47 pages • 1 hour read
The complexities of navigating care for aging parents is a central theme in the memoir because it centers on Chast’s experiences in ensuring that her parents received proper care during their final years, highlighting the conflicts and challenges that arise. Summarizing the conflict at the heart of the memoir is this sentence: “I wasn’t great as a caretaker, and they weren’t great at being taken care of” (23).
Chast reflects on her shortcomings as a caregiver as her parents’ health declined, her father’s because of dementia, and her mother’s as a result of physical ailments. She ironically notes, “any Florence Nightingale-type visions I ever had of myself—an unselfish, patient, sweet, caring child who happily tended to her parents in their old age—were destroyed within an hour or so” (75). Her father’s incessant questions about his bankbooks and general anxieties, even about food, frustrated her. In addition, like many people, her parents initially resisted becoming dependent, vehemently claiming that they didn’t need help. After her father’s death, Chast struggled even more with her mother, with whom she had a strained relationship. Elizabeth required constant care, entering a limbo state between life and death, symbolized by the chrysalis. This led to Chast’s becoming frustrated and increasingly concerned about finances. The memoir therefore portrays the challenges of caring for aging parents, especially as an only child with unresolved parental issues.
The memoir also explores the role reversal between parents and children as parents age. Chast reflects on the shock of seeing her once-strong parents become frail. She notes how, when her father was bedridden in a nursing home, “Seeing my dad in the nursing home was painful. He looked so small and so frail. How could this be? He was my DAD!” (144). The image of strong, capable parents is shattered when one must care for them at their most vulnerable. This role reversal is likewise evident in Chast’s experiences while her mother stayed at her home after George’s death: Elizabeth had a bathroom accident, and Chast felt sorry for her mother’s going through “this awful humiliation” (163). As Elizabeth developed dementia, she told made-up stories and regressed to a childlike state. Chast’s candid and humorous narration, particularly in Chapter 16, captures the absurdity of these moments.
Similarly, the memoir addresses how the pragmatic side of caring for aging parents presents additional challenges. Chast details the extensive paperwork involved, and her notebook on Page 89 illustrates the overwhelming amount of vital information necessary to track, including social security numbers, doctors’ contacts, and elder care agencies. In Chapter 10, she describes emptying her parents’ old apartment as “massive, deeply weird, and heartbreaking” (111). Financial concerns emerged as the costs for assisted living (and external help) accumulated. While her mother was on her deathbed, Chast bluntly told her, “You are running out of money” (208). The memoir doesn’t shy away from depicting the collective mental and practical difficulties of caring for aging parents, portraying them as a daunting and emotionally taxing responsibility.
As Chast recounts her struggles in caring for her aging parents, she addresses the complexities of the healthcare and elder care systems in the US, criticizing the systems for placing a large financial burden on families during difficult times and often failing to provide adequate care. Chapter 6 introduces this theme when Chast describes going to the emergency room at Maimonides Hospital in Brooklyn, where her mother was taken by ambulance. When she arrived, she found her mother still waiting to be placed in a room, and they ended up waiting for a total of 22 hours. In her typically humorous fashion, Chast portrays an encounter with a nurse who wanted to take her chair away. On Page 69, she illustrates an imaginary fistfight with the nurse, depicting the nurse as eventually taking the chair while Chast stood clenching her fists. Through this ironic illustration, the author highlights the shortcomings of the healthcare system, such as long wait times and unfriendly staff, possibly due to understaffing.
When her parents agreed to move to an assisted living facility, Chast faced issues with elder care systems. The facility they initially visited in Brooklyn was sad; it had “torn carpet; dirty, flaking walls; and lots of OLD, OLD, OLD, OLD people” (103). Wanting a better environment for her parents, they eventually moved to a nicer facility, which they referred to as “the Place.” While the Place offered a pleasant environment and activities for residents, the process of moving her parents there was challenging and required extensive paperwork and phone calls: “Everything involved paperwork and phone calls where you’d be left on hold for twenty minutes and then hear an ominous click, followed by a dial tone” (110). Later, Chast recounts the bleak nursing home to which her father was moved: It had linoleum floors and grey walls, and the author recalls a woman in a wheelchair crying out for water. Through this portrayal, Chast criticizes elder care facilities that fail to provide a dignified and comfortable environment for residents.
Another significant concern in Chast’s memoir is the cost of American healthcare and elder care. At the Place, the rooms were unfurnished, so Chast had to buy all the furniture. Her parents’ insurance did not cover the monthly fee of $7,400, plus another $600 for a personal support plan, because that plan did not carry over to Connecticut. Later, when Elizabeth was diagnosed with depression and prescribed Lexapro, insurance did not cover the medication. These costs caused Chast constant worry: “Every month she stays alive, the Place and Goodie get $$$$ richer...which means that I get $$$$ poorer” (200). Chast condemns a system that places such a heavy financial burden on families during already challenging times.
In discussing her parents’ refusal to acknowledge that they needed help, Chast addresses emotional avoidance and the refusal to confront aging and mortality. The memoir’s title poignantly captures this theme, which echoes her father’s statement in the Introduction: “Let’s discuss a more pleasant subject” (14). Like many people, both George and Elizabeth refuse to discuss or plan for their old age and impending deaths. On Page 11, Chast recalls how, when she asked whether they had made any plans for their later years, they responded with awkward laughter and avoided the topic. Chast attributes this to their traumatic childhoods: Their own parents moved to the US from Russia in the early 1900s, living in poverty, and lost family members in the Holocaust. As George approached death and was given a Do Not Resuscitate (DNR) bracelet, Elizabeth remained in denial, exclaiming, “I DO NOT LIKE TO TALK ABOUT DEATH, AND I WILL NOT TALK ABOUT DEATH!!!” (159). This reaction highlights her use of denial and emotional avoidance as a defense mechanism to shield herself from the pain associated with facing her own mortality and that of her husband.
The memoir characterizes both George and Elizabeth as individuals who buried their emotions to cope, even with topics besides death. Chast recounts how Elizabeth dismissively referred to losing her first baby in 1940 as “that mess” and never told Chast where the baby was buried: “My parents didn’t like it when I asked questions about her” (13). Chapter 14 describes how, when Elizabeth had a bathroom accident at Chast’s house, they cleaned it up and never spoke of it again, highlighting their family’s tendency to leave emotions unexpressed. After George’s death, Elizabeth irrationally blamed the hospice nurses for giving him too much morphine instead of sharing her sadness. On Elizabeth’s deathbed, when Chast attempted to reconcile and told her she wished they “could have been better friends” when she was growing up (201), Elizabeth brushed it off, saying it didn’t bother her. This again illustrates Elizabeth’s emotional avoidance and unwillingness to address unresolved issues with her daughter, even in her final moments. Her behavior upset Chast, who later sat in her car and cried. The memoir therefore shows how the emotional avoidance typical of Chast’s parents was toxic and caused significant communication issues as well as emotional difficulties for their daughter. As a result, Chast vows to be a better mother to her own children. Recognizing the harm in avoiding emotional discussions, she resolves to have a more open relationship with her family.
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