The nameless narrator is a gay man who moved to Florida to look after his aging parents—during the height of the AIDS epidemic—and has found himself unable to leave after their deaths. With gallows humor, he chronicles the indignities of growing old in a small town.

At the heart of the novel is the story of his friendship with Earl, whom he met cruising at the local boat ramp. For the last twenty years, he has been visiting Earl to watch classic films together and critique the neighbors. Earl is the only person in town with whom he can truly be himself. Now Earl’s health is failing, and our increasingly misanthropic narrator must contend with the fact that once Earl dies, he will be completely alone. He distracts himself with sexual encounters at the video porn store and visits to Walgreens. All the while, he shares reflections on illness and death that are at once funny and heartbreaking.