Dementia’s Daughters

This past December, I had a wonderful experience of connection that reminded me that only if we are honest about and open with our vulnerabilities will we truly connect.

A woman living on the other side of the world found my blog and my essays about my mom and emailed me to share a little bit of her own story about being in the middle of raising young children and also caring for a parent who is losing their memory. I remember so vividly the loneliness and confusion of those early years that I was touched by the fact that I could offer some brief respite and solace to another daughter of dementia.

The first years leading up to and after my mom’s diagnosis were some of the worst of this Alzheimer’s journey, even though her disease is so much more advanced now. I assume my mom was lonely and confused, too. She knew she was forgetting some things, though she forgot more than she realized. She was aware that things weren’t always adding up, a fact that still takes my breath away imagining how frightening and painful it must be to lose pieces of yourself, to blip in and out of the world making any sense at all. It’s one thing to be lost in your own world, as she is now; it’s quite another to know that something is happening to your mind, your agency and autonomy slipping like water through cupped fingers, unable to hold onto it or to grab it back.

I am a do’er and a fixer by nature, but I didn’t know what to do or even where to start after my mom was diagnosed. She didn’t really want to – and maybe couldn’t really – deal with it. Between her cognitive loss and an instinct to protect herself, projecting toward this difficult future wasn’t going to happen. Those years manifested in a constant, low-grade ache between my diaphragm and stomach, where all my anxiety lives. Alzheimer’s/dementia is a slow-moving crash course in loss.

No Power + Responsibility = Anxiety

Inspired by the solidarity I felt with this stranger from the other side of the world, I looked back at other emails that lovely readers sent to me after my essays about my mom were published. They reminded me that I write both to make sense of my own lived experience and to discover and highlight the myriad facets our common humanity. Personal narrative, as a genre, is inherently personal. The key is for one’s personal story to resonate with others in some universal truth kind of way. The word essay actually derives from the French verb “essayer” which means “to try:” try to create meaning, try to connect through storytelling.

Over the years I have heard others share their opinion that the memory unit is one of the most depressing places in the world. When I am there, though, I feel like I am among family. The caregivers and staff do the hard and sometimes thankless work of caring for the residents 24/7. Their caregiving allows me to reprise my role as a daughter after years overseeing my mom’s daily care. All of the residents are someone’s loved one, their diagnosis another family’s heartbreak, their decline something all of us have or will experience in some way. Those who visit – old friends, children and grandchildren, nieces and nephews, siblings, and spouses – all hold stories of who their loved one was, what they loved to do, how deeply they are loved. By sharing the joys as well as the suffering of our similar circumstances we create connection and this connection creates meaning. There is easy companionship in knowing that your suffering is understood implicitly, that your grief is shared, and that you and your loved one are seen and are not alone.

The senselessness of dementia demands a quest for meaning. The connection we share and the ability to hold and share my stories with others of dementia’s daughters gives this decade of my life one answer to the existential question “why?” If I can share my story and offer solace to even just one other person, all that my mom and I have learned and lived will not have been for naught.

The Problem of Alzheimer’s by Jason Karlawish is an excellent recent resource about Alzheimer’s.

Partnering: Forge the Deep Connections that Make Great Things Happen by Jean Oelwang is a wonderful book with resources on how connecting and working in partnership with other people (versus in a hyperindividualistic silo) unlocks manifold rewards.

My podcast interview Every Path Has a Puddle or Two has some pretty decent Alzheimer’s and life advice, too, if I don’t say so myself. My momma would be proud. I learned from the best.

This poem from Rosemerry Wahtola Trommer really resonated with me.

Hope

I’ve been taking a writing class which, ironically, means I haven’t got much time to write (here). But I came across this cartoon thanks to a friend and it was so perfectly aligned with my prior post about Valentine’s Day and Loving Fiercely that I thought I’d pop on, say hello, and share it.

Next week we hit the year mark of this COVID quiet world. I’m working on a piece about that so stay tuned – and stay well!

Have hope. Find hope. Share hope. Be hope.

You will be alright.

It’s a Dog’s Life: Lessons from My Dog Part III (From the Dog)

Tucker here. I am the small Schnoodle that is the subject of much recent kerfuffle. Today I am your guest blogger, here to tell you about this dog’s life from my perspective.

Simply put, every day is JOY! That’s who I am and the spirit I live by. I look like a living teddy bear, for starters, but it’s also what I am all about – snow! food! friends! walks! my hoomans! My hooman thinks sooooo much – maybe too much? Me? I can distill life down to the essentials with me as the only fluff.

Here’s an overview of my day:

I wake each morning refreshed and ready to greet the day. I wiggle and wag at the Return of the Hoomans.

Before I do anything else, I enjoy a nice, long, delicious stretch. Downward dog….upward dog…maybe one more down dog before I sit for pets. That’s kind of the routine.

After that, I race down the stairs to the back door because it is OUTSIDE TIME. My hooman puts on my leash and I shake and shimmy and whine while they put on their shoes because it’s all so exciting anticipating the Opening of the Door!

As we walk around the block I literally smell the roses (and the leaf pile and the prior dog’s pee – the details are irrelevant. I sniff it all and enjoy myself tremendously).

When we are walking my main hooman is always saying, “Let’s go!” and “Come on, Tucker.” I wonder where we are racing off to and what’s the rush? Everything seems perfect to me – my hooman, fresh air, good smells. I’d never actually say, “Slow your roll, hooman” – that would be rude – but I attempt to train them better by locking my legs and focusing super hard on my sniffs so they have to chillax and take it down a notch.

Tucker the Schnoodle

When we get home, we EAT! Sometimes I need a nap first, sometimes I eat right away. I like to mix it up.

Sometime in the morning we usually go for a nice, long walk with my friends. We jump all over each other in greeting every time because yesterday – or even an hour – can feel like a very looooong time ago. And also because we live so much in the moment that every new moment is the BEST. Besides it is just so exciting to Meet the Friends. I don’t understand why hoomans refrain from showing such enthusiasm for their friends and curtail their jumping. Friends are important.

When I see my friends down the street I race as fast as possible, Chariots of Fire theme song a-blazing in my head, unbridled joy and love propelling me forward. My hooman gets her exercise, too, because she is always tethered to the other end of my leash. Joy and exercise for all!

tucker the schnoodle

Mind you, I would gladly run free, but I have been known to get a little carried away and forget to come back when called. Guys, there are SO MANY smells out there and the world is so much fun to explore that I just can’t stop! So leash walking it is. My hoomans say they’ve learned their lesson, whatever that means. I figure time will tell.

Usually during the Big Walk I find one special stick to bring home. It’s a big job, and I am a proud prancing poodle the whole way back.

After the Big Walk, I sleep. Beauty rest is important and also a lot of fun. My main hooman says things like “you look like the kind of dog that gets beat up” and “you better watch your back – you would be a delectable snack” but she’s from Philadelphia so, meh, what do you expect? Folks from the City of “Brotherly Love” have a weird sense of humor.

Speaking of getting beat up, the day I was attacked was such a surprise. I just wanted to be friends. With those dogs. With other dogs. With everyone. I did a good job loving the vets when my hooman took me to the ER. They gave me big hugs. Now I make sure that everyone knows I am out here waiting to be loved by barking my biggest, bestest barks and alerting the neighborhood to my joyful presence. I won’t make that mistake twice. Smart, right?

What else? OH! How could I forget Backyard Time and Riding in the Car?!? Anytime someone opens the door to the backyard, I race out to investigate any potentially nefarious activity in my domain by checking the perimeters and practicing my barking. I also love romping off leash, especially with my hoomans and my friends. Riding in the Car can be a little scary getting IN that big, loud, strange-smelling thing, but once settled I stick my schnoodle schnoz out the window – oh! the sensory stimulation – and thrill at the adventure.

Have I mentioned that I have these hoomans wrapped around my little paws? Yea, it’s mutual. I dig them too. Loyalty, unconditional love, and pure joy are my main game.

I could say more, but there is a squirrel on the fence, so I must go. If my schedule allows, I’ll come back another time. But, basically, it boils down to this: live in the moment, find and jump for joy daily, don’t hold on to hard feelings, friends are important, get your exercise, play, eat, and sleep. That about covers it. Oh, and take a deep breath and drink some water. It can’t hurt.

Pro tip: water tastes way better in a random plastic dish outside or from the pond than that boring stuff the hoomans procure from the sink and put in my bowl in the kitchen. Or maybe that’s just me?

My philosophy on life.

It’s a Dog’s Life: Lessons from My Dog Part II (Heel!!! Or Heal?)

My dog is okay now. He is back to bouncing around the backyard like a pinball and leaping and jumping for joy. We went to the vet 5 or 6 times during his convalescence for various issues that arose. He received stiches, two courses of antibiotics, two pain medications maxxed to the highest doses allowable, and laid low wearing the cone of shame for two weeks. It was ruff. But he has healed. Physically. Mentally, the jury is still out.

After the attack, I knew he would have some trauma and anxiety to work through. What I didn’t expect is that I may be in worse shape! And I have been noticing that I am prone to avoiding dealing with it. As in, in general, avoiding things that make me uncomfortable. In this case, I attempt to avoid other dogs like the plague. My dog? He just barks his head off. Meanwhile, I am cringing and telling him in the not-so-gentlest of tones to stop it. Stop it. STOP IT. Why must he call more attention to us?

I started working with a dog trainer to help get us through this period. I called her in to help me get his barking under control. We have spent a lot of time working on “heel,” helping him to understand that his job is to stay focused on my leg and to follow me wherever I might lead. He doesn’t need to worry about the dog up the path or the squirrel in the bushes. Just focus on my leg and let me lead.

For my part, I need to be a competent leader. As we walk, the trainer honestly spends more time working on me than my dog. She tells me, “Relax. Loosen your grip on the leash. Stand up tall. Breathe.” And she keeps saying it. Over and over again. I can’t be cowering in the corner and high tailing it in the opposite direction every time I see another dog and expecting my dog to “just relax.” I recognize now that it doesn’t exactly set the right tone when I see a dog up the trail and say, “Oh, God. Here comes another dog.” At first I didn’t even consciously hear myself saying it. But even if that message wasn’t said outloud – which it has been – it was definitely the energy I was presenting with. Everything out there for a while felt like a threat. And whatever I feel translates right down the leash to my poor pup, who is looking for reassurance from me.

These days, we actively seek out other dogs on our walks so we can practice. I would have preferred to stay in the backyard or choose a quiet, untrod path. My favorite walks, by far, remain those when we run into no one. The dog trainer tells me I need to breathe and relax and face it.

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I’ve heard these messages before. I’ve practiced a lot with facing my fears. I see a therapist every few weeks, I’ve taken meditation classes, listened to podcasts. And I keep forgetting. Or, more, I am who I am and I go back to my basic instincts. And, then, THEN, all the work kicks in and I notice the feelings and the narrative. And that means I can pull it back. Then I remember that I have to face into the fire to extinguish it, not run the other way. Pema Chodron explains it so well in her talk “Getting Unstuck: Fear and Fearlessness.” Writing this post was a great reminder to watch it again. “It’s a process of being here all along, not just when we like how it’s going. Instead of that making you more self-absorbed, it makes you very decent, very sane, and very open to the world and other people.”

Every time I hear myself say “heel” to my dog, in my mind I think “heal.”

Life keeps on giving us opportunity to practice. Keep facing into it and keep going.

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It’s a Dog’s Life: Lessons from My Dog Part I (Setting the Scene)

We walked home, my cellphone clamped between my cheek and my shoulder, my dog upside down like a baby in my arms, unable to walk from the bite wound. Cars whooshed past during the more modest but no less loud flow of quarantine rush hour as I waited for the vet to pick up while admonishing myself not to panic. “It helps no one if you lose it. Do not cry.”

When the vet answered, I explained what had happened. “You need to go directly to an emergency vet if he needs stiches. Did the other dogs have their rabies vaccinations?”

“Uh, I don’t know. I didn’t think to ask.”

“You need to find out. You both need rabies shots if you have open wounds.”

The enormity of the situation pawed its way through the fog and settled in. With moderate success, I instructed myself to take a deep breath to try to quell the out-of-control-coupled-with-a-strong-desire-to-crawl-into-a-hole sensation that was rising in my chest.

When I got home, I tiptoed up the stairs to find my husband, hoping to avoid drawing any attention from our kids before we had a plan. In whispers I described the surprise attack, showed him our wounds. “I think I need to take him to the ER?”

I said this as a question, almost imploring him to disagree with me. As someone who works with anxiety all the time I was open to the possibility that I could be overreacting, that maybe a gaping hole on the underside of our dog’s belly was not in fact something to worry about. “What doesn’t kill you makes you stronger” and “the only easy day was yesterday” is the type of Navy ethos I was raised with. Which is a wild mindset to run smack into an anxious being, where the gray area between a real crisis and an anxiety-provoked one can be difficult to decipher. I know from experience that my gut instinct is actually pretty accurate, but I always do this little dance of second-guessing myself wondering if I should tough it out just a little longer.

It was late afternoon by this point. Having pulled multiple all nighters in the pediatric ER with a sick kid, I’ve learned to just go before it gets dark and all remaining rational thought goes out the window as fatigue sweeps in. The sooner you go, the sooner you get to go to bed.

Sure enough, once our dog was in the vet’s arms, I felt my shoulders drop from their alert perch near my ears as relief washed over me. That’s when the uncontrollable shaking started. Through chattering teeth I confessed to a friend over the phone that I couldn’t stop shaking. “That’s just the adrenaline leaving your body. It’s normal.”

Oh.

I had always thought when I got the shivers and shakes that it was a weakness, that I wasn’t tough enough, that there was something wrong with me because I couldn’t just keep it together. I should know by now that what I perceive to be my unique oddities are very rarely only mine. A nearly decade-old memory of a dimly-lit, brick-walled classroom at the Benson Henry Institute for Mind Body Medicine surfaced. All of us patients were sitting in a circle with our eyes closed as the teacher led a guided meditation. I was rolling my eyes behind my shut eyelids, bracing myself against the “woo-woo” territory we were entering.

“You are walking down a path through a forest. There is a tree in the distance. Walk over to it. The tree is you.”

Silence (apart from my internal groaning).

“Ask the tree for guidance on a character trait you need help fixing.”

I could barely contain my snark. BUT, I had chosen to take this class to explore every avenue I could to alleviate my RA symptoms. AND I was in this room with all these other people so I felt committed to do what was asked (or at least to not be rude). I kept my eyes closed, looked at the oak tree standing tall and sideways (oddly), and asked it the question as instructed. Out of nowhere – I swear – a voice said “self-doubt.” Woah. That is spot on, but I had never really thought of it.

The room remained silent, everyone was still, but the rush of blood in my ears picked up in intensity along with the pace of my breathing. The teacher instructed, “Now ask the tree how best you can heal.” Again, this voice, intoned, “Love yourself more.”

The root cause of every damn thing that gets in my way is doubting myself. What a novel idea to treat myself with the same latitude and compassion that I give others, to stop assuming that I am in some way to blame when something – anything – goes wrong.

As I sat there at the vet I realized two things: one, clearly I still have work to do. But, two, I noticed in real time the negative messaging and suffering I levy upon myself. I noticed the flood of could have, should have, if only you had narratives that began to consume me as the adrenaline ebbed away, as if I could have controlled what happened, as if any of us can control anything more than our response to what happens to us. And those were awesome catches – historic, life-changing catches. I may be my own harshest critic. And I may be pre-programmed toward self-judgment, writing nasty headlines and elaborate stories in my head about my imperfections and inadequacies. But if I can insert awareness to those moments then, well, then we are getting somewhere. I know I am not the only person who faces these challenges. This was a major oxygen mask moment. Breathe.

To be continued….