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Expert Guidance for Serious Illness and End-of-Life

A life-limiting diagnosis presents a profoundly challenging journey for you and your loved ones. Even when there may not be any great choices, there can be better or worse choices. You are the one that matters. You don't have to navigate it alone.

I offer comprehensive, non-medical support and coaching rooted in professional medical expertise. As an experienced Palliative Care Doctor and Certified End-of-Life Doula, I am uniquely positioned to help.

My commitment is to center your values and wishes in every decision. Let's work together to address the emotional, practical, and spiritual aspects of this path, bringing clarity and calm to the road ahead.

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Coaching and Doula Services

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Services

My coaching services are designed to address the emotional upheaval that this process brings. We will work together to:

  • Talk through challenging feelings and fears.

  • Answer your questions clearly and compassionately.

  • Map out next steps for you and your family, regardless of where you are in your journey.

  • Proactively plan your goals for care, starting as early as diagnosis.

  • Actively advocate for your wishes and values within the healthcare setting.

  • Based on our initial conversation, we can involve those you want to be on your team, or just you.

My goal is to support you in making the most of your time and focusing on what matters most to you.

This comprehensive, non-medical support is tailored to your unique needs and may include:

  • Emotional and Spiritual Support: Coaching and support for you and your loved ones to navigate the emotional landscape.

  • Practical Planning: Assisting you in prioritizing and planning how you want to spend your time.

  • Legacy Projects: Compiling and facilitating meaningful legacy projects.

  • Resource Coordination: Interfacing with healthcare providers, hospice teams, and connecting you with essential community resources and support.

  • Comfort and Respite: Providing comfort visits, and offering respite care to give essential support and relief to your dedicated caregivers.

  • Free 30-minute introduction to get to know you and assess how I can be helpful. There are so many steps on this journey! If you decide to move forward, we will schedule a follow-up 1 hour call to discuss services and a plan that works for everyone.

  • From a scary diagnosis onwards, you deserve to be supported both pragmatically and emotionally. Early emotional support clears a path for better quality of life all along this journey. I will sit with you for however many sessions you need, to listen, support, and offer suggestions.

  • Given my experience as a palliative care doctor, I know first-hand how overwhelming but vitally important it is to have upfront conversations with loved ones and your health team about what to expect, and to know how to bring your values and wishes into this conversation.

    Often, the most important pieces of this conversation are pushed to the sidelines because of time, emotional difficulty, or fear. I will help create a safe environment to ask the right questions to make the right choices for yourself. I do not make any medical recommendations to you on my own, but will discuss the process of advance care planning, address different serious illness conversations, and can make myself available as an advocate in appointments if you wish or help debrief with you.

    We will also discuss important healthcare planning documents and how to use them- including proxy and MOLST forms, FiveWishes forms, etc.

  • Even if you’re still not sure where you are in your illness and management, you may be thinking about leaving things behind for your loved ones, whether that is individual items or your stories or words for people. We can collaborate together on a project or document that will ensure you are remembered in the way you want to be!

  • If you or your loved one is approaching end of life, I can provide non-medical on-site visitation and coordinate with your healthcare team to ensure symptoms are being addressed, emotions of the dying person and their loved ones are given space, and to create a comfortable space for the dying person.

    Dying is like laboring-it will happen, and if possible, should happen in a way that honors the person. We would hopefully plan as much in advance but a comforting space can be created.

  • There are so many logistical concerns surrounding end of life planning and dying, as well as bereavement support for loved ones. If you feel lost, I will help connect you with resources needed to lift some of the burden of this process.

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Let’s Set Up a Free Chat

Ready to take the first step? Let’s talk to discuss what support you feel you need in navigating this difficult path, and if/how I may be able to help.

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About Me

From Doctor to Doula

Hello, my name is Tina Wexler.

For the past decade, I worked as a physician, dedicating the last five years to Palliative Care in the Bronx, NY. I deeply valued the work, but I repeatedly witnessed the limitations of the traditional healthcare system in addressing the complex emotional, practical, and spiritual aspects of serious illness planning and end-of-life care.

I saw critical gaps—the need for comprehensive, non-medical support that places the client's values and quality of life first. This experience fueled my decision to transition into community-based coaching and doula work.

My Philosophy: Making Death "Better"

I will never tell you that your death should be "good". Losing a loved one or facing your own mortality is always difficult for everyone involved.

However, I fundamentally believe that death can be better.

My work is founded on the belief that providing space for advanced planning, celebration, and mourning lifts a tremendous burden. My professional experience (as well as the medical and other studies) consistently proves that early, intentional discussions ensure known wishes and values are honored, bringing clarity and calm to the person dying and their loved ones. Talking is just as, if not more, important than paperwork.

My Unique Expertise

I now offer non-medical support, uniquely informed by professional medical expertise.

  • Palliative Care Doctor (MD): My decade of practice means I "speak the language" of the healthcare system. I use this knowledge to help you plan your care and effectively advocate for your wishes.

  • Certified End-of-Life Doula: I have completed formal Death Doula training and am a proud member of the National End of Life Doula Alliance (NEDA).

  • Community Advocate: I also volunteer as a healthcare advocate for people with chronic illness, further grounding my practice in patient empowerment.

My wish is to step fully into this non-medical role, supporting you and your family through all phases of this process—from diagnosis to bereavement.

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Feel free to get in touch with me and I will answer as soon as possible!