When it became clear that Bloom’s husband had Alzheimer’s and not just a case of Mild Cognitive Impairment, he insisted that he’d “rather die on my feet than live on my knees, “and it became Bloom’s job “to figure out how.” Her powerful, clear-eyed, and often remarkably funny memoir reports the inexorable stages of this terrifying disease and the attendant magical thinking, along with the couple’s somewhat race-the-clock efforts to let Brian exit while still the “loving, goofy, candy-sharing, soft-touch Babu” they wanted the grandchildren to remember. Bloom quickly exhausted the possibilities of U.S. right-to-die laws, frustrated at the deliberately narrow provisions of physician-assisted suicide, which didn’t match their goals at all. A better fit was with the Swiss organization, Dignitas, which offers “accompanied suicide” for those wishing to escape old age, or terminal illness, or some unbearable pain or disability. Since 1988 it has helped more than 3,000 end their lives as they wished. In what is at once a victory and a loss, Bloom’s husband met the stringent requirements—“sad…kinda angry...but not afraid.”