Is anybody else coping with dementia? Here's my story:
There I was last Friday, driving a rented car that handled
like a marshmallow along a 6-lane California freeway. I was bleary eyed from
getting up at 5:30, which was way too early for my 7:30 flight, but sheesh I
was nervous. I was going to be completely in charge of my father's care for the
first time ever - in my life, and since his diagnosis with Alzheimer's a little
over a year before.
I couldn't find a radio station I liked and couldn't figure
out how I was going to get that huge rental up his tiny mountain road. (Note to
self: "economy" does not mean "compact." Used to be when
you paid less you got a small car!)
My stepmother had been sending messages for the past year.
Dad was "belligerent." She was thinking about putting him in a
"day program." He woke her up at night. He drank too much wine and
got "abusive." This one got an instant reaction. "Was he
physically abusive?" I asked, trying to wrap my mind around the image of
my father raising a fist. "No, he was verbally abusive." "Did he
swear?" "No, but he did raise his voice.” She couldn't get anything
done because he "shadowed" her. And finally, she’d had enough. She
was going to a resort for the weekend and one of us had better show up by 1PM Friday.
I booked a flight, then got out the “living with dementia”
book collection I had accumulated over the past year. One entry caught my eye, “Dealing with inappropriate sexual
advances.” My father had flirted with me briefly on my last visit until he
realized who I was and shrank with embarrassment. The book advised that you,
“Firmly remind the patient who you are,” while keeping your distance. Keeping
your distance was also a good strategy when they were angry.
Keeping our distance is something my dad and I have always
been good at. We never talk about things – though we talk incessantly. We smile
and nod and comment on the weather and the pets and the garden and the food and
the car… And somewhere in our hearts of hearts we know that this was how we
said the things that matter. That we love each other but don’t know each other
very well and don’t really care to… know each other very well.
When I arrived my step-mom radiated anxiety. She had emailed
instructions, did I get them? No. She had sent them to my work address. But I
checked the address in my extra half hour that morning and there was nothing.
Unbelievable. She printed out 3 pages of instructions. My dad is on an
incredible regime of nutritional supplements that she has crafted (I conclude)
to give structure to their days. She advised that I watch carefully to be sure
he swallows them because he has a way of putting them in his pocket for later.
Wine should be kept to a minimum, but he could have plenty of coffee. Coffee’s
good for him, but wine is not - lots of instructions and dire warnings about
failure to comply. The cats weren’t allowed outside because they might get
hurt. Then she hopped in the packed and waiting car and drove off.
In the newly quiet kitchen Dad and I looked at each other,
shrugged in unison, and went for the ice cream. She didn’t say anything about
no ice cream. So that was the new
relationship -- my dad and I, two kids trying to figure things out. My job is
to remember my step mum’s instructions.
He doesn’t remember things from one minute to the next, so
we were never at a loss for something to talk about. “Where are the cats?”
“What time is it?” “Can you believe that thermometer says 100 degrees?” “What
do you want to eat? “Can the cats go out?” This was hard because those cats
WANTED out. They parked in front of the gate, peeked underneath to watch
shadows moving outside and twitched their tails in irritation when I refused to
open it.
We didn’t do much - went to Safeway for more ice cream
- ate everything in the fridge
–bought more food - visited the local winery. Drank way too much wine.
Sometimes he got scared because he couldn’t figure things out. He thought he
was visiting his father’s house, so we went around and looked at the family
photos on the wall. He recognized some, including my mother. He wanted to know
what happened to her. She died 2 years ago I explained a few times. Mostly he
was amazed that his father had accumulated and saved so many of the pictures he
must have sent him. So for the weekend my dad and I lived in his father’s home.
Only it wasn’t. Dad said to me several times, “People keep telling me that this
is my home. So I guess my dad has passed away. It seems vaguely familiar, but I
know I haven’t been here very long. I can’t find anything!”
He did wear the same clothes all weekend, and neither one of
us showered. I went to the computer periodically to check emails from my
anxious students, who had their first assignment due Monday. When I did he
shadowed me. He sat still and perfectly erect looking out the bay window in the
office. Once a couple of mule deer walked by and he commented on the male’s
rack. Once he wandered down the driveway. I rushed out and found him staring at
the rental car looking scared. “You OK?” I asked, “Not particularly.” He was
trying to figure out whose car that was. I said, for the hundredth time, “This
car I rented is a piece of crap. It handles so poorly that I almost ran off the
road coming up here.” I discovered lots of ways to tell him what he needed to
know while sustaining our mutual denial.
Once we set out for a walk. My dad used to hike for hours
through those hills. He had secret trails all over. One neighbor got tired of
his intrusions and put a “Private Property” sign right where dad’s trail
entered his land. Years after the signs went up my dad is still wondering
whether he shouldn’t just take them down and show that guy a thing or two. But
that wouldn’t happen on my watch. Only a few hundred yards up the road Dad
decided we should go back along one of his other trails. So we picked our way
through a neighbor’s field back to familiar turf. Neither of us got quite enough exercise.
Bedtime was anxious for him. He recognized the pajamas he’d
left on his bed, but didn’t recognize the room the bed was in. After we were
both in pj’s and slippers he did his rounds checking locks, lights, clocks, and
cats’ water a few times before finally settling down. One night he asked,
“Who’s going to sleep with me?” And I explained that the kitty would. And the
kitty did – every night, bless his furry little soul.
The weekend passed, at times with excruciating slowness. But
there were moments of good fun. We
had some laughs about old sayings. “Farting horse will never tire. Farting
man’s a man to hire.” (You can imagine how this one came to mind!) Over Mexican
food that neither one of us should had been eating Dad told me about his days
in the Merchant Marines. He remembered the name of a woman he dated (Ann
Franton) and the name of his liberty ship (the Charles R. Russell.) He
remembered partying with his mates in uniform when they were on leave in New
York City, and the back-breaking work of unloading cargo somewhere in the South
Pacific. We listened to the wind in the trees and cursed at the gophers in the
garden. I cooked and he did the dishes and we talk and talked.
One afternoon while we basked on the deck drinking coffee my
daughter sent a text, “What are you up to?” I replied, “My dad’s demented and
we’re drinking coffee.” She wrote back, “My mom’s nuts and we’re doing
homework.”
If I’m lucky I’ll get to do it again, but next time will
order a “compact” rental car!