Historic Parallels

I need to write. It has been some time and I feel all of these emotions welling up inside of me. In usual “Josh” fashion I will decompress by letting some of it out for mental relief.

Last night, when I was attempting to sleep, I would slowly drift off and then wake up in an abrupt panic. To what I can remember, one of them was that someone was in my bedroom and then the other was about my mother. After the one regarding mom I turned on my ringer, just in case.

My mother has been having delusions. She had them awhile ago in the form of thinking that my cousin, her nephew, is dead. Legitimately no longer among the living. I had to video chat with him to prove he wasn’t. My mother was elated that he wasn’t gone, however even among that proof her brain somehow turned his death into “in prison.” For whatever reason, with a few more days under our belt, that all went away and she never spoke of it again.

After her brain scan, showing the substantial decrease in brain mass, the doctor prescribed her something for the delusions. But first we had to get her off the Lexapro the previous nurse practitioner had prescribed for the misdiagnosis of “stress and depression.” Once she was weened off of that we began these. That was a nightmare.

After just the second 1/3 of the actual dose, she was becoming aggressive and manic. As a knee jerk reaction I told my father to stop it and we would try again down the road.

For awhile she was okay, but not good. It wasn’t until this past Saturday when my mother was explaining to me about seeing people in the mirror, who moved and talked, that I decided it was best to try again.

This had the same result as it had before. So much so that my father tossed one of his xanax down her throat to calm her down, because she would not sit still, would not stop crying, and was basically “freaking out” (per my dad.)

I went over to visit her the day he called and she was there, happy as a clam. I guess after getting some sleep she was doing alright and had mellowed out. We then decided to try again, but this time at night (which should have been last night.) My biggest worry is that she freaks out again, and my secondary being my father not even giving it to her because of how she had responded. The second I absolutely understand. I don’t know how I would have handled the situation at all. Especially since I don’t have a bevvy of pills at my disposal. Thank god my dad is a prescription drug addict.

Whats funny is I have been in this reality once before.  When I was six, my father had a mental breakdown and ended up in a mental hospital. He was seeing demons coming out of the mirror and was out in the backyard swinging around a broom trying to kill them. He did the second for so long that he gave himself blisters and had to wear kitchen gloves to keep going.

When I brought this up to my mother about her seeing people in the mirror, she dismissed me out of hand. She said something to the effect of “yeah but that’s the physical realm.” The woman can barely find the words she wants to use to express what she wants to say, but she pops off with “physical realm.” (Jesus… shoot me.)

When the husband and I visited her on Tuesday, she was herself. Calm and collected. She even understood how “crazy” she had been. What we also learned is that her cousin (who she explained had been born a couple months before her and was her best childhood friend) is not long for this world, from alzheimers.

I remember my mother coming home and explaining how her cousin had acted weird at he and his wife’s 50 year wedding anniversary. It wasn’t long after that, that he was diagnosed with alzheimers. Now, he’s dying. The beginning of this tale was maybe 2 years ago. Now… He’s dying.

This last part feeds into my own diagnosis. I estimated my mother maybe had a year or 2 years left. I concluded this just by the brain scan and seeing how quickly her mental health is declining. And then hearing this… Maybe I’m not far off.

Creating Chaos

I have noticed this strange phenomenon within myself. Whenever I begin to dwell on my mother’s illness and impending decline into nothing, my thoughts immediately revert to something else. In these new thoughts I begin to pick them apart to find a problem and thus creating a new conflict to dwell over. Once I hold a “new chaos” to deal with, my mind forgets about the one that caused the process to begin.

I am certain this is an actual mental disorder related to grief but I don’t have the time nor the patience to do research. (Although, that may help with my need to focus on something else, so maybe I should do that.)

The one thing I learned from my “Ethics of Living and Dying” course in community college is that process of grief is very concrete. In the moments I begin to feel these emotions, if I momentarily remove myself from the situation, I can see what stage I currently reside. Yesterday it was anger. Today’s emotions I don’t know. Denial, most likely.

It is super humorous to me that the ONLY class I received a B grade was the one that has probably impacted my life the most. I learned so much in it that it has carried over into my real life. I see the patterns, I see the human reactions to things to death and dying. It’s truly fascinating. And even in knowing the clinical process of it I still fall right into the same groove. It’s inescapable. It’s human nature at it’s core.

Knowing that I do in fact create fabricated or exaggerated conflicts I can stop myself whenever it becomes too overwhelming. Because even though it is a momentary distraction my thoughts are still consumed by my mother and I have then “successfully” doubled the stress, and I don’t need to do that.

Turning Down a One-Way Road

So that’s that. My mother most likely has Alzheimer’s. Or so said the nurse practitioner at my mother’s follow-up MRI appointment. Quite the change of diagnosis from “it’s just stress” we had been told just a year prior. (Not even a full year.) The only good thing that came from the previous visit was a baseline to see her degression. And there is a lot.

The nurse practitioner showed me, and only me, the scale of it. I don’t know why she chose to reveal this information to just me, maybe she thought I wouldn’t have had an overreaction or that I would be able to comprehend what was happening. Whatever the reason, it is what it was.

The decline on her results was sharp. Almost entirely a straight line down from where she had been. I wish I had taken a photo or had them print it out to fully digest what I was seeing. I cannot stress this enough, it was severe.

I posted the results on twitter and the outpouring was so overwhelming. Those that had gone through something similar were the ones to offer their assistance or advice. Even some who haven’t, offered an ear to bend, fully providing (a stranger on the internet) their phone number. I am overwhelmed with love that I don’t even know how to process that. It showed me a world that seems almost counterculture to what twitter appears. It proved to me that at our core human beings are a community and will gather to care for each other.

I don’t think my mother has very long. I arrived at that conclusion by one, witnessing her descent over the past few months (which has been rapid to say the least) prior to concrete test results; and two, being haunted by those three graphs.

The part that frustrates me the most, above knowing I will lose my mother, is that there is NOTHING I can do to stop this. This is a one way road and it’s all downhill.

A Glimpse at Insanity

My mother’s mental capacity is deteriorating at an accelerated speed and I don’t know why. Her delusions are getting out of control to the point that she is speaking absolute non-sense or scary ideas (like “the voice said it and I just knew”). Her visual perception of things is also off the charts. I think I mentioned in the previous blog that she thinks her house is sinking, well she is still holding onto that fact. Even though she has accepted (to an extent) that she’s wrong. She has worked herself into a panic about getting the house clean but in the end only creates more chaos.

I am absolutely at a loss.

Yesterday, my father called me to tell me he lost his cool at her because she got confused about why she had gone into a store. For whatever reason, he sent her into buy a 7 lb. bag of ice. (Why he didn’t just do it is beyond me.) When she went in the clerk came out to ask my dad what he wanted.

The rate at which she is declining makes me think that she is either accidentally ingesting my father’s pills, having her own allergic reaction to her own medication, or there is a brain tumor. At this point though we don’t know. She has an MRI scheduled for the 24th and hopefully that can shed some light into this darkness.

The thing I find most distressing is that she is convinced she is going to die soon. So I have been commissioned, by both parents, to write out letters to her sister’s so that they know how she feels. Yet, when I went to check-up on them today she was talking about more of me writing a book about her experiences. It was so very surreal, primarily because there is almost a strange thread of logic there, it’s just decorated with baubles of “crazy.”