Tuesday, June 30, 2009

Troubling

It's a troubling time. All weekend Mom kept confusing me with her older sister, Grace, who died several years ago. It's not a new concept, or a surprise. It's common in Alzheimer's. But disturbing to me as I try to measure the progression, as we try to determine the next steps we must take. As I pray to God, "Please, be kind to my mom. She always has been loyal and true to you, to her parents, to her husband and family. Please, Lord, be kind to my mother."

Sunday evening we heard something knocking. It sounded like knocking on a window. I looked but saw no one, so I went outside to investigate further.

"You looking for something?" Carol and Fred called to me from next door.

"We hear knocking. It sounds like a critter between the walls."

"Oh, boy. There are squirrels that run the gutters on the house," Carol said.

Just then the knocking started again. My eyes followed the sound my ears heard. A critter was knocking at the basement window. "Let me out! Let me out!" his panicky tap-tap-tap seemed to say. How? The window doesn't open from outside and I wasn't going down into that cellar. But the front window would if I could find something to prop it open. I don't know if it escaped, but the knocking stopped.

I can't help but compare the event to Mom's condition. Like when I have to say, "I'm your daughter, not your sister."

"Oh. I wish my brain would work right."

"They call it Alzheimer's, Mom."

"I know."

Or when she goes over-the-top angry at something someone says--usually me, now that Dad is gone and I have taken his place as primary. Perhaps it's the only way she has now to beat on the glass, "Let me out! Let me out! I don't want to be trapped here. I need to be free!"

As many well-known names as have gone to bat for Alzheimer's research, I can't help thinking the answers should come more quickly. I can't help thinking that profit margins come into the picture--or rather, not coming into it so everyone would know it's all about profits. Isn't everything? I can't help thinking about the wonderful minds that have been lost to Alzheimer's and dementia at a time in a person's life when they would finally be able to enjoy chasing their dreams after raising a family and working for all of those years. And how many more will be lost between now and the cure on the open market, no doubt at a high cost. (I'll let you determine those high costs.)

How sad that I should feel such skepticism for this miraculous age when Floyd writes to me to say, "I call my sister less now. She has Alzheimer's. She doesn't even know her children now, has lived at the facility for a year..." I know it's just a matter of time for my mom. I can't change a thing. I can't prop open a window that will allow her to escape from the Alzheimer's.

Wednesday, June 24, 2009

Dog Days

This has nothing to do with dogs. Or August. Or summer. If I were to associate this with any kind of season, it would be winter...cold, hard to downright brutal. I am overwhelmed...by life's unexpected, twisty, worse than pretzel turns. Guilt eats at me because I am not equipped to care for my mom in her greatest hour of need. I have a "visitor" aka sitter come to stay with Mom while I sneak out of her house and down the street to meet my brothers so we can go to look at nursing/retirement facilities. We don't know how to tell her what we're doing without upsetting her. And my brother asked the question, "How can we just take our mother and drop her off somewhere like that?"

The agent for Whispering Pines in Columbiana called me a few minutes ago to touch base with her. Last week she sent cards through the mail to both of my brothers and to me. The facility was the most affordable and the most beautiful that we've looked at. We all agreed that Mom would be very content there. But the doors are not kept locked. There are caregivers, but residents can walk out the door alone. Mom is in late stage Alzheimer's.

As much as she insists her Alzheimer's "isn't progressing as fast as they thought it would. I can live on my own. I don't need anyone to stay with me," the fact is, she doesn't remember something I told her one minute ago. If we have a visitor, she doesn't remember they were here five minutes after they are gone. If we go to visit someone else she says, "I never go anywhere. I can't. Bill died. He made sure I'd never be able to drive again." THAT she remembers. She remembers the doctor saying, "You used to have such a good brain." She doesn't remember calling me a liar. Or telling me, "Go to hell!" She doesn't remember to take a shower. When I bring it up she gets angry. "It's funny that I lived all of my life without you around to tell me when to take a shower!"

Mom always has been conscious and meticulous about her hygiene. I know I'm battling with Alzheimer's. I call it battling, but it isn't really a battle because I have stopped fighting with it for the most part. What is the point in upsetting my mother to the point of anger, belligerence and combativeness? What is the point in upsetting myself, driving my blood pressure up and having a stroke? I remember a bit of advice sometime long ago: Choose your battles.

I have talked with friends. They all advise me the same things: Place Mom where she will be safe. Those words cannot be taken lightly. Look at the global economy. Look at the budget cuts. Look at the reputations of the facilities vying for my mother's pocket book. Our state representative, Linda Bolon, says in today's morning paper, that the libraries aren't the only things that are going to be cut. Why do I feel like every facet of our current way of life is under fire and on the edge of a revolution? Am I the only one who sees that if we place Mom somewhere and all funding is cut we will have another crisis on our hands as her condition progresses? That's probably my writerly imagination at work. Sorry. We all know that the caretakers don't get away much. Without social stimulation from the outside world it's easy to become out of touch and have to entertain thoughts inside your own head that don't meld well with the outside world.

I had dinner with Matt and Mary Catherine Monday evening. Matt was my Spanish prof at Kent State. Mary Catherine was another student. We just kinda melded into a Three Musketeers trio. Aren't there programs out there to help you with your mom, Mary Catherine asked. Your mother wouldn't want you to be going through this if she knew, Cathy, Matt said.

So, yesterday I called the Area Agency on Aging. Ms. Davis forwarded me to the screening desk. A voice message said someone would be with me shortly. Calls were being answered in the order in which they came in. The second voice message said, "There is no one available to take your call. Please leave a message. Someone will get back to you within three business days." Oh. I suspect this will be a common issue as the economy spins out of control and past the point of no return. I left my name, phone number and a short message. Three days will be Friday. I doubt there is much help coming my way this week, especially not on a Friday.

I read a news story online. Sink holes in the Dead Sea. Water shortage in the "parched moonscape" is the "lowest point on the earth." A few days ago I read a news story online that a once-upon-a-time lake on Mars has been discovered. Oh. Are we doing to Earth what was done on Mars once-upon-a-time? Sorry. My sarcasm is showing.

I grew up with a strong faith in God. Great-grandma Alice Crawford instilled faith in my mother. She lived with the family and slept in the same bed as my mother. Every night she read the Bible to Mom until Mom dropped off to sleep. Mom didn't read the Bible to me every night before I went to sleep, but she did teach me about God and I have a very deep faith in Him. What do people who don't believe hold onto when they are in their darkest hours?

In the early 1980s there was a deep schism in our church. Two men fought over control of the little church. I was reeling from the horrible economy, what they called the Economic Malaise, and went to church for comfort and re-energizing. It was so bad at church that I felt worse when I came out than when I went in. That's not a place where God was. I stopped taking my family to church. Years later, I realized that we should have a minister who knows us, someone to perform marriage ceremonies and funerals. I didn't want a stranger to speak over my loved ones. So I went back.

But a year ago, the minister threw the last straw at the camel's back. We are NOT supposed to judge each other. What my mother taught me is NOT lies. Continually singing the praises of the "few faithful", the same "few faithful" time after time wasn't just offensive to the rest of us who were not deemed faithful, but I was embarrassed for the people he was naming. How can he say one time, "My church family is the most important family to me?" and another time say, "Sorry, but my family is the most important even above my church family"? What does he mean when he says, "Don't come to me with your problems. I can't help you with them. I don't know the answers. I can't advise you." But the most offensive thing he said, "We're in the saving souls business, not the helping the needy business." Wait a minute. Isn't that why the disciples appointed elders and deacons? The deciples had so much work to do in saving souls they appointed elders and deacons to take care of the needs of the people??? What did I miss here? And doesn't every minister know that when a family is worried about paying the rent today before they are evicted and how they're going to feed their children so the kids don't go to bed crying from hunger pains, the last thing on their minds and agendas is where their souls are going to spend eternity! This minister holds a master's degree in mathematics. He never attended seminary. What does he know about being a minister? What does he think the word even means? That minister has not called. Has not come to visit me. I don't know why he came to my dad's calling hours because he never came to visit my dad. Didn't visit my dad in the hospital. He has never been here to visit my mother. Must be appearances. His wife said, "Oh, don't hug me. I've been sick." But she hugged my grandsons. Yeah. That's what I thought. Ministers like this one now leave a bad taste in my mouth. If that's what heaven is made of, maybe I don't want to go there. I just don't think that's what heaven is like. That's not how God operates.

So, here I am. No church family to rely on, no minister to minister to us. I am at the Physician, heal thyself status. It's me and God to lead my family. That's not exactly true. Friends, near and far, talk to me, even if it's just in email. They are blessings to me. But it still doesn't solve my dilemma: the best care in my mother's best interests. What am I going to do? What am I going to do? And the others still judge me. I got a card from Shirley and Bill, "I hope you find your way back to God," she wrote. Find my way back to God? I left that church so that translates into leaving God??? Uh...no.

Caregivers are so isolated. I've always known that. When I get through this experience, finish this journey with my mother, I will seek out the caregivers who need the support of others who understand. I will help them because I will know what they are dealing with.

I apologize for whining. Mary Catherine said I should be myself. I shouldn't put up the facade of a strong woman who never cries. Well, I won't go that far. I've been crying a lot lately. Alzheimer's is a heartbreaking, tear-jerker disease. I am saturated by it so it overflows into my writing. All of my writing, in one way or another.

Please, God, forgive me when I fall short. I'm doing that a lot lately. Please, God, help me to forgive the church family that I feel has let me down. I surely must be looking at this all wrong. Please, Lord, give me eyes to see and ears to hear and an understanding heart. Please, Lord, be kind to my mother. Please, Lord, bear me up and make me steadfast and strong, not just for myself, but for the people who depend on me, who look to me for wisdom and knowledge, who don't have the abilities to see and hear and understand as well as some of the rest of us. Lord God, please don't forget about us wayward humans who think we know everything and still don't even know all of the questions. Your will be done, Lord God. Amen.

Monday, June 22, 2009

Barry Manilow

This post...you may wonder what possessed me to write it in my Alzheimer's blog. It IS related.

My sister-in-law heard a radio spot promoting the July 6 Barry Manilow concert at Mellon Arena in Pittsburgh and called my brother. "That has my sister's name written all over it," he said. Then he came to see me.

"I want to give you a birthday present."
I was a little suspicious about the way he said it. "What kind of birthday present?"
"Tickets to the Barry Manilow concert at Mellon Arena on July 6."
"I don't know my way around Pittsburgh. I'll get lost!"
"I'll set you up with my GPS. It'll take you right to the place."
So, I checked with my husband. He likes some of Barry's music, but I wouldn't call him a fan. He agreed to go with me. My brother said, "You'll have Cathy alone for a while." Alone with how many other fans filling that place???

The point is, my brother and his wife have noted that I am with Mom around the clock. I finally gave up sleeping on the sofa and moved upstairs to the extra bedroom so I'm getting a restful sleep.

"You don't do much. You are always here. You need to get away. This is perfect for you." He handed me cash. "For parking. And you have to buy a t-shirt. You have to. That's a requirement at a concert."

I have NEVER gone to a concert. I am so overwhelmed with emotion that my brother and sister-in-law are doing this for me. I know I chose to take care of our mom. I'm the only one who doesn't have a full time job or a sickly spouse to take care of, so it's just logical to me that I be here. Having my wings clipped, though, limiting my activities when I've just graduated from college, is a big adjustment for me. You know, it took me 28 years to get that degree. I'd like to do something with all of that knowledge!

The ONLY thing that could make this event better is if Barry himself said, "Come on down out of that balcony and sit here in front." And if he sang "Time in New England" or "When October Goes" or "Magic." I've GOT to stop at my house and pick up my Manilow CDs. Dad may be gone, but his CD player is right beside me when I am working on my computer. Only thing is, when that music is playing I'm singing along and on my feet movin'!

The concert is still a couple of weeks away, but the anticipation of it has re-energized me. I've spent a lot of the day working on the sequel to my first novel that is in the hands of a publisher as I write these words, going through the readers. Then, I did something I haven't done in, well, I can't tell you how long because it's BEEN so long! I baked chocolate chip cookies! Mom's nose led her to me and the kitchen. LOL. She really liked the aroma wafting through the house and I noticed the twinkle in her eye that I haven't noticed much lately. I know she's leaving us a bit at a time, but there are still moments that reach out and wrap themselves around us and she knows. When will I ever stop the tears flowing when I think of these moments I have to write down before they are forgotten and later I will pull out the journal or the stories and read them and remember the moments for both of us.

Emotions. They run rampant with me. I'm a writer, a creative mind who long ago said to God, "I want to feel the full extent of all the emotions so I will understand and be able to write the things that will touch hearts and minds and let them know they are not alone.

So I'm sitting here crying small tears about my mom and the way she tries to keep using her brain. And she comes around the corner with some money folded in her hand.

"Cathy, I want you to take this and use it toward your schooling."

"Mom, I'm finished with school."

"I thought you said you were going to go some more."

"In a year."

"Then you tuck that away and use it when you go. If I can give you more I will. I just don't have a lot to give you."

And I thought of the woman in the New Testament. She threw her pennies into the collection basket and was criticized because it was so little. But Jesus said she was blessed because she gave all that she had.

Mom has given all that she has for the family she has loved all of her life, even when she wasn't sure she was loved back. She still has given her all. And that is why I am staying here. That's why I look after her. That's why I won't give up on her. I have her back. Lord God, I have her back. And you have both of us in the palm of your hand.

And I'm bawling my eyes out. Mom, too.

(c)2009 Cathy Thomas Brownfield

Tuesday, June 16, 2009

Home away from home

We've started to look at nursing homes. And it feels like betrayal. In understand this is common for family members who face this hurdle in the Alzheimer's game. I am remembering something Hazel Burnip told me a LONG time ago. She said to find out about things I'm going to need to know before we arrive at an emotional crisis point when we can't think clearly because of the immediate stress we are coping with. At the time we were in the midst of the Economic Malaise, circa 1980. My family was one that "fell through the cracks" of the federal government system. The advice is still good today.

We went to the Alzheimer’s facility about fifteen miles from home. We visited unannounced. Surprise inspection.

• Away from the main road.
• Pleasant surroundings.
• Doors kept locked.
• Peaceful throughout the building.
• No lingering unpleasant odors.
• Residents seem content.
• Two people to a room.
• Hair salon
• Caring staff, by all appearances.
• Facility like a hospital…sorta.
• Missing: home and family.
• Issue: Distance from family and home.

We drove into town to check out the retirement community. I had heard good things about it.

• Beautiful surroundings.
• Beautiful rooms, one resident to a room.
• Homey, family atmosphere.
• Beauty salon.
• Small store for essentials like shampoo and toilet paper.
• Residents bring their own belongings/furnishings and personalize their rooms.
• I could stay with her for a few days while she settled in.
• Friendly staff.
• Missing: doors are not locked. I fear they are not equipped to handle advanced Alzheimer’s.

The facility is beautiful and I think Mom would like it there, but with advanced Alzheimer’s we don’t want to get her settled in somewhere just to yank her out and move her somewhere else. We have other places to check out. Personally, I want to buy the nursing facility in our town that is moving to new digs in another community. I’d like to make it an Alzheimer’s facility, one person to a room where desired, roommates when desired. Homelike atmosphere, one wing at a time. It had strong roots but has fallen into disrepair. It’s close to home. And there is only one other place in our town.

Last night we talked awhile, my sister-in-law Dawn, my daughter Christie and me. Dawn said we have to think about Mom’s safety. Can’t argue with that. But it still feels like I’m betraying the woman who sacrificed for all of us forever. She made sure we had even if it meant she went without. “That’s what Mom is supposed to do,” she said. Richard may remember some of the things that happened, but he was so young. I know he doesn’t remember a lot. Some happened before he was born. Our mother…she was a warm, smart, intelligent, compassionate, generous, strong woman. When we play the Alzheimer’s Peek-a-Boo game, she still is. Those moments are fewer these days.

Mom said to me, not too many days after her Alzheimer’s diagnosis, “The day will come when you will have to put me in a nursing home. Do it. I will probably argue with you. But I trust you to do the right thing. And when I don’t know you any more, stop coming to visit. I will be gone. All that will be there is an empty shell.”

As if…

As if I could not go and sit and hold her hand and remember all that she was “in the days.”

As if I could leave her alone in a silent world, isolated from everyone and everything.

I say these last words facing the unknown of the Alzheimer’s progression. For, although all AD patients share some symptoms, each case also is individual.
In my heart I keep thinking about causes. Why did this happen to my mother? I pray to God it wasn’t created in a laboratory somewhere to be exploited by pharmaceutical companies for profits.

Remember on the X-files, the woman who said (just before she disappeared), “No matter how paranoid you think you are, you probably aren’t paranoid enough.”

(c)2009 Cathy Thomas Brownfield ~ All Rights Reserved

Wednesday, June 10, 2009

Nobody said life would be easy. In fact, Mom said it was not easy. But she expected us to do the best we knew how. To be responsible and reliable, dependable. To be honorable.

I ponder the lessons of my growing up years, all the things Mom taught her children. She had high standards for us, and we tried so earnestly to work our ways through those youthful years of peer pressure (two wrongs don’t make a right and if those kids all jumped off Canton Bridge, would you jump, too?), bullying (that boy who tormented me 50,000 times a day in the corridors of David Anderson High School), and the problems at home (why did Dad do some of the things he did that caused extra issues?)

Mom insisted, “He’s your father. You will respect him because without him you would never have been born.”

Yes, Mom held us up to high standards.

I remember the day she said to me, “The time is going to come when you will have to put me in a nursing home. I know I am going to fight you about it, but you have to do what you have to do. I expect you to do what you know is right. When I need to go to a nursing home, do it. And when I don’t know you any more, don’t come to visit me because I won’t be there. I will be gone. There will be only a shell there in my place. I trust you to do the right thing.” She had just been diagnosed with Alzheimer’s at that time.

I promised that I would always do the best I knew how to see to her best interests. And look at where we are now.

On Monday I said, “Mom, you wanted me to remind you to take a shower this morning.” She complied and I thought I had won that silent battle. However, when she came out of the bathroom, fully showered, she said, “It’s funny how I lived all of my life without you around to tell me when to take a shower.” Things escalated from there. I knew how long it had been since she had showered. But she would have none of that. I was a liar, she said, and had no business telling her what to do. Well, at least she had taken the shower and shampooed her hair.

On Tuesday she came to me. “Where is my checkbook?”

“Why?”

“I have bills to pay.”

“Your bills are all paid.”

“I want my checkbook.”

“Sorry, no.”

“It’s my checkbook.”

“Yes.”

“It has my name on it.”

“Yes. And Richard’s and mine.”

“You are living in my house.”

“I am staying at your house so you can stay in your home. But if you want me to leave, that’s fine. Here are your options: me, Bill, Richard or a nursing home.”

“I’m not going to a nursing home.”

“The time is going to come when you can’t make that decision.”

“I want my checkbook.”

“When Richard gets home we will talk to him. If he says to give you the checkbook I will give you the checkbook.”

“If you don’t give me my checkbook I’ll tell Richard.”

“OK.”

Not even two hours before this Day 2 battle (two days in a row) she had called to me, “Does my crocheting bother you?”

“No.”

“Bill didn’t like it because I crocheted.”

I ventured to the living room and sat down to talk. “He’s gone and you can crochet all you want to. Does it bother you that I spend so much time with my computer? Fred thinks I’m having an affair with my computer.”

“You can play with your computer as much as you want to.”

Her eyes twinkled. She was smiling and content. Well, maybe we were past the battles for the time being. Uh, now I see that twinkle and smile and contentedness and think, “She’s looking for something to fight about.”

She says, “I am so bored. I would like to do something exciting.” But she doesn’t know what she would like to do. When she said she wanted to go to see her brother, I took her. When my grandson has a ballgame, I take her. When my children and grandchildren have a cookout or family event, I take her. If she wants ice cream we go to the Dairy Queen or McDonald’s drive-thru. I took her to the community choir’s spring concert. By the time we get back home she has forgotten that we even went. I still take her, even though I know she will remember it less than a minute. At the concert she insisted that they had forgotten to sing two songs on the program.

“No, Mom. They did sing them.”

“I don’t remember.”

The time is come that my brothers and I have to keep the promise that I made to her that long-ago day. I can scarcely handle the idea. I cry every time I think about it. My grandmother took care of her mother in her home until the day she died at age 86. My mother took care of my grandmother in her home until the day she died at age 84. Shouldn’t I be taking care of my mother in my home until the day she dies? As far as I know, my great-grandmother never showed any violent tendencies. I was 10 when she died. I remember the day. My grandmother was docile as her days dwindled. She didn’t linger long because she didn’t want to be a burden to her family. I remember the day she passed.

But Mom is over-the-top angry in an instant. The episode on Tuesday—I had my back to her and remember thinking I probably should face her. She used to pummel my dad when he took her in the car until he told her, “If you don’t behave I will take you back home and I won’t take you in the car again.” My husband was with us, so I wasn’t as concerned as I might have been had it been just the two of us.

No, I am not equipped to handle my mother’s care much longer. And so we, my brothers and I, are looking at facilities in our area to place her. I know it has to be done. Why do I feel like a traitor?

© 2009 Cathy Brownfield ~ All rights reserved.