2013 Favs: Mama

Mama

Mama, out on the town at her favorite hamburger joint. She made the bead necklace she’s wearing at Adult Day Care — her “Job.” 

My mother smoked like a diesel for almost 70 years.

I guess she was lucky.

She didn’t get lung cancer. She never had asthma. But at the ripe old age of 85 or so, she developed COPD.

I’d heard of this disease, which, nearly as I can tell, is basically emphysema with complications and a larger understanding. But I didn’t know a lot about it. I have to admit that now that I’ve been the caregiver for someone who has it, I still don’t know a lot about it.

Extreme old age is tricky.

People this age have an overall feistiness that, when it combines with the lack of memory that goes with dementia, means they can fool you. One of my worst memories of care-giving was the time about a year ago when my mother almost died because I thought that making an appointment with the doc and taking her in the next day would be enough.

As I said, extreme old age is tricky.

They can be doing their “I’m ok,” feisty act one minute and gasping for breath the next.

We’ve had several close calls in which we had to literally pick her up and carry her to the car, then drive the few blocks to the nearest ER (if it had been further, I would have lost her.) But that day was the closest of close calls, and it was, as these things always are if you don’t act quickly enough, complicated by other problems.

Extreme old age is tricky.

Everything in the body is worn out and running on habit. When one thing (breathing) goes wrong, then the old heart starts to beat funny, and when the heart starts to beat funny, the lungs get cloudy, and when the lungs get cloudy, the heart stops being able to do its job, which somehow or other craters into kidney failure.

All in a matter of minutes.

If you don’t get it stopped at the breathing is getting difficult point, it’s like taking that first step out the hatch of the airplane without your parachute. It can take days to get her back ticking again.

That particular night, it was hours of ER close calls and docs who told me they didn’t “like the looks of it” followed by a week in the hospital.

Then Mama came home, feistiness fully intact, and thanks to no-short-term memory, blissfully unaware of most of what had happened. But I remembered. For a while after that, I was taking her to the ER if she coughed twice.

Extreme old age is tricky.

And the primary care-giver is also the first diagnostician. I make a lot of medical calls for my mother, including the all-important when to go to the doc or the ER. That’s dicey for the simple reason that I don’t know what I’m doing. I’ve never dealt with this oddball combination of small child skating along on the ice in an 88-year-old body before.

And she is a small child.

A pampered, spoiled, demanding small child.

The further she gets into the dementia, the more childish she becomes. For instance, she loves for me to take her out for drives.

She loves for me to take her out for drives frequently. In fact, I think she would be happy to have me chauffeur her around all day, every day.

If I’m working on something, she says, “I want you to take me out for a drive now.”

I say, “I’m busy. We’ll do it in a few minutes.”

She looks at me almost exactly like the actor pretending to be a toddler demanding a cookie in Convos with My Two-Year-Old, and repeats “I want you to take me for a drive now.”

She doesn’t quit until I give up and do it.

She goes to Adult Day Care every day. I am going to write in more detail about Adult Day Care. It is a wonderful program. She loves her “job” as she calls it.

She loves it so much that she gets up about 5 every morning and starts announcing that it’s time to “go to work” and she’s going to be late. You can’t turn her off. It’s. Every. Morning.

Even though she loves Adult Day Care, she has a very short attention span. If there’s a lull in the good times, she’ll call me and tell me to come get her. Sometimes, she’ll announce that everybody is just sitting around doing nothing and she wants me to come get her. I remember once when I called the Director of the Day Care Center and told her Mama had called and I was coming to pick her up and she said, “You don’t want to watch the dancers, Mary?”

There were dancers, getting ready to perform, and my elderly toddler got tired of waiting for them to get with it and called for me to come get her. If I’d gone over there, she would have gotten miffed because I stopped her from “having fun” watching the dancers.

If the “I’m bored,” explanation doesn’t move me to come get her, she’ll tell me she’s sick. I always go when she says she’s sick. I don’t have a choice, since there’s no way to know if it’s real or bluff.

In fact, I got one of those calls just a few days ago. Obedient daughter that I am, I drove over, parked the car, went in and got her. As I was guiding her and her cane/jacket/stuffed animal-she’d-won/painting-she’d-made to the car, she told me “I was having fun.” It seems that between the sick call and when I got there, the staff had gotten the fingerpaints out and Mama had gone from too sick to stay to having too much fun to leave.

On the last day of May, the whole town was under threat of the widest tornado in history. As our family gathered around the tv to watch what was happening and decide what to do, Mama kept talking.

She does that.

Talk, I mean.

Non-stop. Just like a toddler. You can’t really have a conversation with her anymore, but she rattles non-stop as long as she’s awake.

I usually just un-huh her the way I did the kids when they were babies.

But we needed to hear the tv.

“Hush,” I told her.

She paused for a beat, then started in, talking about one of the lamps or something.

“Mama,” I said, waiting until she stopped chattering and looked at me, “Hush.”

She stared at me a moment, then turned away. “Well alright. I guess if I can’t say anything, I’ll just be quiet. I don’t know why I can’t talk. But if you want me to just sit here and not say anything, then, I’ll shut up. If that’s what you want, then I guess I’ll have to do it, but I don’t see why I can’t talk

“…

“sigh

“…

“That lamp shade is crooked. Or maybe it’s made to look like that. No. I think it’s crooked. Mary Belle had a lampshade like that. Only hers was pink. Or maybe it was purple. I want you to take me for a drive …..”

We give her the medicine she’s supposed to have. Then, we watch her swallow it. Otherwise, (for reasons I do not know) she will hide it behind her bed.

We hide her medicine so she can’t find it. Otherwise, (again, for reasons I do not know) she will decide she’s not getting enough and upend the bottle into her mouth.

I give her money to take with her to her “job.” But I can’t give it to her too soon because she will hide it, and then she’ll forget that she hid it and tell me somebody stole it.

She gets lost in the house.

She tells everyone that I “stole” her car from her.

And to this day, if I needed a heart transplant, she would say, “Here. Take mine.”

My Mama. My sweet, baby Mama.

I love her so much it makes my teeth ache.

It is no burden, taking care of my Mama.

It is a blessing and a privilege. I cherish every day with her.

YouTube Preview Image

Having a Mama Kind of Time

Elderly hands

I’m having a Mama kind of time.

My 88-year-old mother goes through phases. It took me a while to figure out that these were phases, rather than permanent situations. I don’t know what causes them, and I don’t know why they end. But I do know that while they are making their passage I have a hard time balancing with them.

This latest phase is, “I don’t know what to do.”

Here’s how it works.

11 pm

Mama: I don’t know what to do.

Me: What do you mean?

Mama: I don’t know whether they’re picking me up for my job (adult day care) or what.

Me: They’ll be here at their regular time. You just need to go to bed and get some rest so you’re ready to have fun tomorrow.

Mama: Well … OK. But I don’t know what to do.

11:30 pm

Mama: I don’t know what to do.

Me: What do you mean?

Mama: I can’t remember.

Me: It’s Ok. Just go back to bed and get some sleep and it will be ok tomorrow.

Midnight. 2 am, 3 am. 3:30 am, 4 am, and on until she leaves for Adult Day Care

Mama: I don’t know what to do.

Me: What do you mean?

Mama: I’m afraid they won’t pick me up for my job (adult day care) on time.

Me: Don’t worry. I’ll take you if they don’t pick you up. Now just go back to bed and get some sleep.

9 am

Driver for Adult Day Care: Your mother has been calling me since 4 am, wanting me to come pick her up.

2 pm

Director at Adult Day Care: Your Mother called us every few minutes from 5 am on, wanting us to come get her.

3 pm

Mama: I’m home now. I want you to come take me for a drive.

Me: I’m so tired.

Mama: Oh sweetie, you need to stop working so hard and get some sleep.

Me: Yeah. You’re right.

Mama: Now, I want you to take me for a drive.

If I sometimes seem grouchy, absent-minded or just plain goofy, remember this and cut me a little slack. It’s just a phase. It may go on for days, weeks or months, but at some point, Mama will start sleeping through the night again and she will be blissfully unaware that there ever was a time when she didn’t know what to do. I don’t know exactly how it happens, but it does.

This last slow walk with Mama is a surprisingly beautiful time with its own surprises and profound touches of grace. Even when I am groggy and nauseous from lack of sleep, I am still glad that I have her. Contrary to the nonsense our culture teaches us, it is a gift to be old and full of years, both to the people who live it and to the people who take care of them.

Everything I ever needed to know about love, I learned from my parents. I am fortunate indeed that my Mama, even as she wakes me up to the beat of her own internal metronome, is still teaching me.

Pope Francis: There is No Way to Avoid Growing Old

This one is for my precious Mama.

YouTube Preview Image

Book Review: The Way We Were

To join the conversation about The Geography of Memory, a Pilgrimage Through Alzheimers, or to order a copy, go here

BC TheGeographyofMemory 1

The Geography of Memory a Pilgrimage Through Alzheimer’s, is a personal memoir, written by a woman whose mother died at the age of ninety after a long slide downward into dementia. 

Jeanne Murray Walker writes about growing-up in Nebraska during the 50s against the backdrop of her mother’s slowly worsening dementia. She describes her efforts to participate in her mother’s care, despite the fact that she lived half-way across the country from her mother. 

Caring for a dying parent seems to rip open the seams on the bag of memories we all have inside us. I experienced this when my father was dying. Things you thought were lost in the fog of time step out of the backdrop and present themselves to you, complete and fresh. I suddenly remembered my father as he had been when I was a tiny girl. I saw his face, heard his voice from back then. The experience taught me that we don’t forget. We simply file away and lose as the detritus of our daily living piles itself on top what happened back when. 

Evidently, Mrs Walker experienced something like that when her mother was sliding down. This book is the result of those awakened memories from her life, built around the backdrop of her mother’s slow leave-taking. 

Mrs Walker’s mother was a magnificent woman. She was one of those kind-as-Christmas, tough-as-a-Missouri-rail-spike fundamentalist Baptist women I grew up around and have known all my life. The faith people follow shapes them in powerful ways that are reflected in their overall character. It also infuses them with strength and a kind of power that people without faith, or with only a wishy-washy faith, simply do not have. 

This woman lost her husband at a young age, and was faced with supporting her three children back in the 50s and 60s, when career opportunities for women were limited mostly to jobs that paid less simply because they were “women’s work.” 

Fortunately, she was an educated woman for those years, a nurse. She told her kids that she would never afflict them with a stepfather and pushed on with the business of bringing home the bacon, paying the bills, and, as we say in this part of the world, raising them right. The Baptist church, with its simple theology and rock-ribbed certainties, formed the spine on which she built this life and raised her kids. 

When her only son died of asthma, she did not despair. She kept going and going, right through what sounds like a beautiful second marriage after her children were grown and on into an interested and interesting old age. 

Her mind began to betray her when she was in her mid 80s and then slowly unraveled itself as she aged into 90. Even though her daughters managed her care and placed her in what sounds like the best care facilities, she basically traversed this path alone. 

But The Geography of Memory is really about Jeanne Murray Walker rather than her mother. It tells the story of how Mrs Walker traveled the country in an exhausting round of visits and suffered the pain of separation from her mother during the time her mother was slowly dying. It describes honestly the confusion, pain, anger and exhaustion Mrs Walker felt while doing this. 

It also tells the story of what it was like to be raised by this woman. It is a memoir of a time, place and people that could only exist in the middle of America. The rock-ribbed faith and equally rock-ribbed courage of this woman infuse the daughter’s life with a strength that allows her to step out and move on. 

This is a familiar story to me. I know women like Mrs Walker’s mother. I grew up around them. I have also seen their daughters’ ability to separate and spread their wings, something that only really great mothers give their children. Read through that lens, The Geography of Memory is as much a book on the lost art of courageous child-rearing as it is a book about the slow declines of old age. 

Mrs Walker’s mother was never diagnosed with Alzheimer’s, and I doubt that was what was wrong with her memory. This thing that happens to most elderly people is a slide backwards into childhood and, ultimately, confusion. It’s as if the brain becomes disorganized; a tangled heap. 

I haven’t had a family member with Alzheimer’s, but I’ve seen a lot of it in my constituents. The word “alzheimer” has become a catch-all for the various dementias of old age. But it is a specific thing all its own that does not, so far as I can see, only strike the very elderly. My constituents with Alzheimer’s are different from the way Mrs Walker describes her mother. With them, it’s not so much a matter of losing their way to the bank as it is not knowing what a bank is. Over a period of time, they go blank. Instead of being a tangled heap, their brains seem to be hollowed out.

The reason I’m saying this is because it matters in how we treat our older people. 

The Geography of Memory is a beautifully written memoir about a magnificent woman and her magnificent daughter. The lessons it teaches are about living far more than they are about dying. Perhaps its sweetest lesson is that the memories of our lives are worth telling. 

My Father’s Keeper

This is for those of you who have the blessing of caring for your elderly fathers. They are not a burden. They are a blessing.

YouTube Preview Image


CLOSE | X

HIDE | X