For Many Older Gays, a Toll of Time and IsolationBy MANUEL A. ESKILDSEN, M.D.
Published: September 12, 2011
Long after I had asked the paramedics to stop chest compressions, I was more dejected and frustrated by this patient’s death than by almost any I had experienced as a physician.
Sure, performing CPR after cardiopulmonary arrest on a frail man in his late 90s was likely to be an exercise in futility. And, in retrospect, we should have been more aggressive at the nursing home about suggesting he change his status from “full code” to “do not resuscitate.” But that wasn’t the main reason this man’s death continued to gnaw at me.
My patient was gay, and as a gay geriatrician I had felt a connection with him unlike any I’d had with my other patients. We never directly discussed his sexuality; initially, I only knew that he was a lifelong bachelor and a retired history professor who had taught for many years at Emory University in Atlanta.
....
Connectedness and a sense of community are vital human needs that, if anything, become more important as we get older. But by virtue of their frequent social isolation, many older gay people may be more likely in their later years to have little access to the very social networks that are important factors in successful aging. So, in a way, being old and gay can concentrate the biggest fears that many of us have about aging: that no one will care for us, and that we will die alone.