About this site
Built by a caregiver
for caregivers
Who this is for
Caring in the Middle is for anyone who has found themselves responsible for someone else's care, and suddenly realizes they have no map. A parent's decline. A spouse's diagnosis. An aging grandparent with no one else to turn to. A beloved neighbor, an aunt, a church member who needs someone in their corner.
Most of the people who end up here are also managing their own lives at the same time: jobs, kids, partners, mortgages. Nobody warned them this was coming. Nobody handed them a manual. And the resources that do exist are hard to find, hard to parse, and rarely written for the situation you're actually in.
That's what this site is trying to fix.
A note from the founder
I've been in the middle of this for most of my life
My name is Pam. I'm peak Gen X, first-generation Chinese American, and a 20-year tech veteran (product marketing at Google, startups, fintech). I'm also a caregiver, and have been for most of my adult life.
Growing up, my mom used to say: “We don't need Social Security, we have children.” In our family, in our culture, caring for your parents wasn't a burden or a choice. It was just what you did. That's the air I grew up breathing, and it's shaped everything about how I've approached this.
“What if I could do what Google's ad products did — serve up the right solution to the right person at the right time — but for caregiving? What if I could build something that actually mattered?”
That question came into focus while I was at a startup, drawing on everything I'd learned about product and marketing. Because every time I discovered a useful resource, a geriatric care manager, a Medicaid strategy, a home safety specialist, my first thought was always the same: why didn't I know about this sooner? The people who needed it most couldn't find it. That's not a content problem. That's a product problem.
There's also something I've come to understand that most caregiving websites miss. The most useful knowledge in this space isn't online. It lives in support groups, in conference hallways, in the person someone's neighbor happened to know. In eldercare, the most valuable experts are chronically offline. Everybody knows a guy. But you have to know to ask. This site is my attempt to build a bridge to that earned wisdom and make it findable, especially late at night when the kids are finally asleep and you're trying to decode Medicare Advantage versus Medigap and the deadline is looming at midnight.
I also started writing again. After years of pitch decks and press releases, coming back to writing has been unexpectedly healing. The Substack is where I do that honestly.
What makes this different
A resource built around your situation, not a topic list
There's a lot of caregiving content out there, and some of it is genuinely useful. What's harder to find is information organized around what's actually happening in your life right now, at the moment you need it. That's what we're trying to do here.
No preach, no pitch. We share what actually helps, without the packaging.
Situation-first, not topic-first. Every piece of content is organized around what's happening in your life right now, not an arbitrary category structure.
Built on earned wisdom. Alongside original articles, we surface the knowledge that lives in support groups, care management practices, and real caregiving experience. Not just what ranks on Google.
A product, not just a publication. Ask Ellen, coming soon, is an AI-powered guide trained on vetted caregiving knowledge. She asks the right questions and helps you figure out what to do next, based on your actual situation.
The personal side
The newsletter is where I write honestly
The site is a resource. The Substack is where I write. Personal essays, caregiving observations, the things that don't fit neatly into a guide format — the grief that starts before anyone dies, the absurdity of navigating a system that wasn't designed for humans, the particular exhaustion of being in the middle of it all.
If that resonates, come find me there.
Caring in the Middle on Substack. Personal essays and honest writing from the frontlines of family caregiving.
Read on Substack →