alzheimers

January 1, 2020

All down hill from here

As is custom, when I sit on the edge of a new year I take a look back at the previous one. And it must be said that 2019 was quite the train wreck. All the politics and world issues aside, my personal life was a rollercoaster.

Going chronologically, it started off great. In February of last year I passed my real estate appraisal licensing exam (on the third try) and officially became an appraiser. Then in May I was awarded my AA degree, summa cume laude (then proceeded to transfer to a more distinguished college campus). And in the space between these two landmark achievements, I felt empowered and returned to editing my novel (because nothing could stop the success train!)

I got halfway through my revisions before life turned on a goddamn dime.

The first punch to the gut was my mother getting, officially, diagnosed with Alzheimer’s. (Prior to that a nurse practitioner diagnosed her weird mental failings as being under too much stress.) Her loss of memories be damned, it was her erratic and bizarre behavior that finally showed my father and I the ugly truth we had been denying.

Following that my grandmother was diagnosed with stomach cancer. She was given a month to live and that she did. She passed away in the early morning hours after everyone had left her to rest.

Immediately after that death, my father fell and hit his head while taking his morning piss. (His third time falling that week.) He arrived at the hospital unresponsive and stayed that way until I gave the order to let him rest. He was gone in less than a minute, surrounded by his family.

Since then it has been failure after failure as I struggle to balance my job, my academic life, my romantic relationships, and being the sole caretaker for my mother. I try to keep up but I’m always letting someone down or forgetting to do something.

This had been the way of things until very recently…

After my husband had his weight loss surgery he began to have issues with his balance and walking. It got to be so worrisome that he was sent to a neurologist who ordered MRIs of both his brain and spine, and who gave an early diagnosis of “pressure on the spine.” He has since had them and now we wait for that news to hit us across the face.

To say that 2019 fucked me up would be an understatement. It bludgeoned me and left me on the side of the road to die.

But all is not lost…

This notion that at the stroke of midnight we are all given new lives and new opportunities is ridiculous. In reality we have that at all times. Even when things are shitty. Every moment is new and undiscovered. We get to forge new paths everyday. But just like any route the terrain is vastly different from the one that came before it. How you navigate through it depends solely on your willingness to keep going.

I am glad this year is done. But the shit storm that has become my life will only get progressively worse. It’s just the path I tread. However, I will take every moment I can to find happiness. I will surround myself with love and companionship to remind myself that in the end all that matters is what we did with the time we were given.

October 14, 2019

Familiar Strangers

It almost seems as though my mother has a list of specific “Dementia To-Do” items she must accomplish. At first it was leaving the gas on all night and now we’ve moved onto inviting strangers into her house.

The event happened in a small window of time when my mother’s care taker went home (aka next door) to take care of some business. When she returned my mother informed her she had invited a man in. Panicked, her caretaker texted me immediately and asked me to review the tapes to see if she was telling the truth or if it was a delusion.

I immediately went to the ring app and followed the trail of recordings to see that she was telling her the truth.

When I questioned her about it the following day, she told me that she thought it was my “friend Josh.” I just let it go because I could tell she understood the gravity of what she had done. I also think she would have gotten upset if I had pressed her further, so I let the subject die. Hopefully this is a fluke, but I’m certain it will happen again.

As I review her response a few things pop into my mind. The number one thought is, is she lying to me? For someone who was so honest before her disease took over (so much so that she told me when I was 4 that there was no Santa Clause, cause she hated lying to me), she has become the polar opposite of that. She has no qualms with bending the truth or flat out denying things to me now. She will send them out without any remorse because the ultimate goal (in her mind) is to preserve her presence in her home. Any negative action on her part threatens that. And quite frankly it does.

The reason I think it was a lie is because when I reviewed the recordings she never once made any cues that she thought he was my boyfriend. She just offered to let him sit on her porch and read his book while he waited for his friend, who was at the neighbors house. Then when he followed her up the walk she (without hesitation) invited him inside. Once inside he asks her if she’s ever read the book “Fight Club.” The video ends and five minutes later the next one begins with him leaving and rejoining his buddy out front. She stands intent at the kitchen sink doing something (I know it’s not dishes because she only rinses utensil and plates and puts them back in the drawer.)

The other thought that has been percolating in my mushy gray is, did she really believe that it was him? And if so, did she really believe he was just hanging out in front of her house, hoping she would come outside and invite him in? Did she really believe that this short Latino man looked like my tall German-mixed boyfriend? If she did, does that mean her visual recognition for faces is starting to wane?

My mother has a telephone made specifically for those with dementia. There is a grid of 9 faces that when one of them is pressed it will dial that person. On Sunday, she said she was trying to call my cousin but instead called me. She seemed genuinely flustered on the phone when I answered so I don’t think it was her trying to “con me” into feeling bad for her, but a genuine accident. As I mulled that incident in my mind, I started to wonder if it is in fact the beginnings of my mother losing her ability to recognize faces. However, that is hinged on her believing this stranger was Josh.

Regardless of the correct answer, it is very apparent that my mother is quickly becoming a danger to herself. The only logical step from here is to put her into a group home. She needs constant attention and care, of which I cannot provide. Not to the level that is required.

September 26, 2019

Birthday Card Blues

My mother’s birthday is this coming Monday.  And as it is the first one since my father passed away, I want to do something somewhat special.

I started to roll through all the usual things, a trip to her favorite restaurant, some clothing that is comprised of some gaudy printed top and bright colored, flashy pants, and … as I thought about getting her the usual birthday card, I stopped and began to cry uncontrollably.

Since my mother’s dementia has progressed her ability to read has significantly decreased. I got her a card for mother’s day which she never even opened and instead focused only on telling me how much she didn’t like the 4 out of the 5 tops I picked out for her. (Which is absolutely out of character for my mother. She used to be the kind that would rather die than tell someone she didn’t like a gift.)

My gut reaction was truly puzzling to me. Yeah, it’s sad that she can’t read, but I didn’t understand the overreaction. Most of the time I usually just feel the ache in my chest and move on. As I picked it apart (as I tend to do with most of my thoughts) I realized two different things.

The first realization had to do with my weird obsession with birthday cards. For a few years I would actually buy two. One that reeked of sentimentality and the other that was a giant joke. And with the sentimental card I would write a long paragraph about how much the person meant to me. The last few years, as cash has been tight, I boiled it down to one and stuck with my schmaltzy reflections.

Those days are gone with my mother.

That last piece is what led me to the next conclusion…

I want to be a published author and if I ever get off my lazy ass and finish editing my “completed” novel, maybe one day I can achieve that goal. And if I were to do that, no matter the subject matter, I would want my mother to read my book. Which, even now, would be a miracle if she could. She would pretend she was understanding, maybe even put a bookmark in to complete the ruse, but ultimately she would not. The only thing I could do was read it to her. Which would be sweet but… I broke down crying over the idea of a birthday card. How the fuck am I going to read her my novel?

This birthday I will just skip the card, and instead provide her the one thing she has been severely lacking, companionship.

September 20, 2019

An Adult Girl

I’m slowly coming to terms with the fact that my mother’s mental state is very much that of a little girl.

Last night was one of my newly designated evenings to spend with her, in an attempt to lessen the loneliness she feels since my father’s passing. I go over after work, we have dinner, and we do some sort of activity. Lately we have been coloring but for whatever reason, I wasn’t feeling up to it last night; however it probably would have been a good idea.

Instead of the usual business we ended up watching T.V. There was a Friends marathon on the Paramount channel. (Had no idea that was a thing now.) It was playing some of the “best of episodes” to celebrate it’s 25th anniversary. (By the way, I need you to kill me, because I am officially old as fuck.)

I thought the re-watch of the show would be good for her because this used to be the show she and I would watch together every Thursday night. My mother loves/loved a comedy. Especially when they’re romantic ones. And I thought maybe the familiarity would be comforting for her.

During the re-watch she would giggle where it was appropriate, almost like she was waiting for me or the laugh track to initiate it. During the commercials she would titter at some of the more bizarre things that I couldn’t understand why she found them so comical. At one point she turned to me during the end of a Chase commercial to ask me if I had had that drink. To which I responded, “nope, I haven’t tried that Chase drink.”

I feel like an asshole sometimes with the way I respond to her strange questions. I am being relatively cruel, but I don’t think she’s even picking up on my sarcasm. She’s very much in her own world.

While I was making dinner she excitedly pulled out a thing of mashed potatoes she had made the week prior. She put them in the microwave and set the time for 5 minutes, which I’m sure is entirely too long but… whatever. She didn’t let the clock run out. She kind of kept an eye on it and turned it off when she thought it had been in long enough. However, then she completely forgot all about them until I remembered that they should be thrown away.

When I suggested tossing them she looked visibly distraught, but then waved her hands and agreed. And as I threw them away she rushed into the kitchen, grabbed the pot I had used to boil hot dogs (her favorite way of preparing them), filled it with water, and then dropped 4 unpeeled, unwashed potatoes in and began to boil them. To top all that off she got an over-sized lid and placed it on top.

I asked her what she was doing and she said she was making them for my cousin (who was supposed to arrive the following morning.)

Once I announced that the potatoes were done (I had no idea, I just wanted to go and didn’t want her using the stove before she went to bed because she’s already left the gas on overnight once before) she hurried in there and started to “peel” the scalding, boiled potatoes with a knife held at a 90 degree angle. Her idea was to literally scrape the skin off. I tried to help her and then she got annoyed with me, splashed them back in the pot and announced that she would continue tomorrow morning. She wanted them to be “ready when my cousin arrived.”

My cousin has this habit of travelling late at night and sometimes arrives/leaves in the early morning hours. My mother, so excited for his visit heard noises at 3 A.M. and went outside to investigate them in her nightgown. She was out there for 10 minutes searching for my cousin. When she had decided he was not there or the one who had made the noises she had heard, she went back inside.

This I witnessed all at 7 A.M. when i was reviewing the recordings to see if my cousin had in fact kept his word about coming to visit. (My family is notoriously flaky.)

From this experience I have learned I will no longer inform her of visitors. Because of it she gets excited and will do dangerous things that could be deadly. All I do is replay the possibilities of where every action she took could have gone wrong.