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Nice Family Time

Kevin had asked last night if he might come to our hotel and visit us at 9:30 this morning. I, of course, said yes. He just left. Jesse and Greg are staying at the same hotel; so Jesse joined us for almost an hour before Greg came down. It was a very pleasant visit among the five of us. Kate made only a few comments. Those were mostly in reaction to a comment I had made about people our age who are together only a few minutes before they talk about all the prescriptions they are taking or the ailments they are experiencing. It appeared that Kate felt I was making a statement about her because she said that she never did that. She went on to say that she didn’t have to take much medication. I simply agreed with her and nothing more was said.

As we went back to the room after Kevin left and Jesse went back to her room, I said something to Kate about how nice it was to spend that time with Jesse and Kevin. I also noted how nice it was to see them interacting as adults. She didn’t respond in any way. She simply looked weary. When we got back to the room, she asked if she could rest a while. I told her she could. She is in bed right now.

Yesterday while we were at Kevin and Rachel’s house, she said hardly a word. The same is true at TopGolf where we spent about two hours. It is clear that she is beginning to enter her own world. That saddens me greatly.

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Our Trip to Lubbock: Part 1

Getting ready for and traveling to Lubbock has provided me with additional information on Kate’s condition. It is amazing how much I can overlook until something special happens to alert me. In this case, I am specifically talking about Kate’s loss of short-term memory. This is a term I have used for a long time in this journal, perhaps several years. In each instance, I have used it to convey that she forgets things quickly. Looking back, I can see that the same words (short-term memory) do not communicate the same set of events. What I thought was short-term memory then I now think of us “medium-term” memory. Let me describe what short-term memory was like as we prepared for and left on this trip.

For months, I have been telling Kate that we would be going to Lubbock for our oldest grandson’s high school graduation. During the week or so before our departure this past Friday (today is Monday), I frequently reminded her that we would leave in one week (4 days, 1 day, etc.) for Lubbock. Usually I mentioned that we were going for Brian’s high school graduation. Sometimes I didn’t. In those cases, she would express surprise that we were going. Then I would remind her of the graduation.

Friday morning when she woke up, I reminded her that we were going to Lubbock for the graduation. Throughout the morning as we prepared to leave she forgot that we were going. As we walked from the car to the terminal in Knoxville, I said something about her being very trusting of me, that she probably didn’t know where we were going. I asked if she would like me to tell her. I did, and she expressed surprise.

A few minutes before we touched down in Lubbock, I told her that we were coming in 25 minutes ahead of schedule. She asked, “Tell me again where we are going?” I told her once again. For me, this was a dramatic example of her having essentially no short-term memory at all. I have heard other people talk about this, but this is the first time I have really understood how much memory she has lost.

Once here, she has been surprised that Jesse is also here although I have been telling her that as well.

Traveling itself presents its own problems. We arrived at the airport early enough to get a bite to eat before our noon flight. Kate stood beside and slightly behind me as we ordered our food. After I had paid, I turned to hand Kate her food and noticed that she was gone. I looked all around and couldn’t see her. I took our food to a nearby table and then started looking around the area. I decided that she must have gone to the restroom. As I was looking, the woman from whom I bought our food mentioned that she might be in the restroom. I told her I thought that might be the case, but that she has Alzheimer’s, and I was concerned that she would not be able to find her way back. I was very alarmed as we were in a small area; so she couldn’t go far unless she went completely back to the main terminal area. I told the woman what Kate was wearing. In a few minutes, the woman had found Kate wandering around.

This incident is just another reminder of how quickly she can get away. In the Atlanta airport, we almost had another one. We were waiting in line to give our boarding passes to the attendant at the gate before they started boarding. When the line started to move forward, I saw Kate turn around and walk away in the other direction. She had apparently gotten tired of standing in line and simply wanted to move around. The problem is that without any short-term memory, she won’t remember to come back or where to come back to. Fortunately, I was able to call her. She came back and all everything was fine.

I am beginning to feel less comfortable letting her go to restrooms. I am now reluctant to leave her alone while I go to the men’s room. This was not a problem on this trip. I did feel all right going to the restroom at Panera in Knoxville before leaving for the airport. Then I was able to go on the plane, something that she rarely does. We have two other planned trips, one to Chautauqua in July and the second to Fort Worth for our 55th TCU class reunion in October. I wonder how I will feel about traveling when the time comes.

Our first full day in Lubbock

We had a good first day in Lubbock yesterday. I slept until 6:30 which enabled me to get to the breakfast shortly after it opened at 7:00. This is the first time that I have brought breakfast back to the room instead of eating in the breakfast room. I just didn’t feel comfortable leaving her.

We are at breakfast on Monday morning. I told Kate that I had just received a text from Kevin. She said, “Kevin?” I said, “Are you surprised?” She said, “Well, yes.” I didn’t say anything more. I sent Kevin a text telling him where we are. He sent a reply, and I mentioned it to Kate. She said, “Where are we?” I told her Lubbock and that we are here for Brian’s high school graduation.

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More Confusion, Strange Behavior

Periodically, I have mentioned Kate’s confusion. I don’t know if I have mentioned her confusion regarding recycling and composting. For a number of months she has been putting Dr. Pepper cans and yogurt containers in her compost. I have been picking them up and putting them in the recycling bin. Something else that she has started doing is tearing up paper napkins that she is bring home from restaurants. When we get home, she throws them in a basket in the garage. The funny thing is that before I noticed what she is doing, I thought she was taking the extra napkins home because she likes to have them in the car. I have kept a supply of those in the car for a long time. It has become more relevant now that she has the salivation problem. She is almost always in need of paper products to wipe away the saliva.

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54th Anniversary

Kate and I returned from Asheville in time for lunch. When we got home, she immediately asked if she could pull leaves and use the clippers. She didn’t even come inside. She was out as long as she often is. I would say about an hour and a half. She came in and took a shower. She then announced that she was ready to go. I asked her where she would like to go. She didn’t know. I asked if she would like to stay at home a while and work on her iPad. She said yes and went to the bedroom where she stayed about 30 minutes.

While she was in the bedroom, I took my laptop to her and played a video of pictures from our 54 years. I had posted it on Facebook. She loved seeing the pictures. She indicated she was tired and asked if she could rest. I told her she could. Then she promptly came into the family room with her iPad. Before working on it, she lay down a few minutes and then went back to the bedroom. Then she asked if she could go to the front yard. I told her that would be fine. She has been out there about 45 minutes. She is happy.

The trip to Asheville is a bonus. Last year at this time, I never expected to be back this year. It was a good trip although Kate didn’t express much enthusiasm for anything except a chamber concert yesterday afternoon. I was quite surprised and pleased by that. Kate did enjoy being at the Haywood Park Hotel. It was clear that she did not remember it at all. She took it all in as though it were the first time there

I was somewhat uneasy at night. I am aware that she got up during the night when I did not hear her. To the best of my knowledge, she did not try to leave the room except the first night. The security latch prevented her from leaving. I heard her and got up and brought her back to bed. Each morning when she got up, she looked quite confused. I suspect I may see more of that this weekend when we are in Lubbock.

I continue to believe Kate is going through a transition to a much deeper stage in her illness. Time, of course, will tell. I am still planning on our going to Chautauqua in July. That is only 5 weeks away. I imagine things will be quite different there. I fear that she won’t be as interested in attending the lectures session as she usually is. In fact, last year she didn’t attend most of the afternoon lectures. I went alone. I am not sure about doing that this year. I am getting much less comfortable about leaving her alone.

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Good News

After the past couple of days I was a little concerned about how Kate would respond to the Chamber concert today. As it turns out, she loved it. We had seats on the third row in the center of the orchestra. The artistic director is outstanding. His humor and enthusiasm bring a lot of life to something that many people consider a drag. What is even more surprising is that the first two pieces (out of a total of only three) the group played were contemporary pieces with all the characteristics that are implied by “contemporary.” If we had been listening on the radio, we would have quickly changed stations. As it was, we were both engaged. I think we were heavily influenced by the opening commentary about the pieces as well as being so close to the performers who were outstanding. It was truly an excellent performance.

An interesting sidelight is a story told by the percussionist. Among the instruments he played today was the vibraphone. He said that when the group had their first rehearsal last week, he was surprised at the sight of the vibraphone. When he examined it further, he discovered it was the very same instrument on which he took his first lesson on the vibraphone many years earlier.

Let me also take a moment to repeat something I have said before but seems like it is becoming a stronger habit, Kate’s asking my permission to do things. About thirty minutes ago, Kate asked me if she could close her eyes (that rest) for a few minutes. I told her that would be fine. Shortly thereafter, she got up and went to the bathroom to brush her teeth. When she returned to the room, she asked if she could use her iPad. As always, I told her that would be fine. I do realize that by telling her that it is all right may reinforce her emerging habit. I do, however, sometimes say they she doesn’t need my permission. In this case, I did tell her that I didn’t want her to think I want to control everything she does.

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Thinking About the Future

Since Kate’s diagnosis 6 years and 4 months ago, I have contemplated the future and what life would be like. At that point, I never imagined that we would be able to do and enjoy life so much. Today I am beginning to see more clearly that time when we won’t be able to do so much. In fact, that time is really upon us.

The first time I can recollect feeling that way was on our Caribbean cruise in January 2016. I had signed up for that cruise as a test to see how Kate would do before committing to a longer Mediterranean cruise in May of that year. I discovered that Kate did not seem to enjoy the cruise. As I recall, she didn’t attend but one night of the entertainment after dinner. That is something she has always enjoyed in the past. I think she also found it challenging to be with different people at dinner each night. Fortunately, she continued to get along well once we were home. I cancelled the Mediterranean cruise reservations.

Over the past six months or so, I have noticed, and expressed in this journal, that she seems to be getting less pleasure from movies than she did in the past. There have been notable exceptions. For example, she loved Hidden Figures that was about the team of African American women mathematicians working in the US space program. More recently, she has been getting less out of other types of performances. I was really disappointed when we had to walk out of Der Rosenkavalier starring Rene Fleming this past Saturday and another local theater performance a day later.

We are in Asheville to celebrate our 54th anniversary. I have kept our schedule to a minimum. We’ve only had tickets to one event each of the three days we are here. As I mentioned earlier, we ended up not attending a concert yesterday. It turns out that we have spent our time mostly in the hotel and eating several nice meals. Even that has been rewarding for me. I think it is clearly less rewarding for Kate. I have the feeling that she would be happier at home where she could work in the yard in addition to her iPad.

At this moment, she seems contented. About 15 minutes ago, she was getting tired of sitting in the lobby after breakfast working on her iPad. I asked if she would like to go back to the room. She said she would. As we approached the room, we saw that the maids were about to go in and clean up. We told them to go ahead. We came back to the lobby where we are sitting on a sofa. It is rather comfortable. We have reservations for lunch at 11:30. Following lunch, we are attending a chamber concert. Then we will come back to the hotel to pass more time before dinner this evening at a restaurant that is very near the hotel.

We leave for home in the morning. I would like to have lunch first and then go home. We’ll see what happens. It probably depends on how early Kate is up as well as how eager she is to be home. The last time we were here (September), we ended up going home after breakfast and eating lunch in Knoxville. I suspect that is what we will do this time.

We leave for Texas on Saturday. I hope that the travel this week does not cause added confusion while we are there.

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In Asheville

This year I have planned an unusually leisurely few days while in Asheville. A year ago, I had done somewhat the same. At that time I was not expecting to be here this year. We are fortunate this has worked out. I have great difficulty imagining, however, that we will return next year. As I have noted in other posts, I believe she is feeling further detached from all that is going on around her. That makes the total experience for both of us less rewarding than it has been in the past. On the other hand, we are able to enjoy meals out and catch a few performances. I enjoyed Waiting for Godot yesterday. Although Kate did not feel the same way (She said, ”This was not my kind of play.”), she never seemed bored as she sometimes does; so I feel it worked out.

This morning I noticed that the door to our room was not fully closed. It appeared that she had tried to open the door and was stopped by the security latch that I had engaged last night. One of the things that scares me a bit is the possibility of her leaving the room at night without my hearing her. I don’t believe she can operate the security latch. At the same time, I never know; so traveling like this has a few extra stressful times.

We are both enjoying being back at the Haywood Park Hotel. As we walked up to the front desk, the woman on duty recognized us and greeted us by name.

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Thoughts in the night

Kate and I are in Asheville at the Haywood Park Hotel where we are celebrating our 54th anniversary . We drove in yesterday about 11:30 and had a nice lunch. Then we came back to the room for a couple of hours before taking a stroll around the downtown area where we visited a couple of bookstores.

It is 3:00 a.m. I woke up almost 45 minutes ago and haven’t been able to go back to sleep. I had forgotten to leave a light on before going to bed last night. I got up and turned the light on in the bathroom. That gave me quite a jolt imagining how Kate would have felt if she had waked up in a strange dark room.

It’s not that there have been any dramatic changes in her condition, but she continues to decline little by little. She has displayed more signs of confusion lately. Each time she does something unusual it reminds me that even I begin to believe she is doing better than she is.

This is not the first time that I have waked up in the middle of the night and let my thoughts wander thinking about her and how we will handle the future. I have something of a panicked feeling thinking about leaving her alone when I go to various meetings. I really need to make contact with an in-home service soon. I still plan to utilize the services of our housekeeper at the start. Recently I asked her to come on a Monday when I had a Rotary meeting. She has two Mondays a month when she could do this for me. That is the only regular meeting that I feel I must continue. I can skirt around the others for church, United Way, and the foundation.

I am going to stop now. I will continue my thoughts tomorrow. Right now I want to try to get some sleep.

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Forgetting Family

For quite a while I have noticed that Kate often does not recognize people in photos. I have attributed all of this to challenges with her vision. An experience this week has made me question this conclusion. While at Panera the other day, I showed her a couple of pictures of our grandchildren, Brian and Heather. They were pictures that Rachel had posted on Facebook. The pictures I showed her were very clear and large enough that she should have been able to tell who they were, but she had no idea.

For me this was one of the “wake-up” moments when I recognize that her memory is worse than I normally believe. It also reminded me of two other recent experiences. One was after a visit with Ann and Jeff Davis a couple of weeks ago. We had had a good visit. As we departed in the car, she asked, “What are their names again?”

The other involves another grandson, Randy. Jesse sent a text the other day with a picture of him with his new braces. She didn’t recognize him. I didn’t think that much about it at the time because it was a close up taken with a phone; so there was some distortion that could have confused her. That may be what caused her not to recognize him, but I wonder if she is just forgetting the visual images of people who are close to her. I don’t mean to suggest that she has forgotten that she has grandchildren and how many she has. More specifically, I think this is a forgetting of what they look like. I should note that they all live out of town; so we don’t see them on a regular basis. We see the ones in Lubbock about two or three times a year. The same is true for the twins who live in Memphis.

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Short-term Memory, Confusion, Dependence

Although I have mentioned for months (years?) that Kate’s short-term memory is going, my words are unable to capture how poor it is. For example, yesterday she put her yard clippers in the right hand side pocket of the passenger door. I asked if she thought we could remember where she had put them. She said, “I’ll remember.” Then she paused a second and said, “I don’t even remember right now.” I probed, and she hadn’t remembered.

We also had one of our more common experiences yesterday. This time it was she who was talking about someone. Then I said something about that person. She didn’t know who I was talking about and, once again, thought that I was being unclear.

Some confusion is not new, for example, she still asks if we are “staying here” tonight. Yesterday she also showed me her clippers after coming inside and asked what I wanted her to do with them. I told her she could keep them in the garage where she usually keeps them. It was clear that she didn’t remember. I asked if she would like me to put them up. She did.

Along with the confusion, she is giving up some of her independence and frequently asks for permission to do various things. Most often that means working outside. It also occurs in the evening before we go to bed. She is usually in her chair and I in mine. A typical example would be that she asks, “What do you want me to do now?” I might answer that it is getting time for bed and that she could put on her night clothes. Occasionally, she really surprises me during the day when she asks that question. Sometimes I tell her she could work on her iPad. Then she does. Since she works on it so much, it always seems strange that she would accept my suggestion as though she had never thought of it herself.

On several recent nights, she has either asked if I would get her a night gown or readily accepted if I asked if she wanted me to get her something to wear to bed.