Showing posts with label dementia. Show all posts
Showing posts with label dementia. Show all posts

Wednesday, July 5, 2017

Mom's fallen & may not get back up


I’ve been the primary care giver for my darling 84-year-old mother since 2010 when she first began exhibiting signs of mild dementia. In the last two weeks under my primary care, the old gal’s been diagnosed with lung cancer, pneumonia, severe dementia and osteoporosis after falling in her kitchen and shattering her left wrist.

I think I’ve finally found my calling.

Primary care giver? Murder Inc. has nothing on me.

Oh, that poor woman.

She’s since Sunday evening been in the ICU at Latrobe hospital. She’d spent the day on our porch sipping wine and complaining about needing a nap. I took her to her apartment, settled her into her chair and told her I’d see her Monday.

Unlike many dementia patients, she was still capable of living alone, albeit with our daily visits. She can make coffee, work the microwave and — hallelujah — take care of her intimate personal needs.

It was about 7 p.m. when the neighbor from the floor below heard her fall and called 911 and me.

From my understanding, her dementia is rare in that she’s become even more cheerful than she’s ever been — and she used to make Fred Rogers seem like a sourpuss.

I’ve often said she gave me my sense of humor, which means she gave me everything.

On what was to become her worst night since, I guess, a 1982 double mastectomy, she was joking about needing wine and telling the paramedics the pain was a 7 on a scale of 1 to 10. If there was pain, it was not at all evident. No moaning. No grimace.

When they wheeled her stretcher past the ladies gathered on the porch outside, she responded to their questioned concerns with, “They’re taking me to the hospital. I’m having a baby!”

I wish I could say with certainty she was joking.

The pain didn’t ding an obvious 10 until two hours later when they gruesomely reset the bones. One doctor gently held her wrist, another her fingers, and together they began gingerly tugging in opposite directions. 

I remain surprised she muffled her screams. Had she not, I wonder if I’d have run like a coward out of the room. Instead, I stood at the end of the bed messaging her feet and feeling sure I’d failed her.

We spent the next seven hours in that room with me trying to patiently respond to her deliriums about the location of her purse, her need for Kleenex, why her arm was in an annoying sling and what all these friendly strangers were doing in her bedroom. Every 10 minutes I’d literally have to wrestle this 104-pound grandmother back into the bed to prevent her from getting up to undertake various missions.

It was all so much pain and absurdity.

I’ve read how some children say they felt God’s divine presence in the death room when a loved one passes. After Sunday, I wonder if the presence I’m destined to most feel will be that of the late Moe Howard.

A chest X-ray revealed a lung cancer and pneumonia. She’s rallied from her Sunday evening lows when the doctor described her status as precarious, but an experienced nurse described her as feisty. She pegged her term at six months.

She has a living will and we’re today looking at hospice options. We have maybe three days to decide.

I told an oncologist about how the sudden onslaught of deadly diagnosis made me feel like I’ve failed my mother. He said: “Did you think under your watch she was somehow going to become younger and healthier?”

I guess in these situations we’re all hardwired to feel like failures.

I remember after a round of petty gripes involving having to devote so much free time to her care telling my daughter that if after Mom dies and she sees me crying she’ll know the only reason I’m doing so is because I think someone judgmental might be watching.

Right now, my fear is if I start crying I may never stop.



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Friday, April 14, 2017

Last Easter Mom nearly choked in church


On this weekend of deaths and resurrections, I’d like to talk about the one that got away.

Jesus lives!

And so does my Mom!

Last Easter, for the latter the matter seemed in doubt.

It was a moment I’ll never forget. She nearly died the most perfect Christian death. And I was right there rooting for it. Praying, actually.

Many will think me callous, sacrilegious, heartless, blah, blah, blah.

But she’s my 84-year-old mother. I’m her primary caretaker. I’m the one who takes her to the doctor, the beauty salon, and along with Val sees to all her needs, and the one thing this seven-year journey has taught me is to never judge others or myself when it comes to honest emotions in dealing with dementia patients.

I dearly miss the way she was. She’s always reminded me of Carol Burnett and I got my sense of humor from her so it’s fair to say she gave me everything I have.

Since we moved her out here in August, we see her nearly every day. She’s enjoyed the kids’ school plays and performances and sitting by the family fire when it’s snowy and out on the porch when it’s warm.

And in the moment, she’s always very happy.

It’s just in the very next moment, she doesn’t remember a single bit of it.

Just Sunday I took her to her old church in the South Hills where she was for years a joyful fixture in the choir. All her friends were there and went with us to a grand lunch at a lively neighborhood restaurant.

It was wonderful. She is beloved.

And not 30 minutes later she couldn’t recall where we’d been, who we’d seen or what we’d done.

She’s been like that for about five years.

Yet, she’s incredibly fit with a constitution that impresses her doctor.

“I can’t explain it, but her health is excellent,” he said. “She could live another 10 years.”

Hallelujah.

Her father lived to 97.

So, forgive me, but I have morbid impatience for seeing how this all ends.

Especially after last Easter Sunday.

She was with us in church, smiling and sweet as ever, when it came time for holy communion. When it was our turn, I assisted her out of the pew and up to the altar where together three generations knelt for our blessings.

A covenant that symbolizes the Last Supper, the wafer and wine represent the very body and blood of our savior Jesus Christ.

And for an electric moment last Easter we all thought it was going to kill Nana.

My daughters contend it was the wine down the wrong pipe, but I say it was the wafer because it’s what I truly believe (and because, sure, it makes a better story).

Either way, she began choking. Right there at the altar.

She was coughing. Gagging. Turning red.

It was beautiful!

Think about it.

If Mom dies there on the altar, on Easter Sunday, choking on the body and blood of her Savior, could there possibly be a better Christian death?

I don’t think so. I think you’d go right to heaven where Jesus begs your forgiveness and then escorts you to a really nice balcony suite with free HBO and a stack of chips you can use in the casino.

Just like Vegas!

Hell, you couldn’t wish for a better death.

I remember my exact thoughts as I sensed Mom might be choking to death:

Don’t anybody touch her!

My great fear was some church butt-in-ski was going to rush up and give her the Heimlich Maneuver and save her life.

Such heroics would have left me in a terrible quandary: Do I let him or her save my Mom or do I wrestle them to the carpet right there by the pulpit to ensure the life saving does not occur?

It was not to be.

What ever the obstruction, her ever-loving will to live overcame it. The drama was over. She was fine.

Still is.

Praise God.

I continue to spend much of my waking hours tending to her needs and ensuring her comfort. Those efforts include seeing to her spiritual devotions.

That’s why Sunday I’m again looking forward to taking her to Easter service, saying my steadfast prayers about her future and ensuring she gets to partake in the holy communion.

Oh, yes. I’ll see to it she again partakes of the body and the blood.

I’ll do so if I have to drag her bony old ass up there myself!

It’s just what any good son would do.


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Monday, February 13, 2017

Which could you live without? TV or people? Survey says...


It could have been any of one thousand small talk conversations I’ve had with my senile 84-year-old mother as we putzed around town. I asked her what she did the night before.

“I watched TV.”

Any plans for the rest of the day?

“I’ll watch TV.”

You really like watching TV, don’t you, Mom?

“Oh, I don’t know what I’d do without it. I have it on all the time.”

Her gushing affirmation made me decide to up the ante. I gave her what I thought was a softball question: 

What would she rather have: A life with no TV or a life with no people?

I guess I thought she’d immediately respond, oh, I couldn’t live without people, especially my family and you, my darling son, the one who sees to all my needs and brings so much warmth and joy to my days.

Wrong!

She actually paused and engaged in what for her was deep thought. I’d puzzled her. I wonder if in her dementia-addled mind she was thinking, “My son, Chris? Or Steve Harvey? Chris? Steve Harvey?”

Her consideration was long enough that it had the drama of a game show contestant playing chicken with the buzzer.

She finally said, “I need people in my life. I’d choose people over TV.”

She lies.

I know if push came to shove, she’d take TV.

Her dementia is such that she still lives independently, but with daily assists and visits from either Val or me. Yesterday at lunch she couldn’t recall she’d just an hour before been with me to church, but in at least one way her mind is sharp.

She’d be lost without TV and basic cable.

Who wouldn’t?

Be honest, at some point today someone you know is going to do or post on social media something that is going to make you absolutely hate people. And at some other point today you’re going to find yourself looking forward to watching something on TV.

It’s been that way since October 3, 1960.

I choose that obscure date after a conversation with a friend who was sharing with me his morning tread mill viewing habits. He said he watches the local news for sports and weather, maybe some stock updates.

No political bickering?

“I used to do that, but it was too upsetting. Now, I make sure I start every day off with a little visit to Mayberry.”

Ah, yes, “The Andy Griffith Show.” One of my all-time favorites. 
The offbeat characters are warm, engaging and in the end accepting of one another’s human short-comings.

I know, it’s so unrealistic.

Maybe that’s why it’s becoming so heirloom appealing. 

Who do you know who’s as kind and wise as Sheriff Taylor? He’s a real uplifting role model.

And when the scary headlines of each mounting hour come crashing into your brain, he’s right there on your DVR.

Just in the past few days, we enjoyed watching the “Walking Dead” season premier, “SNL,” “black-ish,” “Gravity Falls,” and various movies and sporting events. None of it was upsetting to my sunny disposition — and “Walking Dead” is about the zombie apocalypse!

Compare that to our daily dealings with our fellow man. Surly shoppers at the grocery store, rampant road ragers on the way home. Worse, the institutions designed to bring us together are tearing us apart. I’m looking right at you, Facebook.

Incivility, close-mindedness, petty hatreds — Facebook helps us mainline what reasonable humans used to keep at arm’s length.

Extended families offer little respite. They’re God’s way of proving we’re incapable of helping even the ones we love the very most.

Our oldest daughter has previously said she one day hopes to have a big family.

“What you really mean,” I corrected, “is you want to select who’s in your family.”

People or TV?

It’s a no-brainer — and please don’t take that as a subtle shot at beloved dementia patients.

TV is getting better and better while people are behaving worse and worse. That makes TV superior to people.

It’ll be like that until changing minds is as easy as changing channels.



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Tuesday, December 27, 2016

Boxed wine for Mom on Boxing Day



All I know about Boxing Day I learned from a 1981 episode of M*A*S*H that featured Col. Potter swapping duties with Corp. Klinger, an idea based on what was said to be a British military tradition.

I don’t know whether tradition has anything to do with boxed wines, but my Mom needed wine so I figured getting her another box of Peter Vella’s White Zinfandel on Boxing Day could be a new tradition so that’s just what I did.

In case any of you are wine snobs, I believe the vintage was, er … March!

It was $17.05. The box said its wine bladder holds 36 5-ounce glasses.

I wouldn’t want this to degenerate into one of those mine-is-bigger-than-yours debates, but how much does your wine bladder hold?

Her doctors say Mom’s something of miracle because she’s 84, is in perfect physical health and takes no medication. Nothing.

She just drinks a lot of Peter Vella white zinfandel. She probably has four or five glasses a day.

In fact, I’m thinking of seeking some kind of endorsement deal where she did Peter Vella white zinfandel commercials, but sold them as some sort of tonic, which is I guess what the stage show quacks used to do in the Old West.

The only problem I foresee is Mom would have trouble remembering her lines. Heck, she’ll have trouble remembering what she had for lunch today two hours after its been consumed.

It’s odd because my family will remember what she had for lunch 25 years from now.

Chicken tenders.

She is the picture of physical health on a diet that is almost all wine and chicken tenders.

Really, someone should study her while they can. She has dementia, which sounds dreadful.

But I wish I could infect about 80 percent of adult Americans with what she has.

Because she is unbelievably sweet. She makes Fred Rogers look like a sourpuss.

So her dementia can at times make me crazy.

I figure God adds 18 months to her life every time I respond to her sweetness with sarcasm.

I took her to the dentist last week — the adventure could be the plot of my next book — and asked if she wanted to stop someplace for lunch.

“Yeah! Let’s go to McDonald’s and get some chicken tenders!”


I told her I’d take her to McDonald’s, but they didn’t have tenders: “They only serve nuggets.”

She asked when they stopped serving chicken tenders.

“To my knowledge, they’ve never served chicken tenders. It’s always been nuggets”

She asked me five times in the next 10 minutes when they stopped serving chicken tenders.

I answered with patient sincerity four times in a row, but the fifth time I said they stopped serving chicken tenders when studies revealed they were causing forgetfulness in senior citizens.

Bless her heart, she laughed. 

I’ve been through so many roles with this wonderful woman, now in such obvious mental decline.

I was her baby, her buddy, her little rascal. I was the father of her grandchildren, her assistant, her cheap labor and a shoulder she’d cry on. For the last eight years I’ve been her primary caretaker, an odd role responsibility for someone so irresponsible in his own life.

I think my main role now is another oddity.

I’m her designated driver.

If there’s anything she loves more than wine and chicken tenders it is going for long rides in the country.

Since September, she’s lived just five minutes from me. She’s living independently in Latrobe. We’ve unplugged her stove, have her over for meals near daily and are nearby when she gets confused about why the TV’s disobeying the remote.

It sometimes takes me an hour to drive those five minutes.

She loves looking at Christmas lights.

Some may criticize me for not trying to reduce her wine consumption or add nutrients to her diet.

They think her tippling is somehow sinful.

I promise I’ll take the necessary steps the instant she begins to appear either less healthy or less happy.

Until then, she’ll remain a delightful combination of silly and sweet, a confused joy to be around.

Sort of punch drunk on Boxing Day.



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