August 5th, 2026

The Grief We Carry, The Love We Keep - Shanda McManus, MD

When physician and writer Shanda McManus was fourteen, her mother died after living with ovarian cancer. Three years later, her grandmother - the person who became home after that loss - was killed by a drunk driver. Then, while Shanda was in medical school, her younger brother Monir was murdered on Christmas Eve. For years, surviving meant staying busy. Planning funerals. Managing paperwork. Pushing forward. The grief itself was boxed up, held in place by what Shanda describes as an emotional tourniquet. It kept her moving, but it also kept her separated from memories of her mother, grandmother, and brother - and even from parts of herself. In this conversation, Jana and Shanda explore what finally made it possible to take off the tourniquet. They talk about how writing became a gentle way back into grief and how reconnecting with that grief also helped Shanda reconnect with the people who had died. Together they also explore the larger forces that shape grief: the myth of the "strong Black woman," the culture of medicine that rewards emotional restraint, the isolation that follows homicide loss, and the ways race, class, and stigma influence whose grief is witnessed and whose is questioned. This episode considers what can happen when we stop asking grief to disappear and instead start tending to it - creating space for tears, memories, stories, and relationships that continue long after someone dies.