I’m late, (we’re late) for a very important date: Pt. l


I can’t believe we were late for our first doctor’s appointment in over a month.

When we finally arrived at the Medical Center I looked at my watch to see that we were 20 minutes late for Miss Cathy’s appointment with Dr K, her (new) neurologist.

It’s not like we were rushing from another appointment because of some ‘full calendar’ of places to go and people to see, we only had the one place and he was the only ‘people’ she (we) had to see in an otherwise day free of obligations.

So, there really was no excuse for our tardiness and all the drama it caused (to me, anyway).

We were going to see him to discuss the addition of Namenda XR to her drug cocktail, up till this point she’d only been prescribed Aricept for her Alzheimer’s.

I first told mom about her three month neurological ‘check-up’ the night before so she’d have (some) time to get used to the idea but not so much that she’d obsess or drive me crazy asking, “When do I see the doctor?” over and over.

The next day I reminded her again about the appointment while she was eating her breakfast in front of the television in the living room then went about my morning.

I didn’t come back out to check on her till 12:30pm (the appointment was scheduled for 1:00pm) and there she was, sitting in the living room watching TV, still in her nightgown.

“My bad”, I thought to myself, “ no reason to be mad at her for something that was totally my fault.” As her caregiver I should have checked on her earlier to make sure she was dressed and ready so we’d be on time.

Luckily her condo is only about a five-minute drive to the doctor’s office but with less than a half hour for her to dress and get out the door (and in the car, out of the car, in an elevator and walk the short distance to the doctor’s door…all of which take more time than you can imagine) I knew there was a better chance of John Boehner controlling his Republican caucus than us being on time.

Frustrated (but, I had to admit that I was more angry at myself than her) I ‘suggested’ she go and get ready so we could leave as soon as possible. I’m usually more on top of things, time management wise, but, what can I say, sometimes I think that she’s having a good day and monitor her less or (heaven forbid) get absorbed in something I’m doing for myself.

You might be asking yourself “Why didn’t he just help her get ready?”….Well, I’ll tell you.

The answer is that I’m (still) making a conscious decision to let her be as independent as possible and not step in and take over (until it’s absolutely necessary) where matters of her autonomy are concerned.

Part of what I struggle with as her caregiver (in addition to time management obviously) is the knowledge that if/when I start to do more for her (even if it’s under the guise of ‘helping’) it will send a message to her that she can just sit back and be taken take of.

So if I do ‘whatever’ it is that needs to be done for her then she’s absolved of any responsibility or culpability for her actions.

She may have Alzheimer’s but there is plenty she is still capable of doing for herself-dressing being one of those things.

So, we’d be late but I wouldn’t have to add the label ‘enabler’ to one of the many (mad) hats I wear as we prepared for this very important date.

The Group: Pt. Xll


The meeting wound down and I was surprised that an hour and a half had passed so quickly.

As I packed up my things; notebook, pen, some brochures that were passed round the table containing information on Alzheimer’s, and other pamphlets written specifically for caregivers, I looked around the room and at the people in it and knew that I’d be back.

I was glad that I came and had to admit to myself that I was an ass for pre-judging these women, the process and for thinking I was wasting my time-I couldn’t have been more wrong.

The truth is that I wish I’d come sooner but no point in getting lost in “woulda, coulda, shoulda”, I came to the meeting when I did so that was when I was suppose to begin this part of my journey.

I was leaving with the knowledge that to be a caregiver, in the presence of other caregivers and be able to share information and stories is a rare and wonderful opportunity.

It was a great feeling to be ‘heard’ by those that know of what you speak, and to be part of a group that can validate one another’s experiences is truly unique (there’s nothing like be in the trenches with someone who’s fighting the same war).

And by living a common experience and coming together to share what we live and know, I saw first hand (or first ‘eyes’ to mix a metaphor but properly term it) that the comfort we provide one other (sometimes just by a wink, a nod, or a hearty embrace) can give us the fuel to sustain and maintain (self and sanity) as we go back to our lives as caregivers.

What I also realized as I looked around the room at the people in it is that we are more alike than we are different; bound by a common experience that transcends gender, age, race or class.

So, even thought there are people out there in the world (that I already know, and know they love and support me), the support group has become important to me, and it gives me solace to know that I am not alone, that there are other caregivers just like me (who just happen to look nothing like me).

Update: I’ve been back to the group more or less faithfully, twice a month for the past several months since that first meeting back in May 2013.

The Group: Pt. Xl


The facilitator said, “All of you as caregivers have to remember that your loved one’s brains aren’t functioning the way they used to so they’re scared and confused half the time by the world around them, sometimes they don’t even know why they’re scared-they just are.”

“So, it might not seem like there’s a reason to you”, she said to *Jane, ”but your husband is fighting against something that is very real to him. He just might not be able to articulate it.”

“That could be part of the reason your husband is lashing out.”

Like Jane, I sat back and let the words wash over me, drinking in the notion that Miss Cathy, like Jane’s husband, isn’t ornery just for the sake of being a bitch, she’s probably afraid and anger is the only emotion she can access.

There aren’t any little children running around our place like there is at Jane’s but I could relate to her dilemma when confronted with giving her husband choices.

Like Jane’s husband, my mom becomes overwhelmed in the face of what seems to me to be simple, ordinary choices but it’s gotten harder and harder (and more and more volatile) when it comes time for Miss Cathy to make decisions, so I made a mental note to whittle her options from “alot” down to two or none whenever possible.

The facilitator suggested that we always ‘check’ ourselves before we engage with our loved one (especially if they are having a bad day) and to never argue with them.

“You will never ‘win’ a battle with someone with dementia so why try, “ she said, “and do not try to engage them if you are angry yourself.”

I was reminded of a concept I learned in a 12-step program years ago when dealing with my own struggles.

It’s called “HALT” and it’s an acronym to remind oneself to stop and ask ourselves if we are “Hungry, Angry, Lonely, or Tired” before we put ourselves in the path of conflict.

And if in going down that mental check list we were to discover that we were one (or more) of those things then we should take care of ourselves first and then engage with the situation or another person.

Remember, even flight attendants advise that you “put the oxygen mask on yourself first and then on a (small) loved one in your care.”

* Names, characteristics and descriptions of people that I’ve met along my journey have been altered or changed to protect their privacy.

The Group: Pt. X


One by one, members of the group shared stories from their lives (which, when I first arrived, looking at the women in the room before me, I thought could not be farther from my life or experiences) and it was obvious (blatantly so) as they talked that I was wrong (so wrong) about what we had in common.

What I could learn from these women was a lot, from their strength, courage and wisdom. I was inwardly embarrassed that I’d been so superficial and quick to judge when I first sat down.

I could relate to their frustrations, fears, weariness and the loneliness of being ‘the one’ to care while others only professed to, well meaning family or friends ‘dropping by’ on occasion (when it suited them or fit into their schedules) or worse, gaving lip service rather than actual service.

Some of what I heard was sad, some depressing but not all of it.

As I listened and learned there were times when I was laughing out loud with the rest of the group in shared recognition of the absolute madness of the lives we lived as caregivers, ‘gallows humor’ as it were.<a href="” target=”_blank”>

In just little over an hour I was made to feel welcome and part of the group.

When the ‘round robin’ nested with me I found myself comfortable enough to share some of what I’d been going through, and just like that, in that moment of putting words to feelings in a room full of people who needed no explanation of ‘what I meant” or “what I felt” because they knew and they could relate, I felt as if I were no longer among strangers, accepted and part of the group.

Something one of the women said ‘pricked up my ears’.<a href="” target=”_blank”>

She said, “I don’t want him to change me into someone else.”

She was silver haired and very well dressed, she had a look and air about her that reminded me of a “Mocha-dipped” Carmen, the 50’s Dior model who in her 80’s is still a fashion icon and model to this day.<a href="” target=”_blank”>

Although her comment was meant to express her specific inner struggle with the person that she used to be with her husband and her fear that the person she sees herself as now as his caregiver is different, her comment made me stop and wonder about myself.

“Have I changed?” I pondered, thinking back over my three plus years as a caregiver.

“Is it possible to walk through this experience and not change?”

“And ‘if’ I have changed, is that necessarily a bad thing?”

The Group: Pt. lX


The facilitator explained that people with Alzheimer’s can become easily overwhelmed when presented with too much information or have too many things to pick from so she suggested to Jane that maybe she shouldn’t give her husband so many choices for breakfast.

She said that maybe we should all think about narrowing down options when the situation presented itself, to limit the choices to one or two for our loved ones to make it easier for them to make a decision.

“Scrambled or fried eggs for breakfast and that’s it”, she said to Jane.

“Don’t ask him to pick from what (to him) seems like an endless menu.”

She explained that having to make (what seems to us) a ‘simple’ everyday choice could cause great anxiety for our loved one because their cognitive skills and reasoning are deteriorating and they can’t process information the way we can (and they used to).

“Or you decide”, she suggested, giving Jane yet another option, “don’t even give him a choice, when he comes in to breakfast just serve him.”

Sometimes, she said, as caregivers we don’t have the luxury of a discussion with our loved one (because of whatever stage our loved has been diagnosed) so, sometimes the best thing we can do is to make the best choice for them.

I have to say, I was impressed; with the honesty of Jane’s “share” and the no-nonsense practical suggestions the facilitator was giving her and to the rest of us by extension.

Although breakfast isn’t a hot spot between Miss Cathy and me, the information was still relevant and I thought perfect for Jane, so imagine my surprise when she said, “but he’ll just get mad if I serve him the oatmeal, he’ll say, “I want eggs!”

“Okay,” said the facilitator without batting an eye, “then you eat the eggs and give him the oatmeal.”

“As far as your grandchildren are concerned, you have to understand that alot if times loved ones with Alzheimer’s develop very sensitive hearing and it’s hard for them to understand things in higher resisters, all they hear is a lot of unpleasant high pitched noise.”

“And what do little kids have?” she asked somewhat rhetorically.

As a chorus of “high pitched” “Squeaky” and other descriptives for the immature vocal chords of small children were bandied about, there was also the sound of laughter; ‘laughing’ with each other and not at anyone in particular, a common sound that I should come to recognize (as I had from other 12 step groups) as a way of saying “I’ve been there, too” or “I thought I had it bad”.

And, as I sit in the meeting, listening to the shares from members of the group I’m reminded like John Bradford,, “There, but for the grace of God, go I.”

The Group: Pt. Vlll


*Jane (not her real name) had the full attention of everyone in the group so she continued her **‘share’.

“I’ve cooked breakfast for my husband everyday for forty years and I’ve always asked him what he wants to eat when he sits down at the table to read the paper in the mornings, but now he blows up if I ask him what kind of eggs he wants; oatmeal or cereal, fruit or coffeecake.”

“I used to love to have the grand kids over to spend the day with us but now they’re not in our house ten minutes, just being kids, laughing and running around and he starts yelling at them for no reason.”

“We have three grown kids, one lives out west and two are in the area but they won’t help, they don’t want to deal with him so they just don’t come visit anymore.”

Jane finished by looking down at the glasses hanging around her neck on a multi-colored jeweled silver chain, suddenly as quiet and still as she’d been vociferous and animated just moments before while she told her tale.

Almost instantly there were comments of support from the other members of the group, some were personal as it was obvious that they knew Jane outside of the group while others were more ‘general’ in what they had to say to her.

More than one person made note of the similarities to their own situations and offered sympathy (seemingly to her and by extension to themselves).

The facilitator listened to all that was said from around the room and then it was her turn.

The first thing she suggested (for Jane and everyone else in the room) was to put themselves in their loved one’s place and to imagine for a moment that ‘we’ were the ones with dementia, that ‘our’ whole lives had come undone (and we couldn’t understand why) and the world as we knew it was becoming a foreign place where once it had been home.

“What would that ‘feel’ like?” she asked. “Wouldn’t you be scared? Angry?”

Then she asked us to imagine what we might feel if things (activities, tasks, chores) that we used to do easily suddenly became difficult, our memory (of performing those ‘things’) no longer something we could depend on.

And where once we had been independent and strong we were suddenly dependent and weak because we didn’t understand ‘why’ the changes were happening or sometimes we might not recognize who our loved one was.
It was within this ‘mind-set’ that the facilitator wanted the group to place ourselves before she offered up a few suggestions.

* When anonymity is called for I do not use real names and sometimes alter descriptions to protect the identity and privacy of individuals that I come across in my journey

** A “Share” is a term used the world over by 12 Step and other Support Groups to describe a situation where a person has volunteered to speak openly, honestly and candidly about an issue, event, person or experience in their life

The Group: Pt. Vll


By way of starting the meeting after all the ‘business and announcements’ had been taken care of, the facilitator looked around the table and asked if anyone had something they ‘really’ needed to share.

This could get interesting I thought as I relaxed and sat back in my chair; I felt as if I had popcorn and the feature film was just about to start after the previews.

I barely had time to guess who (if anyone) would speak when one of the older women sitting across from me spoke right up; she was not shy at all.

She introduced herself as *Jane (not her real name) and Jane was like a little spark plug all coiled and ready to ignite, as if she’d been waiting (however long it’d been since the last meeting) to get ‘something’ off her St Johns, knock-off twinset covered chest.

She looked to be seventy or so, somewhere in the same ballpark as Miss Cathy but with an obvious difference.

Jane was a petite woman, I’m sure her sensibly shod feet barely touched the floor (if at all) as she sat in the high backed office chair. She was very well put together; silver hair coiffed, ‘day’ make-up applied ‘just so’, she had the look of a ‘fighter’ about her, something that mom used to possess but with Alzheimer’s she’d lost that spirit somewhere along the road.

She shared about her loved one (more specifically, her husband) and his issues with anger; sudden and unexpected outbursts she said that were out of character for him and starting to scare her.

Jane said that she had known him most of her life, marrying when they were very young and that in all that time he’d never been violent or ill tempered, in fact, he was quite the opposite until he developed Alzheimer’s.

” I just don’t know what to do with him,” she said, confused because she wasn’t sure how to handle his newfound rage and worse still what she should expect next.

“I try to ask him why he’s so angry and it seems to me that just gets him more mad.”

“I’m convinced he doesn’t even know half the time.”

I found myself (unconsciously) nodding (along with some other heads I saw bobbing around the table as well) in recognition at the similarities to her story and mine )or ‘ours’ as it were).

Seems a lot of us could relate to what she was going through; her surprise, frustration, helplessness and fatigue.

The Group: Pt. Vl


I thought about standing up and excusing myself from the meeting on the pretext of going to the restroom and not coming back, skipping out to the shopping mall across the highway for some retail therapy instead.

But, I stayed.

And soon enough the meeting got underway, so I was more or less compelled to remain (but I kept an eye peeled on the closed door across the room from where I sat to remind myself that it was there ‘just in case’ I wanted to fling it open and flee).

The meeting was led by a woman who introduced herself as a social worker and the founder of an “eldercare” management services company with a long history working in social services. I was impressed, with her credentials and by her calm, professional yet warm demeanor.

She told us (though clearly most of the women in the room were already familiar with the ‘rules’ so she was obviously speaking to the few of us that were ‘newbies’) that her function was to facilitate, answer any questions we might have but we shouldn’t be surprised that what we shared with each other was probably going to be more helpful than anything she might say.

She stressed that we should feel free to say whatever we needed to, that there was no judgment and that this was a safe place, we were reminded that anonymity was more or practiced and not to gossip about what we’d heard or “out” people if you saw them in public (it all sounded very much in the tradition of 12 steps meetings that have a saying, “What you hear here, stays here”).

The facilitator gave me the impression of someone who’s heard and seen it all, so whatever any of us could say would not be new to her.

She then outlined the structure and guidelines for the meeting so we’d know what to expect for the next hour and half before having each of us tell the group our names (first names mostly but for some reason when it was my turn I gave my surname as well, as if I were being interviewed for a job or something), we were also asked to state the relationship to the loved one we were caring for and their diagnosis.

I found her to be professional, yet personable enough so that someone like me, wound up tighter than a clock, could relax (a bit) and start to trust the process and the new people that surrounded me.

Sure enough, soon enough, I found myself more at ease; my flight instinct all but gone and my judgmental bullshit evaporating like the ‘hot air’ that it was.

The Group: Pt. V


The meeting was just about to start and I was feeling out of place as I took a place at the table.

I looked around from face to face, from left to right and was greeted warmly with smiles and nods, as if to say, “you are welcome here” without a word having to be spoken.

I nodded back, smiled in kind and hoped my ‘calm’ demeanor and practiced façade didn’t give away the chaos running through my mind and the ‘fight to flight’.

Here (there) I sat, (on) and with all of these feelings; fear, anger, anxiety (pick a feeling and I’m sure I was feeling it).

What I was ‘feeling’ was that I was behaving (thinking) alittle like an ass (well, a lot actually) and wondering where I ‘got off’ thinking so much of myself.

As the saying goes in ‘another room’-“I was the piece of shit that the world revolves around”.

And why did I think I was so ‘different’ (read-special) anyway?….Because I was (what?) male? An “Artist”? Black?

What right did I have to think that my experience(s) were any more unique than theirs as I took a seat and hoped there was room enough on the chair for my ass and my arrogance.

Did the preponderance of ‘non’ natural fibers and elastic waistbands in their clothes (compared to the 100% imported cotton of my clothes) make their lives any less valid?

And what the shit difference did it make anyway?

The women had assembled together (or so it seemed) in solidarity to bond over a shared common experience and there I was, not joining in but judging them, based solely on appearances and whatever stereotypes I could project onto them, for no other reason than to separate myself from ‘them’ and the feelings that ‘they’ might illicit if I opened up and revealed that part of myself that I’d shared with no one really because I didn’t think they (my family and friends) would understand what I was going through, but, in this room that wasn’t the case, we were all caregivers.

I was making snap decisions about an entire room full of people before anyone had even opened their mouths’ to speak.

This did not portend good things to come (for me anyway-they all seemed fine).

What it did say was that my insecurity(ies) about (potentially) making myself vulnerable and exposing myself to a room full of strangers had sent my defenses into overdrive, so I lashed out (in my mind anyway) as a way to protect myself from their (perceived, anticipated) judgment by judging them first.

In truth this wasn’t some “Sex and the City” Kaffeklatch of gossips at some chic Manhattan restaurant after a day of light shopping.

No, this was a gathering of very real people (women) whose purpose was talking about the lives they were living, as they shared their stories about caring for their loved ones day in and day out while seeking comfort and support from kindred souls, coming together as a way to lift some of the darkness of feeling alone.

The group: Pt. lV


The Caregivers Support Group is held twice a month at a large, relatively new, Senior Center (adult day care facility) not far from where I live.

I knew the place well because I’d brought Miss Cathy there when I was trying to find a social outlet for her; thinking it was a perfect place for her to go to get out of the apartment, engage in some new activities and possibly make some new friends.

My attempt(s) to keep her mentally and physically active were met with much resistance; unfortunately, she was having none of it.

We fought back and forth about what she should best do with her time, I thought she should be engaging in life (while she was still relatively healthy and cognizant) but her wish was to stay home and watch actors on TV participate instead (while her muscles atrophy and her reasoning diminishes by lack of stimulation).

But, that’s ‘blood under the bridge’ as they say-‘her choice-her journey’, as I say.

If she didn’t want to avail herself of what’s right down the road (that’s positive and life affirming) that didn’t mean I had to follow in her stead (being negative and a ‘Debbie-downer’), if anything it’s serendipity that the facility that I thought was there to help her ends up being a place for me.

I arrived early for the 10:00am meeting, which is held the first Tuesday of every month (a perfect time for me since I’m freelance and don’t have a “Job-job”) the second meeting being at 5:30pm on the third Thursday.

I stopped at reception, asked for the meeting room then walked through the large atrium, looking through the glass fronted French doors into the great room where seniors were playing board games and other activities, past the exercise room with state of the art machines and equipment, peeking into the crafts room and library thinking what a pity Miss Cathy wasn’t here enjoying all of this (oh well) before finally arriving at a large multi-purpose room at the end of the long hall.

The room was peopled with card tables and chairs, and there was the soft murmur of conversation in the air.

I walked in, took an available seat and settled in, then I realized I was about to share my most intimate feelings with a group of strangers.

As I looked around the long table (made up of putting several of the smaller ones together) I noticed that my fellow caregivers were all female, they appeared to be a mix of middle-class mothers, wives and daughters, not unlike women you’d see at any upscale mall in America, or at “Curves”.
They were mostly middle aged (like myself) and mostly white (unlike myself), I sat there wondering to myself what in the world I could possibly have in common with this bunch (other than the obvious of course)?