by James Wallace Harris, 11/2/22
I turn 71 this month, and getting older is getting harder. Being old is nothing like I imagined. That’s a problem for me because I like to be prepared, and being prepared requires anticipating the possibilities.
Last year I read The Art of Dying Well: A Practical Guide to a Good End of Life by Katy Butler. It’s a useful handbook giving tips about healthcare for the elderly, plus Butler relates plenty of stories about people she met who were going through a variety of issues as they approached death. I learned a lot from her book. People tend to decide between two paths toward the end of life. Some want to take advantage of everything medicine has to offer, and others prefer to take a gentler path, choosing less aggressive medical procedures, or even refusing treatment. One of the best lessons of the book is doctors will go to extremes to keep you alive unless you learn to say no. And for me, the important part of The Art of Dying Well is learning when to say no, and how to decide what you want before you lose control of your situation.
When I read Olive Kitteridge by Elizabeth Strout this week, I was surprised by how it inadvertently taught many of the same lessons. Although it’s called a novel, it’s a collection of thirteen interrelated short stories, and often those fictional stories were like the case studies in Butler’s book. Olive is in her late sixties at the beginning of the book, and seventy-four at the end. I was particularly horrified by the final accounts of Olive’s husband, Henry.
Olive Kitteridge is a book that offers a series of intense emotional impacts. And most of them made me think about how I will deal with a particular issue if it should happen to me. Henry’s fate is the hardest to contemplate. One day he and Olive are going to the grocery store and when he steps out of the car, he falls to the ground. He’s had a sudden stroke that leaves him blind, unable to walk or talk, and probably has left him deaf. He’s put in a nursing home where he needs to be cared for like a small child. To me, that’s scarier than anything Stephen King ever imagined. And how do you prepare for something like that?
It would help to have all the proper legal paperwork ready. And it would help if others knew your wants. That’s covered in the Butler book, but it’s covered in more detail in Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life by Louise Aronson. Aronson is a doctor who eventually got into geriatric medicine. Her book is heavier than The Art of Dying Well, with more clinical details. It has a tremendous wealth of information, but I found Aronson’s structure for her book somewhat disappointing. Elderhood has a clearly laid out structure but Aronson doesn’t always stick to it.
Both nonfiction books are excellent handbooks for anticipating getting older, especially for the medical and legal details. But the novel, Olive Kitteridge, was also excellent for the same purpose, but in a different way. I guess it’s a handbook for philosophically preparing for our last years. Some of its most important lessons were about communication, or more precisely, the lack of communication.
Much of the novel is about waiting until it’s too late to express our true selves. One of the strongest reasons why people want an afterlife is so they can meet up with dead loved ones. Is that because we really want to tell them something? Or that we really want to ask them something? I know that’s true for me.
I loved reading Olive Kitteridge enough that I’m going to read more Elizabeth Strout books and have already started on Olive, Again – a sequel with additional short stories about Olive Kitteridge and the people she knew. I’m also keeping The Art of Dying Well and Elderhood to reread again and again as I get older.