Showing posts with label alzheimers. Show all posts
Showing posts with label alzheimers. Show all posts

Saturday, September 11, 2010

Together: 25 years of holidays


The first Christmas my dear old person and I shared was marked by the gift of a Christmas ornament given to us by my friend Pat. Despite her worries about the viability of the relationship, or whether it was really the best thing for me, or any other concerns she may have had, she gave us a sweet oval-shaped ornmanent into which was inscribed, "First Christmas Together - 1985". It's graced our Christmas tree every year from that to this. I mention it because 2010 will mark our 25th Christmas together. Imagine that.

Northeast Florida is still usually hot and sweaty this time of year; this year is no exception. Nevertheless, it's about the time of year I begin to think about the holidays. I look forward to them for several reasons, cooler weather by no means the least of them. We approach the holiday season here with meteorological fits and starts. There are stretches of days without respite from summer: hot, muggy, trying - with the feeling that a hurricane might be brewing, might still happen. There are breathtaking days of brilliant blue skies and fresh, cool air to make you think of mountains and leaves and temperate climes in general. And those days, those cool days and actually chilly evenings, make me think of putting Santa on the roof. Yes, yes, I KNOW how tacky it is. But I have the fat plastic Santa and every year the boys replace the bulb inside it and perch it on the roof, and every year I have a quiet smile when I get home from work in those early-darkening evenings and can see Santa glowing gently on our roof...silly, I know, but there it is.

Regardless of the various perspectives of my friends, guided by religion or instinct, the coming winter solstice sustains care and anticipation. Simply put, the light returns. After the winter solstice the days ever-so-gradually begin to grow longer and the earth is coaxed once more into fertility by the returning sun. For our friends who are Jews, the miraculous light is remembered: despite the impossible, the light is not extinguished. For our friends who are Christians, the light comes to the word in the form of a saviour born. And regardless of religious affiliation or lack thereof, our lives are measured according to the rhythms of the natural world. In darkest winter the promise of spring is conceived, and this is subtly visible in the lengthening days and the retreat of darkness.

There's so much to look forward to: kids coming home, gifts as small as oranges in the toes of stockings (or Christmas crackers - see Mac wearing the paper crown from his last year?) and as large as unexpected kindnesses, impossible to put into works but vast as the Atlantic, friends gathering, great food, warm hugs, MadriGalz craziness...did I mention Santa on the roof?

There are profound lessons to be put into practice. For me, one of these is the challenge of accepting "More blessed to give than to receive", which was completely undone by our experience of Pop and Alzheimers. The truth, we learned, is that it is much EASIER to give than to receive. To be open to and receive kindness, one must fully embrace humility; this is far more easy to say than to do practically and is a beautiful lesson for the holiday season. I may not always be able to put the perfect gift under the tree for my sons. I may have to sit back quietly and accept the timely perfection of their gifts to me and their father, whether these are presents wrapped with bows or nothing more sentimental than their very presence. And blah, blah, blah: no matter what, there will be turkey or ham and I'll have the joy of the cooking, the very fine joy of making things like rich gravy, sweet potatoes and eggnog pies. Really. Sometimes there are unexpected food pleasures like making potato latkes one Christmas, when the First Night of Hannukah was around December 21 or 22, and one mother we knew was hospitalized in grave condition...but this is another story, my loves.

For this evening, I only wanted to tell you that I hear the music of autumn in the air, or at least the thing we call autumn in the deepest south. And this takes me to the holidays in my heart, where All of Us Together is the true music of my heart. For now I'm walking in our woods, looking for promising cedar boughs and branches that will be heavy with red berries. One of the dogs will walk with me, patiently watching for snakes and reminding me with glances that we are a bit too early. But we'll be ready. As the berries turn red and the fragrances of pine and cedar meet the air, we'll be ready.

Saturday, September 4, 2010

Dragonfly memories

Dragonflies stalk the beaches of Guana in elegantly deadly pursuit of mosquitos and possibly the beginning or end of their reproductive cycles, which are, I think, much more closely tied to their life cycles than we may imagine. Today this one was caught in a fatal tangle of waves and sand. I lifted it up with care, awed by the brilliant turquoise color of its body and the beautiful bright green of its head - colors that had spilled across my lap only last night as I worked on a warm woolen scarf for Dylan. I was able to capture the electrifying colors of its body, perhaps less so the shimmering bronze and copper-bright wings that moved delicately in the wind, in a photo: one brief moment of memory, and then it was gone.

But memory: I've been thinking about that. We talk about it often, my dear old person and I, for the obvious reason that we've lived through Alzheimer's with Pop, where the erosion of memory is the raw and never-healing edge of encroaching disease. We talk about it because pain management is a balancing act of pharmacology and surrender, resistance and retreat; memory is a wild card. In Alzheimer's, the most common memory loss is short-term. According to our dear friend David, a clinical psychologist whose illustrative description helped us envision the thing, memory loss in Alzheimer's typically happens from the outside, in. Imagine the brain is an apple: those memories you created 5 minutes ago, or yesterday, are the skin of the fruit. Memories created 5 or 10 years ago are the apple's flesh. And the things you learned before you can remember learning them (washing your face, going to the bathroom on your own, combing your hair): these are the seeds at the center of the apple. They are closely held and the last things to leave you.

What if you don't have a dementia in which memory is lost? Is your memory perfect? What DO you remember, after all? I cannot remember a time, reaching back past those snapshot recollections I have from being 2 or 3 years old, in which I could not hear musical harmonies in my mind. I could hear harmonies before I knew what to call them, how to label them, that they even had names. In memory I have always heard thirds and fifths against melodies. Melodies, in my memory, always seem to be of secondary interest; it was always harmonies I loved most. So: I do not remember the time before I heard music in dimensions.

Rodney doesn't remember a time when he did not know what the ocean was. He was born close by, he was taken to the beach as a tiny baby and the scent, the breath, the warmth and rhythm of the ocean are part of his heartbeat. (Like many who were not born on at the coast, I have a crystalline recollection of seeing the ocean for the first time: I was 7 years old and it was life-changing.) Dylan doesn't remember a childhood without Sheba, our dear old nanny-Boxer. He was 2 or so when we got her, but his childhood memories are shadowed by her presence. Mac, of course, doesn't remember a time without Dylan. He was 20 months old when Dylan was born, but in his recollections, Dylan has always been there.

Still, memory is a weird thing. It is as though a virtual video recoder is running all the time, for all of us. Our brains purr along, capturing everything, storing it all up for future retrieval. This seems self-evident; how else would we be able to call up memories of electrifying accuracy? How else would things we might in all honestly prefer to forget push themselves to high-definition recollection, front and center? And why does the film seem to break, now and then, so that review of our memories shows not a smooth, frame-by-frame view, but rather a halting clunky series of images like disjointed still images? Trauma? I was 11 when my mother died, and when I look back on those memories some of them stream along like film strips; some move with the jerky awkward flow of single images strung together. I can see clearly the scene in the darkness of evening in which my stepfather woke me to tell me she was dead. With an ache that has lasted these many years, I recall her funeral, despite being given a solid dose of paregoric to stop me vomiting that morning. I remember who gave me the medicine; I recall the glass from which I drank it. But there is so much more I have lost, or forgotten, or cannot bear to let myself recall.

Are our brains and their attendant memories and images wrinkled and changed forever by trauma, and perhaps compromised in their abilities to reliably deliver memories in their wake? Do the carefully recorded movies, those high frame-rate recordings, degrade under trauma so that the recording consists only of stop-motion still images with a different kind of power?

What do you remember, my loves, and what have you forgotten?

Monday, May 10, 2010

The EatHere bulletin board

Stuff you post on a bulletin board: notes, schedules, updates, coming events: works in progress. I have 2 exciting works in progress to talk about, and others that seem to have emerged from their intersection.

Reminders. This is a picture of jasmine, just coming into full bloom, growing against a huge framework of thunbergia which twines itself up along a hickory tree every year, and has become an annual joy since Miss Inga gave it to me for my birthday about 200 years ago. It reminds me, as the beautiful tiny pink roses from last night's blog do, of resurgence, of spring, of my heart's sisters whose graces can't be confined to a bulletin board post.

Alzheimers. I've been writing about its effect on my family, and mean to keep doing so. Rodney's dad was badly afflicted with it. So was a much-loved uncle, sister of his mother. As hard as it is to talk about Alzheimers, it's too scary NOT to talk about when it's found on both sides of the family, and its destruction lurks too closely for comfort.

Teaching. My dear old voice teacher Sister Patricia Eileen, who taught me what it meant to find my own voice, is herself (irony of ironies) suffering from dementia. She's been retired for some years, and although remembered with energy, inspiration and laughter by individuals, she has been collectively forgotten, I think, and this small humble blog has begun to put energy behind Not Forgetting. We are using the tentative beginnings of my blog recolllections to help frame reminiscence.

What do they mean, together? For me, for my sisters, for our friends and their friends? This will come from the work we do in the next year or two, I think. And more: Michelle's own Not Forgetting (by which I mean, connections made InRealLife, outside the confines of the blog) is driving us (both) to help voice some people with Downs Syndrome, another exploratory path with its own unwritten ending.

And in the short-term, kind comments following last night's post about Mother's Day breakfast and the simple fare of the night preceding have inspired a new direction for tonight. Usually I respond to comments with comments. Last night seemed worthy of a different approach, though. Ms. Moon and Michelle were sweet enough to take pleasure in a shared Mother's Day and a new photo of Rodney and me, squinting into the generous sunlight of a May afternoon.

Dylan's gorgeous golden pancakes got the attention of our Lulu, who knows a thing or two about good food AND about serving it beautifully. I'm working on the Home Visit Pancake Man thing, Lulu. To my surprise Dylan announced his pancakes would have been better had I provided fresh blueberries. Hmm. I suspect he has listened mor closely to Miss Lis than previously believed. In any case, let's see whether he's willing to take his Pancake Act on the road. They're worth getting up early for, that's for sure. In your case, I expect pancakes might be delivered day or night.

From Suldog, there was a well-timed reminder that the image of Mother's Day breakfast will remain with me always, even without the photo. And I think he was inspired by the Mother's Day Vigil menu, plates (photos) prepared by me, as was our dear Michelle H., who asked me for the meat loaf recipe. The rest of you can stop reading here. In honor of a fine writer, an excellent friend, and a person whose livelihood has been endangered by people apparently too blind to see the value of her presence as a member of any team, here is the recipe Michelle H. requested. To the rest of you, thank you for your continued care, and lots of love until next time.

Michelle H., here are my secrets. I believe my meat loaf to be the central reason for the naming of the imaginary restaurant my family envisioned some years ago. It was one of those meals that everyone loved, one that yielded leftovers that never lasted long. So if we ever HAD a restaurant, this would be featured.

You can make it with whatever ground meat you can live with, whether turkey or chicken or bison; in its humble form at our house, I use ground beef, ground pork and ground bison if available, about a third of each. And in this recipe, we're using roughly 1-1/2 pounds of meat.

Using a nice big mixing bowl, place the meat, about 1/4 cup each of finely chopped onion, green pepper and garlic, more or less, to your taste. Add one egg, a dash of ketchup (perhaps 1/4 cup, or a little less) and one slice of bread, finely ground into crumbs. I've found a slightly stale slice of bread can be broken in half and the two halves ground against each other to make crumbs....whatever works for you, but fresh bread crumbs is what you're after. (In a pinch, you can use 1/4 cup of uncooked oatmeal, crushed crackers, or dry bread crumbs. It's Angie at EatHere cooking, so more art than science.) Add a dash of Texas Pete (or just some black pepper) and 1/2 tsp. of salt (I like kosher salt). A dash of Wocestershire sauce is good if you have it, as is a bit of dried basil and one of marjoram; some people like a touch of oregano, too. Tread carefully, as these are all things you can add. You just can't take them out. Now use one hand to blend all the ingredients together (mixing really well) and shape into a loaf. Place in pan (I prefer a cast iron skillet, and often cook on the grill outside). Bake at about 325 degrees for an hour or so.

Meanwhile - and here's the 1960s Redbook, Woman's Day or whatever women's magazine my mother read back then - becomes important. It directed he creation of a simple sauce of 1/2 cup of ketchup, 1/8 cup of yellow mustard, about 1/8 cup of brown sugar and just a touch of ground cloves, whisked together. Use this to glaze the meat loaf about 15 minutes before the end of the cooking time. Be sure you have enough to use for meat loaf sandwiches to take to work the next day.

Michelle, DO NOT TELL anyone this recipe. It's a super top-secret revelation of the 1960s but I'm delighted to share it with you. In fact, I'd love to cook it for you, so let me know when you've started to take over the world as the great writer you are. I'll be ready.

EatHereEatery bulletin board readers: thank you. Thanks for staying with us, thanks for waiting us out. Mostly, thanks for watching for what I hope will be the fine work to come, as I dredge the Alzheimers memories myself and partner with old friends and new to create a portrait of our dear Sister Patricia. Stay tuned.

Saturday, April 10, 2010

Life and Alzheimer's, Part 3

When I've written about Alzheimer's before, I've referred to Ms. Moon's finely written description of The Script, that carefully crafted dialogue developed over months and years and refined almost invisibly over and over again by people who live together, love together, know one another very, very well. It's probably fair to say that families have endless variations on that script; you could almost certainly pinpoint your own without thinking. Tonight's variation is one dealing with repetition of scripts across whole generations of families.

Pop is in the left corner of the photo beside beautiful Helen, and just in front of him is 7- or 8-year old Rick. Cradled in Helen's arms is a tiny bundle you can hardly see: little Rodney. The age difference between the two boys would shape their childhood and in some ways their whole lives, or at least Rodney's life.

What changes were occurring in the marriage in those years; what changes in Pop's life, in Helen's? Stories for another night, my dears, but as has been pointed out by far better-qualified mental health professionals than me, every child grows up in a unique family. A divorce was brewing and would happen when Rick was a teenager and Rod still quite young. And with the ripples of every event, whether ordinary or dramatic, the role of each family member became more and more fixed. When Rodney passed through the adolescent defiance common to boys of his age, Rick had left this stage far behind. Their parents had both remarried. Rick was on his way to a marriage of his own. Rod was finding his way through high school when, after a long illness, Helen died. From the slight distance of a remarried, non-custodeial parent, Pop painted the boys into their respective roles. They would change, through the next 20 years or so but with the resolute march of Alzheimer's the changes would be completely lost on Pop. For the rest of his life, he would deal with Rick as The Good Son, happily married, a successful entrepreneur, reliable and steady. Rod would be The Lesser Son, the one Pop thought of as - and often called - lazy. A hippie. A bum.

When Pop came to live with us in late 2003, our sons were both teenagers, still living at home. They were very different from Rod and Rick; in fact, they were still busy figuring out who they were; they were too unformed to have begun to resemble anyone else. Nevertheless, Pop assigned them the roles he assumed they should have. Mac was like Rick: The Good One. Dylan was like Rod: The Lesser One. That Was That. Sadly, that was that, at the powerful intersection of Family History, Memory Loss, Emotion and Reality.

Alzheiemer's seems to erase memory from the outside in. Deeply held in the "center" of the brain are the things we learned earliest, the things that are fundamental: keeping our bodies clean, combing our hair, making our beds. Memories are built over this foundation, layer by layer: when we were 5, when we were 12, when we were 20, and so on. They are lost in the same order. So for Pop, demented in his 80s, Family History meant his relationships with his own parents, sisters and brothers. Emotion was what connected him to his siblings, his wives. His perceptions of Memory Loss and Reality had only a passing acquaintance with our own. During the work and school day, I worked and the boys went to school. Rod was home, dealing with Pop's unique view of that intersection. Rod would call and say, Just listen to this. And I would hear bitterly angry invective, vicious, hurtful things, screamed at Rodney or Dylan, things I don't think I can ever put into words myself again. But if Mac or I came home, got on the phone, or suddenly caught Pop's notice, the tone and the words would change immediately, softening, losing the will to do as much damage as possible. He was kindness itself to Mac and me, almost without exception.

At a critical point in the story for our family, we had to take Pop to a nursing home. Mac was 15. We took him with us, with his generous consent, because we all understood that his very presence reduced the likelihood of a terrible, angry tantrum, with no limits as to what cruelties might be spoken. Dylan was relieved to be out of the line of fire. And it was just as bad as we thought it might be, but a tale for another long winter's night, my dears.

At the final critical point for Pop, we had to attend his funeral. We made the long drive across the state; Mac made the trip from his Naval posting to meet us. Dylan simply said he would not go. We did not blame him. He had been the brunt of sarcastic ridicule once too often from his grandfather, and would not honor him in death. Mac, never painted with the brush of the less-loved child, was able to withstand the thing, even beyond my own limits of tolerance. I stood in the vestibule and watched Rodney walk alone down the center aisle to say good-bye to his father. Seconds later, I watched Mac walk in his dad's steps, wearing the uniform of the rank his grandfather had himself held in the Navy, catching up with his dad, putting his hand comfortingly on his dad's shoulder. And all this last was in spite of Pop. Having made his bed while in his right mind, he had to lie in it forever, with no possibility of change. Perhaps this is the very worst of Alzheimer's, that no matter how sorely amends need to be made, no matter how much pain might be alleviated in the making of them, mutual peace isn't possible. If you cannot make amends, you may only be able to hope for forgiveness, that gift which is as sweet to its giver as to its recipient.