Showing posts with label Alzheimer's. Show all posts
Showing posts with label Alzheimer's. Show all posts

Saturday, January 21, 2017

Finding A New Normal

Normal is just a dryer setting PIN or MAGNET - 1 inch normal pin, normal magnet, pinback button, celebrate being different, fridge magnetThe concept of normal is a tricky one. I don't mean normal vs. abnormal, as in psychology, etc. I mean normal as in normal routine. How long does something have to happen before it becomes normal? And how do we deal with it when our old normal is replaced with a new one. I guess when it comes to something large enough, it forces us to reevaluate our priorities.

For me, the old normal started changing when Mom started showing signs of Alzheimer's, though it was a gradual thing. I tried to be home more and started doing my own laundry (Mom had always insisted, against my protests, that the housework was her job.), and some cooking. But it completely changed twice when she had her stroke. Once when she went in the hospital and again when she got home. I knew the first change was going to be temporary in that she was, we hoped, going to come home sometime, which was when the real change to a new normal took place.
Mom and Dad

Now, instead of getting up and quietly having tea, doing my devotions, and mucking around on the Internet or writing every morning, I'm responsible for Lola, our dog. I get up, take her out, feed her her breakfast, have my breakfast, get in and out of the shower as quickly as I can, and get ready for work before they get up so Dad can have the bathroom for Mom. If they get up in time before I leave for work, I make them breakfast. After school is another big change. I used to take my time coming home or not come home for supper at all when I had things to do in the evening. Now, I go straight home so I can take Lola for a walk before making supper, followed by cleaning up the kitchen. If I have time and energy left, I work on school stuff or read. But most of the time, I just have time to watch a little TV before passing out.
Don's in the center.

The key word in all that is responsible. It isn't lost on me that, until recently, I've had it awfully good, with nearly no personal responsibilities around the house beyond what I volunteered for. Now, I guess I'm still volunteering, though my services are a lot more vital than before. I just hate to think of how hard, maybe impossible, Dad's task would be if he didn't have my siblings and me to help. I know there are many folks out there in that exact situation and my heart really goes out to them.

Barb helps constantly despite
the fact that she lives far out
in the country and has a farm to
tend to. 
So I've had to re-prioritize, cutting back on some things, like going to my students' sporting events and other performances, and stop others, at least temporarily, like writing for ClutchMOV. Oddly enough, I have found time to work on my book and somehow got a couple thousand words written this week. But there's no routine for that like there used to be either. I just have to write when I find a little time here and there and be okay with not having hours to sit at my keyboard at a time. I'm happy to accept the disruption when it means I still have my mom.

Mom's been home for a week and, though it doesn't feel like it yet, I guess this is the new normal. Or at least it will be until my brother Dave gets here this week. He'll be staying here to help as long as he can, which will mean yet another new normal. So maybe normal is a tricky concept because it just doesn't exist. Maybe I need to quit thinking about keeping things normal and just take each day as it comes. It would probably be less upsetting each time something changes.

I just want to say that I'm not writing all this to complain about anything or for recognition. I have nothing to complain about and deserve no admiration for doing what any adult child should be doing for his aging parents. I'm so completely blessed to have, at age 53, both my parents still living. And my mother has spent her whole life since her kids were born dedicated to doing for us, so it's a privilege to have a chance to pay even a little bit of that back. I just hope reading about these experiences can help someone who's going through the same situation with a loved one.

Dave and Barb
And I don't want anyone to think that I'm alone in this. My brother Don and my sister Barb are here an awful lot--pretty much daily--and they bring so much food that there are many days when I don't have to cook at all. But all of our efforts pale in comparison to the time and effort that Dad gives. Except for short little snippets when one of us stays with Mom so he can go get a haircut or go shopping, Dad is with Mom every minute of the day. He checks her blood sugar before every meal, makes sure she takes all her medicines on time (she takes pills or gets eye drops five times a day), takes her to her physical therapy, takes her to the bathroom--I could go on and on. All the rest of us help when we're not busy with something else. For him, there really is nothing else. And though I know it's got to be wearing on him, he never complains. I'm proud to be his son. There's no question about it: God gave us a double portion of love when He chose us to be Dave and Nancy's kids.

Saturday, January 14, 2017

Sometimes Love Takes Precedence

Mom absolutely loves dogs.
I had some ideas for what to write about today, but none of them seemed worthy of my time. You see, my mother is coming home from the rehab hospital today. She had a stroke about a month ago and she hasn't been home since. She spent about a week in the hospital followed by three weeks or so in a rehab facility, relearning how to talk and walk and use her hand. Some of that has come along very nicely, other parts not so much.

What I can't get past, though I know I have no choice but to get used to it, is the fact that, even if her hand, which is lagging behind everything else in terms of coming back, gets better, Mom is 81 and has what appears to be pretty rapidly advancing Alzheimer's. So even if she gets completely well physically, her mind will continue to deteriorate until one day she'll not recognize her family. And there's not one thing I can do about it.

We all knew this was a possibility. Her sister died of the disease several years ago. So it was always a spectre that seemed to follow us around. Early in 2016, though, I started to realize that she was asking the same questions over and over and not remembering conversations we had just had. I wasn't sure if anyone else noticed, so I asked my dad. At first, he chalked it up to the fact that she's 81 and, to be fair, has always been pretty absentminded. I definitely inherited that. Just ask my students, who are constantly having to point out my glasses or my coffee cup when I can't find them. But then it got so pronounced that there was no denying it any longer; she was losing her short term memory. Well, there was denying it for her and she was none too happy if anyone mentioned it. Mom and Dad had a number of arguments, all borne, I'm certain, of Mom's fear that the spectre had finally arrived and wasn't going to leave until it was done with her. I can imagine I'd be the same way: deny it and it's not real.

Mom and Dad at a
family beach trip
from a couple
summers ago
Dad finally bit the bullet and kind of tricked Mom into letting the doctor do some tests. She didn't do so well, so the doctor put her on medication that, at best may slow the progression of the disease. We don't know if it's helping because we don't know how much worse she would be without it. It certainly hasn't made her any better.

Then the stroke happened. It was what's called an ischemic stroke, which means that a clot formed in her heart and moved up to block the blood flowing to her brain. The good news was that Dad was right there and got her to the hospital quickly and the clot-busting drug started working immediately. Her speech came back within a couple of hours and her leg is almost as strong as before. I was wondering, but didn't want to ask, if maybe there had been a partial blockage all along that could account for her memory issues. The neurologist said as much, so we all got our hopes up for a bit. But then the radiologist, an old friend of mine, told us that the MRI did indeed show the telltale plaques that denote Alzheimer's. There is still the possibility that a blockage had been exacerbating it and she's not as advanced as we thought, but the reality is that, at least as it stand at the moment, she has shown no improvement. The doctors say it still could happen, but we shouldn't assume it will.

And even if she's not as advanced as we thought, that just kicks the can a little farther down the road. The can is still there. So what do we do? We do what I constantly tell my students to do: live intentionally. Make memories. Treasure every minute we have with her so that there will be no what-ifs or I'm sorrys after we've lost her. That may mean bypassing some writing time, or at least rearranging so that I do it when she's asleep or busy at doctor's appointments or such. And it may mean not spending as much time with friends or at my kids' activities, or even deciding that the hours
Mom and my sister Barb on a different family trip
I often spend grading papers in the evenings is just not as important as being with my mom while I can be.

Why am I telling you this? Because deny it as much as we will, we're all terminal and we don't know how much longer we have. So treasure your loved ones. Hug them. Tell them you love them. Maybe decide that ball game or work you brought home isn't so important after all. It's overused, but only because it's true--you don't know when the last chance you had to say I love you to someone will really have been your last chance. Don't look back and realize you didn't take advantage of it.