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47 pages 1 hour read

Roz Chast

Can't We Talk About Something More Pleasant?: A Memoir

Nonfiction | Graphic Memoir | Adult | Published in 2014

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Chapters 5-9Chapter Summaries & Analyses

Chapter 5 Summary: “The Fall”

Chast recounts the phone call when George told her that Elizabeth fell while climbing a stepstool to look for the “KING NEPTUNE” certificate. She refused to go to the hospital and was bedridden. Elizabeth had an aversion to doctors, claiming they had a “God complex” and that hospitals were “WHERE YOU GO TO DIE!!!” (60). Despite her usual strength, Elizabeth started experiencing severe abdominal pain, stopped eating, and developed a fever as the days passed. Chast felt helpless: Her mother’s strong personality made it difficult to persuade her to do something she didn’t want to do. On January 4, 2006, Elizabeth was still in bed. Chast eventually convinced her to go to New Jersey, where her sister, a retired nurse, lived. However, Elizabeth soon changed her mind and decided to stay home.

Later that night, Chast received a call, informing her that her parents were at the emergency room at Maimonides Hospital in Brooklyn. They were both taken there by ambulance because George couldn’t drive and didn’t want to be left alone. Chast, afraid of driving to Brooklyn by herself at night, waited a few hours before hiring a car service. In the car, she anxiously wondered what awaited her at the hospital.

Chapter 6 Summary: “Maimonides”

When Chast arrived at the emergency room, she found her mother in bed and her father at her bedside. Time dragged on as they waited for a room to open up. Many hours later, Elizabeth was finally moved to a room, and Chast took her father back to their apartment and slept on their sofa bed. The next morning, George asked Chast where Elizabeth was. When she told him Elizabeth was at the hospital, he was shocked. Chast had no idea her father was “so far gone [...] His symptoms of senility had seemed pretty low-key” (71). An illustration on Page 71 shows him cheerfully whistling on the street, unaware of his wife’s hospitalization. Realizing the extent of his condition, Chast decides to take him to her home in Connecticut.

Chapter 7 Summary: “Sundowning”

Elizabeth was diagnosed with acute diverticulitis and remained in the hospital while George stayed with Chast. His senility pushed her to the limit: She struggled with his confusion and repetitive questions. He didn’t recognize a hairbrush and continually asked about Elizabeth and their bankbooks—their collection of canceled and uncanceled bankbooks from the 1960s. His condition was more manageable in the morning and worsened toward evening, a phenomenon known as “sundowning.” George became paranoid, convinced that neighbors would “break into their apartment and STEAL THEIR BANKBOOKS” (77). An illustration on Page 77 depicts George as a nervous wreck, shivering and surrounded by speech bubbles filled with questions about the bankbooks.

They visited Elizabeth in the hospital every day, and each time they stopped at the apartment to check on the bankbooks. George also had other anxieties: He slept with his wallet under his pillow and perpetually worried that someone had stolen his beloved Channel 13 tote bag. Chast tried to calm him but was frustrated, reflecting that her parents were supposed to be taking care of her, not the other way around. Once, in a moment of exasperation, she snapped at him: “LISTEN: If you don’t pull yourself together, I am going to FREAK THE FUCK OUT!!!” (80). She acknowledges that caring for her parents didn’t bring out the best in her. However, she recalls that despite the challenges, there were humorous moments, such as when George refused to buy a red jacket because it was the color of communism. Chast found mealtimes especially difficult, since George struggled with utensils and was particular about his food, disliking anything too sweet, too rich, or fried. Chast found the situation frustrating but mostly sad. Her father seemed lost and disoriented without her mother. After two weeks, the hospital discharged Elizabeth, and Chast looked forward to their reunion.

Chapter 8 Summary: “The End of an Era”

The night before Elizabeth’s release from the hospital, Chast took her father back to the apartment, and a neighbor offered to stay with him for the night. At the hospital, Chast arranged for an ambulette to bring her mother back to the apartment. The process involved significant paperwork, and from that day on Chast kept all information related to her parents in a dedicated notebook, including social security numbers, doctor contacts, elder care agency details, and more: “Dealing with all this ‘real-world’, official, and essentially bureaucratic stuff combined two of my least-favorite feelings: BOREDOM. ANXIETY” (90). Once Elizabeth was back home, George was overwhelmed with relief, as Chast conveys on Page 92 via an illustration of him tearfully exclaiming “ELIZABETH!!!” in wobbly capital letters. Elizabeth was very weak, and they got her into bed before Chast headed home, her mind filled with anxious thoughts about whether she should leave them alone.

The next morning, Chast called to check on them. Her father told her they had a difficult morning because Elizabeth fell while making breakfast. Chast offered to arrange for outside help, but her mother insisted, “We don’t need any help!” (96). Chast continued to bring them food regularly, and neighbors occasionally helped with shopping, but it was not enough. They finally agreed to have groceries delivered, yet the chaos and grime in the house continued to worsen. On Page 97, the author reproduces a poem written by her mother lamenting their dull, uneventful life, filled only with naps and waiting for Chast’s visits. Over time, George’s dementia worsened, and Elizabeth fell twice more. On Page 98, two panels depict the couple on the phone with Chast, each complaining about the other’s deteriorating condition. Chast eventually mentioned assisted living but met strong resistance. One day, Elizabeth fell again. George, unable to lift her, sought help but got lost in the building. After this incident, even her parents agreed that it was time for a change.

Chapter 9 Summary: “The Move”

Chast took her parents to see an end-of-life facility where a friend of Elizabeth’s lived. The trip was exhausting for George and Elizabeth, and Chast found the place sad, describing it as having “torn carpet; dirty, flaking walls; and lots of OLD, OLD, OLD, OLD people” (103). Back home, Chast felt helpless and overwhelmed, reflecting that once you pass your physical peak, “the falling-off is incremental” (106).

A week later, she found a facility near her home in Connecticut that was nice, clean, and—though ridiculously expensive—convenient for her. Her parents agreed to a trial stay and packed overnight bags. It was February 23, 2007, and Chast narrates that this is the last time they ever saw their apartment.

Chapters 5-9 Analysis

Elizabeth’s fall in Chapter 5 was a catalyst for the subsequent events that the memoir describes. Although her illness did not directly relate to the fall, her condition significantly worsened afterward, and she was diagnosed with acute diverticulitis. Meanwhile, Chast became more aware of her father’s advancing senility. These chapters explore the theme of Caring for Aging Parents in-depth, describing how Chast took on the role of caretaker and her father temporarily lived with her while her mother was hospitalized. Chast reflects with irony, “Any Florence Nightingale-type vision 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). Caring for George became far more challenging than Chast had anticipated. He experienced “sundowning” and became paranoid, convinced that neighbors would “break into their apartment and STEAL THEIR BANKBOOKS” (77). Once Elizabeth returned from the hospital, her refusal to accept help complicated Chast’s efforts to care for them. Elizabeth insisted, “We don’t need any help!” (96). This led to several more falls, culminating in Elizabeth’s falling again and George’s getting lost in their apartment building while seeking help.

Chast’s experience highlights the frustrating, anxiety-ridden side of caring for aging parents. She reflected on the role reversal, feeling that her parents should be taking care of her, not the other way around. Nevertheless, she was filled with worry whenever she had to leave them alone: “I worried about them CONSTANTLY” (100). The memoir also addresses the more pragmatic aspects of elder care. The ambulette arrangement required significant paperwork, prompting Chast to keep all relevant information in a notebook, as depicted in an illustration on Page 89, which included social security numbers, doctor contact information, and details about elder care agencies. Despite the many challenges, Chast maintains a humorous tone. She recounts her father’s obsession with the bankbooks with a touch of humor, depicting him on Page 77 as a nervous wreck, shivering and surrounded by speech bubbles filled with questions about the bankbooks. In addition, Chast shares amusing anecdotes, such as her father’s refusal to buy a red jacket because it’s the color of communism. Through her experience, the author portrays the complexities of caring for aging parents, blending humor with the sobering reality of their decline.

The motif of family dynamics emerges through the theme of caring for aging parents. The memoir depicts George and Elizabeth as deeply codependent, relying on each other for various aspects of their lives. For example, George depended on Elizabeth for transportation since he didn’t drive. When she went to the hospital, he rode with her in the ambulance. While she was hospitalized, George continuously asked where she was, and, when she returned, he was overjoyed, tearfully exclaiming “ELIZABETH!!!” Over time, the two also became reliant on Chast: Elizabeth’s poem on Page 97 expresses her eager anticipation of Chast’s visits, describing her daughter as “their greatest joy, by far” (97). Chast was frustrated by her father’s senility and her mother’s stubbornness but still assumed the role of caregiver with a sense of responsibility. Her constant worry for her parents showed the depth of their bond and the family dynamics.

In Chapter 6, Chast’s rushing to the emergency room after her mother’s fall introduces the theme of The Complexities of American Healthcare and Elder Care. At the hospital, she confronted the inefficiencies of the healthcare system as they waited for 22 hours for her mother to be placed in a room. In addition, she had a humorous encounter with a nurse who tried to take her chair away. The memoir further explores this theme is further explored through Chast and her parents’ visit to an end-of-life facility in Brooklyn. The facility’s condition, with its “torn carpet; dirty, flaking walls; and lots of OLD, OLD, OLD, OLD people” (103), paints a grim picture of the options available to the elderly. This visit left Chast feeling helpless and saddened by the inadequacies of the elder care system. As the narrator, she also addresses the euphemistic language that end-of-life facilities use to present a more palatable image. On Page 99, illustrations of several facilities bear names like “FINAL BRIDGE REST HOME” and “LAST STOP.” This supposedly comforting language does little to mask the grim realities of such institutions, where residents face the end of their lives in conditions that may be far from comfortable or dignified.

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