
Episode #9
The Cards That Crack Us Open: Talking About Death Before It Talks to Us with Lisa Pahl
Emily sits down with Lisa Pahl, CEO and Creator of The Death Deck, for a conversation about what happens when we finally say the thing out loud. Lisa has spent nearly 20 years in hospice and about eight in the ER, and what she witnessed over and over was the same quiet catastrophe: families forced to make impossible decisions on behalf of someone they love, with no idea what that person actually wanted. So in 2018 she partnered with Lori Lo Cicero, the spouse of a former hospice patient, and built a card game. Multiple choice questions. A friendly little skull. Humor as the way in. Because as Lisa puts it, even though we think we don't want to talk about death and dying, we actually do. The conversation goes exactly where you'd hope. Lisa reads a question from the deck live, Emily wrestles with it, and both women end up somewhere honest about what it would mean to know your own expiration date. They talk about the difference between mortality awareness and knowing the actual calendar square, about the battle and warrior language we drape over illness that makes it nearly impossible to ask a dying person what they want, and about the clinicians who should be starting these conversations and often don't. Emily shares the regret that still sits with her: Ian dying in front of her while the conversation stayed stuck in the room like an elephant nobody would name. Lisa shares her own humbling, caring for her mother-in-law in hospice and realizing she could not give anyone the perfect death, because it was never hers to give. They also get practical, which is rare in this genre. How do you bring this up with parents who just turned 70? Complete your own advance directive first, then use it as the doorway. Use a TV show. Use a podcast episode. Use whatever medium the person you love already speaks. Lisa walks through her three decks, The Death Deck for mortality awareness, the EOL Deck for people living with serious illness, and the Dementia Deck for advance planning around the most feared diagnosis in the country. And she names the secondary gain nobody expects from a game about dying: when people talk about real things, they stop performing, and connection shows up. As Lisa says near the end, this felt really good, so go out and talk about real stuff. Key Takeaways β Peace at the end starts with the conversations we're willing to have right now, not the ones we hope to have later. β Humor is not disrespect. Lisa built The Death Deck with multiple choice questions and a friendly skull specifically to make the topic approachable, and found that once people start, they rarely want to stop. β Warrior and fighter language around illness can make it nearly impossible to ask someone what they'd want if the fight doesn't go their way, which is exactly why timing and receptivity matter so much. β The burden should not fall on the family alone. Lisa argues end-of-life professionals need more courage to directly initiate advance directive and planning conversations with patients. β Grief support is hard for most people because supporting a griever means acknowledging that we too will die. β If a goodbye didn't happen the way you needed, it isn't closed forever. Emily talks openly about returning to that moment through healing work and rewriting the story in her heart. Host, Emily Bingham β Podcast Website: https://iamemilybingham.com/ β Emily on Instagram: https://www.instagram.com/iamemilybingham/ β Join the YOLO Year Waitlist: https://iamemilybingham.com/yolo-waitlist β Emily on LinkedIn: https://www.linkedin.com/in/i-am-emily-bingham/ Connect with Lisa Pahl β Instagram: https://www.instagram.com/thedeathdeck/ β Facebook: https://www.facebook.com/thedeathdeck/ β TikTok: https://www.tiktok.com/@thedeathdeck β The Death Deck: https://thedeathdeck.com/ β The Death Deck on Amazon: https://a.co/d/0aktSuXG If this conversation moved something in you, leave a review and send it to the person you've been avoiding this conversation with. #DeathAndDisco #DeathMedicine #NoOneGetsOutAlive #EmilyBingham #LoveAndGrief #TheDeathDeck #LisaPahl #HospiceCare #AdvanceCarePlanning #DeathPositive #MortalityAwareness #GriefSupport #EndOfLifeConversations #DementiaAwareness Mentioned in this episode: Sign up for Coaching! 1:1 coaching

