Memories and Mommas

It’s been a (very, very, very) long time since I’ve sat down to write.

I used to take the wee hours of the morning for my writing time, rising before anyone else in the house was awake to get my thoughts down. Revisions can happen later, but inspiration and the time to get it down only seems to happen for me before the day takes off on it’s own. Now that I recognize how important defragging the ole motherboard (aka the brain) is, I prioritize sleep. And there is only so much time in a day. Plus maybe I have been having trouble making myself sit down to write alongside a dose of writer’s block and a springling of hopelessness for the world. Deep sigh.

BUT, I’ve updated the site’s Dementia and Caregiving Resources so I wanted to say check those out.

And, while I’m here, and because it’s Mother’s Day (in the U.S. anyway) and because I think about Alzheimer’s all the time when it comes to my mom, I’ll reflect a little on the love and loss that this day embodies for me (and, I presume, many of us in one way or another with mom’s gone too soon, mom’s lost to dementia, mom’s that were never the mom you hoped for…it’s complicated).

My mom was one of the greats. I am so lucky for that, surely even more than I realize. I continue to unearth the treasures of my past that she saved on my behalf. She was family first 100% and she showed up and cheered for her people reliably, consistently, always.

And also, it wasn’t perfect. She got on my nerves something fierce sometimes. We did not operate the same way – at all. There is no to do list that stands a chance against me. My mom would begrudgingly make a list and then lose it somewhere between home and the grocery store.

I think about all the ways I could have done better by her. I’d start by wiping the scowl off my face in her college graduation photos. I was in 11th grade and I couldn’t understand – not even close – what it took to finish college on the cusp of 50 with 3 kids and a household to run. I also think of her every time I unload the dishwasher. I wish I could tell her I am sorry for all the times I took a clean bowl out of the dishwasher and left the rest, as though I didn’t know who that chore would fall to. I could have done better. And also I was a kid and I own my selfishness and recognize that one of the blessings of a mom like mine is that she loved me even when I was at my worst. What I lost is the opportunity to tell her, “I got mine, mom. Ha ha! Karma is a bitch.” And then she’d smile and we’d laugh. Clearly from the birthday card pictured she only dwelled on the best in me – and we did have part of my adult life to enjoy each other’s company and make up for my teenage transgressions. We traveled around Europe together for two weeks when I was in my mid-20s and she told me she had to pinch herself that I wanted to spend so much time with “your dear old mom.” It was a gift, in both senses of the word. Sometimes I let myself dawdle at the precipice of imaginings about what the last 14 years could have been like for me and my kids, but that generally leads to a vice tightening sensation around my heart and lungs so I tamp it down. When did that kind of thinking ever lead anywhere good?

Oh, my mom is still here. But she’s so far gone. She deserves better than the indignities Alzheimer’s has thrown at her, slowly robbing her of her memories and her agency and everything that made her her.

I’ll be precise. Not exactly everything. She does still smile and sometimes she laughs, too. She still taps her toes to music and raises her arms in the air as though she is conducting an orchestra. She is still loving and wants to be loved. Those things are all authentically her. In fact, perhaps the most remarkable thing about my mom is that her Alzheimer’s journey has been the epitome of grace. Somehow, despite having aphasia and being on the severe side of the cognitive impairment scale when we moved her into memory care, she has managed to create connection and to build relationships. The caregivers and nurses at her facility truly love her. It’s remarkable that she has been able to affect people in this way, to somehow remain her outgoing, loving self and make a bond with others, despite everything.

And by everything, wew, let me tell you, it’s a lot. My mom is dying a slow death by a thousand cuts and indignities. As am I, emotionally. She’d be so pissed if she was of sound mind and she walked in to see herself now. I know this and there’s nothing I can do about it. I just keep showing up and showing her love no matter what, like she always did for me. I hold her hand, I clip her nails, I feed her pudding and chocolate chip cookies. And there’s real and unexpected joy in these little moments, seeing her take pleasure in those things (specifically the pudding and cookies). It’s very clear that she enjoys these treats – her eyes soften and glimmer, she chews with her mouth closed, slowly, savoring the moment. She is happy and able to experience joy. I try to find peace in this reality.

I have grieved aspects of my mom in multitude different ways over the last 14 years since concerns about her memory were first raised. It’s astonishing that you can grieve and plateau and then something new happens and you grieve again, but differently. And yet this grief has no closure. I’ve been told that there is more grief to come when she actually departs from this world. It’s a pretty stunning thing to grieve someone for 14 years and not even have started yet. Sure, I’ve adapted over time to wherever she is in each stage of this disease. I’ve learned to make conversation with myself and nod and smile to her nonsensical words since she has been nonverbal for so long. I try not to notice the crumbs scattered all over her shirt and lap, or that she’s not wearing her own clothes the majority of the time. Sometimes my inner narrator gets angry, as though her tenacious hold on life is some sort of punishment of me. But I know rationally that she would never want this for herself, let alone for me. Her body and a version of her spirit just keep going for some mysterious reason, and I keep trying to find new ways to sustain my reserves, to adapt, to love her, to live in the moment, to focus on the simple things, and to keep going, too. Just like my mom taught me, and teaches me still.

Don’t You Forget About Me – It’s Personal

As I mentioned in a prior post, I put a bunch of resources together in a Dementia & Caregiving Resources link on this site for anyone in a dementia-related caregiving role. Some I have used, others I just have come across in the last decade of being a caregiver to my mom.

When I started this journey I hardly knew where to turn. I needed a whole new vocabulary, and a pretty abrupt redirect from wiping baby bottoms, facing my own newly diagnosed auto-immune disease, and trying to get back into the workforce. For a long time – too long – I tried to juggle it all, not understanding that even when I wasn’t earning a paycheck I was still a “working mom.” But that’s another story.

The Dementia and Caregivers resources page is intended as a starting point for anyone in my 10-years-ago-self’s shoes, while acknowledging that it’s not comprehensive or vetted and that each person’s experience, needs, financial latitude, relationship to the dementia patient, etc. will be unique. I understand that in the early days/years after a dementia diagnosis there’s both a desire/need to create a plan and know what to expect toggled with intense overwhelm and grief. If you peak under too many stones too early what you see can be unimaginable and emotionally paralyzing. While I recognize that, hopefully readers can take what they need when they need it from these resources and reflections. It is very, very hard to face any of this.

For context on my own experience, I have had to learn not to try or to expect to be an expert in ALL things ALL the time. I simply don’t – and can’t possibly – know everything there is to know about caregiving for someone with dementia. Doctors tend to reel off medical terms and medications like I, too, have a medical degree. MMSE (Mini Mental State Exam) score? Namenda versus Aricept? ADLs (Activities of Daily Living)? What on EARTH are people talking about? I felt like I needed to know more than I did – for a time, that I SHOULD know more (the directive of the word “should!” rises again) so I did what I do, which is to carpet bomb with questions everyone and everything I could. I attended a caregiver’s course through the Alzheimer’s Association; I visited assisted living facilities to see what they were like, what they cost, how long the waitlists were; I talked to my mom’s doctors from neurology to primary care right on down to allergy and ENT, not to mention lawyers and health insurers, property insurers and banks. And, oh my gosh, Medicare and the Social Security Administration – God help us all. Those frequently left me in tears because damn if they don’t make an already difficult situation so much harder.

I used the Alzheimer’s Association helpline once very early on – it was free so no harm no foul. It was nice to be listened to, but without firm answers or a checklist my anxiety spiraled. They sent me reams of paper with lists of assisted living homes and god knows what else that just left me totally overwhelmed. As I recall it, there was no context to anything they sent about how to choose what would be a good fit for our family and budget, how to narrow the list down, questions to ask, when to even start thinking about this step. What I wanted was a guide, a timeline, and a checklist. Probably a good social worker could have provided a lot of that, but somehow we slipped through the cracks and were not assigned to one. Okay, I take that back, we were given a contact at my mom’s neurologist, but she never gave me the sense that she was really listening to me nor offered any actionable steps to address my concerns so it felt like we were not assigned to anyone. Plus it’s so incredibly hard to actually reach a human being at a doctor’s office. You can choose all the options you want when you dial in, but you are still going to end up in voicemail. And if the call is ever returned you are inevitably standing in the middle of the grocery store or holding a kid on the monkey bars at the playground when it comes. I gave up on her pretty quickly, and at the end of the day slogged through most of figuring out what comes next feeling pretty alone.

I should note before I go on that the definition of “senior,” “elder,” and “geriatric” get kinda squishy at this stage of the game. I mean, 55+ housing is often marketed as “senior” housing, which given my viewpoint of the calendar of life right now is pretty laughable. 55 isn’t old and so, therefore, perhaps maybe neither are seniors? I don’t really know anymore, but I do know that those terms can be triggering, no one wants to labeled any of them really, but apparently that’s where we are all headed and sooner than we might think. SO, as with most labels, don’t hold onto them too tightly.

At a certain point when my mom still lived 300 miles away, I worked with a couple different geriatric care managers (GCMs), which is a type of social worker specifically focused on elder care (and therefore typically familiar with all the dementias), a resource that I reference in the Dementia and Caregivers Resources link. I thought once I hired a GCM that I’d be able to kick back and reprise my role as a daughter while watching all the issues and decisions I was facing evaporate. Sadly, that was not the case. I still had to call all the shots, but now I was being billed an hourly rate every time I picked up the phone or sent an email discussing options. I mostly felt like a middleman but with really big bills. Maybe GCMs are kind of like travel agents. Do you need them in this day and age where everything is online? Not really. Can they be super helpful whittling down options, creating tasks lists, and making a plan tailored to your family and your needs out of the amorphous blob that is information overload? Definitely. At the stage where I hired my GCMs I had pretty much already planned the trip, so to speak, so didn’t feel like I was getting much value from them. In the early stages when I had no idea what to do and they were willing to listen as I slowly lost my own mind, they were incredibly helpful and I owe a debt of extreme gratitude to the GCM who took my calls in those early days and offered me a steadying hand and a sympathetic ear. Though the later stages were a miss for me, this is not the case for everyone. Some of the references I called before hiring a GCM said they absolutely could not have cared for their loved one without them.

Like I said, everyone’s needs and circumstances are different. Caring for people with cognitive issues is intensely difficult- it’s emotionally devastating, impacts all aspects of their lives and their family’s life, can go on seemingly forever with modest declines (or go super quick – and no one can predict what you are going to get or how it’s going to play out), there are no days off, and it’s extremely expensive. You grieve and live and care for them all at once, often for years on end. Hence, the support resources.

Lastly, if you are at all like me and caring for someone with dementia who is genetically linked to you, you might find that you can’t help but worry about what the future has in store for your own brain. It seems that the suggested course of action, since there isn’t really anything else yet, always comes back to a healthy diet, exercise, and socialization. The metrics of those recommendations are a little fuzzy, but generally what’s good for the body is good for the mind. Now the McCance Center at Mass General Hospital also has a Brain Care Score that offers a somewhat more personalized, science-driven approach to measuring and enhancing brain health.

Good luck. And don’t forget to breathe through it all. It does actually help.

Don’t You Forget About Me Part III – Resources

Just a quick note here to say that I have added an entire drop down menu for various types of resources about dementia and caregiving. So check that out from the homepage menu.

Also, I had no idea that Rosalynn Carter noticed and has been addressing the hard work of caregivers for over 35 years. Until she passed away on November 19, I only vaguely knew who she was, and mostly it was as a team with former President Jimmy Carter. Today, as she is laid to rest, seems the best day of all to recognize the incredible contributions she has made to this world.

The Wonder of the Imperfect

Can you envision a world renewed by imagination and integrity? This is the vision of the W.S. Merwin Conservancy in Maui, whose mission it is to inspire innovation in the arts and sciences by advancing the ideas of poet W.S. Merwin – his life, work, house and palm forest – as fearless and graceful examples of the power of imagination and renewal.

I am highlighting this specific Merwin poem because anytime someone embraces imperfection, my ears perk up.

Be real, be imperfect, be compassionate, and live with integrity and imagination.

THE WONDER OF THE IMPERFECT

Nothing that I do is finished
so I keep returning to it
lured by the notion that I long
to see the whole of it at last
completed and estranged from me

but no the unfinished is what
I return to as it leads me on
I am made whole by what has just
escaped me as it always does
I am made of incompleteness
the words are not there in words

oh gossamer gossamer breath
moment daylight life untouchable
by no name with no beginning

what do we think we recognize

– W.S. Merwin, from The Moon Before Morning (2014, Copper Canyon Press). Used by permission of the publishers.

Maui Beach photo

Photo from http://welltraveledkids.com/2016/03/6-great-family-beaches-maui-perfect-kids/

Keeping It Brief

What is the saying? “Perfection is the enemy of progress?” Or, in my case, just doneness. I am not even trying for perfection, and yet multiple posts I have drafted linger in draft purgatory as I commit to reading all the news (ugh, why?) rather than work on revisions to what I have written. I mean, I could clean the house or do some laundry, also worthy distractions, but sitting down at the computer is the goal so I get that far and then dive down news wormholes.

But today – TODAY! – I have shown up and re-read what I have written and can confirm that the subject still matters. I remain all tripped up on some enormous lines of thinking, though, so it’s still not quite ready to get out there because it feels long and heavy and more like a treatise in places, a rant in others, and a term paper throughout. Is it a problem that even I am bored by what I have written? Probably.

And, so, cribbing off my monthly writing class that is part meditation, part motivation, and mostly a bunch of pretty talented poets showing me how to see the world and writing in a whole new way, I am aiming to write short, clear and pithy. Not strengths in any way. Here’s what I came up with today :-).

I have been trying to write poetry,

Which appears to require brevity,

A skill set with which I am in short supply. 

And, with that, I encourage you to take a deep breath, skip the news, and do something that fills your cup, even just for a couple minutes.

On a Quest for Quiet

Hello and happy summer!

It’s been ages since I’ve managed to sit myself down and write. Quieting myself and settling into stillness are not strengths of mine, but I am working on it.

My kids have been away for four days, it’s 6:30pm, and this is the first time I’ve really sat and felt settled since they launched. Me thinks it’s not them that causes the whirring frenzy, perhaps, but me. That is good data. And, also, each day presents a new day to practice.

It’s funny because I vaguely remember vowing to myself in those pandemic months that brought the world to a stand still that I’d bring forward into my future life the lessons I learned then about finding quiet (inside me as much as around me) and saying no sometimes to preserve open spaces on my calendar. How quickly old habits return and suddenly life is leading me again versus the other way around.

Today, in this moment, though, I have found my way to quiet. And I am celebrating the calm that is washing over me, even now as I write.

To close I am sharing a poem that resonated deeply with me when its author, Rosemerry Wahtola Trommer, read it aloud to our writing group last week. I have turned to these words daily since. I hope they resonate for you as well.

Take a deep breath in….and then blow it out. That always, always helps. If only I can remember to do it.

In a Time of Much Doing

How soon I seem to have forgotten
how to be still, how to not plan,
how to step out into the day
and let the world itself write
the story of how a morning becomes
an afternoon becomes a night
becomes a woman.
How soon I seem to have forgotten
the value of not doing,
the gift of unscheduling,
the blessing of dipping my toes into the stream
of no time, then wading in full body,
where I remember I am part of an infinite story
at the same time I relearn how fragile it is,
this life.
How soon I forgot I could change it all.
Even now, I could be still again.
I could choose silence.
Even now.

Rosemerry Wahtola Trommer

It’s a Dog’s Life: Lessons from My Dog VII (Find Place and CHILL)

Hi, again, Tucker here.

I’ll be honest, I have been one wound up schnoodle recently. I am still as fluffy and lovable as ever, but my main hooman (the mom one) has been using – ahem – inappropriate language in my company (in fact, directed at ME, I dare say) way more than normal these days.

In my defense, the weather is getting warm and there are SO. MANY. GOOD. SMELLS. Grass growing, bugs flying, flowers blossoming, other animals out and about. A veritable cacophony for the senses. Plus the bunnies taunt me all day long, sitting just outside my window chewing on MY grass. And then the hoomans keep putting meat on the firey thing on the back porch causing these incredible aromas to waft through the air (who am I kidding? Raw or cooked, that meat smells damn fine to me!).

What is a dog to do? I am not a guy to be vague about what I want. Some may say I have a stubborn streak. Perhaps that I am a bit needy. I believe in speaking my truth. And, the truth is, I want their dinner, not mine. Needless to say, whining (on my part) is involved and then cursing (on my main hooman’s part) follows. So undignified.

These episodes always end with me being sent to my Place cot. At first I act like I’ve never heard that word before and I have no idea where I am supposed to go, but then I have a “light dawns on Stonehenge moment” and I leap over there with an expression like, “Here? Is this what you meant?” I do enjoy a bit of improv theatre. Then I am told – quite emphatically, I might add – to SIT. And then to Stay. There are treats involved so I am all in on this game.

What’s really amazing is that within seconds of sitting on Place (aka a forced time out), I feel so much better. Almost like the whining and fussing is some sort of out-of-body experience and Place gives me a moment to pause and reset that puts me back in touch with my inner schnoodle. One minute I am pacing and whining and begging for hooman food and the next I am lying down on my cot and this big, deep sign spills out of me. Ahhh, what a relief. All that frenetic energy just floats away.

It occurs to me in my moments of Zen – is it me that needs Place, or is it my hooman?

Because, if we are being honest, she seems a little wound up, too. It’s, like, way too easy to push her buttons.

My main hooman says I am driving her to drink, but if she would just pay attention she would see that I am showing her the path to inner peace: find a peaceful place, sit still, and breathe. Anxiety melts away and you emerge from this pause with more clarity and more mastery of being instead of constantly doing doing doing.

If nothing else, I am here to teach.

My advice: send yourself to Place and take a deep breath. It takes practice to learn how to do it for yourself, so have someone send you until you figure it out. I highly recommend extorting them for treats as part of your healing process.

Photo by Samson Katt on Pexels.com

The Directive of “Should”

Sometimes known as “shoulding all over yourself.”

I say “should” all day long. As in: “I should eat better.” “I should cook more healthy, homemade meals” – or the corollary – “I should get less takeout.” “I should write a book.” “I should be studying Spanish.” “I should be more disciplined (if I were I’d have written the book AND be fluent in Spanish.” “I should get some exercise.” “I should work full-time.” BUT ALSO “I should spend more time with my kids.” “I should be more present.” “I should write a new blog post.” “I should finish the stack of books by my bedside table.” “I should clean out the basement.” “I should be – fill in the blank – better, smarter, faster, more…” Except when “I should be quieter, more thoughtful, slow down.”

In sum, “I should definitely not sit still or pause to take a deep breath. ” Relax? Hahahahaha. PRODUCTIVITY is next to godliness. Or is it?

While none of the above cause obvious harm (except the part where I forget to breath in my pirouetting around) and all are fine aspirations (feeding my family healthy meals, for example, leans more toward the worthy obligation side of adult shoulding), the use of the word “should” results in a sentence that means something very different from the same sentence using the verb “want.” Not to mention that some of my shoulds are downright contradictory.

Look. Being busy and productive isn’t a bad thing. I like to be busy. It’s the tone of the busyness directive, and who is setting the agenda, that can be problematic. 

Should is an incredibly strong little word. Google tells me that it is a modal auxiliary verb, which I don’t remember ever having learned in my 8 years of Catholic school grammar (though, obviously, I SHOULD remember it and probably did learn it, if nothing else through example since Catholic teaching is based on should). Though should can be the past tense of “shall,” it is used primarily “to indicate obligation, duty, or correctness, typically when criticizing someone’s actions.” Trust me, should can be a powerful and judgy dictator. It implies that what you are doing really isn’t sufficient, and that there is more or better or different to be done. Like, get it together, you disappointment. Which is basically the shortest synthesis of Catholic school education there ever was.

When should is in charge, you cannot win.

Should brings even more heat when you move into the past. When you are shoulding yourself at least there is still hope that you could do or be better in one of the many ways you cajole and judge yourself.  The advanced phase of shoulding results in complete admonishment for the lost cause that is you with “I should have done X!” – ahhh, it’s all so obvious now, but it’s in the past and I really should have known better in the present. This tense of the verb is sometimes called the “modal of lost opportunities.” That sounds about right.

Like I said, some shoulds are necessary. And productivity is great. But it’s really important to bring awareness to what you are running around in service to and who is in charge of that action and directive that is key. Be the master of your own destiny! Also, saying no with no regrets is totally a thing. Or so I have heard.

Listening to oneself – really listening – is a rebellious act as well as an act of love. That’s my kind of rebellion (hashtag #shouldrebellion).

Oh, the Wrinkles

Lately, when I take a good look in the mirror, the phrase that comes to mind more often than not is, “Dude, what happened?” Since I think I am still 25, that is, in fact, the exact expression. Sometimes it’s just “dude,” sometimes it’s a simpler, more inquisitive “huh” sound. But the confusion and questioning as I inventory my gray hairs and wrinkles is the same.

Where – and when -, exactly, did all these pinch points around my eyes and mouth develop? I barely noticed. Somewhere along the line time started running away from me…and just kept going! I remember when I was a kid and time stood still for days on end – long, aimless, completely boring days, especially during the sweltering summers of my childhood. I’d complain to my mom that I was bored and she’d tell me she could find me work to do around the house and, voila, I would instantly be cured of boredom and find myself somewhere else to be and something else to do. In hindsight, that was a pretty predictable outcome (my mom knew what she was doing!). These days I can’t remember the last time I had the occasion to be bored.

Needless to say, a fair bit of time has passed since I was a little girl and even since I was 25 (ho hum). I mean, literally, that was more than two decades ago. I don’t know if I’ll ever be able to wrap my head around that.

What I do know, with absolute certainty, is that I have earned every one of these wrinkles. Sure, some probably came from poor sunscreen choices when I was a kid. But a lot came from standing on the precipice of a new adventure or from facing into the difficult stuff that inevitably comes up in a life and not turning away because it was too hard or painful or might cause me to break (or wrinkle). I have broken down and gotten myself back up enough times now that I guess I should know I have some serious years under my belt.

Though I may have the odd Botox dream (ha ha), in fact each wrinkle is a hard-earned badge of a memorable life. It’s the sign of time spent leaning in to all of the adventure, opportunity, and challenge that come with living fully. Not to mention the laughter. As Lori McKenna so pithily says in People Get Old, “Every line on your face tells a story somebody knows.” What a wonderful sentiment.

From heartache to adventure, hard work to achievement, sunny skies to skinned knees, those wrinkles are the story of your life written across the canvas of you. Live and lean into those lines.

Gratitude Jar

Last year the holidays were tough. Omicron began picking up the pace somewhere between Thanksgiving and Christmas, and the idea of being together with friends and family, which had so recently seemed possible, was suddenly as far off as ever. Again. I was so sad to have to cancel all of our plans and to be returned to this place of fear and isolation. And, worse, once I got to that place, I couldn’t remember anything good at all that had happened in all of 2021. Surely it wasn’t all bad? Right?

I have written about the negativity bias (Utterly Imperfect and Always Seek the Sweet) before, and it’s truly fascinating how hard it is to find positive memories or thoughts when times are tough. Our family started a gratitude jar last Christmas as an antidote to the negativity that has really swallowed us whole for the last several years. The gratitude jar (I called it our Glad Tidings jar) partially forced us to make a conscious effort to be aware of our blessings, no matter how minute, and also created a steady supply of all the good things the year brought us, no matter the conditions or circumstances of the end of 2022. The glad tidings jar sat on our kitchen counter with a notepad and pen next to it all year. Anytime any family member was so moved they could add a little note.

In the end, this year was mostly, kinda, normal. We were able to celebrate Thanksgiving and Christmas with family in a way that was very reminiscent of pre-pandemic years (no masks, no distance, much laughter and noise and good food). The year also brought its fair share of hardship and health issues and loss. Life showed up in all its fragile beauty in 2022, as it always does.

I am happy to see that we have a full jar of notes about the blessings in our life. I am excited to look back and remember both the amazing things as well as the mundane that brought us joy and gratitude this year, from reprising international travel to finishing an entire school year uninterrupted to our first big snow storm to, simply, it’s June :-).

Here are a few random selections from the jar:

January – “Reading the Adventures of Tintin!”

February – “Sponge Bob the Musical”

June – “I am feeling thankful for having such a loving and supportive family.”

August/September – “COVID came…and left”

This is one new year’s tradition I can get behind and bring forward into 2023.

Happy New Year! Wishing glad tidings to all.

Photo by Alexas Fotos on Pexels.com