Priya Menon, my longtime physician, for a routine appointment I had scheduled before any of this began.

I told her about my move, my grief after Arthur’s death, and the tension with Colin.

She listened without rushing me.

We reviewed my medications, my health history, and the practical things I could do to remain independent as I aged.

I was not seeking a certificate that said I was a good old lady.

I wanted sound medical advice and a clear record of my decisions.

Dr.