Charlie Robinson Florida Elder Law Attorney




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WHEN DOGWOODS BLOOM

An Alzheimer’s Story

By Demp

www.demppress.com

        “JuliaMae was my mother, and this is the story of what I remember about her and the progression of her Alzheimer’s disease.”  This author lived through a very difficult period in his Mother’s life.  His recollection of JuliaMae’s slide through the beginning and final end stage of Alzheimer’s disease is a gripping, heartwarming love story.  In every word you feel his total love for her, his total giving of himself no matter what it took.

        Demp visited his Mother every Sunday at home until she became unable to stay alone.  Then he cared for her in his own home, with the help of daycare and then a variety of daytime sitters.  As long as she was able to recognize her old home, he took JuliaMae there every Sunday for their dinner.  For many months she enjoyed long rides in the car, visiting relatives in nearby towns.

        From his descriptions, you can just picture JuliaMae, a pretty woman, strong-minded and very talkative.  Her memories of growing up on the farm were clear and detailed, but she could not remember what happened ten minute ago.  JuliaMae married a boy whom she befriended as other kids made fun of his clothes.  They were married for 53 years before Parkinson’s ended his life.  He had only a third grade education but he was a natural farmer, smart and handy.  JuliaMae recalled many fond stories about her husband and about her parents often while she could still talk.  JuliaMae looked forward to seeing the Dogwood trees bloom:  a happy memory of family gatherings at that time of the year for the sheep-shearing.  The older brothers and sister came home to join in the work and receive their share of wool money.

        JuliaMae’s son describes the early signs of her Alzheimer’s:  occasional momentary confusion that became a daily event, repeating herself, short-term memory loss, making strange or inappropriate remarks, and paranoia.  While she was still at home, her son took care of paying her bills.  The long distance carriers seemed to change every month, as she just said OK to those who called wanting her to switch.   She could be sweet and happy, or cantankerous at times.  She could wear your patience thin … and one time her son decided to tell her he couldn’t spend so much time with her.  But as they drove to his home for the weekend, she was so happy he didn’t have the heart to say that to her.  He decided it would be “stupid & cruel” and resolved “never do or say anything that could be taken by her as an indication that I did not want her to be around me.”

        When he first took her home to live with him, Demp knew she would probably be there for the rest of her life or until she had to go into a nursing home.  However, he became the ultimate caregiver … learning to feed her, to bathe her, to dress her, to diaper her, to give her medications, to carry her when she could no longer walk.

        Demp was with her day and night during her last days in the hospital.  As good as some of the nurses are, he feels it is best to stay with the patient full-time to watch for any change in condition. 

        JuliaMae passed away quietly in her sleep at the age of 81.  In telling her story, her son has written a handbook that anyone in a similar situation should read. 

 Demp’s love and devotion  reminded me of a story on the internet told by a nurse: “ On a busy morning, about 8:30 an elderly man in his eighties arrived to have stitches removed from his thumb.  He said he was in a hurry as he had an appointment at 9:00 am. I took his vital signs and had him take a seat, knowing it would be over an hour before someone would be able to see him.  I saw him looking at his watch and decided, since I was not busy with another patient, I would evaluate his wound.  On exam, it was well healed, so I talked to one of the doctors, got the needed supplies to remove his sutures and redress his wound.  While taking care of his wound I asked him if he had another doctor’s appointment this morning, as he was in such a hurry.  The gentleman told me no, that he needed to go to the nursing home to eat breakfast with his wife.  I inquired as to her health. He told me that she had been there for a while and that she was a victim of Alzheimer’s Disease.  As we talked, I asked if she would be upset if he was a bit late.  He replied that she no longer knew who he was, that she had not recognized him in five years now,  I was surprised, and asked him “And you still go every morning, even though she doesn’t know who you are?”  He smiled as he patted my hand and said, “She doesn’t know me, but I still know who she is.”  I had to hold back tears as he left, and I had goose bumps on my arm, and thought, “That is the kind of love I want in my life.” 

True love is an acceptance of all that is, has been, will be, and will not be.                  

Life isn’t about how to survive the storm, but how to dance in the rain.  And that’s ‘when the dogwoods bloom.’

Book reviewed by Martha Lyons. Back to Top


THE CORRECTIONS

by Jonathan Franzen
Published by Farrar Straus & Giroux September 2001
ISBN: 0374129983

The Corrections is a story about a typical dysfunctional family.  We meet sons Gary and Chip, daughter Denise, Enid the mother and Albert the father. They are all very unhappy people, unhappy with each other and unhappy with themselves. 

Al is slipping in and out of that vague and sometimes ugly world of Parkinson’s disease.  Enid is an emotional basket case, struggling to continue what she thinks is their “normal” life.  Berating Al for every miscue keeps her in turmoil. She sees a holiday cruise as a chance to have some fun and restore their lives; that somehow getting away from home will transform them. 

The cruise is a total disaster.  Enid is embarrassed constantly as Albert drifts into his fantasy world at the worst moments.  He ends up actually falling overboard and is dragged some distance before being rescued.  His condition worsens.

This year Enid is obsessed with the idea of having Christmas at home with all three children. She fears it will be the last time for Albert.  Oldest son Gary, an investment banker, is suspicious to the point of paranoia.  Chip is an irresponsible professor of English, flirting and flinging with his beauteous students until thrown out.  Denise is an accomplished chef, running her own highly successful restaurant in New York. Enid suspects she is having an affair with a married man. None of the three want to go home for Christmas. 

Christmas arrives and the author brings all the relationships into focus.  Gary is the first to arrive.  Enid has a list of jobs for him and he is resentful and in a bad mood.  Albert is in his basement workshop with his shotgun nearby.  Denise arrives and starts planning and preparing meals.  Chip calls from Lithuania and says that he will be home as soon as he can get out of the country.  He arrives sans suitcase or money on Christmas Day.  Albert is overjoyed to see Chip.  Chip is amazed at his father’s welcome - the father he felt he could never please, the father he felt never loved him.

The three children discuss what to do about Dad, and Mom too.  Denise and Chip are reluctant to resolve this quandary.  Gary wants things settled right now with Dad going to the nursing home.

The ending is perfect.  In elder law we see these situations every day.  The parents and children switch roles, equally hard on both.

The familiar words and scenes struck me as the dilemma is revealed. The author ambitiously delves into all the cross-relationships. The Corrections is very interesting but long novel. 

Book reviewed by Martha Lyons. Back to Top

ANOTHER COUNTRY
..Navigating the Emotional Terrain of Our
Elders

By Mary Pipher, Ph.D. Published by Riverhead Books 1999

"Adults have always worried about aging parents, but our current situation is unique. Never before have so many people lived so far away from the old people they love. And never have old people lived to be so old." The author speaks to this dilemma with reassurance and ideas to help us all. She talks about rescuing the very "people you thought were superhuman. To see your parents as vulnerable is hard. At the same time you feel sorry for yourself."

Elders feel frustration, conflict, guilt, abandonment, misunderstood; their children feel unappreciated, stressed and guilty. Feelings are hurt. Unrealistic plans or decisions are made by each side. Mary Pipher illustrates these diverse problems with many stories throughout the book.

Mom in Nevada is dying of cancer. Daughter in graduate school gets fantastic job offer in large university on East Coast. The Dean is not sympathetic to her need for time to be with Mom. Should she pass up a great career job and find work in Nevada?

Daughter with two small kids, caring for faraway parents, one in the hospital, one in rehab in two different towns. Daughter considering Prozac.

Mom is in the hospital with heart attack. Daughter Karen finds herself facing across the bed her Mom's new husband. Karen doesn't need this extra stress right now.

Bill and Erma retire and move to Palm Beach to play golf, far away from daughter Ellen. Grandkids seldom see grandparents and hardly know them. Grandma Erma dies and now Grandpa Bill, who is depressed, ill, confused, wants to move back and be a part of Ellen's family again. Ellen is resentful.

"The young make many of the same mistakes the old do, but the young get excused while the mistakes of the old are not viewed as accidents but rather as loss of functioning ... and such mistakes have implications for their freedom."

Seniors were taught to be independent as they age, yet they need help and can't ask for it. Don't want to "be a burden" on those they love.

"The trick is for younger members of the family to help without feeling trapped or overwhelmed. And for the older members to accept help while preserving dignity and control."

"Adolescence is about the loss of childhood. Old age is about the loss of adult status and power. In both stages, the true self is isolated: in teenagers by a poisonous peer culture, and in seniors by the death of those who have common memories."

Parents of teens often feel hopeless; so do the children of old-old parents. Living into the 70's, 80's and 90's means have difficult choices to make about where to live. There are more options now than before, but how do you know you're making the right one? Another stress to deal with.

The author discusses physical boundaries ... many necessary tasks may be embarrassing to both parent and child: changing diapers, bathing, dressing, administering certain medical treatments. And financial boundaries: Mom needs to let son know everything about her income and assets for long-term planning. Maybe Dad is afraid to let even his wife, let alone his son or daughter, know how wealthy he is. In his opinion his kids were always spendthrifts! Money must be discussed, no matter how difficult that is.

Decision: Do I tell Aunt Clara she has bad breath? Should we move Mom from Evanston to Cincinnati so I can take care of her? Can I offer to help pay her bills? Mom wonders do I dare ask my daughter to drive me to church? Should I put my son on my checking account? Sometimes it's absolutely necessary to say, I'm taking your car keys before you have an accident .. or, I'm taking you to the doctor for treatment of that infected eye.

Jerry's Mom had Parkinson's and he tried to visit every week, but he worked over 60 hours and had two active teenagers. He hated to miss their ballgames, but felt guilty of he didn't go see Mom.

Cheryl's Mom was in a mental health institution in another state. Flying in to visit Cheryl encountered a bitter, complaining suspicious woman, always accusing Cheryl of something ... stealing her money, neglecting her, etc. Cheryl felt like checking herself in by the time the visit was over.

We need a new way of thinking about old age. Good information helps families make good decisions together. Knowing our options helps us feel less alone, less guilty, and more forgiving of one another. When we were young, our parents didn't understand us. We were the ones from Another Country. Now our parents are old and we don't understand them. The purpose of this book is to help each generation understand the other. It accomplishes this serious task with humor and good sense.

Book reviewed by Martha Lyons. Back to Top

 

LIVING IN THE LABYRINTH


By Diana F
riel McGowin
Published by Delacorte Press, 1993

Diana Friel McGowin

Can you imagine that a woman suffering dementia is able to write a book?

Diana Friel McGowin did. As a victim of early-onset Alzheimer's disease, she tells an amazing story of her journey through the labyrinth of Alzheimer's.

She wonders if the world is ready for "An Alzheimer's Who Talks" much less "An Alzheimer's Who Talks Back!" But this tiny book found a wide audience.

Here is a very brave woman struggling to make sense of what is happening to her. Caught unaware by this devastating disability, she reacts with disbelief and confusion. Her struggle to find an explanation for her disorientation, and how she learns to cope, makes the story she relates so very interesting.

The journey begins with Diana's experiencing occasional bouts of absent-mindedness, dizzy spells and slurred speech. Then one day her husband Jack calls home to ask her to bring him something to eat as he can't get away from the office for lunch. She gets the food together.

She goes to her car but hesitates. She is puzzled where to place both her purse and the lunch box. That solved, off she goes to his office and on the way she notices a shopping mall she can't recall ever seeing before.

And then she passes a fire station also new to her.

When she gives Jack his lunch, she remarks about the new strip mall and fire station, and asks him when they were built. Jack laughs and reminds her the station and mall have been there for a long time.

This news upsets Diana and on the way home she becomes increasingly agitated. Horns are blowing at her when she stops at a green traffic light. She can't read the street sign. Nothing looks familiar.

Still trying to get her bearings she finds herself hopelessly lost out in open country. After asking directions back to her Orlando subdivision, she realizes that she has been gone over four hours. She closes the drapes, locks the doors, and curls up on her bed.

That's how Jack finds her when he gets home. He calls Diana's close friend, Elise, a nurse, who insists that she see a neurologist immediately.

The test results show no change from her last MRI when she had a stroke several years ago.  The doctor suggests that she see a psychologist. She is very unhappy with this lack of diagnosis.

Two months later she is walking down the hallway at work and suddenly the floor heaves and sways, pitching her against the wall. When she gets back to her office, she doesn't recognize her coworkers, or even a cousin who dropped in.

Finally she has to retire early from her paralegal job.  Diana goes from doctor to doctor and finally learns the diagnosis she dreads.

But she takes charge of her life without pity and tells how this disease changes her life and her relationships with family and friends.

Don't miss reading this enlightening and heart-wrenching little book.

Book reviewed by Martha Lyons. Back to Top


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All contents © 2008 The Law Offices of Charles F. Robinson