The other #”F” word: Part ll


It’s common knowledge that “forgetfulness” is part and parcel of an Alzheimer’s diagnosis.

I’m finding that the collateral damage; anxiety, fear and depression (to name a few) that accompanies the “when”, “what” and “how much” Miss Cathy forgets to be very debilitating as the disease progresses.

The “When” took me quite by surprise because we hadn’t had an incident (or much of one) for quite a while then (seemingly) overnight things were different.

I was in a place where I started to second-guess (again) her diagnosis and wonder “why am I here?” because she seemed to be doing so well…..and for such a long period of time.

The “What” that was confusing her wasn’t just that she suddenly couldn’t remember things; she told me that she was having trouble ‘seeing’ as well.

To hear her explain it, the letters and numbers on the remote, telephone and alarm system weren’t just indecipherable; they seemed to be “moving” too.

Logic and reason did little to help her ‘see’ past what appeared to be true to her eyes.

I tried to reassure her that I was not being dismissive of what she saw. What troubled me was that she so readily accepted her new reality.

I was trying to get her to realize that regardless of what she was ‘seeing’ she should have been able to deduce that buttons do not ‘move’ and numbers do not ‘float’.

“Nope”, she said, “I understand what you’re saying, it just seems to me that my brain just doesn’t work that way.”

So, she would stare at imaginary moving numbers and push at buttons that weren’t where they were supposes to be.

“How much” she forgets and the price she pays for the loss varies from day to day; laboring over changing channels on the television or contacting someone on the phone (and being unsuccessful more often than not) she is absolutely spent, angry and/or highly agitated.

After one or more of these episodes I’ve watched as she toddles off to her bedroom to lie down, as quiet as a child in a ‘time out’, life punishing her for something she doesn’t understand that she didn’t do and is not her fault.

The other #”F” word: Part l


“Well!”, Miss Cathy said.

I could hear her voice as she walked closer to where I was working in my room from where she had been in the ‘Living’.

“I fucked up the TV again!”

And sure enough, upon closer inspection I could see that the TV screen was blue where there should have been the antiseptic smile of Bob Eubanks, Dick Clark or some other (g)host from the GameShow Network that she watched at that time of day.

She had somehow hit a combination of buttons on the remote that switched the TV to “Video” mode and had no idea how to get it back.

I’d been home just a day or two from a short trip to NYC when Miss Cathy first “forgot” how to use the remote. Then the next morning she had trouble disabling the security system and problems with the telephone; each day seemed to bring more memory lapse and confusion.

Part of me couldn’t help but note that she presented with these new challenges after I’d been gone for a while and before I was scheduled to go away again……..was…is there a connection?

Part of what keeps a person with Alzheimer’s stable (though there is no guarantee) is to feel safe in their surroundings, continuity and routine.

Had I triggered this step back to her future by going away?

#Flareups


It’s been months since my last communiqué and for that I am sorry.

Simply put there hasn’t been much to post; other than the occasional “flare up” of “Alz” life seemed to have fallen into a predictable, non eventful pattern.

I had a respite from the disease but, life being “life” and “Alz’” being “Alzheimer’s” things were bound to change.

So, I am back, sharing the little things and the not so little things that have happened and that are happening now.

I haven’t been posting but I have been writing so some of what I’ll be sharing has already past so it’s out of time but not out of context.

It is odd and peculiar to this disease (and particularly cruel, I think) that weeks, even months can go by without incident then all of a sudden, as if someone turned “off” a switch, things that were routine and known are all at once foreign and unfamiliar.

Miss Cathy has gone from an occasional state of confusion to living in a place where simple acts; putting her shoes on the correct foot, disarming the security system and operating the television remote have become almost daily challenges.

Things that she’s done for years are now a struggle of some kind, I’ve watched as she seems to approach her routines with trepidation.

At first she made the usual excuses; food being burned (“The meat cooked too fast”) or not being able to operate the telephone (“Something is wrong with this phone, I need to call the telephone company”) and the remote (“I can’t see these numbers, they seem to be moving or something”) to a realization that it could possibly be something else, something more (“There’s something not right with my brain”)….and I agree.

Enough has happened that it’s time to get her ‘team’ (general practitioner, neurologist and even her ophthalmologist) back on board to check her out. Maybe she just needs new glasses, her diabetes could be a factor or her meds need to be adjusted-or a combination of all the above.

No matter, it’s time to send a flare up to signal that the “Alz” has awaken from it’s slumber and it’s time to do battle; time to re-engage, re-learn and chart a new course of action.

I hope to get back to posting regularly and that you will continue to follow me on this journey-

Thank you

True Colors


As this election season kicks into high gear it’s been interesting to see Miss Cathy engaging in the process.

It goes without saying that this lady is gaga for President Obama. She may not always remember what day it is but she remembers the date that the president was inaugurated.

Miss Cathy was the first person I called back on 2008 when our first African-American President was declared. I remember her sounding the happiest I’d heard in a long time, she was (almost) speechless, unusual for her l know, but her joy was that strong.

I can’t imagine how she felt, being someone that had grown up in the Jim Crow South, seeing what she never dared dream possible-at least not in her lifetime.

She was part of a generation of African-Americans who had migrated from the Deep South northward hoping for a better life for themselves and their families, most of whom were largely successful in their endeavors, living their ‘American Dream’ in shades of black and brown, free of the ‘whites only’ reality of their upbringing.

Miss Cathy wasn’t the first in her family to leave home but she was the only one to graduate high school, with no encouragement from her family. It’s not that they didn’t care-they just didn’t understand that education meant opportunity but she did, and she knew hers was somewhere outside of the city limits of Henderson, North Carolina.

She would go on to have a successful career as a correspondence clerk for the Veterans Administration in Washington DC, where she developed a lifelong love of the military and supporting veterans and their families for their sacrifice.

While I knew most of this about her, she told me alot more about her life experiences while we watched the DNC Convention together on TV.

What I didn’t know until I joined her life was how political she is, come to think of it, she hasn’t missed casting a ballot since her diagnosis.

She’s a pretty outspoken voting rights advocate; especially at the local level, she has little patience for people that complain about government but then don’t vote (guess the tree can fall near the apple, too).

She feels that voting is almost a sacred duty, keenly aware of all those that have passed so that she could exercise her constitutional right. And she rails against those (especially minorities) who do not vote; she has one word for them-‘stupid’.

Since the conventions we’ve been talking politics, past and present, sometime deep into the night. Talking with her is an interesting contrast to the shades of grey the candidates are drawing between the class distinctions in our country, redistribution of wealth, race and the role of government in helping people better themselves as well as those who have worked their entire lives helping themselves to their (in my opinion) well deserved social security…….Miss Cathy wasn’t drawn that way-it’s who she is.

The debates are just around the corner. I’m looking forward to watching them with her and hearing her take on the candidate’s views.

I’m sure her commentary will be funny, insightful and as unique as she is, running the gamut from blue to red-beyond just primary colors.

Funny Lady


I picked up Miss Cathy the other day from the beauty salon where I’d dropped her off earlier to get her ‘do did’. She started nattering on the minute the back door was opened for her (as usual) and was in the middle of a story before she had her seatbelt on.

She was telling me that the beautician who curled and styled her hair was giggling and laughing at practically everything she said and I could hear that it bothered her.

It didn’t bother her that not long after sitting in the chair the young woman asked if she could call her, ‘Mom’.

For some reason Miss Cathy seems to attract a lot of ‘children’. She’s like the Pied Piper with a cane, beguiling the young and the not so young (she actually had a neighbor-who is past sixty-ask if he could call her ‘mom’).

Somehow, the ‘mom’ moniker applied even before she became a little old, round, affectionate person whose large bosom would cradle many a head.

And when I say ‘mom’, I’m not talking about the way her neurologist addresses her during their meetings, he’s from another part of the world and I’m sure it’s used as a sign of respect like “sir’ or ‘madam’ (but, frankly I think it’s a sign of laziness and a way to avoid knowing his patient’s name….but I digress).

Even when I was young (which meant Miss Cathy’s bosom was that much younger) I can remember my friends calling her “Mom” or “Miss Cathy” (the affectionate nickname she became known by that stuck), which pretty much means the same thing (without taking anything away for the person’s birth parent).

But, back to the here and now…..

I looked at her face, framed by soft waves of salt and pepper hair, in the rear view mirror as I was driving, listening to her and I could see that she was perplexed by her new daughter’s laughter, and that she was wondering whether or not she was being laughed at.

She said she didn’t think she was being funny.

I didn’t need to know the specifics, not that that stopped her from telling me every-word-that-was-spoken (she’s not only ‘Miss’ Cathy, she’s a ‘Chatty’ Cathy, too). I knew from experience what had happened.

I told her it’s the way that she talks openly, honestly and colorfully about things that people find funny, that Miss Cathy’s candor is refreshing to most people.
I can see that they are charmed by her insights and surprised by the occasional vulgarity that is quite frankly-funny (her filter, which at best was minimal, is pretty much gone now after her diagnosis).

I told her that it’s her delivery about everyday observations and her opinions of the subject matter, not the content that people find amusing.

In another life (with her timing and flair for the dramatic) she would have been a damn good actress.

I told her that she should take the laugher as a compliment, that not everybody is funny, and that there’s a difference between being laughed with (which in my opinion is a sign of intelligence) and being laughed at which we all know (unfortunately) is a sign of the opposite.

She thought about I was said, seemed satisfied with the analysis and as she futzed with her hair (re-styling the styling) then replied, “Oh, I never thought about it like that, I like that much better. That’s good because with all that laughing I was about to get ticked off!”

Do I look fat in this life?


There are a lot of things that go into being a caregiver; some you know (and are prepared for) and there are other things you learn as you go.

I’ve found a lot of support these past two years from Alz.org, chat rooms and support group meetings but one thing that surprised me about this experience that seems to be overlooked and never really talked about (at least not to me) is the tendency for the caregiver to get FAT.

I look around at a lot of the caregivers that I’ve met and I see a lot of lard asses-mine especially. As Whoopi Goldberg quipped, “Once I thought someone was sneaking up behind me and when I turned to look I realized it was my own ass.”

I bring this up not to say that this happens all the time to everyone in my situation. No, there are a lot of caregivers who have been able to balance the enormity of their new roles without becoming enormous themselves.

But it did get me to thinking about the connection between the stress we’re under and obesity.

We all know that obesity is rampant in our society; poor diets and lack of exercise being two (obvious) reasons but stress has been linked as a contributing factor as well. For me, and I’m only talking about my own tonnage here, I found that there was so much to do in the beginning and so much change occurring that once I had my routines set up for my loved one and I had a chance to catch my breathe and focus on myself what I saw surprised me.

How did this happen and when did I let myself go?

I began to wonder, like the “freshman fifteen” that some young people gain during there first year of college; due to the change in environment, the stress and the anxiety of being on their own for the first time, is there a similar correlation for caregivers as we transition into a new environment, as well as the stress and anxiety of “Not” being on our own for the first time as well?

If freshman can be forgiven for their “fifteen”, is it possible for me to get a little understanding for my “Alzheimer’s eight” or the “Dementia dozen”?

Believe me, I take full responsibility for my rotund-ti-ty, as my role as caregiver has expanded so has my waistline. And while I never had Paul Ryan’s abs (and thankfully I never had his views on restricting women’s reproductive rights either) I would like to see my feet again some day.

It’s nobody’s fault but my own and intellectually I know what needs to be done to return to my former svelte self-eat less and exercise. But, that’s easier said than done when you’ve stressed, often lonely and lack the motivation to give yourself the time and energy you’ve poured into your charge.

It’s not that I’ve been “so” selfless, I’ve just been too tired to care and being out of my own environment and routines I’ve found that I’ve developed some really bad habits-namely eating too much of the wrong food and not moving my body any more than is necessary.

The reality is that at the end of a day running around looking after someone else the last thing I want to do is run for myself.

I used to go to the gym, walk (I’m a former four mile a day runner but I blew my knees out years ago and switched to walking long distances instead) and maintained a rigorous stretching and exercise routine.

I ate a healthy, varied diet of vegetables, fruits, chicken, fish, some red meat and low fat or sugar free desserts. It was satisfying, I didn’t feel deprived and it gave me the energy I needed to fuel my life.

Unfortunately, it seem that these days I’ve pretty much abandoned anything that’s healthy for whatever is quick and easy (which mean it’s usually something frozen, processed and full of sugar and/or sodium). And I greedily grab for any and everything that can give me a moment’s comfort or (faux) sense of relief from my daily life’s stresses (read: junk food and sweets).

This is a classic case of emotional eating and sublimation.

Think of it this way, while the anorexic or bulimic denies themselves food or regurgitate as a way to control one aspect of a life off-kilter, (maybe) my eating and sloth like existence is my way of “not” having to be in control when I have to be responsible for someone else all the time-for the first time.

Hmmmm, maybe I’m onto something here….but, like the person who tries to commit suicide-you’re trying to kill the wrong person….so, maybe I’m force-feeding the wrong person, too (metaphorically).

No, I’m not saying I should be strapping Miss Cathy to her bed and feeding her color coordinated food nonstop till she fattens up like a piece of veal (not to say that she’s not doing a pretty good of that all on here own)…but I digress.

No, what I think my “light bulb” moment is telling me is that what I’ve been doing by engaging in behavior that I know is bad (and bad for me) is that I’m punishing myself instead of expressing the anger I feel toward my charge and the difficult situation I find myself in but was unprepared for emotionally (unknowingly).

So, I turn to food (that tasty panacea) and inertia; depression, denial and frustration all seem to more palatable when you’re prostrate with a plate.

Great, now that I’ve acknowledged the obvious I hope it’ll help when the cookies are calling me at midnight when I decide to stay up and watch “Shoah”.

While I seriously doubt that anything will change overnight with this revelation I do know that the first step to solving a problem is acknowledging it. I didn’t exactly work up a sweat thinking this through but I do think it was an exercise worth pursuing.

Who knows, now that the mind has been stimulated maybe I’ll surprise myself next by moving my body…….even if it’s just to push back from the table.

Green peas and squash


“ I’ve never had green eggs and ham, no, but I have had green peas and squash; a dish that’s green, surprisingly delish and too bright to miss.

Green peas and squash are not harsh, even if served on a marsh and they doesn’t smell like someone’s arse.

So, if you’re on a plane, or in a train or playing tennis on a court in the rain, eat your green peas and squash-they may look odd but they’re good for your bod. ”

Okay….Dr Seuss I’m not but believe me, you’d start rhyming too if you saw what I see in the kitchen on a regular basis.

I’m the first to admit that when I saw the concoction on the kitchen counter I thought to myself, “Oh well, the old girl’s done it this time.” There lay a large bowl brimming with what looked like something left over from an oil spill.

Out of curiosity I picked at it with a fork, further mixing the peas with the dices of squash, the onion and bits of garlic. It looked a little funny but then again, so do I and I wouldn’t want anybody to hold that against me so in the spirit of solidarity I tasted it and surprise, surprise-it was actually very good.

I wasn’t “that” surprised because Miss Cathy has come up with some cockamamie dishes in the past but she succeeds more than she fails. And God bless her; unlike Paula Dean, Rocco or any of the other chefs on the Food Network, she’s never been concerned about the visual.

Since I’ve lived here she’s come up with some of the worst and best dishes I’ve ever eaten. When presented with one of her dishes I’ve found it best not to look but to just take a leap of faith and taste.

I don’t really remember her cooking like this when I was a kid growing up; it was all very “meat and potatoes”, stick to your ribs kinda stuff.

Her “Eh, why not” attitude seemed to have started late in life, now it’s all a dash of “what was she thinking?” and a pinch of “Oh no she did-int”. Whether it has anything to do with the dementia I doubt but I don’t believe in coincidences either.

And her best rationale for the combo of green peas and squash (which she thinks is a no-brainier) is, “they’re both vegetable’s aren’t they?”

Her philosophy is that “it’s all going to the same place anyway”.…. enough said-now back to eating your color coordinated food.

As good as it gets


I’m back less than a week from my last trip teaching in New York and I can see that the time apart has done both Miss Cathy and me a lot of good. Peace and harmony seems to have replaced the tension and resentments that just a few months ago permeated the space we share.

Last year was the first time I filled in for a friend teaching a summer fashion illustration course from mid July to early August. It was an experiment to see how Miss Cathy could get along without me for up to four days (with Tony talking over as primary caregiver in my absence) and Ron (our upstairs neighbor that Miss Cathy considers a third son) to help out, too.

All went well so I could confidently accept the position again when they offered it to me this year.

While I was in New York teaching I had time to write, relax, see friends and just forget all about what my life has become and focus on what it is-which ain’t so bad.

My absence was a nice change for Miss Cathy too. Not only did she get to spend time with her other sons, her girl-friends came to visit more often and I’m sure she liked having here condo all to herself (more or less) while I was away.

Since I’ve been back I have noticed a few things worth mentioning. She’s been initiating projects around the condo then just walking away from them or forgetting that she even started them. And then there are those times when I remind her that something was her idea and I see from the expression on her face that she had no clue. Those moments are tough and her refrain, “Oh, I’m just as crazy as shit” is pretty much a guaranteed reaction.

I deduced a while ago that she gets more forgetful and “nonsense-ical” (my term for those times when “what” she says has absolutely nothing to do with the situation or conversation) when she’s upset, excited, stressed or anxious.

Lately though her memory seems to come into question even on those days when she’s otherwise pretty sharp.

It’s in those moments when she forgets that I remember to stay calm and loving. I gently try to give her what she needs; be it a reminder of the word she’s hunting for, patience as she searches for it, help solving the puzzle that her mind can become or simply sitting with her while she ruminates.

This month is the two-year marker of my “leaving my life to join hers’”. I’m slowly starting to accept where I am and who I am in this moment. I don’t know if it’s time, attrition or surrender that is the reason for my newfound state of resignation.

Whatever the reason, it is good to wake up and not have that sinking feeling come over me that I’m trapped in a nightmare (of my own choosing). It’s far from ideal but it’s not what it was before, or what it’s likely to be in the future….for today, it’s enough to know that this may be “as good as it gets”.

Senior moments: Part ll


Getting to the Bowie Senior Center proved to be a test of will and fortitude. The drive, less than fifteen minutes on the highway during non-rush hour should have been pleasant enough but I had Miss Cathy in the back seat remember-the killer of all times good.

It’s not that she’s intentionally an annoying companion on the road; I think that being confined in a space with her that’s about as big as my bedroom makes me feel claustrophobic.

Don’t get me wrong I love my car, a 2001 Burgundy PT Cruiser….it’s my lifeline and literally my “getaway” car. I also use it as a “living room” sometimes when I have something intimate or important to do like a private phone call or to write in my journal un-interrupted.

I mean, can you blame me, I’m with my mother seven days a week, twenty four hours a day unless I’m off working somewhere or shopping or heaven for fend I’m out doing something pleasurable for myself like being out on a date or relaxing with friends.

Of course I have plenty of outings and a lot that I do away from the condo, but I’m never gone for long because I don’t like to be away from her for more than five (or eight hours max) and that’s usually reserved for work and not play.

But the point is, I’m never alone..except for when I’m in my car….my PT, my four wheel “safe place”.

My car, I guess, has come to represent one of the few things that’s really “mine” and mine “alone” so I guess I’m hard pressed to share my space when it’s time to put on my chauffeur’s cap and become “Hoke”.

Now that she’s riding in the back she’s given up (more or less) “back seat driving”-cue Alanis Morrisette. It seems that since she can’t see the oncoming traffic she can’t comment or react the way she used to when she was riding shotgun.

I got this little “tony-tip” from my brother and it definitely makes a difference. I’m less apt to daydream about steering the car into a ditch and walking into oncoming traffic as much (so that’s a good thing).

The problem now is that since she has so much room to stretch out in back she’s usually doing something; like emptying out the contents of her purse or snacking or building a bomb for all I know but the noise she creates is just about as irritating as her front seat car talk ever was.

Dick Cheney and Donald Rumsfeld could learn a thing or two about torture from this old woman. The constant sound of her digging through her purse makes the idea of water boarding sound like a facial.

First of all it takes a full five minutes for her to get her seatbelt on. Every time she gets in the car (which in itself is very Cirque du Soleil) she attacks the seatbelt as if it were her adversary, pulling and twisting, all the while keeping up a constant stream of jibber-jabber and bracing herself as I put the car into gear and back out of the parking space.

I had turned on her favorite country music station, as usual, thinking that would lull her into a manageable state of inertia but the twangs and warbles of the Oakridge Boys or Shania were no match for whatever she was determined to find, deep in the bowels of her handbag.

Try as a I may to meditate and focus on something else-like driving (or finding a rock somewhere on the grounds of the center once we got there and beating myself to death) nothing could distract me from the rumbling and fumbling, like the constant drip of Chinese water torture, mind numbing and relentless, as repetitive as her constantly asking me what day of the week it is, all the way to our destination.

Senior moments: Part I


Recently I’ve been driving Miss Cathy around to a few of the senior centers in the area because she expressed some interest in what they had to offer. Of course she didn’t just come out and “say” she wanted to go. Mom’s way of “asking” was to tell me how her sister-in-law, my Aunt Dorothy, who I’m related to as a cousin on one side of the family and a nephew on the other (hey, country folk…..what can I say) really “enjoys” the senior center in North Carolina where she lives and all it has to offer.

After listening to her I read between the lines, the same way I do whenever she asks, “do you like Popeye’s chicken?” (she knows I don’t). But, that just means that “She” does and she wants me to go get her “two pieces and a biscuit”. So I interpreted her chatter about Dorothy the same way, as interest in a senior center and I was right.

Unfortunately, I had thrown out all my brochures and research in a moment of disgust after keeping them for more than a year “just in case she changed her mind” and wanted to avail herself of all that was available to her as a senior.

When I first moved here I collected everything I could get my hands on about “what to do with an old person”. Back then I was eager to please and enthusiastic to share my findings with her (suffice to say it’s an entirely different story these days) my enthusiasm has waned and what I find is mostly apathy.

Back then she told me in no uncertain terms that she had no interest in being in a room full of “old folks” as she called “them”…which led me to wonder who the hell she saw when she looked in the mirror every morning.

But, the times, like underwear, do need to change and it seems that now she was ready for something new.

I was giddy with the prospect of getting her out of the house (even if it was for just a few hours a week) but I was unprepared and not knowing how or where to begin. But, not to worry, after a few clicks on the all-knowing Google I found what I needed and we were off.

I decided to sidestep the quaint facility that was located in Miss Cathy’s solidly middle class neighborhood for another more affluent area. So, our first stop was the Bowie Senior Center less than 10 miles away.

Tom Wolff aptly named this group of moneyed movers and shakers in his native New York the Masters of the Universe so this would be their Washington DC equivalent. If you’re searching for a place to park an old person better there be BMW’s and Lexus’ in the parking lot and not Civics and Ford Focus’s.