Out of the mouths of grandmas

You've heard of the saying, "Out of the mouths of babes" when applied to small children having words of wisdom. I think there should also be a saying "Out of the mouths of grandmas." Mom always has the "perfect" perspective on things. Sometimes I think, like children, they cut through the fluff and get straight to the chase.

Just recently I was cleaning my house frantically for a birthday Open House for my mother's 90th birthday. There were a group of church ladies that were coming that afternoon and I wanted to be sure that the house looked "perfect" for them. I also knew that another artist friend of hers was going to be dropping by with her son. I got the house pretty much the way I wanted it by the time her "artist" friend arrived. We had a nice 2 and a half hour visit and they left. After a short lunch, mom lay down for a nap. One of the church ladies then called and said they were going to be post-poned to the following day. I said that would be fine.

Well, I have a teenager too, and the teens decended on my house that evening and the following day. By the time the church ladies got here my house was a wreck! There were dirty dishes that had to be washed, spoons also. I hadn't even had time to myself get cleaned up! The first thing that they noticed when they arrived was I was in my bare feet. I laughed it off and said, "at least I'm not barefoot and pregnant!" Since I was unmarried, they did not think that funny. Then we came into the kitchen and sat down for cake and ice cream. The conversation slowly turned to my love life (which is a soap opra at times) and a few deragotory comments were made about that. Yet, I perserved.

Mom took all this is stride and we escorted the ladies out after a nice hour and a half visit. After the dust had settled from their visit, I said this, "Ya know, the lady and her son that probably didn't care whether the house was clean or not got to see my house clean. The ladies that 'expected' a clean house, did not get to see my house that way." Mom responded by saying this, about that: "maybe that is exactly the way it was supposed to be." Wow! Mom sometimes just hits the nail right on the head!

September Solitude

I missed blogging in September. For some reason I think it's because of the tie to Willie Nelson's song "September" http://youtu.be/lkB_d0oFAaM  it leaves me with a melancholy feeling, as if "the days I have to spend with you are few." It's now October and I'm thinking... Solitude, as in Evanescence's song http://youtu.be/-Z7p3abL_P0 a very haunting melody. I usually try to post positive blogs on my care giving experience; but it would not be a realistic blog if I didn't occasionally post how this experience is effecting me emotionally.

As the line in the song says, "I lived through you, you looked through me." I feel like I'm living through you and your experiences, and you look through spectacles that are fashioned by me.

"When will the hole in my heart be mended?" I feel as if I will always have this hole in my heart, even after you are gone. "Who now is left alone, but me?" Evanescence sings.

November has come and gone and now we are six days into December. The days are getting shorter and yet longer at the same time. I drag myself through the motions of getting up, fixing breakfast, doing the dishes, giving mom her bath and putting her down for her morning nap, as if she were an infant. Mom is up for lunch and memories of cutting food for my daughter come to me as I use knife and fork to cut the pork chop into small edible pieces for mom. Mom has forgotten how to use the knife and fork together, I have caught her trying to cut meat with just the fork when the knife has been present. It is hard to watch a woman who was once so brilliant, struggle with such a mundane task.

December brings your 90th birthday, and I struggle with what to do. You sleep through much of the day now, yet you look forward to your Birthday Party, as a child. You've asked for cake and ice cream, and it brings me back to the days when you and dad invited family down to the farm and we made home-made ice cream. Dad is gone now, the farm is gone too... it's just me and you. Solitude.

Christmas is coming. Where is family? Where is the church? Where are friends that said they would never leave your side? The tinsel hangs on the tree like memories of by-gone days. The traces of my childhood scattered amongst the branches of the evergreen. Your fingers remember the Christmas tunes of the piano and we sing "Hark the Herald Angels Sing" and "Oh, Holy Night". For but a little while our hearts lift with our voices and we remember days of old.

________________________________________
Update: I wrote this in September of 2012, it is now 6 years later, and my heart is still sad. I have now lost mom, my daughter to marriage, my home, my livelihood and almost my life. Again I say, "Where is family? Where is God? Where are the friends that said they would never leave? Why are some lives harder than others? Is it a gift or a curse? What are we to learn from the trials we face? Why do they repeat? Is it because we don't learn the first time? or the second, or the third? Where is the purpose? What is there to gain? Does the journey ever end? These are just a few of the questions I ask myself each day.

Another kind of cookie monster.

A day in the life of my "Cookie Monster":

Mom, "These cookies are very good!"
 me, "They are Grandma Douthit's oatmeal, raisen cookies; so they should be good."
(Grandma Douthit has been gone since 1968)
Mom, "Did you just slip over there and get them?"
(Grandma used to live across the road from us, when I was a kid.)

me, "slip over where mom?"
Pause...
Mom, "That's not right, is it?"
me, "No mom, Grandma isn't there anymore."
Sad face. :(

Mom loves cookies, whether they be home-made or store bought. I do believe her favorite cookie is Oatmeal! Probably has something to do with them being Grandma's, no doubt!

On another day, Mom looks around suspeciously...
"What ya lookin for mom?" I ask.
"Oh, I don't know. Something sweet??" she says.
"Would you like a cookie?" I guess at her desired target.
"Oh, yes! That would be nice." she exclaims.
"What kind of cookie would you like?" I ask, "we have Almond Windmill cookies, or Oreo Fudge Creams?"
She puckers up her face, as if deep in thought. A bright smile spreads across her face, "Fudge Creams!"
I just smile as I watch her enjoy her chocolate cookie.

Sometimes I just can't get ahead of the "cookie monster" so I also try to have on hand a good supply of Graham crackers, saltines and other more healthy "substitutes", such as carrot sticks, creamed cheese in celery, pickles, assorted fruit, cheese and crackers. Of course the latter gets met with a turned up nose by mom.

Hiding the sought after targets of her affection is another challenge. I usually hide them in the "bread box" behind the lessor used hamburger and hot dog buns or the "odditites" cabinet where I keep things that I don't use very often: like the bread maker, the air popper, and the dehydrator. I usually sandwich the cookies between the stacks of extra napkins and the "Keck's Root Beer" refillable bottles that we only take out for our town's annual fall fair.

Mom recently discovered my "bread box" hiding place for the cookies and I found hot dog buns and Hostess pies scattered amuck! She has yet to find the latter hiding place, however... so it's still safe to hide them there, as long as I don't let her see me getting them out. Funny how a woman who can't remember what day it is from one moment to the next, can remember where the hiding place is for cookies!

How to overcome the difficult days

What do you do when the first thing you think of when you wake up in the morning is, "OMG, not another day!" Well, I just think of this song by Fred Astaire and Ginger Rogers,  http://youtu.be/AGUsRGuZb6k "pick yourself up and dust yourself off and start all over again!" Sometimes that's easier said than done, however; when you've not had much sleep from the night before and mom wakes up at 6:30 a.m. instead of her usual 9 a.m., things do not get off to a good start usually. There are a few slogans that I tell myself in this situation: "How Important Is It?" to get upset and lose my cool? Is it worth ruining my day? Is it worth ruining hers? Is it something that is going to make a difference 100 years from now? Probably not.

Another saying that I say to myself often is "Easy Does It". This is to imply that I might try going easy on myself and others. Life is not a crisis, or at least it doesn't need to be. It's all in how I view it. Another good adage for this viewpoint is: One Day at a Time. I can only live so many hours in a day, no need to get too far ahead of myself. "Keep It Simple" is another favorite. I tend to be a perfectionist, and like most perfectionists, if I can't do it perfectly, I am likely not to do it at all. In these circumstances I need to keep it simple, and try not to do things to an unattainable standard that I have set for myself. Sometimes, doin it "half-ass" is ok! At least it gets done that way.

When exasperated by my mother's long tales, I remember the saying "Listen and Learn". Mom is 40 years older than me, wiser, and more experienced. Just because she has Alzheimer's, doesn't mean she has nothing to offer. The opposite might just be true, "because she has Alzheimer's, she has much to offer me" due to the fact that she remember's the past so well, as opposed to the present that I seem to be stuck in most of the time.

What to do with the long hours of "nothing to do"? In order to not become "depressed" in this situation takes creativity and focus. Mom sleeps a lot and I have to be here (or someone does) in case she should get up, and you never know when that's going to be. If she should get up and no one is here, there is all kinds of mischief she can get herself into! One of the big things I do is "blog" about my day. This helps me to "think" through things, much as I'm doing now. I also chose "projects" to involve myself in, such as garage sales (that I put on), cooking special meals, tending my flower garden, sewing, reading, or watching old movies on NetFlix.

One of my biggest projects lately however, has been starting a home care business of my own. Once mom is gone, my income will cease and I will need a replacement income. There is a real need for home care in my area, so I have researched it, and there is not a local home care agency that is privately owned, just companies such as Integrety Home Care out of Kansas City. I feel people from a small town would rather have someone they know, therefore my motto: "Local people, caring for local people."

My last and most successful method of dealing with difficult days, is to tell myself, HALT! "Am I Hungry, Angry, Lonely or Tired?" If I am hungry, eat. If I am angry I have several options; beat a pillow, go for a walk to cool off, journal about it, do some physical labor, or exercise. If I am lonely, pick up a phone, or go to a social function. If I am tired, take a nap... which I think I'm gonna do right now! LOL See you on the flip side!

Finding humor in the little things

People often say, "I don't know how you do it Lisa." or "I could never do what you do." It isn't a choice for me, I have to do it and because I have to, I also have to find a way to cope. I think it must be much like it was in the early days before nursing homes and assisted living facilities... families took care of their own, because they had no other alternative. There was no other choice, so you just "did it". So when faced with no other choice, what do you do? Well, what I do is find humor in the little things, learn to laugh at myself and my circumstances and not to take myself to seriously.

I made a joke just today to my mom's cousin who came to visit, that mom remembered an event that I didn't. This actually happens quite frequently of late.

"Now who has memory problems!" I said.

I know that my memory problems are related to stress and lack of sleep, whereas mom's dementia is from Alzheimer's. It isn't that I'm making fun of the her, it's that I am making fun WITH her. We all have problems remembering things sometimes; just some of us more than others. I also think this helps others accept mom the way she is now. If I take a light hearted attitude to it, they are likely too, also. Mom goes along with this quite well, and doesn't get upset with me at all, and understands full well what disease she has. She cared for her mother who had Alzheimer's earlier in her life, and remembers it.

When it gets hard to "laugh" I cry. No, seriously... I have to MAKE myself cry sometimes.  I will watch a sad movie, or listen to sad music, or read a poem to release the tears. I have a tendency to "bottle" my feelings and that is not healthy. Releasing my feelings through tears heals in a way that none other does, but it's a hard thing for me to do.

Another way I cope is to blog in this journal. Getting it out and down on paper and thinking that I might be helping someone else out who is going through the same thing, lessens the pain somehow. I enjoy writing and always have. Poetry, lyrics to songs, short stories, human interest stories for newspapers... I might someday even try a book! Not everyone can write, I know this, but everyone has something that they do well. Find out what that is and do that!

I also enjoy playing the piano, as does my mother. She was a piano teacher as well as an English and History teacher in high school. My paternal grandmother was a piano teacher as well... so music sooths me. One of my favorite songs to play is the old Shaker tune, Simple Gifts. The lyrics go like this: " 'Tis the gift to be simple, 'tis the gift to be free. 'Tis the gift to come down where we ought to be. And when we find ourselves in the place just right, 'Twill be in the valley of love and delight. When true Simplicity is gained. To bow and to bend we shan't be a-sham'd. To turn, turn will be our de-light, Till by tur-ning, tur-ning we come round right."

I don't know why this song speaks to me, but it does. I guess it's that in simplicity we find our true selves. In the biggest challenges in life that I have faced... cancer, divorce, house fire, finacial crisis and now my mother's Alzheimer's... it is through simplistic things that I find comfort. Keep It Simple Stupid (KISS) the old saying goes, and it is true. I'm the most stupid when I try to complicate my life.

Some days are diamonds, some days are stone.

The other day mom couldn't remember if my birthday had passed our not. It had not, in fact it was coming up, about 3 weeks away, so I guess that is a good thing that she remember the time of year.

Today we had teenagers at our house, as we often do, because I have a 14 year old daugher. My daughter's friends have stayed pretty much the same over the last 3 years, but this particular day we had a new friend of hers over. The house was pretty hectic, as I had a friend of mine and her husband, and son over too. The mother of one of my daughter's friends came to the door in the confusion, and my mom opened the door to her. She did really well welcoming the woman and coming to get me to find out where the girl was. I am constantly amazed at how well my mom can "fake it" when it comes to acting normal. You'd never know she has Alzheimer's, at first glance.

Later (about an hour) I told mom the lady she had met at the door was the mom of  Melissa's new friend. Mom was like, "What woman?" The person that came to the door looking for her daughter, I said. Mom just looked at me uncomprehendingly. I said, "It's ok, mom we all forget sometimes." These moments of uncomprehension in her eyes are devestating to me, because I realize (or at least I think I do) that she is comprehending that she has the same malady that her mother had and is slowly slippin away. What's harder than her knowing that this is happening (because she will forget shortly and will be ok) is that I know... and I don't forget.

How to cope with the endless, repetitive questions: What day is it? Is this Tuesday? (when it's Friday) What time is it? When will Melissa get home? (her teenage granddaughter who lives with us) These questions are repeated over and over and over... within minutes of each other sometimes. How do I cope with it, you say? Not to well actually. Sometimes I get frustrated and lash out.."I just told you mom, it's Friday!" Then comes the look of hurt and I regret my words. So I try to comprehend what it's like to be her (It might be me some day.) So I remember back to a time when I did a retreat and we weren't allowed to wear our watches to know what time of day it was, it drove us crazy! It was a constant guessing game to know what time of day it was... if we'd go outside for an activity we'd look up at the sky to try to determine it from the sun (might be why mom is always looking out the window?); if we had a meal, we'd try to mentally track the hours till the next one... we weren't always correct! lol Routines were important to us, as they are to the Alzheimer patient... I need to remember that.

A Day in my Life.

My mom lives with my daughter who is 14 (Melissa) and myself (Lisa, I'm 49) in our home, in town and has for the last three years.
For most of her life, my mom and I lived on my dad's family farm southeast of the small Missouri town, Odessa, which is about 35 miles east of Kansas City, MO.
My mom calls my daughter "Lisa", and then corrects herself... everytime, but all the time.
My mom has looked at me in the early morning before being fully awake and called to me, "Mother?"
My mother, at times, looks just like her mother who died of Alzheimer's at 91. Mom is 89.
Mom and dad took care of her mother in their home for a year before moving her into a home.
My mother has moderate (stage 4-5) Alzheimer's, but can remember taking care of her mom who had Alzheimer's from 1985-91.
Mom has hallucinations like her mom did, but unlike my grandmother, mom know's they are hallucinations. I attribute this to her meds and her own experiences of caring for her mother. Caring for a person with dementia seems to have never left her, even though she now has Alzheimer‘s. herself.

Our Saturday morning:

8:00 a.m. (Melissa has already left for a Color guard performance.)
Mom "reads" me the KC Star every morning, or her version of it. Our discussion of it goes something like this:
mom, "Is this today's paper?" (It's laying at her place every morning where I have placed it before I've gone to get her up.)
me, "Yes, mom."
She turns first to the weather page. (every day)
mom, "Ooh! it's going to be bitterly cold today!"
me, "yeah, it's about 4 degrees this morning."
mom, "It will turn partly sunny with a bitterly cold start."
me, "yep"
mom, "There is a 70% chance of snow Monday morning, with a light PM mix."
(Have you figured out yet that she is reading the weather page verbatim?)
mom, "Tuesday it will be partly cloudy and a little milder."
me, "That's good."
mom, "Wednesday we have a 40% chance of rain."
me, "That's good, we need the rain for the crops this Spring." (my dad was a farmer)
At this point, I finish my coffee and move to the stove to fix a breakfast of bacon and eggs (her favorite and what she requests every morning, if I were to let her have it, and at 89 who cares? She's deserved it!)
mom, "It's going to be bitterly cold today!"
me, "yep, mom that's what I've heard."
mom, "It will turn partly sunny with a bitterly cold start."
me, "Sun is good."
mom, "There is a 70% chance of snow Monday morning, with a light PM mix."
me, "good, maybe Melissa will get that snow day she has been wanting."
mom, "Tuesday it will be partly cloudy and a little milder."
me, "That's good."
mom, "Wednesday we have a 40% chance of rain."
me, "Our flower garden needs the rain to bring the bulbs up this Spring."
Mom finishes her breakfast and I remind her (once again) to get her walker as she goes back to her room for a nap.

Later that morning

(11 a.m.) :
me, "Melissa is on her way to a Color Guard performance." (They are always on Saturdays.)
Mom, "When does Lisa get back from her 'thing'? I mean Melissa."
me, "it won't be till this evening mom."
mom, "Where is she going?"
me, "Park Hill" (a well known KC suburb)
mom, "what park?"
me, "Kansas City"
Mom turns to her paper:
mom, "It's going to be bitterly cold today!"
me, "yes mom."
mom, "It will turn partly sunny with a bitterly cold start."
me, "yep"
mom, "There is a 70% chance of snow Monday morning, with a light PM mix."
me, "Finally, we haven't had snow all winter."
mom, "Tuesday it will be partly cloudy and a little milder."
me, "That's good."
mom, "Wednesday we have a 40% chance of rain."
me, "Hope it doesn't flood."
As I put her grilled cheese sandwich in front of her with her tomato soup (as I often do for lunch) she says, "Ooh! I love tomato soup! Did you fix me a grilled cheese?"
me, "Yes, mom."
As I place the soup in front of her I realize I forgot to put a spoon on the plate and know instinctively that she will ask for the spoon.
So I tell her as I place the soup in front of her that I will get her a spoon.
mom, "May I have a spoon please?" (btw, she DOES have her hearing aides in)
me, "yes, mom."
mom, "Thank you."
me, "Your welcome."
As mom sips her hot soup she pulls her "weather page" over to her.
mom, "It's going to be bitterly cold today!"
me, "yes mom."
mom, "It will turn partly sunny with a bitterly cold start."
me, "yep, it was cold this morning, but it has warmed up some."
mom, "There is a 70% chance of snow Monday morning, with a light PM mix."
me, "I wonder if they will have school Monday?"
mom, "Tuesday it will be partly cloudy and a little milder."
me, "That's good."
mom, "Wednesday we have a 40% chance of rain."
me, "We need some precipitation."
Around 1 p.m. mom lays back down for a nap. I start doing laundry and put on some chili in the crock pot for dinner.
Around 3 p.m. mom comes tootling in from her room and sits at the kitchen table where her paper still sits by her seat.
mom, "Do you have something sweet?"
me, "would you like cookies or some banana bread?"
mom, "Cookies!"
me, "Chocolate chip or raisin?"
mom, "h'm... are the raisin cookies like your grandma's?"
me, "yes"
mom, "Raisin."
I place the cookies in front of her with a cup of coffee.
mom, "Thank you."
me, "Your welcome.”
She pulls her paper up to her as she munches on her Oatmeal Raisin cookies.
mom, "It's going to be bitterly cold today!"
me, "yes mom."
mom, "It will turn partly sunny with a bitterly cold start."
me, "yep."
mom, "There is a 70% chance of snow Monday morning, with a light PM mix."
me, "un-huh."
mom, "Tuesday it will be partly cloudy and a little milder."
me, "Good."
mom, "Wednesday we have a 40% chance of rain."
me, "uh-huh."
Mom, "When does Lisa get back from her 'thing'? I mean Melissa."
me, "about 5:30 p.m. or 6."
mom, "Where is she going?"
me, "Kansas City"
mom, "What time is Lisa getting back again? I mean Melissa."
me, "Six."
mom, "Where are my Kleenex's?"
me, "Are you out?"
mom, "yes, my nose is running."
me, "Yes, it does that."
I go to the closet and fetch a new box of Kleenex's. The second this week.
mom, "Thank you."
me, "Your welcome."
Mom finishes her cookies and starts to walk around her walker to go back to lay down for a late afternoon nap.
me, "Don't forget your walker."
mom, "ok."
Mom continues to walk AROUND her walker.
me, "MOM!"
She looks up at me bewildered and says, "Yes?"
me, "Your walker." (I point toward it.)
mom, "Oh, yeah."
She takes her walker and goes on back to her room.
It's 5:30 p.m. and Melissa has text-ed me that she is back in Odessa. I go and wake up mom and say, "Are you ready to go get Melissa?"
mom, "Lisa?"
me, "no, Melissa, mom. She's back from Guard, we need to pick her up."
mom, "ok."
We pick Melissa up from Guard and come home to eat our chili.
mom, "Is there music playing?"
me, "no."
mom, "I hear music."
me, "what kind?"
mom, "like monks chanting"
me, "interesting"
mom, "you don't hear it do you?"
me, "no."
mom, "ok."

We finish our evening meal and watch a little tv, avoiding my favorite shows, CSI: New York, Criminal Minds, and Cold Case. Mom used to love mysteries, but now the blood scares her. It's 8:00 p.m. and mom gets up from her chair and heads to the bedroom.
mom, "I'm tired, I think I'll retire."
me, "Need some help?"
mom, "no, I'm ok."
This time she remembers her walker and returns to her room.
I wait a few minutes and then go and check on her.
mom,"Did you see that man out in the hall?"
me, "no."
mom, "That tall man with the suit?"
me, "no, mom, I didn't see him."
mom, "h'm..."
She walks over to the dresser drawer and pulls it out to get her p.j.'s.
mom, "Lisa, come over here and look at this!"
I walk over and look in the drawer.
"yes?"
mom, "do you see it?"
me, "What is it?"
mom, "a spider." (there is no spider there)
me, "do you want me to kill it?"
mom, "isn't it huge?"
I take a kleenex from the bedside table and attempt to squash the offending bug.
mom, "That won't kill it."
me, "why?"
mom, "it's too big."
I take a shoe from off the floor and bang in the direction she said the spider was.
Mom looks at me accusingly.
me, "what?"
mom, "it isn't really there is it?"
me, "no, mom, it wasn't really there."
mom, "ok."
I tuck mom in bed and tell her goodnight.
mom, "good ni-te"
me, "good ni-te, luv you"
mom, "I love you, too."
I turn on the night light and shut the door for some "me" time. Melissa and I sit down to watch Criminal Minds.
After about 45 minutes, and right at the climax of the show, here comes mom.
Melissa, "Grandmmmmmaaaaa."
mom smiles sweetly at her.
Melissa, "Grumf"
mom, "grumf!"
Melissa rolls her eyes.
me, "Melissa, turn the channel this scene is too bloody for your grandma to watch."
Melissa, "Mooommmm!!!"
mom, "it's ok."
me, "NO, it's not ok! Melissa turn it onto some family channel."
Melissa reluctantly turns to Nick at Night.
We watch a little of Andy Griffith and mom goes back to bed.
At 9 p.m. we turn to a rerun of Cold Case.
At 9:30 p.m. mom comes down the hall (we don't see her too engrossed in the show) we're both on the couch and mom cranes her neck around and sticks it in Melissa's face.
Melissa, "Eeeeekkk!"
mom, "giggle, giggle"
Melissa, "That's not funny!!"
mom, "giggle, giggle"
It's 10 p.m. the news is on. BOTH mom and Melissa are like, "when are they going to show the weather?"
me, "Oh, brother!"
THE END
Laughter is the best medicine.