The speaker describes his grandmother, just prior to her death. She is "impossible to get on with," unless you are the nineteen year old grandson, who has not just a soft spot for her, but who sees the benefits of a free place to stay and eat. On Thanksgiving Day just after dinner, "death touched the old lady," requiring that she move from the beach house where they had been staying to the family "home."

Several verses describe her decline: the ravings, the daze, the smell, the cries. She refused to go to the hospital, "I won't go." In alarm he calls an ambulance for the actively resistant woman. "Is this what you call / making me comfortable?" she cries to the lifting attendants. Then, as if to defy the "smart . . . young people," she lets them know she's still in charge by promptly dying. Her final words dismiss the elm trees seen from the ambulance window, and life as well: "Well, I'm / tired of them."