November 8, 2009

Fourth Day Home From The Hospital

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It is about 11:30am and Mary Ann is still sleeping.  She got up last evening long enough to eat some ice cream and apple crisp.  Then she took her pills, went back to bed and slept the entire night.  This morning, there was a commode trip at about 7am, then at about 8:30am she got up long enough to have juice (with Miralax) and yogurt.  Then she decided she wanted to go back to bed.

The good news about this is that when she has been up, she has been able to interact verbally and has not been picking up threads that are not there, nor has she acted as if she was hallucinating.  Her head is no longer hanging down on her chest.  Needless to say, those are encouraging signs. She is still unable able to eat without assistance.  I fed her last night and this morning, even putting her pills in her mouth.  She did manage to lift the cup and drink most of the juice by herself.

Yesterday, I chose not to awaken her for medications.  Most of her meds are intended to help her when she is up and about.  Most of them have a short half life.  They help when they are in her system, but are not necessarily maintaining a constant level of medicine 24/7.  Missing one dose of the meds seemed to me to be acceptable. I concluded that the rest was more important.  She did take her night time meds, so there has been no interruption in them.  She took the morning pills today, and while she was lying in bed, I changed the Exelon patch she had worn for two days.  That is a med that needs not to be stopped for long.  It is pretty powerful and when initiating the patch, it takes a month on a lower dose to keep from creating the unpleasant side effect of pretty bad nausea — been there, done that.  I am also going to wake her up for the meds that come every two hours during the day.  My goal is to return to and maintain a normal schedule in hopes that will help us return to the pre-hospital norm.

The other parallel recuperation activity needed includes intestinal activity.  There has been some activity, this morning during the 7am trip to the commode.  Then before going to back to bed after breakfast (the yogurt, juice and pills) there was a little more substantial activity.  At the risk of being indelicate (there is nothing delicate about being a Caregiver), it is still at the stage where manual help is needed.  With that lovely image in mind, you can appreciate my excitement when things come out on their own and Dr. Oz’s S appears.  We are not yet back to that wonderful normal.  At this point I am hopeful that in a couple of days we will be there.

Of course I cannot know where this will go, but my intention is to methodically do all the things we have normally done in the past as they are possible.  My hope is that by Tuesday, a week from leaving the hospital, normal will have returned.  Whatever is so by then will probably need to be established as our new norm.

My need to establish a norm of some sort, any sort, comes from the way I am wired.  When I get a set of expectations in mind, it is tough for me to incorporate changes very quickly.  Since retirement, the rewiring is in progress.  By removing almost all commitments, there is space and time to adapt to whatever changes come without the added stress of failing to meet those commitments.  When we went to the hospital, there were a few appointments (dentist, doctor, among them) to be changed, but nothing for which I had to find substitutes or burden others to do for me.

Even though things can change dramatically at any moment (as in Saturday’s entrance into the hospital), the norm is where my pivot foot rests when I turn to meet the unplanned, unexpected.  Unlike Michael Jordan in his best days, I cannot hang in the air for very long without a place to stand.

In a moment of devotional time last evening, I read this prayer.  I receive a weekly email from the National Catholic Reporter web site with a devotion by Fr. Ed Hayes.  (Yes, they allow Lutheran Pastors on their site.)  I have appreciated his writings for decades, and I had the privilege of doing a marriage ceremony with him many years ago.

I need prayers for flexibility!

A Psalm of Flexibility

By Ed Hays
Created Nov 06, 2009

O spirit of God’s eternal springtime heart,
grant me the virtue of elasticity.

Make my heart as boundless as my Beloved’s heart,
which at this moment is creating
new galaxies and infant suns.

Make me pliable and playful with your Spirit
as you teach me the alchemist’s recipe
of how to keep my heart’s skin
like baby’s skin, ever-expansive,
able to hold the wildest of wines.

Stir my mind well with your sacred spoon
to awaken the fermentation of ideas
stilled by the ten thousand little compromises
required of me by the stiffness
of the old leathered skins of society and religion.

Gift me with elastic frontiers of heart and mind,
so I can see before my eyes,
both in the heavens and on earth,
how old and ever-new are those partners
passionately dancing together
in the perpetual birthing of your universe.

From Prayers for a Planetary Pilgrim by Ed Hays

The Spiritual support I receive through Ed’s writings, through the Taize Music from their site, from Weavings, a spirituality journal, through Scripture, corporate worship and the Spiritual Formation Group that meets at our house weekly, helps provide the source strength that has allowed survival so far.

There are many wonderful folks who give personal support to our household.  Yesterday afternoon, John called and asked to come over for a time to talk.  John has been a support for very many years.  Mary, our friend who schedules Volunteers, had let him know that things were getting a little hard to handle at our house.  Yesterday, Edie, the leader of our Spiritual Formation group emailed about the possibility of bringing dinner over.  Don and Edie came over and we feasted on lasagna, salad, gourmet bread, some Shiraz red wine, topped off with apple crisp and vanilla ice cream.  Mary Ann slept through supper, but ate a big bowl of apple crisp and ice cream later in the evening.

It is now about 1:30pm and Mary Ann is still sleeping soundly.  She has had two rounds of the meds that come at two hour intervals during the day.  To administer the meds, I put my hand under the pillow, lift her head, put them in her mouth, hold a straw to her mouth and she drinks until the pill(s) are down.  Often, when I give her the pill(s), she gets up from napping.  The last few days when I let her head back down, she just goes back to sleep.  It has not been unusual in the past for her to continue to sleep, just not so many times in a row.

She finally got up and dressed around 2:30pm.  She ate a little more, then provided some unaided intestinal activity worthy celebration.  She went back to bed at about 5pm.  It is 9:30pm now.  She is still sleeping.  We will see how the night goes.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

November 4, 2009

Home From The Hospital.

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Finally!  We came home around 3:30pm today.  While the staff at the hospital was wonderful, and Mary Ann had excellent care, the dementia has increased dramatically.  Physically, she is fine.  We are back to normal, riding the margin between heart issues and Autonomic Nnervous System issues (fainting due to sudden drops in blood pressure).  It is not, of course, where we would choose to be if we had a choice, it is just what is so.

From the very first sleepless night, the first night we were there, the decline has been steady.  Last night was terribly difficult.  I put up the rails on the bed so that she would not get up and try to walk by herself on a very slippery, very hard floor.  She just could not accept that the catheter allowed her to stay in bed rather than head to the bathroom.  She saw people and animals and messes here and there.  Today she described in detail a busy cluster of bees on the floor at some time during the night.

I sat beside her on her bed for fifteen minutes to a half hour a number of times during the night.  At one point when she was awake, in the middle of the night, I checked my watch to see how much time there was between the need for me to get up and respond to her or help her.  The time was usually between ninety seconds and two minutes.

I realized that if we were required to stay another night, I would need to arrange for a paid companion so that I could get some sleep.  The constant nighttime needs are more than I can handle and remain rational, patient and helpful, after just two or three nights like last night.

Talking with the doctors helped clarify just how important it was to get back home to a stable routine and familiar setting.  They agreed that the additional tests being considered would not serve any real purpose.

While there were differing opinions by the two doctors and the Physician’s Assistant, two out of three felt that there was no compelling reason to expect more vulnerability to Congestive Heart Failure than there has been since the first bout five years ago.  We are going to return to our pattern of life to the degree the dementia will allow.

Mary Ann decided to go to bed at 5:30pm this evening. She has been up and down a a few times already.  Of course, I won’t know how tonight will go until morning.

I had mentioned in passing to one of the nurses that I appreciated having all the folks at the hospital with the care recognizing that Mary Ann and I would pretty much be on our own to deal with the aftermath when we got home.  I suspect she mentioned it to the Social Worker at the hospital who came in to talk with me before we left.  It is the norm that a Hospital Social Worker will check to see what if any needs there might be when a patient goes home.  This time the questions indicated some extra effort at listening to our situation.

The Social Worker mentioned that the nurses had spoken well of the care being provided Mary Ann.  Since I am no longer in a role that provides opportunity for external validation it was especially meaningful to hear those words of affirmation.  The Social Worker seemed to feel very good about the support system we have, from family and the congregation.  She sees folks who have little or no support as they try to care for a Loved One.

The day tomorrow is a full Wednesday.  It will be interesting to see how Mary Ann does with all that will go on.  I am going to continue our activities based on the assumption that alertness and the ability to track will return and the hallucinations will diminish. It that improvement does not come, we will adapt.  It is what we do.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

 

 

October 29, 2009

Fourth Day: Still Doing Well in Hot Springs

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Finally!  Chocolate Wednesday!!

Yes, it began with a breakfast sundae.  It was not quite as decadent as it sounds.  The first layer was yogurt with home made granola mixed in.  Then came the strawberries, whipped cream and chocolate drizzled over the top.

Next came the plate with herb roasted potatoes, sausage patties and a breakfast strudel, which is a pastry shell filled with an egg and veggie center.  Who would have imagined such a thing?  It was wonderful!

The highlight was the Innkeeper’s 4pm table of treats.  The wines are always well chosen, red and white each day.  There were Halloween cookies, crackers and three kinds of cheese —  then, of course, the chocolate covered strawberries.  The chocolate was unusually rich and tasty.  The Godiva Chocolate Liquor with a touch of caramel was too wonderful.  It is good that liquor glasses are tiny.

The timing was perfect, since we had enjoyed a light midday meal a couple of hours earlier from the new in-house menu.  A chicken salad sandwich on a toasted croissant for Mary Ann, and bowl of tomato basil soup and a salad of field greens with a balsamic vinaigrette dressing for me.  It was served to us in the dining room where we could look out the windows and the gardens and the lake as we had a quiet meal.  The food here has yet to disappoint.

As we looked out the window, Mary Ann called my attention to the surface of the lake.  I have heard and used the word shimmering many times.  I now understand more fully what it means.  I guess it was the angle of the sun that combined with just the right movement of the water that produced almost blindingly bright sparkles on the water — as in diamonds, real ones.

Today was a spectacularly beautiful, warm and sunny day.  We sat for a while this afternoon on the patio by the fountain.  Mary Ann began reading a book she picked up at a Walgreen’s yesterday afternoon.  I read a bit from the Spirituality journal called Weavings.  Most of the time I just sat and soaked in the setting.

I had just a moment’s realization of the significance of our having this time sitting together.  There was a flash to a time that may come when sitting next to her will no longer be an option, when I may be sitting alone.  It was not a deep and sad feeling as much as it was an appreciation of what we are now able to enjoy.

As she read, I took some time to walk through the garden on the stone path that wound through the blooming Azaleas, going across stone bridges over the stream created by the fountain and waterfalls.  Some wonderfully colorful butterflies moved from blossom to blossom, a Monarch, a black Swallowtail of some sort, a yellow Sulfur butterfly.  There were lots of bees wandering in and out of the blossoms.  When I walked along the lake, there was a turtle  hovering at the wall.  It was just a very pleasant afternoon.

We have enjoyed meeting lots of folks.  One couple mentioned that their daughter’s wedding was just two weeks earlier.  She was married in South Carolina.  I asked where in South Car0lina she had been married.  They said something about Cliffs and Glassy, and we filled in the blanks.  Their daughter was married in the same beautiful little chapel in the mountains north of Greenville, South Carolina, in which our Daughter, Lisa, was married.

It has pretty much never failed that asking other residents at the B&B where they are from has initiated a conversation that produced some connection or commonality.  There are people here from a variety of places, some still working and attending conferences here in town, some retired.

If there was no other common ground, often the mention of being a retired pastor began the path leading to the discovery of something in common, or something of mutual interest.  Two are active pastors, another is the daughter of a pastor, another has a brother who is a Franciscan priest (just switched to Diocesan for the sake of getting a pension), one plays guitar at his large Cowboy Church in South Texas.  One shared a tragic story of the death of her Son-in-Law when her daughter was pregnant with their first child.  It is a reminder of the depth and breadth of the experiences that lie behind the faces of those we encounter.   It is good to be in a setting in which we are all moving slowly enough that we can take time to make some discoveries that allow us into each other’s lives if only for a moment.

Mary Ann is down for the night (I hope).  We will eat breakfast in the morning here, load the van and head for Eureka Springs to stay the night so that we won’t have too long a trip back.  There are storms predicted for the day both here and in Eureka Springs.  We will take our time and stop whenever we need to.

Again, we are grateful for some good days.  We can put them in the bank.  Tomorrow will bring whatever it will.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 28, 2009

Third Day: Still Doing Well – in Hot Springs

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Hooray, the we saw light from the shining ball of fire in the sky late this afternoon.  We did not see the ball, but discernible evidence of its presence.

This evening after dark, I sat on the patio again by the waterfall/fountain/pond, looking at the bright moon and nearby planet.  Am I a wildlife magnet???  Maybe five feet away from me, a small possum just wandered by from the shrubs on one side of the water feature, across the cement patio at its edge, and headed on through the shrubs on the other side of the water feature, showing himself at various times as he lumbered along.  I guess the sound of the waterfall distracted him and it was dark enough that he just didn’ t notice me.

We had a good day.  It started out with the Lookout Blend of a really nice, medium roast coffee (clearly a certain percent of dark roast beans in the blend).  Next came the juice, again a blend — equal parts cranberry and orange juice.

That was followed by roasted plums with creme fraiche.  What a wonderfully sweet treat it was.  There were ribbons of caramel that cradled the plums before the creme fraiche was poured over them.  Both of us left those dishes ready for the next use — no washing needed since there was nothing left in them.  We refrained from putting the dishes to our mouths and licking them clean.  We didn’t want to give Kansas a bad name.

Following that came the plate with a large slice of warm veggie frittata with a very tasty salsa with which to add still more flavor.  There were sections of polish sausage sitting on the plate next to the frittata.  They were complemented by freshly baked hot biscuits with butter and three kinds of locally made jam to be slathered on.

It is just plain cruel to describe in such detail the lavish breakfast we had today, but then I never claimed to be perfect.  This is actually just an attempt at helping each of you understand the commandment about coveting so that you can do a better job of avoiding it.  Aren’t you grateful?

After relaxing for a time here, checking out together the library and reading room and sitting area in the large sun room, spending some time on the patio in spite of the chill of the cloudy day, we headed into Hot Springs.

As we neared the main part of town, it had been long enough since breakfast that we thought we might eat a little something.  Mary Ann remembered from our last trip a little European style deli that we had visited.  I had a vague memory of where it was, but she remembered the exact name of it, Cafe 1217 (its street address is 1217).  With a little help from our GPS unit (Helga) we found it.

There are glass cases there with the various food items in view.  There is a dessert case, a veggie section, salad section and entree section.  The ordering is done at the counter.  Names are called and patrons come to the counter to get a heavy ceramic plate with the food items on it.

We ordered one piece of Honey BBQ Salmon which we split.  We each picked a side to accompany it.  Mary Ann picked the Caramelized Apricot Sweet Potatoes, and I picked the Grilled Ratatouille Vegetable Salad.  The cases were filled with foods that were out of the ordinary.  Apparently, the menu changes each month.  There were autographed pictures of a number of famous folks who had eaten there.

Then we spent almost an hour in one of the better art galleries in the area.  Hot Springs is one of the top five communities in the nation known for the fine arts.  In describing all the various events, the owner talked about the film festival, drawing thousands.  Then he described the music festival, that brought people from all over the world.  A woodwind ensemble practiced in the gallery.  The acoustics are alive in that old building with a ceiling two stories high, hard surfaces everywhere throwing the sound back on itself.  Hearing him describe the experience stirred memories of singing in old cathedrals in Europe over forty years ago on a choir tour.

The art work was moderately priced for good art.  The prices for the same pieces would have been much higher in other places in the country, but they were still in the thousands of dollars.

One artist, Randall Good, has a close connection with the Blue Moon Gallery in Hot Springs.  His work is powerful.  He was commissioned about eight years ago to do fourteen large paintings of the Stations of the Cross.  The result of the years of work was impressive.  The folks at the gallery explained the process by which he made the medium on which the paintings would be done, with the medium becoming a part of the final piece.

After hearing descriptions of the process that has brought each piece to completion and his creative journey as it is unfolding, it is apparent just how complex a painting can be.  In years past, when I looked at art pieces, I saw them as pictures to be observed.  Hearing so much about the living dynamics of each piece gives me new eyes with which to see.

It has helped my ability to experience more when I view an art piece to have had a gifted friend named Milt Heinrich, who has served for many years as the head of the Art Department at Dana College in Blair, Nebraska.  He also served for many years as part of the Arts Council [may not be the correct designation] for the state of Nebraska.  He was commissioned to do the huge wall sculpture at one end of the Omaha Airport.

Access to Randall Good’s web site can be found by Googling the Blue Moon Art Gallery in Hot Springs, Arkansas.  There can be found is a link to his site.

It is so odd that I have come to enjoy the visual arts.  I know virtually nothing about great art.  I am one of five children.  Three of us are gifted in the ability to draw beautifully.  Two of us are Pastors.  Oh well — same gene pool.  I guess Dick and I just stayed in the shallow end.

After the art galleries (we visited a second one for a time), we headed back to the B&B.  There we were, of course, greeted by freshly baked coffee cake and cookies, red wine, white wine, cheese and crackers — the Innkeepers daily 4pm offering.

Mary Ann is settled in bed, hopefully sleeping soundly.  While we don’t have specific plans for tomorrow, it is Chocolate Wednesday!  Wait till I tell you about the breakfast sundaes!

That is for tomorrow.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 27, 2009

Second Travel Day — Not too bad

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I am at the computer in the upper lobby of Lookout Point – Lakeside Inn in Hot Springs, Arkansas.  We made it!  As always the last hour or two includes lots of winding two lane roads, but we are here and settled in.  Mary Ann is sleeping soundly.  At least she was when I left the room.  The television show “The Closer,” which is pretty much her favorite at the moment, is on the television, so if she does wake, she should be content.

While we ended up here past the time of the afternoon wine, cheese and freshly baked sweets, it was still out.  We both enjoyed a glass of wine, some cheese and a homemade Macadamia nut cookie.

After bringing in all our clothes and paraphernalia, getting Mary Ann changed for bed and settled in bed, I headed out to forage for some snacks.  There are endless goodies available in an area off the downstairs lobby.  I wandered through the library and glanced at some of the books.  There is a great section on Spiritual Formation.  Mary Ann and I will check out the videos together some time tomorrow.

After a trip through the small reading room which is an area with comfortable chairs and a fireplace, I looked around the large sitting area that includes lots of games as well as space to just sit and look out of the windows at the bird feeders, the garden and the lake.

Then I headed out to the patio to sit under the overhang to avoid the rain, while listening to the fountain/waterfall and look at the lake framed by the lights on the other side.  Numbers of Canada geese squawked loudly periodically as I sat soaking it all in.

The trip from the motel in Shawnee, Oklahoma went reasonably well.  The first two and a half hours was on Interstate 40.  In spite of construction at various times, the traffic was light and we made great time.  The weather was overcast but dry for most of that first half of the trip.

From Fort Smith to Hot Springs is a little more challenging and at the same time more interesting.  It was raining lightly throughout the rest of the trip.  There was never enough rain coming down to create any problems in driving.  What the weather did provide were some spectacular views of clouds covering the tops of some of the taller Ozark hills and spilling down the sides among the trees.

There were times when we looked at thick white clouds just about even with us in elevation.  Some were close to the road as we passed.  The cloudy weather muted the fall colors, but sometimes the colors were visible, contrasting with the white of the brightest clouds.

The trees close to the road as we traveled were very colorful.  What was most striking to me what the contrast between the colors of the deciduous trees and the deep green of the conifers.  The green was darker and more vibrant because of the contrast with the palette of colors interspersed between them by the changing leaves of so many different species of deciduous trees.

One treat that will be appreciated by those of you who are Caregivers.  At one point, we stopped for a break after a long time driving.  I can’t really remember the last time we stopped at a Pilot Truck stop, but that is what seemed most promising when we needed to stop.  The treat was that as we were checking the restroom situation, a staff person happened to be nearby.  He asked if he could help us find anything.  I explained what we were doing.  He responded by offering to get a key to one of the showers for us to use.

What a Godsend!  The little shower room had a toilet stool in it and just enough room to maneuver the transfer chair and get Mary Ann’s needs met.  I will now keep the Pilot Truck stops at the top of the list of places to take a break.  There was also a Wendy’s attached to the building, so we were able to get a snack to keep us going for the rest of the trip.

All in all, we seem to be off to a good start.  As always, anything can happen, good or bad.  We will hope for the good and deal with the bad!

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 23, 2009

A Good Day. Visitors from England.

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Robin and Margaret are such a joy to be around.  They are cousins to Mary, a good friend, as well as the one who gives so generously of her time scheduling Volunteers to be with Mary Ann.

While it seems impossible that it has been so long, it was seven years ago that they were here last.  We joined them for dinner at Mary’s home the last time they visited.  It is so refreshing to talk with people who see the world as the place where we all live together.  They have tried to make a major trip each year to places like India, China, and places whose names I don’t remember.  Of course they often visit Europe.  Robin described a breathtakingly beautiful spot in Austria where they visit extended family.

Talking with them sparks an awareness that we are citizens of the world, not just our city or state or country.  To talk about a sunset brings to Robin’s mind images of strkingly contrasting colors in the sky ten thousand miles from here.

I shared coffee cupping experiences.  I ground beans from the Gombe Project in Tanzania — of course, grinding them in the burr grinder and making the coffee in the Technivorm coffee maker from Holland — brewing at 200 degrees, waiting for the coffee flavors to bloom in the hot water before breaking the crust of the brewing grounds and only then allowing the coffee to drip through at a slow pace into the thermal decanter.

Robin talked about their monthly wine tasting parties at which they try to guess from where the wine they are tasting has come.  He loves surprising them with wines from places that would never be imagined to produce good wine.

We shared some of the freshly pressed apple cider from the Louisburg Cider Mill we had visited earlier in the week.  A couple of days ago I went to a local coffee shop, whose baker is especially gifted, and bought a dozen cinnamon raisin scones.  We had the scones with the freshly brewed Gombe Project coffee.  While the scones were quite different from the English scones, Robin and Margaret seemed to enjoy them.

Margaret was excited to see the red squirrel feeding on the back deck.  She was thrilled with the Blue Jay that came by in his fresh winter look after the late summer molting.  It was fascinating to talk about the birds and discover just how different the birds are that frequent our respective feeders.

Mary Ann was doing very well, and clearly enjoyed the conversation even though she was not able to participate fully.  It was a good day that we both enjoyed.

An update on the raccoon relocation project:  The trap was out, set and baited the last two nights, but there was no sign that the raccoons visited the deck either night.  There were rain and some storms both nights.  Maybe that discouraged them.  There is fresh bait tonight and no rain at the moment.  We will see what tomorrow morning brings!

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 21, 2009

Raccoon Trap is Set!

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Here we go again.  Tim says it is not Belle and the twins who have returned.  It is a new family that has moved in.  Tim’s conclusion is based on two things: One is that they could not have made it back from so far and crossed the Interstate to do it.  The second reason is that his reputation as a trapper extraordinaire would be injured if it were.

As expected, the return of the raccoons and the conversation about it has sparked Mary Ann’s expectations for seeing them in the bedroom at night.  When we arrived at the bed in preparation for lying down, she looked down to the floor along side the bed to see if she could see little feet — raccoon feet.

Assuming that we accomplish the goal, I can only hope that the trapping and relocating of this little raccoon family will remove that hallucination from the library. After we completed the task of trapping and relocating five raccoons a few weeks ago, while the hallucinations didn’t cease, there were fewer including raccoons.

Today continued to be a pretty good day.  Mary Ann did well at her morning Bible study group.  She spent much of the afternoon with a friend while I ran some errands.  They were on the deck for an hour or so on this beautiful day — something Mary Ann rarely does.  This evening another Volunteer/Friend spent a couple of hours with her.  It is especially satisfying to me when Mary Ann has had a good day and time with others.  It is tough for her to be stuck with me for long periods of time without a break.  Of course, I also appreciate the breaks.  Having time apart improves the quality of our time together.

By the way, that infernal Alien from planet Pedometer Prime that is trying to take over my body managed to send me outside to walk three times today!  This is crazy!  The little device he manipulated me into attaching to my belt says I took 17,581 steps today.  On top of that, the walks brought great pleasure since the day was spectacular.  What a devious plot this Alien is perpetrating.

Gratefully, so far I have successfully frustrated his consumption of my flesh.  By eating large quantities of meat and potatoes, chips, and sandwiches and anything else I can lay my hands on, I have reclaimed the a pound or two of the flesh that he had consumed in the last week or two.  Whew!  That was a scare.

The assessment of the condition of my body in preparation for the exercise and weight control program this Alien presence forced me to join was scheduled for tomorrow.  Maybe the power of the Alien is weakening.  The appointment was written down for the wrong day and had to be rescheduled to a day a couple of weeks from now.  Maybe I will be released from this evil possession before then.

I will report the progress on this round of the raccoon relocation project as soon as there is some.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 20, 2009

Good Quality Days — One Scary Moment.

Posted by PeterT under Daily Challenges, Help from Others, Meaningful Caregiving, Practical Tools for Coping, Therapeutic Activities | Tags: , , , , , , , , , , , , , , , , , |
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The weather was predicted to be spectacular today.  I wanted fresh cider and cider doughnuts from the Louisburg Cider Mill.  The drive is a wonderful one, lots of country scenery.  I warned Mary Ann early today of my plan.  She said okay.  Understand the Cider Mill is an hour and a half from our house.  I had in my mind that it was only an hour.

The plan was realized and we spent three hours on the road for a couple of cider doughnuts and a cup of cider.  We did bring back a dozen apples, a jug of fresh cider and some licorice, one of Mary Ann’s favorites.

Along the way, we got to spend a little time at a family farm tended by Doug and Marikay.  What a beautiful spot, fields, woods, a pond, and a newly built little cottage.

Saturday we had gotten to spend some time with our Son Micah, Daughter-in-Law Rebecca and Granddaughter Chloe, who live about an hour away in the Kansas City area.  We went to church with them and the ate with Micah and Chloe while Becky enjoyed time with a friend.

That quality time was followed by my Sunday morning trip to the Lake for a long walk on a newly discovered pathway, providing sights and sounds, entertaining descriptions posted on periodic stands, along with great weather.  Mary Ann enjoyed time with a Volunteer/Friend, who washed her hair and treated her nails, providing some refreshing personal care.

After a little football, we were treated to some creative and engaging arrangements of choral music and piano music by a talented composter/arranger named John Leavitt.  I had had the joy of getting to know him through an informal interview when the congregation I served was looking for a full time musician.  It was a pleasure to attend the concert/hymn sing at a local parish.  John has a remarkable ability to take something that could sound trite and tiresome from so much use and make it new and fresh.

The scary moment came just before we were to head out the door and leave for the cider mill.  We were returning from the pre-trip bathroom visit.  She had shifted into one of her eyes-closed modes as I walked her into the living room.  She was not moving well, so I asked her to stand still for a moment while I went the six feet or so to get the transfer chair and pull it beside her.

I saw it happening, but I couldn’t reach her to stop it.  The scene moved almost in slow motion as she move out of balance toward the end table, shifted direction, guided by the front of the couch and her head slammed against the back of an old wooden mission rocker as she cumpled to the floor.

For a moment, I thought this was the dreaded fall that would take her to the hospital, maybe producing a more damaging stroke than the last one.  I was sure, at the very least there would be bleeding that could not be stopped due to the regimen of Plavix and Aspirin.

I held her head and felt the knot.  There was no bleeding.  As I held her, I asked if it hurt terribly.  I was most interested in hearing if she could respond coherently.  To give her the words with which to respond, I asked the usual, “on a scale of one to ten” question.  At that point she said it was a nine.

I was just glad to hear her respond.  I held her for a while, then asked if she wanted a pillow so that she could rest on the floor before getting up.  She said she did.  While the norm would be to try to have a person stay awake after a head trauma, she was talking very coherently.  She had already, before she fell, switched into tired mode — usually followed by a nap.  I had asked her then if she wanted to nap, but she still wanted to go.  Now, as she lay on the floor, I thought she would need to rest for a while.  Already before she started her nap, she said that her head did not hurt any more.

The usual pattern is for her to sleep two hours when need for a nap hits.  This time she rested for less than an hour.  When I got her up from the floor, she decided that she still wanted to go.  That is when we left for the cider mill.

I have said it before.  I will say it again.  This woman is made of iron!  Twenty-two years of Parkinson’s, multiple heart attacks with two of the three main arteries on her heart completely blocked, a life-threatening bout of pneumonia, a stroke, the onset of Parkinson’s Disease Dementia (a Dementia with Lewy Bodies), flirting with stage 4 (of 5) Chronic Kidney disease, leaking heart valves, Pulmonary Hypertension, too many falls to count, and off we go on a three hour trip to the Cider Mill for a cup of cider and some cider doughnuts.

She will probably outlast me and end up dancing on my grave.  Yes, she still dances.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 17, 2009

Caregiver Driven to Healthy Behavior!!

Posted by PeterT under Daily Challenges, Meaningful Caregiving, Practical Tools for Coping, Sources of Strength, Therapeutic Activities | Tags: , , , , , , , , , , , , , , , , , , |
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I almost won this morning.  The alarm went off and I hit the snooze button.  The same thing happened ten minutes later.  I was on my way to shedding this awful presence by the Alien from Pedometer Prime.  Then, somehow, before I was fully conscious of what was happening, I discovered that I was out walking the neighborhood again!  Will it never end???

I have to tell you now something that will make you cringe wih fear.  You need to know in case this happens to you.  If it could happen to me, it can happen to anyone.  As I prepared to shower, I stepped on the scale, something I do on occasion for no good reason other than to be confident I am still capable of weeks of survival, should I be stranded without food.

To my horror, I discovered the truly evil intent of this Alien presence.  It is a flesh-eating Alien!!  There!  The truth is finally out.  Somehow in the time since the Alien took possession, it has managed to eat two to three pounds of my flesh!!  I am not sure what to do.  At supper last night, I ate far more than one person would need to survive a day or two.  The Alien did snatch from me the Sheridan’s Concrete last night as it drove me to walk still another time yesterday.

I keep trying to consume adequate nourishment, but he is consuming my flesh faster than I can consume food.  This is serious.  I need to keep my ab firm.  Most people say ab’s and have what they call a sixpack.  I have chosen to get my abs in bulk instead of wasting all that packaging.  I have one ab, of substantial size and I intend to keep it.  The Alien is putting it at risk!

What shall I do?  What shall I do?

I have now determined just how this Alien presence got hold of me.  I mentioned in passing an interest in developing healthier behavior in front of one of Mary Ann’s Volunteers.  Tamara became an unwitting tool in the hands of the Alien.  At the Library’s annual used book sale, she came upon a book called “The Volumetrics Eating Plan.”  She bought it and gave it to me.  Neither of us knew the plot that was afoot.  In that book, it suggested getting something called a step counter.

Somehow the Alien drew me to Dick’s Sporting Goods.  I don’t do sports!! I listen to music and feed birds.  What could possibly have possessed me to enter a Sporting goods stores.  Well, the Alien, of course. I bought the device and clipped it to my belt.  Clearly it is some sort of sophisticated mechanism receiving signals that provided a path for a full possession of my body and my will by the Alien from Pedometer Prime searching for a human host.

Do you know what that little device, that step-counter is called?  Yes, a pedometer!  That’s it.  There is not even any subtlety about this invasion.  Pedometer Prime brazenly calls its tool for possessing humans a pedometer.  I am entranced by the little numbers, trying to increase them.  It is simply overpowering.

I haven’t given up yet.  My aversion to exercise, my utter lack of discipline, my love of food will eventually win out — won’t it?

On another note, Mary Ann slept well last night. Shortly after noon, before she ate lunch (we watched a movie this morning and she ate an entire box of Raisinets), she simply could stay awake no longer.  She has been asleep for over an hour.  The norm is that she will sleep at least two hours.  It will be interesting to see how the night goes.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

October 16, 2009

Quality of Life Is a Prime Consideration

Posted by PeterT under Daily Challenges, Information on Parkinson's, Meaningful Caregiving, Practical Tools for Coping | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Her head is hanging over the side of the transfer chair resting on the table next to it.  I suggested that she go to bed, but she insisted on staying there for another half hour.  That half hour will be up in a few minutes.  I wlll take a break and get her into bed in a moment.

After a restless beginning last night, sleep finally came and stuck around.  There were only a few commode trips after she finally settled.  She chose to sleep in until about 9:45am.  That rest seemed to help her alertness and responsiveness.  She has often put her head down on the table today.  I think the restless nights and early mornings have finally caught up with her.

I am heading off to get her to bed now.

She is in bed and already appears to be asleep.  It is too early to tell, but I certainly hope she sleeps well.  She needs the rest.

When the phone rang this morning it was the call I was expecting from the Cardiologist’s Nurse.  She had in hand the reports from the echocardiogram, the carotid sonogram and her blood work.

The call was another encounter with realities that are not visible.  Probably the most serious concern is the increase in the severity of her Pulmonary Hypertension.  That is the disease that took the lives of those who had taken the diet medication called Phen-Fen (sometimes designated in reverse, Fen-Phen).  Pulmonary Hypertension has been a part of the array of Mary Ann’s diseases for the last two to three years.  It is a funcion of the high blood pressure, which is, of course, raised by the Midodrine.  Any treatment would involve medications to reduce her blood pressure, bringing on the return and probably increasing the frequency of the fainting spells.

As last summer’s posts reveal, the fainting spells lower dramatically our ability to function.  Gratefully, both Mary Ann’s Cardiologist and her Neurologist understand the dilemma well and respect our decisions on how to proceed.

As I mentioned a number of posts back when reflecting on the report we had received on her blood work, her kidney function also has declined in the last six months.  She is now only one point away from Stage 4 (of 5 stages) of Chronic Kidney Disease.  A couple of years ago, her Nephrologist agreed that any treatment would lower her blood pressure, creating the same problem as the treatment for the Pulmonary Hypertension.

The Cardiologist’s Nurse said that the lesion in her left Carotid is still not past the 50% mark, which is the point at which the need for surgery comes into play.  She mentioned that there is a build up on her right side also.  I don’t remember whether that has been mentioned before.

The Nurse confirmed that there is leakage in more than one heart valve, including the Mitrovalve.  That regurgitation seems to have worsened some, but the language of the tests was not clear on that issue.  At our last appointment with the Cardiologist six months ago, the leakage was not bad enough for the surgery option to be up for consideration. There are also enlarged chambers in the heart, especially the left Atrium.  That problem has worsened.

All of the above has been factored into our consciousness at some point already in the past.  Hearing the results of the tests bring it all to the surface.  My questions always probe the rate of change.  This set of test results seem to indicate a more pronounced decline that in the past.

I plan to fax the Neurologist to probe further any treatment options for the fainting that might not raise the blood pressure.  At one point he mentioned an off label use of a drug called Mestinon.  The Cardiologist was unfamiliar with it and unwilling to prescribe it at that point.  I may try to get them to talk with one another about that or other options.  Getting doctors to talk with one another is not always an easy thing to accomplish.  They are both good doctors — maybe it can happen.

On the matter of the quality of life and the health of this Caregiver, the power of the Alien possession is now getting scary.  This is the Alien from planet Pedometer Prime who, as in the movie the Body Snatchers, is trying to change me into some sort of walking, exercising pawn.  This will frighten you.  Mary Ann and I made an afternoon run to the store for something.  Afterward, I offered to get some ice cream.  We went to Sheridan’s Frozen Custard for a what they call a concrete.  The one of choice is made with chocolate frozen custard with pecans mixed in.

Here is the terrifying development.  As we approached Sheridan’s, the Alien simply took possession and overpowered my will to eat ice cream.  Those of you who know me well (or have been following this blog) understand just how horrible this was.  I got Mary Ann a concrete as described.  Then the Alien took over the car and drove it to Cedarcrest where I walked the path while Mary Ann ate her treat.  It is a miracle we made it safely.  I certainly had no control over that car or, at the very least, we would have veered left at 17th and headed for Maggie Moo’s.

If that is not horrifying enough, the Alien had already forced me out to walk in the neighborhood early (for me) this morning while Mary Ann slept.  Keep alert, you never know when one of those Aliens will try to take you over too!!

By the way, Mary Ann actually said she liked what I made for supper tonight.  There were a couple of pork chops in the fridge recently thawed and needing to be cooked.  We had some red potatoes, onions and fresh broccoli in the there also.  I cut up the potatoes and veggies and put them on a foil covered cooking sheet (I hate cleaning pans).  We had some Hendrickson’s dressing and marinade that we have used in the past and liked.  I tossed the veggies in it.  Then to make the food preparation easier, I put the pork chops in a baking dish and covered them with the same marinade.  Both dishes went in the oven (375) for almost an hour.  I really liked the meal, but then I like everything.  Mary Ann only ate the meat, but volunteered at one point that it was good.  There is such a feeling of victory when something has passed muster with those finicky taste buds!

Just in case the Alien attacks again in the morning, I had better settle in for the night and get some rest.

If you want to write a comment about this or any of the posts on this blog, look to the column on the right side of this page, titled “Recent Posts,”  click on the name of a post and you will find a box at the end of that article in which you can write a comment.  Clicking on the title of the post you are reading will accomplish the same thing.  Comments are appreciated.

 

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