Wednesday, March 26, 2014

Heartache is here.....

My heart is pained today. I know this feeling. The first time I experienced it was back in April of 2007 when my dear brother Tony told me he had a few months to live. The shock and the agony of his words took my breath away and left my heart marred and aching. It is an ache unlike any other- it’s not a broken heart from a love affair that ends, it’s not a crushing blow from cruel words- it’s the heaviness, the swift kick to your gut that comes with knowing someone you love is dying. There is nothing else like it. It makes your soul weep for their pain and your own that will come, it causes tears to run down your face uncontrollably and it ties your stomach in knots. It is an ache I knew would eventually come again. I just had prayed and hoped it would be a sudden loss, not the one I fear is coming- a long walk for her to the light and a long sobering journey to acceptance for me.

Yesterday I took mom and dad to see a new doctor- one that specializes in geriatric care. Mom was nervous, fearful and on edge. But this new doctor meshed well with her. He is gentle and kind and spoke to her and to me and dad and he listened. He saw things I didn’t have to explain- he knew the signs of dementia and didn’t use that word. He said “I see you have some memory issues.” He held her hand and called her sweetheart when she got anxious and the tears were falling. He calmed her and in turn I felt some relief. This doctor is going to be a good fit for my parents.

Mom did not do well on her memory test. I knew there were marked differences in the last year, but to see and hear her fail at things she used to be good at…. It was an eye opener for me. She can still spell but can't write very well anymore. She can't follow directions unless they are given one at a time. She turned to me and dad for help with answers and I read the pain and confusion in her eyes when I wouldn't help her. Her walk is more of a shuffle and she’s lost over 20 pounds in the last 3 months. Her appetite is non-existent. The doctor is confident that this is due to the dementia but is running tests to make sure. When he looked at me and said “this is severe memory loss” it took all I could to nod and not run out of the room in tears.

I signed up to be mom’s caregiver knowing we’d get to this point. I have seen what dementia and Alzheimer’s did to my grandmothers, an aunt and others. I knew this day would come for mom. What I didn’t think about was how terrified she would be. This morning I spent an hour with her consoling her and reassuring her that I am here for the long haul. She has asked me to just “let her go”, to “let Tony come for me”, and to “take her life”. It’s the last that one that has me most upset. I told her that I can’t do that and I know she knows I wouldn’t. But to be asked to, that’s a blow unlike any other. Tony never asked that of me. I can only assume she’s said these same things to my dad last night and this morning. I can only imagine Dad felt the punch in the gut like I did, but 100 x's worse since their love is over 46 years old. 

My mom is terrified, her words. How do I tell her not to be? She’s watched her own mother succumb to Alzheimer’s- she was her caregiver- she knows what’s coming. But to see that panic in her eyes, that’s something I wasn’t prepared for. I held her hand, crawled in to bed with her and finally got her to laugh. I made silly jokes and songs when in reality all I want to do is curl up with the woobie she made me and bawl till the ache is gone. I sit here typing with tears flowing uncontrollably and my stomach wanting to stage a full on revolt. I hear the black hole calling me, begging me to go to it for comfort and solace. And if it wasn’t for the two amazing men in my life, I’d give in. I’d willingly bury my head in the pillows and not come up for air or light for weeks…. months… whatever it took to numb the ache and not face this reality. But I won’t. I can’t. I am strong and capable of handling this ache. I will not let the hole seduce me ever again. I'll turn to my dad and my other half, W (more on him later), when I can’t hold the tears back and when I feel the pull of the hole. I will grasp tightly to the love these two men have for me and I will survive this journey no matter how long it is. I will hug my dad tight every day and tell him with actions and words that I am here for him and mom. And when my tears fall I will hide them from mom, but let W wipe them away. I know he will hold me and let me cry or scream or simply go numb- and he will not let me retreat into the hole. I embrace this journey and learn from the pain, and I'll have cherished memories of my mom when the end does come. Never will I regret my choice to be here for her and dad. 

Momma, this I promise you:
You are my mom, you are the woman who brought me into this world (and often threatened to take me out if I didn’t fly straight J ), you are the reason I can nag so well. I promise to hold your hand and listen to your fears, to wipe away your tears and remind you how loved you are. I will help you find a reason to smile and laugh every day- multiple times. I will stick my tongue out at you when you're being sassy; laugh with you when you give me the Polish finger. I will help you remember the words you can’t find anymore. I will play “Austin” by Blake and every Garth song there is so you can sing along even if you lose your voice. I will make up silly songs and watch you cringe at my awful voice just as long as you smile for me. I will make sure you are not in pain. I'll be strong for Dad and help him the best I can now and forever. I will honor your wishes and do all I can to make this last part of the journey as easy as possible. You don’t have an expiration date on your foot, or ass for that matter, but no matter how long you’re here on this earth, I will take care of you. And when Tony comes for you, I will smile through the tears and be glad to know you’re with him again. I will always love you Momma.

Your Dirty Gertie forever and ever…. 


Tuesday, March 18, 2014

Changes are coming...

Over the past few months there has been a slow but steady decline in mom. It started with the Urgent care visit leading to ER visits which lead to an OB-GYN visit for testing which lead to everything being okay in that regard. Then Dad brought home a cold and mom caught it and that lead to two rounds of thrush. From January to February she lost 13 pounds and I can see she’s lost more in the past month- I’d guess at least another 7 or so. Getting her to stand on a scale is damn near impossible so I don’t have an accurate number…. YET- next Tuesday she meets her new doctor and I’ll be very interested to see what she weighs now.

Mom’s not eating much anymore. If we can get her to eat the equivalent to one decent meal a day it’s a shock. And drinking, goodness you’d think we were asking for gold from her. I am trying to tempt her with anything and everything. I don’t care if it’s too sugary or too processed, I just want her to eat and drink. I don’t want to have to put her in the hospital. But I am facing the very real thought that she may have to be put in a home. That’s what I didn’t want to do; I wanted to take care of her. But now I am seeing that may not be the best option for her or for me and dad. It’s sobering to have to face the reality that I cannot do as I had planned. I feel a certain amount of guilt for not being up to this part of the task but I also feel some relief. And that makes me feel guilty. Ah good ‘ole Catholic guilt rears its ugly head. I know I will come to terms with it all, just right now the train is running a loop that can’t be derailed.

I watched my brother die. I’ve written about it and it was the hardest journey I’ve ever been on. I look at my mom now and see the frailness coming over her. I can’t help but see Tony again and that just tears me up. I see her body using up all the fat she’s ever had and know firsthand that I can’t fix it. She’s as stubborn as they come and I can’t force her to eat. I cry for the loss now and the one in the future.

Her mind has good days and bad days. Today she’s scared the house is going to fly away thanks to where her room is and the fact that we have some wind gusts of 30-40 mph hitting that side of the house. She’s asked me three times already if I have to go anywhere today and I’ve said “Nope, not today. I don’t want to blow away.” I smiled at her and kissed her forehead knowing very well that she’ll ask me a few more times today.

I see how mom’s decline is affecting my dad too. He’s got more worry on his face and he’s snacking more. I get my bad snacking habits from him- it’s a bad way to cope but it’s ours. I want to take the worry from him but know I can’t. He has to face that his wife of 46 years is failing and we may not be able to keep her here at home much longer. My heart hurts for him. I can’t fix it but I can remind him that he’s done all he can and that I love him. We will get through it together- we are a team.

I have to face the fact that I am not superwoman and can’t do as I had hoped. I have to face that keeping her here at home may not be the best option anymore. Talking with her new doctor on Tuesday is going to be hard but I must be honest with him and her. It is going to freak her out to hear the words “nursing home” and/or “home health care”. But I know I have to do something more for her- I need help from others that aren’t family and won’t give in to her “I don’t want to” attitude.


In the meantime, I will look into our options. I will do my research and I will figure out what’s best for her, for all of us. And I will cry for the closing of another chapter….