I am friends with a couple in their 80s. Whenever I would drop off a card and small gift for the lady’s birthday, she lady always said she didn’t want any more birthdays. Not that she wanted to pass, just didn’t want to be reminded how old she was getting. In September her husband had surgery and nearly died. His birthday was a few weeks later and when I went to drop off a card she said they were celebrating birthdays again because she realized anew just how precious they are.