Caring in America
With Podcast Host: Richard Wexler
Episode 108
In Sickness and In Care:
A Caregiver’s Journey With Parkinson’s —
A Conversation With Paul Kidwell
On this episode of Caring in America, I had the privilege—and the heartbreak—of sitting down with someone whose story embodies the deepest realities of caregiving. For those who have followed this podcast, you know my own story: 20 years ago, my wife and I suddenly found ourselves caring for all four of our parents, a journey that lasted 14 years and changed the course of our lives.
Today, as CEO of APlan2Age, my mission is to help families understand what aging really means, and how care will impact all of us. Our guest, Paul Kidwell, has lived that impact in the most profound way.
Meet Paul: Communicator, Husband, Caregiver
Paul has lived in Boston for more than 30 years, building a long and successful career in communications—most notably within the life sciences and biotech world. But life took a turn in his mid-career when his wife began to experience unusual symptoms: persistent leg shaking and mobility issues.
Living in the heart of one of the world’s greatest medical hubs, Paul and his wife sought answers. The diagnosis that followed was devastating: early-onset Parkinson’s disease. She was in her mid-40s.
There was no family history. She lived a healthy lifestyle. And yet, this progressive, incurable disease had entered their lives without warning.
A Long Decline—and a Love That Carried Through
For the first decade, medication helped mask many symptoms. Paul’s wife continued to work, travel, and live the life they’d built together. But Parkinson’s is relentless.
Over time, her symptoms progressed:
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Frozen gait, leaving her physically stuck in place
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Increasingly ineffective medication
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Cognitive decline, including dementia-like symptoms
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Hallucinations and delusions brought on by medication
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Emotional distress, anxiety, and frequent agitation
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Loss of mobility
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Osteoarthritis limiting her ability to even grasp objects
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Eventual dependence on a wheelchair
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Complete loss of ability to walk, bathe, dress, or eat independently
Paul became her full-time caregiver, providing 14–20 hours of care per day. He had help for four hours each morning, but the rest fell solely on him—physically, emotionally, spiritually.
For three years, he transferred her from bed to wheelchair, chair to toilet, toilet to bed. He fed her. He bathed her. He witnessed not only the physical decline of the woman he loved, but the heartbreaking cognitive changes that stole away pieces of her identity.
She passed away this past August. Peacefully. But far too soon.
Paul speaks openly about the excruciating grief that follows losing a spouse after years of intimate caregiving. It’s a pain many caregivers know but rarely talk about.
Turning Pain into Purpose: The “In Sickness” Podcast
With his background in storytelling and communications, Paul saw a gap: caregivers—especially male caregivers—were rarely given a platform to tell their stories.
So Paul and co-host Bob Coughlin launched:
In Sickness: Men and the Culture of Caregiving
Originally focused on male caregivers, the show quickly expanded to include women as well—because, as Paul says, men stand on the shoulders of women who have been caregiving giants for generations.
Their episodes explore:
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Parkinson’s
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Breast cancer (including male breast cancer)
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Prostate cancer
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Cystic fibrosis
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Rare diseases
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Sandwich caregivers
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Caregiver burnout
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Even a special episode about caregiving service dogs
The feedback has been extraordinary. Their work has opened doors—including a recurring column Paul now writes for the UK publication Rare Revolution Magazine, focused on caregiving in the rare disease community.
Why Paul’s Story Matters for Every Family in America
Paul’s journey is emotional, painful, inspiring—and it echoes what millions of caregivers face.
Here’s the reality:
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63 million Americans are caregivers
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They provide over $600 billion of unpaid care each year
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Most caregiving begins suddenly, without warning or preparation
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And Paul and I agree: the real number of Americans who will eventually need care isn’t 70%—it’s closer to 95%, if not 100%
We plan vacations.
We plan retirement.
We plan college savings.
But we do not plan for care.
And care will impact every single one of us—as a care recipient, a caregiver, or both.
Planning Isn’t Easy—But It Makes the Hardest Times Easier
As I remind listeners often, caregiving will never be easy, but having a plan makes it easier.
If you have aging parents…
If you have a spouse…
If you have a partner…
If you yourself are aging (and we all are)…
You need to prepare now—emotionally, financially, and logistically.
That’s why we created A Plan2Age:
👉 aplan2age.org
We help families understand care options, costs, risks, and realistic expectations—long before the crisis hits.
Paul’s Closing Message
Paul said it best:
“Love is what directs us as caregivers.
And we want that love to be easy to give, not driven by fear.
Preparation can’t come early enough.”
His story is a reminder of what caregiving really looks like in America—and why planning is not optional.
Please Share This Episode
Someone you know is already a caregiver.
Someone else will become one soon.
And many have no idea what’s coming.
Share Paul’s story.
It may be the moment someone realizes:
I need to prepare.
Or I’m not alone.
With Special Guest: Paul Kidwell
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Our country is entering a new chapter, one we have never seen before… over 100 million people are 50 years of age or older, and the need for care is going to be more and more prevalent. We are dreaming of a nation where aging and care are understood and become part of our normal conversations with family.
To make this a reality, we need your help!