Birthday

Yesterday was Dad’s 92nd birthday, and we celebrated as we have for the last few years, although this time heartbroken by my deceased brother’s absence.   Mom and I are still trying to cope with that loss every day, though we rarely talk about it beyond a brief mention. His wife stopped by for some cake and ice cream. We all sang Happy Birthday and pretended that Dad blew out the candles–actually he did seem to try. We had told him several times during the day that it was his birthday and we would be having a nice meal and dessert later, but it was hard to know whether the message registered, and it certainly did not stick.  He ate the dessert with gusto, as he always does, and enjoyed being the center of attention when we read the birthday cards  and gave him a round of hugs.

Later, just before his bedtime, he began fidgeting in his wheelchair, and leaned far forward a couple of times, and declared “I am sick.”  Such a clear statement of distress spurs quick action. From his body movements it seemed he might have some pain in his back, but I asked Mom  to get a pail for him to vomit in, if it came to that. We decided to get him out of the wheelchair into bed in case his back was hurting, so we went through the nightly drill in about half the usual time with barely more than the usual minor complaints from him.  Once he was sitting on the edge of the bed, Mom and I on each side, he asked me,” Why do I hurt?”

If you care for someone with Alzheimer’s you find that one of your  biggest frustrations is not being able to determine sources of distress, and when it happens to be acute, the urgency and helplessness together are particularly unsettling. My approach is to continue with his standard routines as much as possible, so I can more easily spot deviations from his norm. This is usually a reasonable and productive strategy, but extreme situations require careful judgment, so apply this suggestion cautiously.

Of course I could not answer his question; I just said, ‘”I don’t know; I will try to find out and help you feel better.”   Now that he was out of his wheelchair, I could reach his lower back.  I rubbed it for a while and felt my own relief when he said, “That feels a lot better.” There were no further indications of possible gastric distress, so we got him into bed, always being sure to get him on his side, and he went to sleep quickly with Mom holding his hand, the same as every night now.

Don’t leave me

After getting Dad into his recliner for an afternoon nap (usually about 3 hrs.), I got on my knees and gave him a big hug.

“I love you , Dad.”

“I love you, too.”

I could tell he was anxious.  With apparent dismay, he seemed to be trying to say “I can never do that again.” But I was never sure what “that” might be.  My guess was that he was feeling sad about another recognition of lost capacity, even if for just that moment. He seemed almost ready to cry (though I’ve never seen him cry during the entire period of his illness), and he reached out his arms and wrapped them around me and pressed his face close to mine.

He said, “I just love you so much. I am so glad you are . . . I love you . . . my Daddy.” He often calls me Daddy, especially when he is upset or needs something.  Starting a few months back, when my hair was rather long, he often told me I was a “good girl,” despite my beard. But he also calls me “Momma” some of the time.  And my favorite is when he says to me “You’re a good little dog”–one of his most over-learned phrases from having a much-beloved chihuahua for many years. Of course, I answer to all of them.

“I’m so glad you are here, Dad. I am so glad to see you every day. You make me happy.”

“Oh, thank you. Bless your heart.”

After a long hug, I helped him lay back as Mom covered him with a light blanket.

“Have a good rest, Dad. I’ll get you up when dinner is about ready.”

I reached to hold his hand, and he grasped it firmly. I held his hand, stroked his shoulder for a few seconds, and started to rise, but he strengthened his grip.

“Don’t leave me.”

There was a real urgency in his voice. I sat back down, briefly thinking about the work I would leave undone for a while.

“I am not going to leave you, Dad.”

I sat with him a few minutes, and he began to relax. I told him again that I would get him up for dinner and that we would have a nice meal together. His grip loosened a bit. I pulled my hand from his and instead grasped his hand from the back of it, so that I was holding his hand, but he couldn’t hold mine. He seemed content with that. He kept talking for another couple of minutes–I couldn’t make out what he said, but the emotional tone still seemed to be sad and frustrated, but calmer. I gave him a kiss on his forehead and slowly slipped my hand away. I knew he would be asleep in a matter a minutes.

I always feel a special sadness when he calls me his Daddy.  Many years ago he told me of the abuses he and his mother had suffered at the hands of his alcoholic father. He even intervened by brandishing a loaded rifle when his father threatened to burn his mother with a hot clothes iron. When not drunk, his father seemed to be a kind person. I never knew my grandfather very well. He died early, of emphysema, the result of a lifelong tobacco addiction. When I was a child, Dad never seemed to want us to get close to his father. I don’t think his scars have ever healed.

More and more I tell Dad that he makes me happy. A few times during the day I might say “I am so glad to see you today” or “Dad, thank you for that sweet hug–it makes me happy when you do that.”  Letting someone know that they make you happy,  just by being there,  is one of the greatest joys you can ever give.  It restores their worth, at least for that moment, even if they have  no possessions, are helpless,  and cannot even remember their own name. These are the best moments of our day, for both of us. Try it and you’ll see what I mean.

Bedtime angel

Incredibly, every night for the last several months, after my mother and I have gotten Dad into bed, Mom sits by him, her arm over the cold metal rail, holding his hand until he goes to sleep. Most nights she softly sings to him, not  in words, but with a beautiful calm melody. When he is sound asleep, she gives him a soft kiss and departs quietly. Love and patience. She is an angel to him.

I am so proud of them.

Evan M.

Brief history

My father’s illness began to take hold of him about eight years ago, so much of what I will write about here happened some time ago.  When time is relevant, I will usually give some indication in the post. But a large part will be current, reported more or less on the day or within the week of occurrence.  Dad will turn 92 in a few days, so he has been on this path for nearly 10% of his life. My mother is 87, still reasonably healthy and alert, though beginning to struggle with her memory recently.  My older brother, after a life deeply troubled by psychosis and alcoholism, passed away suddenly from a stroke in November.  He would have been 58 this month.

I am 53, not married, living in my parents’ home for the last year, helping mother manage father and sister. I moved back to their home in southern Florida from Maryland where I’d had a job in publishing. Before those 8 years in publishing I worked in hospitals and private practice as a Psy. D.  Prior to my return to FL, I spent 3 years flying back and forth from Maryland every six weeks. I gave up my apartment in MD and resided there in a small hotel with reasonable rates,  putting my household in storage for all that time. Eventually, I had to spend more time in FL than the publishing company liked (though they were marvelously tolerant for a very long period), and I was laid off when the financial crunch came.  I’ve  been living off savings since then, and fortunately my expenses are low. I’ve looked for work but, now in a small town, and in the current recession, there are very, very  few jobs in this area.  This is not an easy life, but I felt early on that the right thing to do was to help my family, and I still believe that. I decided to to make the best of the situation, whatever may come.

Evan M.

The chronicle

For a long time I have thought about writing down some of the events in connection with my father’s illness. And for a long time I have delayed starting.  A number of considerations stalled me, chiefly the desire to keep his identity, as well as my family member’s identities, confidential. It is not at all the case that it would make any difference to anyone other than my family, but we all are a very private bunch, certainly not rich or famous, or influential, or of much consequence to anyone.  We are largely invisible and don’t mind it at all.  No one would ever hear this story unless I tell it here. And perhaps I am the only one who believes it is worth telling.  But you will have to be the judge.

Evan M.

A lonely path through a darkening land

This blog is a chronicle of my father’s path through that dark land of gradual loss and dimming light. But there is much more to this story than sadness, though there is plenty of that.  It is mostly a story of the profound depth of human feeling and the unbreakable bonds formed when facing shared challenges with the people you care about. I hope you will find that reading this chronicle is worthy of the time you spend.  After all, may I remind you, time is short for all of us.

We will begin soon.

Note: This post is sticky. Following, the most recent is first.

Evan M.

TWEETS
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