Update about blogCa

Lake Tomahawk on March 22, 2026, temperature 84 degrees F.

Tuesday, March 10, 2026

Elderhood - not a disease!

From FB page "The Book Therapist"

Elderhood - Redefining Aging, Transforming Medicine, Reimagining Life, by Louise Aronson


A 92-year-old man sits in a paper gown while a physician half his age frowns at a lab report. His cholesterol is “concerning.”
This is a man who survived the Great Depression. Who buried a wife he loved for sixty years. Who still plays chess on Thursdays and wins often enough to keep his grandson humble. His hands shake a little when he buttons his shirt, but they have held babies, built shelves, signed mortgages, and written condolence notes.
And here we are, talking about numbers. About whether shaving a few points off a lab value might add six months to a life already heavy with ninety-two years. Six months.
That tension is the heartbeat of Elderhood. Louise Aronson writes like someone who has sat at the bedside and felt the absurdity of it all. As a geriatrician at UCSF, she moves between hospital rooms, research studies, and the slow unraveling of her own father’s aging body. What she uncovers is uncomfortable: we have built a medical system and a culture that treats aging as a problem to solve rather than a stage of life to inhabit.
We don’t have a language for elderhood. We have pediatrics for children. We have adulthood for everyone in between. And then, somehow, we pretend the last thirty years are just a malfunction. Aronson refuses that lie.
1. An 80-Year-Old Isn’t a Broken 40-Year-Old
One of the most radical ideas in the book is also the simplest: old bodies are not defective young ones. They are different bodies, with different rhythms and priorities. We don’t call childhood “pre-adulthood failure.” We recognize it as its own season.
Why can’t we do the same for the last act? An elder body isn’t failing at youth. It’s succeeding at longevity. That shift in perspective changes everything. Instead of asking how to drag an 85-year-old back toward 45, we might ask: what does thriving look like at 85? What matters now? What feels meaningful?
2. We Keep Intervening Because We Can
Some of the hardest pages to read are the ones set in ICU rooms. A 94-year-old woman is intubated. Restrained. Cut open. “Stabilized.” She had already said she was tired. Ready. But her words dissolve under fluorescent lights and beeping monitors. No one can hear her over the machinery of hope.
Don't forget that Aronson isn’t anti-medicine. She’s a doctor. She believes in intervention when it serves a person’s life. What she questions is our inability to let go. We escalate treatment not always because it helps, but because stopping feels like surrender.
The tragedy isn’t death. The tragedy is forcing people to endure suffering in the name of longevity when what they want is dignity. Sometimes the most compassionate act is not to add days to life, but to add life to days.
3. The Happiness Curve No One Talks About
This truth unsettled me: older adults, on average, report higher life satisfaction than middle-aged ones. Despite arthritis. Despite loss. Despite thinner skin and slower steps. There’s something that happens when you’ve lived long enough to see cycles repeat. The urgency softens. The need to prove yourself thins out. Perspective expands. Many elders describe a freedom I rarely hear in forty-year-olds.
But we don’t see this because we’ve decided aging is only about decline. We frame it as erosion. And when you expect nothing but loss, you stop building spaces for joy. It becomes a self-fulfilling prophecy. Meanwhile, elders keep telling us they’re okay. Sometimes even better than okay. And we keep not believing them.
It’s tempting to read Elderhood as a book about “them.” About nursing homes and Medicare and gray hair. It’s not.
If you are lucky, you will age. This is not a warning, it’s a promise. You will wake up one day and realize you are no longer the center of the cultural story. Your joints will creak. Technology will outpace you. People will speak over you as if you’ve already begun to fade.
The world we’re building for elders now is the world we are walking toward. That 92-year-old man with the “problematic” cholesterol isn’t broken. We are. He’s reached a stage of life we barely understand and rarely honor.
The problem is our refusal to see that the last third of life is not a decline from relevance. It’s a different kind of becoming. And unless we change how we think about it, we are all designing a future that will one day discard us.
The question isn’t how to avoid aging. The question is whether we’re brave enough to imagine it differently.
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From FB page "Books."

 We read Louise Aronson's "Elderhood" while sitting beside my grandmother's hospital bed, watching her try to explain to yet another young doctor that she wasn't confused, just tired of being treated like her eight decades of living had taught her nothing. Aronson's words felt like having an advocate in the room, someone who understood that aging isn't a disease to be cured but a profound human experience we've somehow decided to deny and dread.

As a geriatrician and writer, Aronson doesn't just observe elderhood from the outside; she inhabits it with both clinical expertise and startling vulnerability. Her book became a mirror we didn't know we needed, showing us how our culture's obsession with youth has blinded us to the wisdom, complexity, and yes, beauty of growing older:
1. We're All Practicing for Elderhood
Aronson's most unsettling insight is how our youth-obsessed culture teaches us to fear our future selves. Every anti-aging cream, every joke about senior moments, every assumption that older means lesser, we're essentially training ourselves to hate who we're becoming. She shows how this self-directed ageism doesn't just hurt older people; it wounds us all by making us afraid of our own inevitable journey through time.
2. Medicine Has Abandoned Its Elders
The clinical stories Aronson shares broke my heart and opened my eyes. She reveals how medical training focuses almost exclusively on fixing and curing, leaving doctors unprepared for the nuanced care that elderhood requires. When she describes watching colleagues dismiss elderly patients' concerns or over-medicate normal aging processes, you feel the profound loneliness of being misunderstood by the very people meant to help you heal.
3. Elderhood Has Its Own Seasons
Perhaps the most beautiful revelation is how Aronson maps the landscape of later life, showing it's not one long decline but a series of seasons, each with its own gifts and challenges. She writes about the wisdom that comes from having lived through multiple cycles of joy and loss, the freedom that can emerge when you stop caring what others think, the deep relationships possible when pretense falls away. Her elderhood isn't about diminishment; it's about distillation.
4. The Stories We Tell Matter
Aronson challenges every narrative we've absorbed about aging. She shows how our language around elderhood is soaked in decline and deficit, how we describe older people as "still" doing things, as if their continued existence is surprising. Her reframing is revolutionary: what if we saw aging not as falling apart but as becoming more fully ourselves? What if we honored the courage it takes to keep growing when your body is slowing down?
5. Community Becomes Everything
The most touching parts of the book explore how relationships deepen and shift in elderhood. Aronson shows how older adults often become masters of what truly matters, shedding superficial connections to focus on love that sustains. She writes about friendships forged in waiting rooms, families redefined by caregiving, and the profound intimacy possible when people stop performing and start simply being present with each other.
Most importantly, this book reminded me that we're all aging from the moment we're born, and every day we get to choose whether we'll approach that process with fear or with grace. Aronson chose grace, and in reading her words, I found the courage to do the same.
You can also get the Audio book for FREE using the same link. Use the link to register for the Audio book on Audible and start enjoying it.

Just saying...I'm going to check it out!


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by Fine Art Photograph Mathilde Oscar

If you restore balance in your own self, you will be contributing immensely to the healing of the world.

DEEPAK CHOPRA

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I’Ve been waking early and reading blogs -then returning to sleep a few more hours…so glad to see what’s been posted in the wee hours!



27 comments:

  1. I imagine that this will resonate with your readers. Things change. My BP is higher than it used to be, but my doctor thinks it is okay for my age. I am not on meds for it at this point. I think she gets it.

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    1. How cool. My BP has been managed chemically since the heart stent was put in 6 years past. I have at least talked the docs out of the med which made it too low. So glad you are recognized as a person rather than following the stats.

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  2. Thank you! I'm forwarding this post to my PCP. Where are the gerontologists? With an aging population they should be everywhere. But, no. Take care, Kris in Ohio

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    1. Unfortunately the cusp of baby boomers has shown the caring industry the needs of elders, which have yet to be adequately met. By the time things change, another need will become apparent. Hopefully something will be done about climate change.

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  3. Ageism is (one of) the dark side(s) of our culture's obsession with youth, that's true. Sounds like there is much wisdom in this book and I hope it gets a lot of attention.

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    1. Having lived now 10 years in a senior apartment complex, and having worked with seniors as an activity director before retiring, ahem, 19 years ago...I've seen a lot of changes already. Too bad the medical profession (and insurance which controls the purse strings) is late to the table.

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  4. As an older person myself, I get tired of the "still" as in still doing this and that, as if I should suddenly stop doing what I like! We age if we're lucky, not a problem to my way of thinking.

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    1. I used to enjoy George Burns' interviews...the drinking, smoking womanizing attitudes of a misogynist if ever I heard one - who lived to 100. Perhaps more enjoyable were Betty White's antics.

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  5. ...my body ain't what it use to be, that's for sure!

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    1. I think I sometimes want to age with grace, and other times like the dancing wind through the trees.

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  6. A lot of truth here. And wisdom. I can't remember the actual numbers but some ungodly amount spent on medical care in the last six months of a life is way out of proportion. Death is not the enemy. Death is the inevitable outcome. And as my mother used to say- death is not the worst thing. And yet too many physicians do indeed view it as the enemy. I'm already at a point in my life where I often ask the question- how much longer do I really think I'm going to live? Of course none of us know for sure but there are trade-offs that I don't see as reasonable for another year or so of life.
    It's a fascinating subject, really. And not one to shy away from. I fear the death of my beloveds far more than I fear my own death. Or at least I think I do!

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    1. A good summary of thoughts about death and loss of loved ones. And so important to understand that medicine doesn't have a clue about how death is part of the process of living.

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  7. My mother had something on her bladder. Doctor said it would not be the cause of her death but they still wanted her to go through an operation to see what it was. She said no. She was in her 90s at that point.
    I think too often with cancer treatments the treatments are worse than the disease running its course. Palliative care is what's called for.
    The book is worth reading.

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    1. These are all excellent points. And having a close health care surrogate is also important who understands your wishes for end of life care.

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  8. Thank you once again for wonderfulness- I just ordered the book. Our generation lives longer. Granny in the back bedroom with door shut and curtains pulled is not the trend anymore. We number many, it's a new challenge for Physicians that have not philosophy in theri training. We are mighty- YOU, Barbara , are mighty!!
    I love the photo of you with your son in the previous post. Mighty and lovely.
    We need devices to keep up in this world- hearing aids, C-pap machines. glucose monitors, magnifying glasses, stents...the lot! Good for us that they have been invented but when it comes down to IVs and hopital rooms whirring and $$$ being tossed at what is natural and normal to "bring health back to age 35" that is when a line must be drawn. Give me comfort, shelter, and love, that is all.

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    1. So glad you mentioned all kinds of devices which do make our later years more comfortable! This is an age of transition where AI is being bandied about, no longer a bionic woman is to be taken lightly. Yes, having choices and comfort!

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  9. Our cultural obsession with youth doesn't affect those of us that are in the last third of our lives. It's heartbreaking to see what some women do to themselves to maintain the appearance of youth. Aging is not a terrible thing for all the reasons above. And women especially if they accept it. Women, I think, become more powerful as they age.

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    1. Between Sally Fields and Jamie Lee Curtis, there are just a few in Hollywood who don’t take the Jane Fonda route. Here I am!

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  10. Very thoughtful and worthwhile post my friend. Thank you so much and I appreciate your visits very much. Aloha!

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    1. Hi Cloudia...I always am sitting here, thousands of miles away, enjoying your posts of Hawaii. And Pixie. And your thoughtful writings. Glad to have you come on over here!

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  11. The downside of aging is well known--the joys, and there are many, aren't cited often enough.

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    1. Well, OK! A very good idea there. Joys of Aging. We had Joys of Cooking a while ago. So name some!!

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  12. My daughter used to share frustrations when she was an ICU nurse - the families who wanted EVERYTHING done for their family member in their late 90's - all treatments, all invasive, none that would improve quality of life for the patient who might even be comatose. Personally I think it is torture.
    I feel like that woman by Mathilde Oscar today. Thank you for sharing.

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    1. Your daughter had to see such suffering. My friend who was a nurse said the hardest training she went through was as a NICU nurse, with all the tiny struggling babies. It made me so grateful that my 3 boys were all healthy at birth.

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  13. These are good points.
    I remember Joe telling my dad's dietician that if a man dying of a brain tumour wants eggs every morning he should bloody well have them!

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    1. Yes yes! We must have better respect of elders again!

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  14. Interesting. I think that medical professionals are taught to take care of younger people, and older people are kind of an afterthought. I recall that we found a geriatrician for my mother, and that was quite helpful.

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There is today, more than ever, the need for a compassionate regenerative world civilization.