my body didn't change overnight.

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My behaviors didn't change overnight.
Um, and so as I've navigated,

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navigated that uncertainty
within myself, you know,

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the things that come out to
me are, you know, will, will,

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will my baby be born? Okay.
Will my wife be okay in the,

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in the delivery room? Um,

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will my child be safe at preschool?

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Will we be safe at the
grocery store? You know,

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I think these are the unfortunate
uncertainties that have been really

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present in my life recently. Um, and I,

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I guess just for you,

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what kinds of things do you do like
to help, to help balance yourself?

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And when it comes to like,
just living with uncertainty?

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Okay. Well, as I said, you know, I,

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I do try to wake up
every morning going, yay.

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<Laugh>.

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I woke up.

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Oh, that's so hard. Some mornings.

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It is. It is, it is. You
know, and then take that,

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that nice deep breath,

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figure out what's going on during the day
because I'm certain that, you know, I,

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I haven't stopped planning things.
I have put some things on the,

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on the back burner, but I haven't
stopped planning things. So I go, okay,

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so this is, this is what my
day's going to be like today.

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And I do actually really try
to make time every single day

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to, um, at least get a
really nice outdoor walk.

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Doesn't matter what the weather is, unless
it's pouring rain and it's a monsoon,

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I don't do it. Then <laugh>.

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The last, the last few
days, the last around.

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The last few days. Yes, yes.
But, but you know, get outside,

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get a nice walk, get some exercise in,
do some really nice deep breathing,

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do some stretching. Just
make sure that, um, you know,

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I take care of me cuz I, nobody
else is going to do that.

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And I can't take care of anybody
else if I'm not taking care of me.

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So that's kind of, you know, what,
what I do, I don't, I do not, um,

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sort of ruminate and say, oh,
this is just terrible. And, um,

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the future's not very good.
And actually, you know,

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when I meet my friends and we go
for a walk or we do dinner or we,

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whatever, I start off with the ground
rules. Hmm. Okay. I set the boundaries,

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first of all, I say there are two things.
There are two things. First of all,

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we're not talking about my
medical condition. I'm fine.

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We're not talking about it, period. Hmm.
And second, we're not talking politics.

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There you go.

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And those are the ground rules.
We can talk about anything else,

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but as soon as the ground rules are set,

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I think that that really helps
everybody to just move on and move

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forward, you know?

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Yeah. And that, that's,

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that's so interesting you bring that
up because I think there are, so,

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there are,

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there are people in our lives who may be
affected by a medical condition or some

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sort of tragedy or if not them directly,

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they have someone in their life
that is affected by something.

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And sometimes as a friend
or even a partner or,

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or whatever relationship it is,
sometimes it's hard to approach,

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um, that person because, you know, you
want to, you want to offer support,

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but sometimes it's hard, hard to say,

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hard to know what to say when
someone is dealing Exactly.

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With these kinds of things. Yeah.

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Yeah. And so to me, I, you know, setting
the boundaries Right, right. At the,

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at the get-go. I think that that
really, uh, really helps. It helps me.

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Absolutely. Uhhuh <affirmative> and, and,
and, and it knows. And, and you know,

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if, if people don't know
what your boundaries are,

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they don't know when they've overstepped
them. Yeah. And so, you know,

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just being able to say, this is, you know,

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these two things are off the board.
Absolutely. And if they stray into that,

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I go, no, no, no. Uh, <laugh>
mm-hmm. Not talking about that.

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So focus, let's just.

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Move on.

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So when you're dealing
with uncertainty, you know,

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focusing on what you can control.

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Absolutely. Absolutely.

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Because there's so much that's not within
our control that we think should be,

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and we have to recognize that No, we
don't get to control at all. Yeah.

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We really don't. So, you know,
this is, this is what I have, um,

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control over. I have oversight of
whatever you wanna call it mm-hmm.

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<affirmative>. And that's, that's
where I'm going to make my focus.

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Doesn't mean that, that you
put on blinders and say, oh,

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there's nothing else out there because
there is mm-hmm. <affirmative>,

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there's other stuff out
there. Yeah. But, you know,

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you just get your focus going in the
direction that is going to do the best

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for you, your family, your friends,
and everybody that you meet.

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When, when it comes to can't, you know,
inability to control something. I,

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the book I'm reading about kind of what,

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what's happening to my wife <laugh>
right now through this pregnancy.

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What's going to happen to her in
the living room, the, you know,

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the weeks after. It's, it's a very
data driven approach. The book is,

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which I really appreciate.
Um-huh <affirmative>,

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it just kind of takes a lot of the
science of it all and just kind of,

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cuz you know, you can go on the internet
and find an answer to anything or,

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or go find, find what you
want to hear. Of course.

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I appreciate this book's view. Yep. On,

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on kind of just taking
information and being like, Hey,

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here's the data and you can
make a decision about that.

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But the book also points out that just
cuz we have data doesn't mean you're in

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control.

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Right, exactly. Exactly.

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And if you take a look at the world and
what's been going on and what's been

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going on in our country, um,
you know, that, you know,

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you don't have control over it all,
but you do the best that you can.

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So when we talk about
managing that, you know,

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taking preventative steps to
enhance our help and seeking,

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you know, professional, mental
and emotional support, uh,

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when we need it, speaking
to what goes on in,

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in the world around us, you know,
in, in our country, things like

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these horrible school shootings,
public mass shootings, um,

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when we look at the world, it's,
it's the war in Ukraine. Um, it's,

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you know, it's a tsunami that's devastated
mm-hmm. <affirmative> a country. Um,

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but, but ultimately we have to bring
it back to ourselves and manage,

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manage ourselves. And,

227
00:14:44,620 --> 00:14:48,500
and one thing I heard recently that
really stuck out to me is that I am

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the expert on myself.

229
00:14:51,410 --> 00:14:52,243
Great words.

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00:14:53,480 --> 00:14:57,560
I, you know, I, I know, I
know what's best for me,

231
00:14:58,900 --> 00:15:03,840
but that also means putting into work
to understand who that person is.

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Right. Do, do you know
what I mean by that?

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I think so. What it always seems to me
is that it boils down to it's hard to be

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00:15:10,760 --> 00:15:15,440
introspective. It's hard to look
at yourself. It's hard to say,

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okay, you know, this is really
me mm-hmm. <affirmative>,

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and these are the things
that I'm concerned about.

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These are the things
that I have control over.

238
00:15:24,600 --> 00:15:26,680
These are the things I
don't have control over.

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00:15:27,020 --> 00:15:30,480
And actually getting
that down so that it's,

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00:15:30,940 --> 00:15:35,200
it it works for you. Right. Is that,

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00:15:35,340 --> 00:15:37,040
is that kind of what
what you're getting at?

242
00:15:37,270 --> 00:15:41,680
Yeah. And I'd say more like understanding
your baseline. So, you know,

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as we look at mental health awareness
month, I know for myself, uh,

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00:15:46,080 --> 00:15:48,240
because I've been on a
mental health journey myself,

245
00:15:49,230 --> 00:15:53,680
that anxiety for me Sunday
night through Tuesday is totally

246
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normal.

247
00:15:55,460 --> 00:15:55,920
Mm-hmm.

248
00:15:55,920 --> 00:15:59,480
<Affirmative>, if that anxiety is
still within me, kind of beyond,

249
00:16:00,660 --> 00:16:03,280
beyond those days, then I
have to like, I have to, like,

250
00:16:03,320 --> 00:16:06,200
I have to do some searching. I
have to figure out, okay, what,

251
00:16:06,540 --> 00:16:09,160
what's going on right now that
I haven't necessarily let go of?

252
00:16:09,610 --> 00:16:11,440
Uhhuh <affirmative>. Oh, interesting.
Uhhuh <affirmative>. You.

253
00:16:11,440 --> 00:16:13,880
Know, so when I talk
about baseline, that's, I,

254
00:16:13,880 --> 00:16:18,000
that's like what I'm referring to.
So like, I think for yourself, do,

255
00:16:18,060 --> 00:16:20,400
do you have an idea of what
your baseline is as you,

256
00:16:20,580 --> 00:16:23,520
as you navigate like
your medical condition?

257
00:16:25,680 --> 00:16:29,640
I hope I do. I hope I do.
I think that, you know, my,

258
00:16:29,780 --> 00:16:33,920
my baseline really is
everything's okay until it's not,

259
00:16:33,920 --> 00:16:35,440
and we'll deal with it then. Mm-hmm.

260
00:16:35,480 --> 00:16:36,313
<Affirmative>.

261
00:16:36,500 --> 00:16:39,800
You know, I don't, I I I I,

262
00:16:40,510 --> 00:16:45,360
I've gone through the whole thing
of, of worrying and being upset and,

263
00:16:45,980 --> 00:16:49,800
and, you know, um, the, the, the
not knowing what's going to happen,

264
00:16:49,900 --> 00:16:54,320
the uncertainty of the future. And I
finally went, stop it. Yeah. You know,

265
00:16:54,920 --> 00:16:54,960
<laugh>.

266
00:16:54,960 --> 00:16:55,800
Just stop.

267
00:16:56,730 --> 00:17:01,440
Everything is fine until it's
not. Yeah. And then something,

268
00:17:01,510 --> 00:17:06,440
well, something else will come up. I know
when I was first diagnosed, they said,

269
00:17:06,630 --> 00:17:10,360
okay, well, you know, lifespan
is eight to 10 years. Wow.

270
00:17:10,500 --> 00:17:13,040
But everything's changing. They
said, <laugh> and they said,

271
00:17:13,040 --> 00:17:17,920
this particular disease, things
are changing every single year.

272
00:17:18,140 --> 00:17:19,720
And every year in December,

273
00:17:19,750 --> 00:17:24,440
there's a new conference where they show
everything that that's new that's going

274
00:17:24,500 --> 00:17:27,240
on out there mm-hmm. <affirmative>.
Right. And that's what's happening,

275
00:17:27,380 --> 00:17:31,080
you know, that there is so much research
being done into, I'm very lucky.

276
00:17:31,430 --> 00:17:36,240
There's so much research being
done into my disease that there are

277
00:17:36,240 --> 00:17:38,520
different options. Like, you know,

278
00:17:38,530 --> 00:17:43,080
three years ago there would not have
been CAR T-cell, uh, treatment for this.

279
00:17:43,420 --> 00:17:46,280
It just wouldn't. Car
T-cell is is is where they,

280
00:17:46,310 --> 00:17:51,240
they take out your T-cells and
they re-engineer them and then

281
00:17:51,300 --> 00:17:56,080
put them back to fight the
cancer that may come up again.

282
00:17:57,300 --> 00:18:01,160
You know, that didn't exist
three years ago. So, you know,

283
00:18:01,160 --> 00:18:04,200
there's stuff on the horizon, and
as long as you keep looking, oh,

284
00:18:04,200 --> 00:18:08,880
there's the horizon <laugh>. Yeah. It's
over there. Yeah. It's good. It's good.

285
00:18:09,140 --> 00:18:12,840
Wow. So I think my horizon
is, you know, a baby boy,

286
00:18:13,430 --> 00:18:18,360
nice and healthy uhhuh in our arms.
Yes. July 3rd. Yes. At some point. Um.

287
00:18:18,460 --> 00:18:19,293
So exciting.

288
00:18:19,560 --> 00:18:24,360
<Laugh>. So can I ask you, what were
some uncertainties you had, you know,

289
00:18:24,360 --> 00:18:25,400
when you had your first child?

290
00:18:26,340 --> 00:18:30,560
Uh, well, let me tell you. I was, um,
I was overseas. I was living in France,

291
00:18:30,700 --> 00:18:35,560
in, in Gr Noble. My husband
was, um, he had, uh, we,

292
00:18:35,580 --> 00:18:38,880
we had decided together that we
would accept this position, um,

293
00:18:38,900 --> 00:18:42,480
at the University of Gr Noble. And he
was a professor. And, and, you know,

294
00:18:42,480 --> 00:18:47,040
then I became pregnant and I
went to, uh, I went to a doctor.

295
00:18:47,070 --> 00:18:49,480
They said, yes, you're pregnant. Um,

296
00:18:49,860 --> 00:18:53,920
now you have to go call
the hospital and book your,

297
00:18:54,270 --> 00:18:58,040
your appointment for to
have the baby. I said, okay.

298
00:18:59,090 --> 00:19:03,020
This was in, um, like February. I was due.

299
00:19:03,120 --> 00:19:07,620
In July. We called the hospital
and they said, oh, sorry,

300
00:19:07,630 --> 00:19:08,463
we're full.

301
00:19:08,940 --> 00:19:11,500
<Laugh>. What? That's not
how it works, <laugh>.

302
00:19:12,270 --> 00:19:15,060
Sorry, we're full. No,
I, I'm, of course my,

303
00:19:15,320 --> 00:19:19,900
it was my husband who called and he
said, what about August <laugh>? Mm-hmm.

304
00:19:19,940 --> 00:19:23,900
<affirmative>. And they said, no. And
they, and they said, so I ended up at a,

305
00:19:23,900 --> 00:19:28,380
at a private clinic instead, you
know, with a wonderful midwife and,

306
00:19:28,680 --> 00:19:32,740
and a and a great, um,
ob gyn. He was fabulous.

307
00:19:33,520 --> 00:19:35,500
And, you know, but then you,

308
00:19:35,600 --> 00:19:40,540
you have this thing that you don't really
know what to do with all of a sudden

309
00:19:40,760 --> 00:19:44,580
one day you didn't have it, and
the next day you do <laugh>. Right?

310
00:19:45,330 --> 00:19:46,163
Yeah.

311
00:19:46,560 --> 00:19:50,180
And so, uh, so the learning curve started.

312
00:19:50,480 --> 00:19:53,860
It was pretty steep right then. Mm-hmm.
<affirmative> and the uncertainties,

313
00:19:54,060 --> 00:19:56,660
I didn't have family around. Okay.

314
00:19:56,920 --> 00:20:01,220
We were spending one year in GR Noble,
and then we were moving to Germany.

315
00:20:02,080 --> 00:20:05,940
So I was going to have to completely
change cultures again with a,

316
00:20:05,940 --> 00:20:08,580
with a newborn. Wow.
You know, she was, uh,

317
00:20:09,000 --> 00:20:13,660
she was two months old when we moved.
Um, you know, just all of these things,

318
00:20:13,760 --> 00:20:16,780
you don't know what's going to
happen. And yet, you know what,

319
00:20:17,960 --> 00:20:19,980
you go with the flow.
Mm-hmm. <affirmative>, you.

320
00:20:19,980 --> 00:20:20,900
Just go with the flow.

321
00:20:21,400 --> 00:20:25,340
You go with the flow. You just
say, okay, um, alright. Right.

322
00:20:25,420 --> 00:20:29,660
I have a place to live. Good.
Um, I don't speak German,

323
00:20:30,130 --> 00:20:33,420
I'll learn mm-hmm. <affirmative>.
And I did, you know, um,

324
00:20:33,500 --> 00:20:36,220
I did speak French and I
was actually very lucky. I,

325
00:20:36,700 --> 00:20:40,140
I went up to the Wal the markets
in, uh, we were in bond in Germany,

326
00:20:40,400 --> 00:20:44,940
and I went to all the markets and I
found a, a green grocer who spoke French,

327
00:20:45,520 --> 00:20:49,120
uh, you know, and somebody else
who spoke English. And you know,

328
00:20:49,300 --> 00:20:52,600
and you get through that
way. And it, it's not that,

329
00:20:52,830 --> 00:20:56,760
that you know what's going to
happen. Mm. Because you don't. Yeah.

330
00:20:56,980 --> 00:21:01,200
You just don't, you know. Yeah.
Life is not, uh, pre-planned.

331
00:21:02,070 --> 00:21:04,720
Yeah. And if anybody tries
to make it pre-planned,

332
00:21:04,720 --> 00:21:07,040
that's when all the problems
happen to arise. <laugh>.

333
00:21:07,760 --> 00:21:12,320
I was gonna say. Yeah. And, you know,
I'm, I thrive with my checklist.

334
00:21:12,560 --> 00:21:15,440
I thrive off of my schedule, you know,

335
00:21:15,440 --> 00:21:19,000
and if I'm knocked off my schedule a
little bit, ooh, I get a little, oh,

336
00:21:19,260 --> 00:21:23,400
you know, I can't. So going
with the flow, embracing chaos,

337
00:21:24,380 --> 00:21:26,640
um, that will be the new version of life.

338
00:21:27,460 --> 00:21:31,360
And just, just accepting it all is
a challenge. Hmm. You know, and,

339
00:21:31,380 --> 00:21:33,920
and understanding how much
you're gonna grow from it Yeah.

340
00:21:34,020 --> 00:21:38,120
And how much you're going to learn. You
know, even, even when, when like this,

341
00:21:38,270 --> 00:21:42,800
this little tiny thing comes out
and you are learning from that

342
00:21:42,940 --> 00:21:45,680
person, from that very moment on. Yeah.

343
00:21:45,860 --> 00:21:48,280
And for the whole rest
of your life. Right.

344
00:21:48,280 --> 00:21:50,680
You're going to learn from
that person too. Yeah.

345
00:21:51,180 --> 00:21:53,120
And a friend put it to me this way, who,

346
00:21:53,120 --> 00:21:56,920
they have two little ones down the street
from us here. And he said to me, yeah,

347
00:21:56,920 --> 00:21:59,880
you know, it's, it's, your life's gonna
change overnight, but you won't, you,

348
00:21:59,900 --> 00:22:03,600
you can't imagine a life without
them after that. Yep. And I was like.

349
00:22:03,910 --> 00:22:04,640
That is so true.

350
00:22:04,640 --> 00:22:05,473
That's profound.

351
00:22:06,420 --> 00:22:09,760
You know, you take a look at it and
you go, okay, from one day to the next,

352
00:22:09,820 --> 00:22:14,480
it flipped <laugh> and mm-hmm.
<affirmative>. I wouldn't
have it any other way.

353
00:22:15,590 --> 00:22:17,840
Well, thank you so much for joining me. I,

354
00:22:17,920 --> 00:22:19,720
I really appreciate your
time and your courage.

355
00:22:20,340 --> 00:22:23,040
Oh, it's my pleasure. Thank
you for having me, Kai.

356
00:22:29,150 --> 00:22:32,720
This has been a production of
Balancing Life's Issues produced by me,

357
00:22:32,820 --> 00:22:33,653
Kai Sorenson.

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00:22:33,920 --> 00:22:37,240
Subscribe to the podcast wherever you
listen and you'll get brand new episodes

359
00:22:37,240 --> 00:22:39,640
as they drop. Got an idea for the show.

360
00:22:39,730 --> 00:22:44,440
Leave a comment or email Kai ka
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