The Shame of Aging

A few years ago, I overheard a real estate agent telling a prospective buyer of the house next door that the tall bushes along our fence must be there because the owners (us) either must like their privacy or they were old and couldn’t keep up.

For some reason, this comment stung. I do like my privacy, yes, but I had to check myself: Had I let things go?  Were neighbors noticing our somewhat unkempt yard, which I preferred to lawns partly because I wanted to preserve some small bit of land for insects, birds and other creatures? But, in a subdivision of mostly neat lawns, were my neighbors gossiping about the old ladies on the block who couldn’t keep it together?

I stopped thinking about this incident until I was recently visiting a relative in her 40s. She and her family had moved into an older neighborhood where most of the original homes were small, maybe 1,000 square feet at most, the kind that were perfectly adequate when my generation, born in the 1950s, was younger. But a new generation wanted bigger houses for their families—I don’t blame them—and was either replacing the smaller houses with bigger ones or adding a second floor. My young relative complained that a lot of the people on the block weren’t renovating their houses but were letting them go, which was bringing down the property values for the whole neighborhood.

Of course, without her saying so, I knew that the people who were content with their plain old small brick houses were my generation, who didn’t need anything bigger or fancier. They had raised their children, who were now gone, and wanted nothing more than their small houses and gardens. Even though my cousin complained about this innocently, not even thinking, I’m sure, that I was one of those old people, I had to cringe.

Yet our yard and house are nowhere near as bad as the older neighbors down the street whose belongings spill out from the garage and whose two decrepit cars are stuffed. There’s no question they are hoarders, but I wonder if young people in the neighborhood think this is what happens when you get old. Of course, the younger generations grew up with computers, where most of their life is stored, so they don’t have old letters, vacation photos, records and DVDs or stereo systems taking up so much physical space.

While I have too much stuff, I don’t have enough memory, which is embarrassing when you’re standing in front of the car service guy and trying to remember the name of your car part that needs replacing. I routinely find myself in situations where store clerks, waiters and medical staff slowly explain things to me, not without some condescension. Or am I feeling shame because I can’t figure out how the self-serve coffee machine in my doctor’s office works?

I was recently at a doctor’s appointment and the young physician’s assistant suggested two procedures that would help my condition. When I went to make an appointment for one of them, I confused one procedure with the other, and the receptionist (but that’s not what they call them, is it?) questioned me. To straighten it out, the PA came out and assured the receptionist that she was right. Did I notice a glance pass between them? —another confused old person?

Recently I took part in a webinar with both younger and older people. One older woman kept interrupting the proceedings because was she having trouble with Zoom. I cringed, not only ashamed for my generation that doesn’t understand technology, but also for this woman’s obliviousness at hogging the proceedings.  

Maybe the worst is our shame about our physical deterioration—wrinkles, balding or gray hair, the canes we use to hold ourselves steady, our stooped bodies, drapes on our arms, or how we sometimes struggle to get up from the chair. How do we fight that judgment in a society that values youth, beauty and physical strength? I recently read that teenage girls (!) are getting Botox, already trying at that young age to have perfect faces. It seems the standard of beauty keeps getting higher.

So how do we seniors even try to keep up? We dye our hair, work out at the gym, get surgery to remove wrinkles, and wear tight jeans so someone might possibly mistake us for a 25-year-old.  Are we accepting society’s shame? Are we disgusted by our bodies and of what they will become? We fear ending up in nursing homes, where there’s a smell of decay—of bodies that can no longer move and can’t take care of themselves—that can be sickening. Maybe that’s why some older folks work hard to make sure their houses are clean and neat, no dirt behind the fridge, no bad smells.

The other day I crossed paths with a younger man, maybe in his 30s, who was jogging. I looked at him with wonder and envy—that he could lift his legs so high without pain and move so effortlessly. Yet I can’t help but feel that, in my older years, I have one leg up on him.  I don’t know this man, but I know it takes a long time to acquire what I have—more understanding and compassion for myself and the world; and the useful ability to not take myself too seriously. He may be physically stronger, but decades of hard knocks have made my heart emotionally sturdy.

Traveling While Aging

When I was young, I took a trip with my sister where we took advantage of the Eurail pass, never knowing where we would end up, not quite sure what country we were in. Perhaps our innocence saved us, but as I’ve gotten older and discovered the inconvenient things that can happen, I’ve tried to make more definitive plans ahead of time.

In my 50s, a friend and I selected the towns we wanted to visit in England and rented a car, but we still had to drive on the wrong side of the road and search every day for lodging. I remember banging on the doors of B&Bs to see if they had any available rooms and whether a bathroom was ensuite or if we had to share with other guests.

When I turned 70, I decided I needed to plan every detail and not rely on chance. On a trip to the U.K., I reserved seats on the train, and a room in the hotel and car rental in the town where we would catch the ferry.  So what could go wrong? The train broke down, and we had to find an alternative way to get to the ferry town but didn’t make it in time. In an unfamiliar town, we dragged our suitcases in the rain, looking for a hotel room. I won’t tell you what else went wrong on this trip, but suffice it to say that it taxed my physical and cognitive skills. It felt like I was being taught a lesson: there’s no guarantee that everything will go as planned. In fact, the more you plan, it almost seems destined to fail.

When I was younger, I could handle these challenges, but as my memory has gotten worse and my legs weaker, travel has gotten harder. So for my most recent trip, one to Europe, I jumped on the idea of a river cruise, where they would make all the arrangements, provide three meals and one excursion a day, and I wouldn’t have to look for a place to stay every night.

I imagined a slowly, leisurely pace and time to just watch the world go by. But that’s not how it worked out. To make the 8:30 a.m. excursions to different towns, my friend and I had to get up at 6:30 for breakfast at 7:30. This was made more difficult by three-course dinners at 7 that didn’t end until 8:30. For people in their 70s, this felt like burning the candles at both ends.

The excursions through medieval towns were led by young local guides who either had a schedule to make or wanted to get the tour over with. The pace was fast, the information fascinating but unrelenting. By the time the tours were done, there was little time to sit in the café and enjoy a croissant or to shop for postcards or souvenirs before we had to jump back on the bus or ship and head for the next town.

But even when we were left to our own devices, there were still challenges. My sense of direction has never been great, but it’s gotten worse as I’ve gotten older. In Amsterdam, Google Maps wasn’t much help when we got lost, telling us to go west when we had no idea which direction we were facing.  Asking locals wasn’t much help: “turn right on Leidsegracht and left on Keizersgracht” was hard to understand, let alone remember by the time we got to Keizergracht.  When we finally found our hotel, after wandering the streets and getting soaked, we were exhausted.  

And then there’s the airports to navigate. Airports have gotten faster—or I’ve gotten slower. If you can’t keep up, you get run over. In the Dublin airport, I did something I never thought I’d do: enlist an airport cart to take me to a distant concourse because I was limping from a sore leg and wasn’t sure I could make the gate on time.

I’m not sure what the solution is. I’m not ready to give up traveling and I’m not ready to join a huge cruise ship. I no longer have the courage to drive on the narrow and bewildering streets of medieval villages. That means I need to become more familiar with the abilities of cell phones, like how to utilize Uber in a strange city or how to call a taxi when it’s raining or I’m tired. The young couple (late 30s) who accompanied us one day in Strasbourg helped us find two bookstores with a few clicks of their cell phones. If not for them, we’d still be there, staring at our screens.

I was determined to take this trip to Europe because I worried that I was running out of time to see new places. Many friends in their 80s tell me they have no interest in traveling anymore. Maybe it’s time to relax on a on a beach with a good book. Or take a long road trip through the U.S. where I get up when I want, eat when I want, and spend as long as I want admiring the bears in Yellowstone or the redwoods in California.

My Life With Doctors

When I complain about not having any time in my life, my younger sister (just turned 60) asks  why I’m so busy all the time. Just wait, I want to tell her. It seems that after 70, my body started to slowly come apart. First it was pain in my knees when I walked down the stairs, and then discs started separating in my spine, my fingers became too stiff to curl, the bones in my arms and legs weakened, and other medical problems too embarrassing to mention. The latest was a severely blocked artery that required a stent to keep my artery open so I won’t have a heart attack. Before this, I didn’t know that you could get a catheter through a small vein in the arm all the way to the heart, even drilling through the plaque. Amazing.

In the past year I’ve gotten an education about the medical world. For example, there are more specialists than generalists, and it can take three to six months to see a specialist. I have appointments with two rheumatologists, hoping I can see one before October. Somehow, I’ve acquired three neurologists (for different conditions), one dermatologist, one cardiologist, a pulmonologist, a rheumatologist, an optometrist and ophthalmologist, a gastroenterologist, endocrinologist, orthopedist, a wound care specialist and a primary care provider. I’m sure I’ll add to this list as I get older.

Each visit has engendered more visits and more work. My deteriorating body requires therapy—not to put it back together—but to keep it from getting worse. My chiropractor, spinal therapist and hand therapist have all given me exercises to do at home, which take up a good part of the evening. When I’m not exercising or visiting my health care providers, I’m replying to their constant texts, phone calls and emails wanting me to confirm the appointment. And the forms that need to be filled out: Do I have covid? Have I traveled in the last month? Did anyone in my family have cancer?  

I need to list all my medications and there’s a lot. My bathroom counter is spread with bottles of medicine, and I need to remember which ones I take in the morning, which in the afternoon and which at night. It’s a good practice for my memory, which is getting worse, by the way.

Because my doctors can’t figure out why my hands hurt, I’ve enlisted the help of alternative healers, including a naturopathic physician, an acupuncturist, a somatic healer and a rolfer. At this point, my poor memory can’t keep up with all the healers, the doctors and their assistants—and even why I’m seeing them. My calendar is stacked with so many appointments that I don’t have time to see friends.

It’s all gotten so complicated, tedious and time wasting that I sometimes wonder if it’s worth it. I know two people who have refused to go to doctors for most of their lives. Now in their 70s and 80s, they have no idea if something is seriously wrong with them. It’s entirely likely that sometime in the near future they will be struck with cancer or a stroke, and it will be too late to save them. But in some ways I envy them. We could keel over at the same time, but they would have avoided all the endless appointments and the constant anxiety of not knowing if their condition is serious or not. Best of all, by dodging all the medical appointments, they had more time—the one thing I want more than anything.    

In the meantime, I’m getting a crash course in how the body works, and in the process I’ve developed an appreciation for its complexity. Because my doctors can only give me a limited amount of time (and because my science education by nuns was rudimentary to nonexistent), I rely on Google to explain how the heart sends blood all over the body through an intricate system; and how the spinal cord stacks up with discs that can deteriorate over time, leaving your vertebrae vulnerable.  I’ve learned some medical language that I can throw around casually: my neuropathy might be idiopathic; my heart test is ambulatory.

These are things we learn as we age, and I would have been glad to have never discovered them. I was blissfully happy as a young person never suspecting that my body would betray me, especially since I treated it so well: hiked and bicycled, took yoga classes, ate the right foods, never smoked, drank moderately and kept my weight down. Now I’m wondering: Why did I bother? Should I have just indulged in large scoops of ice cream?

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