My grandmother just turned 90 and lives on her own in the house where my mother was raised. She's lived there alone since her mother died at the age of 97, a year after my grandfather died of a massive heart attack leaving my grandmother a widow caring for her aging mother. At each step, my family has tried talk to my grandmother about her needs and moving into a facility with more activities and more people. She's very social. Up until this stupid pandemic struck, she was making crafts for the church bizarre and making tea sandwiches for the church coffee hour.
She's done amazingly well on her own, for a woman who had a heart attack ten years ago while visiting our family in Ohio. Since then she's watched her diet and makes her medical appointments through a car service for seniors. She takes trips to the grocery store or the mall. Sometimes calling a cab and sometimes taking the service. She hasn't driven since my grandfather's Chrysler needed a major repair decades ago. At each turn she's clung fiercely to her independence in a way that made little sense to us.
But now. Well now I've read this book and I feel terrible about the wasted energy of trying to convince a woman who raised two children and cared for her ailing mother and has made her limited income work for decades on her own, on the street she knows that I somehow known better what will make her life fulfilling. It would be one thing if she was complaining - or somehow making it known that her life was not satisfying to her. But she's not. She's shown, again and again, what it is she wants these years to look like for her, and the trade offs she's willing to make to have that independence in her life. So should we instead be looking at what ways in which we can make these goals of hers more achievable? Should we be aiming to help her live her best life now? Yes of course. Those are easy answers.
Being Mortal asks hard questions. The first half of the books looks at the way we treat infirmity and old age. And urges us to discuss what life looks like for our loved ones as they enter those sunset years. And really, what does life look like for ourselves? What things are essential to our being and self-actualization? It's so important to have these conversations and realize in the moment that we may be making choices based on our own preferences for our loved ones rather than what they would choose for themselves.
The second half of the book focuses on terminal illness and the limits of medicine. To what end do we continue to push our bodies past the point of diminishing returns? In the treatment of unconquerable illness, medicine will push us to choose the next thing and the next, often convincing us, against evidence, that there is always going to be a next thing. So when the final moments come, we are unprepared and the emotional toll on loved ones is enormous. Hospice services can enter the gap and make those last moments more bearable and better prepare us for their arrival. But of course no one is good at talking about these last moments. Doctors do not possess a natural ability to guide people in their end of life choices, unless they are trained and work at it.
I sometimes think awareness of an issue helps us take a step back from it and realize when we are in a situation that can sometimes be emotionally overwhelming. "Oh," we can think, "this is just like that book I read about making choices at the end of life." And maybe, hopefully, we can be better prepared to meet the next thing, even if it is the last thing.
5/5 Stars.
Showing posts with label elderly. Show all posts
Showing posts with label elderly. Show all posts
Monday, April 27, 2020
Wednesday, October 19, 2016
The Arsonist - Sue Miller
I'm actually pretty torn on how to review this book. On the one hand, Sue Miller stories are a master class in character examination. On the other, the book was a bit slow and plodding and ultimately a little boring.
The Arsonist follows the life of Frankie Rowley, who returns to her parents retirement home, a place she spent summer vacations as a child, in Pomeroy, NH (again, I'm sorry if these spellings are incorrect, I listened to the audio version of this book). Frankie is coming off another stint as an aid worker in Kenya and she's feeling a little lost, a little forlorn at what seems like the repetitive love and life cycles of "temporizing" in Africa.
She arrives in Pomeroy to find her father mentally deteriorating due to Alzheimer's or perhaps Lewy Body disease. Her mother, Sylvia, is dealing with her own feelings of unfulfillment as she contemplates a retirement life taking care of a man who she never quite loved enough. There's a lot of deep character stuff going on in this book. Whether we can shake who we are, find fulfillment, that kind of thing. Typical stuff that Sue Miller does better than basically any other author I've ever read.
In the background, fires are being set at the houses of Pomeroy's summer residents. The fires begin to fuel fear and mistrust in the town. This is all covered in the local paper by Bud Jacobs, a man who left Washington DC to escape the big city stories and who's aim was to settle into small town life in Pomeroy.
Bud eventually falls for Frankie and their romance is complicated by her being unsure about what she wants to do with the rest of her life. The arson does little more than set a backdrop to the characters lives, and to focus the book in time by giving events to move the story forward.
In all, Sue Miller does such a great job delving into the motivations and lives of Frankie, Bud and Sylvia that you end the book really understanding who they are and why they do the things they do. But there is also a faint unfulfilled longing for change or progress to be made by the characters that really sets in motion the ultimate lesson that people don't change, they make decisions based on their personalities and backgrounds, and sometimes they make good decisions, sometimes bad, but they are fundamentally who they are. And what they do with their lives is entirely up to them.
While the ending doesn't feel fully satisfying, it does feel overwhelmingly real. And that is what I have come to expect from Sue Miller (you can read my review of another Sue Miller book here). So in that respect, she didn't disappoint.
4/5 Stars.
The Arsonist follows the life of Frankie Rowley, who returns to her parents retirement home, a place she spent summer vacations as a child, in Pomeroy, NH (again, I'm sorry if these spellings are incorrect, I listened to the audio version of this book). Frankie is coming off another stint as an aid worker in Kenya and she's feeling a little lost, a little forlorn at what seems like the repetitive love and life cycles of "temporizing" in Africa.
She arrives in Pomeroy to find her father mentally deteriorating due to Alzheimer's or perhaps Lewy Body disease. Her mother, Sylvia, is dealing with her own feelings of unfulfillment as she contemplates a retirement life taking care of a man who she never quite loved enough. There's a lot of deep character stuff going on in this book. Whether we can shake who we are, find fulfillment, that kind of thing. Typical stuff that Sue Miller does better than basically any other author I've ever read.
In the background, fires are being set at the houses of Pomeroy's summer residents. The fires begin to fuel fear and mistrust in the town. This is all covered in the local paper by Bud Jacobs, a man who left Washington DC to escape the big city stories and who's aim was to settle into small town life in Pomeroy.
Bud eventually falls for Frankie and their romance is complicated by her being unsure about what she wants to do with the rest of her life. The arson does little more than set a backdrop to the characters lives, and to focus the book in time by giving events to move the story forward.
In all, Sue Miller does such a great job delving into the motivations and lives of Frankie, Bud and Sylvia that you end the book really understanding who they are and why they do the things they do. But there is also a faint unfulfilled longing for change or progress to be made by the characters that really sets in motion the ultimate lesson that people don't change, they make decisions based on their personalities and backgrounds, and sometimes they make good decisions, sometimes bad, but they are fundamentally who they are. And what they do with their lives is entirely up to them.
While the ending doesn't feel fully satisfying, it does feel overwhelmingly real. And that is what I have come to expect from Sue Miller (you can read my review of another Sue Miller book here). So in that respect, she didn't disappoint.
4/5 Stars.
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