Monthly Archives: September 2012

Lack of control is scary

So Mom had to go on antibiotics for a tooth infection, and it seems to be causing her G.I. issues that are manifesting themselves through her colostomy bag. This is to be expected, as antibiotics are known for causing side effects like that. I’m going to check with the home health agency to make sure probiotics are safe to give her.

Mom of course is depressed about the prospects of a colostomy bag for the rest of her life, and the lack of control she feels it presents. But the flip side isn’t always pretty either. Dad lost control of his bladder and bowels as his dementia took over. This manifested itself once he was in the nursing home. On my first visit, he would still try to communicate that he needed to go to the bathroom. By my second visit, he was completely incontinent.

One of the most painful memories I have of Dad’s stay at the nursing home was the call I got from one of the nursing assistants. They told me Dad had been taken to the E.R. This was nothing new by that point. I asked if he had fallen again. No, the staff member said. He had gotten into a fight with another resident. Dad had went into the other resident’s room, ripped off his diaper, and defecated. As one might expect, the other resident was not too happy. He hit Dad as he tried to get Dad out of his room.

Losing control can be a mental or physical thing, and sometimes it’s both. Mom is mentally aware and the loss of physical control is hard for her to deal with. I’m not sure if Dad realized the abilities he was losing rapidly to Alzheimer’s. It’s again one of those terrible mysteries that has to be buried with Dad.

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We touch more people than we realize

Today, Mom and I dined at the local Mexican restaurant that her and Dad frequented over the years. The homey place is decorated with birds and the staff know my mom well. One server in particular, Maria, always goes out of her way to greet Mom. She even checked up on her when Mom was sick and didn’t come to the restaurant for a few months. Maria is a very kind and positive person. She always brightens Mom’s mood.

Today Mom mentioned how she missed coming to the restaurant with Dad, and Maria commented about what a wonderful guy he was. It’s always nice to hear these random kind comments from people who knew Dad. He was a quiet and unassuming guy, and did not have any local friends that he socialized with. But apparently his goodness shined through to those seeking it out.

In the end, these small but meaningful connections make up our legacy. I think Dad would be pleased that so many people think fondly of him.

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On the march

Tomorrow in my dad’s hometown of Belfast, Northern Ireland there is a march to honor the Ulster Covenant Centenary. Authorities fear violence as these Protestant parades have historically incited the Irish Catholics in town.

The AP offers some background on the marches.

If Dad were still around, he would be following the events closely. As a staunch Irish Catholic, his Irish temper would flare during any discussion of the “troubles.” He had little tolerance for the British government. Since his death, I’ve come across numerous letters he wrote to newspapers and book authors challenging the status quo thinking about the political and religious strife in Northern Ireland.

Some of Dad’s relatives still live in Belfast, and I hope peace reigns over the city tomorrow.

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Waiting room blues

Mom had to go have a test done today, prep for her upcoming oncology consultation. I wasn’t allowed to go back with Mom for the procedure, so I set in the waiting room. There was a lot of tension in the room. There was an elderly woman anxious for her mammogram to be done. Another mother-daughter combo who I believe also were there for a cancer screening. There were grim looks on many faces, sick people resigned to undergo tests that could in part, decide their fate. You want to know, but then again, ignorance (and/or denial) is bliss.

There were also people awaiting routine screening tests. I wonder how many of those people would end up being called back for suspicious test results. Hopefully none of them, but we know every day people have their worlds turned upside down by a routine test with not-so-routine results.

Mom is being a good patient by willingly going through all of these tests. I don’t think Dad would have been nearly as cooperative. He hated doctors and was bored to death in waiting rooms. And of course, when the dementia struck, certain tests would have been virtually impossible to conduct on Dad.

Maybe Dad was the lucky one, not to be spending so much time in waiting rooms and having tests done.

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When showers become scary

There are so many things we take for granted when we are younger, and in good physical and mental health. For example, today Mom needed to get a shower.

Mom was kind of dreading it, though she has always been a clean freak. But now, due to illness and overall frailty, she can’t enjoy her bubble baths anymore. She has to sit on a shower bench to take a bath.

Today was her first shower without the home health aide. Mom is not happy about the change in her routine, which of course is understandable but still frustrating to me, as I have spent countless hours researching shower benches, bars, etc. to try to make getting a bath as safe as possible. Of course, to Mom, it’s starting to feel like the nursing home a bit, with all of the safety aids around. But today, Mom’s physical therapist told us how her mother, who suffered from dementia, “forgot” she needed her walker, took three steps, fell down and broke her hip and died three days later. So Mom knows what is at stake.

She’s also fallen in the bathtub before and possibly cracked some ribs, so she knows how dangerous getting a simple bath can be.

Mom did fine and I think she will be okay if she needs to bathe alone. Of course, watching my Mom’s frail body under the shower spray, I couldn’t help but think of Dad. In the last hour of his life, he was also getting a shower, with the help of aides at the skilled nursing facility. His body gave out, and he crumpled while in the shower. He was brought back to his bed, and CPR was performed, but he was gone.

Of course, I wasn’t there with Dad, so I’m left to imagine how that scene played out, and how aware he was of what was going on. I will never know, but those last minutes of Dad’s life still haunt me.

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Being called by Dad’s name

When I came home today after running an errand for Mom, I heard her call out … Dad’s name.

It’s not the first time she has done this. She has started to call Dad’s name multiple times before, but usually catches herself and finishes with saying my name. She usually does this when she is frustrated or worried.

It’s just very odd being mistaken for Dad. I guess there were so many years when Mom would call out for Dad, that even now, almost a year since his death, she still feels his presence around her.

I don’t mind being mistaken for Dad. In fact, it’s kind of an honor.

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Just a tree

Sometimes, I will be sitting in Dad’s chair and I will glance out the window and think I see Dad standing there on the front porch, smoking a cigarette.

Of course, in reality, there’s nothing out there but a gently swaying tree.

For most of his years at home, Dad’s smoking routine was a comforting habit, and a chance for some quiet time and reflection. He would pace back and forth, maybe spotting a few deer wandering around and waving to a neighbor driving by the house. There would be the obligatory hoarse smoker’s cough, along with what sounded like Dad was clearing gravel out of his throat.

As the dementia took hold, I wonder if his vice gave him as much satisfaction, or if he began to look around at a world that did not seem familiar to him. I remember my last few visits home when Dad still lived there, I would listen closely when the front door opened and Dad let out his smoker’s cough. I would peek from my bedroom window to make sure he was still there and had not wandered away.

I think I will forever see his ghost pacing back and forth out there, a trail of smoke lingering behind him.

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Ache from the past

On top of everything else Mom is dealing with, she now has a toothache. Furthermore, Dad’s dementia might have something to do with it.

The last year Dad lived at home, she had just had some dental work done. Dad, far into his dementia at that point, socked Mom in the jaw one night as she was trying to get him ready for bed. He claimed he was “shadow boxing.”

Shortly thereafter, Dad became ill and then moved into the nursing home. Mom put aside her needs and never went back to the dentist to finish the extensive dental work that she had started.

Now she has an aching tooth, and an ache in her heart as she remembered the last time she was in the dentist’s office. Dad was with her, and in wandering mode. As she sat in the dentist’s chair, she would try to peer around and see if Dad was still in the waiting room. On one visit, he left the building and wandered down the street to a fast food restaurant. When he was reunited with Mom later, he claimed the restaurant had spiders and bugs crawling all over the windows.

So for most people, a toothache would be a minor annoyance. But for Mom, it opens old wounds created by Dad’s dementia.

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When the caregiver becomes the patient

Mom almost had forgotten how she had taken care of a “bag” before she was stuck with her colostomy bag. Dad had a catheter inserted temporarily at one point when he was still living at home and he had to “pee into a bag” that was attached to his leg.

Mom handled the extra duty with ease. Dad was already starting to drift mentally a bit by that point, but even if he had been mentally sharp, I think he would have wanted Mom to take care of it.

Now Mom is having to deal with her own “bag” issues, in this case a colostomy and it looks like it may be a permanent thing for her to deal with. Mom mainly has a good attitude about it, but she does get down sometimes, especially when there are accidents, like today.

I have also surprised myself by stepping up and being able to manage a medical issue with some level of competence. If someone had told me a year ago I would be able to change a colostomy bag successfully, I would have told them they were crazy.

I think what I have learned so far through the illnesses of my father and my mother is that we humans can more easily adapt to change than we give ourselves credit for.

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Why I want to defeat Alzheimer’s disease

Today is Alzheimer’s Action Day. I started The Memories Project back in January as a way to deal with my grief at the loss of my father, who died five days before Christmas 2011. In fact, I was relieved that Dad had finally escaped the evil grip of Alzheimer’s. Because there is no cure or effective treatment for this disease, death is the only way to escape.

Even though Dad was just an average guy, I didn’t want his struggle to go unheard. Since starting this blog, I’ve met (virtually) so many others who are going through similar situations with their loved ones. It is both tragic and inspiring to know there are so many family caregivers out there that sacrifice so much.

The last photo of Dad and I together, July 2011.

We all have so much to share, and blogging is a great way to vent our frustrations, educate others and honor our love for our family members struggling with dementia and Alzheimer’s.

I now find myself being a caregiver for my mother, who is battling colon cancer. Observing the differences between my mom and dad as they struggle with their diseases is enlightening. Even though colon cancer is very serious, Mom, because she still has her mental faculties, has made great strides in recovering. With my dad, Alzheimer’s robbed him of any chance he would have had of recovering from his physical maladies.

I hope that in the near future, Alzheimer’s becomes at least a more manageable disease. I’m an Alzheimer’s advocate not only for the memory of my father, but also with the knowledge that if we don’t make great strides in Alzheimer’s research soon, we will have a major global health crisis to deal with.

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