Episode Details

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In this episode of The Art of Imperfect Adulting, Amy Stone speaks with Mindy Uhrlaub about living with the shadow of ALS (Amyotrophic Lateral Sclerosis), also known as Lou Gehrig’s Disease. Based in Marin County, California, Mindy shares her family legacy of ALS, navigating life as a genetic carrier, and the complexities of caregiving for multiple family members while raising children. This deeply personal conversation explores not just illness and loss, but resilience, advocacy, and the evolution from creative professional to patient rights activist. Listeners will learn about genetic ALS, the realities of the Sandwich Generation, and how storytelling shapes healing and community.

About Mindy Uhrlaub:

Mindy Uhrlaub is a carrier of the fatal C9orf7 genetic mutation. She participates in twenty longitudinal studies of ALS and has testified before the FDA and the NIH about medical rights of genetic carriers. Mindy was nominated onto a committee at the National Academy of Science to write the 2024 report, Living with ALS. Her latest book, Last Nerve: A Memoir of Illness and the Endurance of Family, won the 2025 Nonfiction Book Award. For her ALS advocacy, Uhrlaub also received awards from the Les Turner ALS Foundation, ALS TDI, and the ALS Network.

Main Topics Covered:

• The reality of growing up in a family with ALS: genetic risk, diagnosis, and evolving medical understanding.
• Mindy’s experience as both a caregiver for her husband (twice diagnosed with lymphoma) and her mother (diagnosed with ALS).
• What it means to be part of the Sandwich Generation—balancing care for children and aging parents, and why it’s different today than for previous generations.
• The transformation from creative writer and musician to ALS activist: how advocacy work and community organizing emerged from crisis.
• Coping strategies for simultaneous, overlapping life crises—parenting, spousal illness, parental illness, and grief.
• The need for better support systems and recognition for caregivers, especially mothers in midlife.
• The importance of telling authentic stories about ordinary adults facing extraordinary challenges—and why Mindy wrote her memoir, Last Nerve.
• Raising awareness about ALS: statistics, misconceptions, and the urgent need for research and community support.

Quote from the Episode:

"I just think that if you find out something horrible, then, you know, that there's something to do about it. But if you're just worried that something horrible might happen, then you're kind of just like Woody Allen, like, fluttering your hands and being like, oy vey, this might happen... So it's like, if you throw down the gauntlet and face the thing, the chances are you're gonna win, but if you ignore the thing, then you're gonna lose." — Mindy Uhrlaub

Timestamps:00:04 Amy welcomes Mindy and introduces the episode’s focus on living with ALS00:53 Mindy shares about living in Marin County and what she loves about her community01:28 The family legacy of ALS and first awareness of the disease02:58 Mindy’s mother’s ALS diagnosis and the challenge of multi-generational illness03:50 Undergoing genetic testing and learning her own ALS carrier status05:48 Mindy describes her life at the time of her mother’s diagnosis—parenting, caregiving, and stress07:47 The complexities of being in the Sandwich Generation14:27 Why being a caregiver today is different than for past generations17:51 On not feeling prepared for dual caregiving roles and the compounding nature of life crises22:18 Mindy’s journey from musician and creative writer to activist and ALS community organizer25:55 Mindy’s advocacy in Congo and how tho