A Promise Kept: Navigating Dementia and End-of-Life Choices

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Dr. Pinkston is working hard to create a new vision for health and wellness by re-entering the radio waves coming in April! Dr Pinkston is a graduate of the University of Texas Health Science Center, San Antonio and of the Christus Santa Rosa family practice residency program. Graduating in 1997 and starting her clinical solo practice in 2000, Dr. Pinkston provided South Texas with the best general care in family practice until 2007 when she developed Rheumatoid Arthritis. Through diet, exercise, hormones, mind and body techniques she has regained her health and wants to help others discover their own path to wellness. She will have the local radio show with a national platform on Sirius XM and will have a podcast, blog and YouTube channel! Stay tuned as developments are happening EVERYDAY!

  

Bio

Dr. Marianne Pinkston is a graduate of the University of Texas Health Science Center, San Antonio and of the CHRISTUS Santa Rosa Family Practice Residency Program. Graduating in 1997 and starting her clinical solo practice in 2000, Dr. Pinkston provided South Texas with the best general care in family practice until 2007 when she developed Rheumatoid arthritis. Rheumatoid arthritis is a severe disabling inflammatory arthritis condition of all the joints that includes severe debilitating fatigue and other issues. Dr. Pinkston then began her journey into integrative and functional medicine where she has earned tens of thousands of hours in training and degrees in stem cell and peptide certification as well as anti-aging and regenerative medicine studies and in integrative medicine studies. Dr. Pinkston is a specialist of weight loss having her self gained up to 300 pounds and developed diabetes and high blood pressure, dr. Pinkston lost 162 pounds in a year and two months regaining her precious health. Dr. Pinkston also provides the best in hormone replacement therapy for men and women and treats autoimmune conditions as well as thyroid and diabetic and other inflammatory conditions. Dr. Pinkston is not limited to any certain disease or treatment style. Dr. Pinkston entered into the mass media scene in 2016 with KTSA 550 and the Dr Pinkston’s Radio Show and now has joined with KLUP-930 The Answer in San Antonio Texas where she will present many contemporary and integrative health topics as well as inspirational and guided life improvement topics and motivational speaking. Dr. Pinkston is a board of director and speaker for Global Pain Association having suffered chronic pain for 14 years and is the president of Pinkston Medical and Wellness Clinic under Total Care Physical Therapy And Rehab. She continues as a solo practitioner in San Antonio Texas treating all ages and men and women for all conditions. Dr. Pinkston is the premier specialist of Hormone Replacement Therapy and of wellness and anti-aging and is medical director of the Dolce Beauty and Laser medical spa. Dr. Pinkston has over 10,000 hours of teaching for medical students and Nurse Practitioner and physician assistants. She is extremely active in the community and in many philanthropic areas and continues in private practice. Dr. Pinkston is sponsored by PD labs in Austin Texas and join forces with pharmacist Ray Solano on Healthy Choices channel on Sirius XM and has developed a blog a podcast and a YouTube channel where you can find Dr. Pinkston at any time. Dr. Pinkston’s mission is to give patients and everyone everywhere the better life.

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Saturday, December 20, 2025

Join Dr. Pinkston as she welcomes Erica Bacchus, author of the deeply personal book, A Promise Kept. Erica shares the extraordinary and heartbreaking story of her late husband, John, and his battle with early cognitive impairment consistent with Alzheimer's disease.

This conversation delves into a highly controversial and often-unspoken topic: end-of-life choices in the face of neurodegenerative disease. Erica describes the difficulty of John's diagnosis, his profound desire to maintain agency and dignity, and the intense emotional journey she undertook as his caregiver. They discuss:

  • The challenge of Alzheimer's and end-of-life options, particularly the catch-22 regarding mental capacity and current U.S. laws like Medical Assistance in Dying.

  • The couple's decision to seek assistance at Dignitas in Switzerland and the seven-month, complex application process.

  • The overwhelming emotional toll of caregiving, the isolation, and the importance of honoring a spouse's deeply held, personal beliefs about life, purpose, and death.

Erica's story is a testament to unwavering love, shared independence, and the courage it takes to support a loved one's choice to have a peaceful, dignified end on their own terms.

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