It's my birthday today. I'm 43.

My seven-year-old, who comes in to cuddle every single morning, did not do so today. He must be growing up.

My husband went off to work without waking me up, no doubt because he thought I would like to sleep in.

A bunch of acquaintances wished me happy birthday on Facebook, because Facebook reminded them that it's my birthday. They wouldn't have known otherwise.

Three good friends also wished me happy birthday on Facebook. Friends I never have time to see anymore, because even though they live in town, we all too busy with kids and work. We see each other the odd time, but not enough for me to feel connected.

My other two closest friends moved out of town several years back.

My actual mailbox is empty. I didn't get a single card this year. Not even from my beloved aunts who live in England, and whom I talk to once a month.

No doubt my brother will forget to call. He did last year.

I'm going over to my parents' place for dinner. My mom doesn't recognize me anymore. This is my first birthday where she's effectively "not there". Except she is there, her wasted body a constant reminder that she's gone. Also, the palliative care nurse talked us in to funeral planning last Tuesday, so I've been crying all week over that.

My in-laws had the kids overnight on Saturday so my husband and I could go out for dinner, but I came down with a fever and a rash and slept all day and night, and most of the next day too. Bummer.

What am I doing wrong? I used to love life. I used to love birthdays. Now I just feel old and worn out. How can life be so empty when I try so hard?