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Two More Issues

As I indicated in my previous post, “Not everything goes as well as I would like”. On Tuesday, I was reminded of that again. We got off to a good start when she awoke early and seemed to be in a good mood. Over the course of the morning, however, she experienced what I described as a pain in her right leg around the knee that was affected by her stroke almost two years ago. She has not been able to straighten it since then.

I am used to the fact that she periodically lets out a scream or yell which is an unmistakable sign of pain. Fortunately, the pain appears to go away almost immediately, and she is perfectly fine. That morning was different. The pain seemed to go away after she screamed; however, her screams were repeated more than five times over a period of a couple of hours. She was fine after that.

When I returned home after lunch, she was happy to see me. She got along well until it was about time for us to go out for our daily ice cream and then dinner. She had been happy and more talkative than usual, but she began to talk more rapidly. Her smiles turned to expressions of agitation that conveyed she was bothered by something.

I put on some music that is usually calming for her. It didn’t work quickly, and I suggested to the caregiver that we give her some ice cream. We did, and it worked. A few moments later, we left for our normal trip downstairs for ice cream. I decided if any signs of agitation reappeared, we would come back to the apartment. Fortunately, she was fine after that. One of our residents stopped by to speak to her. She is always looking for a smile or verbal response from Kate. Most of the time, she is disappointed, but not that time. The result was that she stayed and talked with us 20-30 minutes before it was time for us to leave for dinner.

I was relieved that we didn’t have any more surprises, but I do wonder if these recent experiences are just isolated issues or whether we might see more things like this in the days ahead. Like so many other things, time will tell.

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Not Everything Goes As Well As I would Like

My previous posts about our caregiver situation are signs that not everything goes the way I would like it. The fact that we have had 39 different caregivers since our previous Monday through Friday caregiver had to resign for health reasons is an indicator of a serious problem. Fortunately, that continues to get better. We now have someone who is with us each weekday except Tuesday. We are still looking for someone for that day.

Kate continues to have “Happy Moments” despite her having to adapt to the different ways that each new person handles the various aspects of caregiving. One of those occurred recently when I arrived home after lunch. She was glad to see me. I spent quite a while with her talking about her family. Music was playing in the background, and I started singing or humming to her. She was enjoying herself so much that I took a dozen or more videos of her. Each one is a treasure that I have enjoyed sharing with family and friends.

Later in the day and the next morning, I was reminded that more unpleasant things can also happen. Shortly after we ordered our dinner that evening, she became very agitated. At first, I thought she was responding to a pain in her right knee or leg. That is the one that was affected by the stroke she had almost two years ago. She hasn’t been able to straighten that leg since then. The caregivers and I are most sensitive to that. It makes it hard to dress and undress her as well as getting her into and out of her bed and into a chair. The problem for Kate is that she experiences moments of pain. We always know about it because she lets out a loud scream or yell. It is usually over as quickly as it comes, but this time she remained agitated, so we asked the server to prepare our meals for carryout and went back to our apartment. It wasn’t long before she was calm again, but this was unusual. It was the first time I felt the need to leave any public place because of a problem like this.

The next morning she had a panic attack. This is not the first in recent months and followed the pattern of at least two others. She seemed to be frightened. That fright was expressed in her facial expressions as well as a vocal response I couldn’t understand. She was hot, and her skin was clammy. I did what I had done before. I turned on some music that I know she likes. In this case, it was “Edelweiss. I got in bed beside her and sang along with the music. I played it several times in succession and then drifted to “True Love.” In a short time, she was calm again.

Considering everything, we have lived joyfully since her diagnosis in 2011, but we do have our “ups and downs”.

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Making a Good Recovery

Most of my posts reflect a positive attitude about “Living with Alzheimer’s.” My self-perception is that I am an even-tempered person who is upbeat and calm even during life’s ups and downs; however, I have recently focused on the unusually high degree of stress I’ve experienced since the loss of Kate’s primary caregiver on November 9. Four weeks later, we had 29 different caregivers. It’s now been eight weeks, and the total number of different caregivers is 36. That is an average of almost five new caregivers a week. In addition, there have only been 11 out of 49 days when we had just one caregiver for eight hours. One weekend, we had 4 caregivers on Saturday and another 3 on Sunday. As a result, I have not been as upbeat as I usually am.

The good news is that I am making a good recovery. Part of the reason is that the number of new caregivers in a given week has declined significantly. Even more important is what I reported in my last post. One of the new caregivers has chosen to help me by volunteering to come three days a week (Monday, Wednesday, and Friday) during January and February. As I indicated in that post, that removed a major source of frustration, but there is more.

Her first day was January 1. Several weeks had passed since she had been with us, and I had forgotten how much I liked her. Yesterday was her second day, and I feel even better. She seems to be better than other caregivers we have had over the past three years. She has the basic CNA (certified nursing assistant) skills and a caring and compassionate personality that I value. She is also pleasant to have around.

To top it off, Tuesday we had another new caregiver (number 36 since November 9) who was excellent, and she will be back tomorrow. I don’t know about her long-term schedule, but it would be wonderful if she could come on Tuesday and Thursday when our Monday, Wednesday, Friday person is not available. It may not be quite as good as having one person five days a week, but it comes very close. Everything may turn out to be even better than it was before the loss of our previous person. I am hopeful.

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2024: Off to a Good Start

As my regular readers know, the last part of 2023 was the most stressful time I have experienced since Kate’s diagnosis on January 21, 2011. On November 9, the caregiver who had been with us since the first of August left us because of health problems of her own. Over the next four weeks, I had 29 different caregivers. That was the only time I had experienced that during the six years I have had in-home care for Kate.

The last two weeks of December were better. At year’s end, we had had 35 different caregivers since November 9. We began 2024 with a significant improvement. We have a person who has agreed to be here every Monday, Wednesday, and Friday through the entire months of January and February and, hopefully, for the rest of the year.

She is someone I liked the first time she came a few weeks ago. I was excited when I saw that she was on the schedule. When she arrived, I thanked her for her commitment. I was stunned and touched when she told me that she made her decision because she felt bad about my having so many different people and knew that was difficult for me.

The day went very well. I was especially impressed by the fact that she remembered several things that I had told her were important to me. Not everything had gone as well as either of us had wanted on her first visit almost two months ago, but she arrived determined that everything would go smoothly. It did.

It is still too early for me to get overly excited but it looks like we may have found someone who will be even better than the previous ones who have been with us for more than a few months.

I should add that I recognized long ago that my active involvement with Kate’s care is not something that not all caregivers appreciate. It means they are under my watchful eye, and I often have suggestions regarding her care. I have learned that most husbands in my position leave quickly when the caregiver arrives and return just in time for her to leave. In my case, I assist each caregiver with the process of getting Kate dressed, out of bed with a lift, and getting her something to eat before I leave for lunch. I am rarely gone for more than three hours of an 8-hour shift.


As we begin the new year, I feel optimistic that we will find someone else to fill in on Tuesday and Thursday. That means I will have four caregivers to cover all seven days of the week instead of the three I had before; however, that should be a piece of cake after the events of the past two months with almost forty different caregivers. Things are looking up.

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My Best Christmas Gift

As we approach the end of this Christmas season and the beginning of a new year, I am feeling grateful for many things. Most of all, I am grateful that Kate is still with me and that we continue to experience “Happy Moments” together. They come and go as she experiences different moods throughout the day, but I come to expect them at some point every day. Christmas Day was like that.

She was still asleep when the caregiver arrived at 11:00. After getting her up and ready for our Christmas buffet at 1:00, she was still quiet. She remained that way for the balance of the day. I call this her “neutral” time because she expresses little emotion.

I have also grown accustomed to very nice evenings with her after the caregiver leaves at 7:00. I wasn’t sure that night would be one of them, but I got in bed with her right after my shower and turned on a YouTube video of “Christmas in Vienna” from 2008. We attended that very concert. That led me to reminisce with Kate, and I extended that to include many other experiences we have had during the Christmas season as well as other special times throughout our marriage.

As I talked, Kate perked up and began to smile. This continued for almost an hour until it was time to call it a day. She never said a word during this time, but her facial expressions conveyed her happiness and her love. Most of the day hadn’t been that special, but it ended beautifully. Her smile, facial expressions, and holding her hand made all the difference. It was a beautiful way to end another Christmas Day together. That was my best Christmas gift.

Two nights later and again last night, we had very similar evenings. I know moments like these may seem trivial, but they mean the world to me at this stage of her Alzheimer’s. They are part of why I say Kate is my greatest source of stress relief.

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Something Funny

Among the many things for which I am grateful is the support and encouragement I receive from my family and friends. One of those friends called me Sunday morning.

As noted in an earlier post, I got my first hearing aids about a month ago. Since then, I’ve been learning how to use the app that came with them. So far, things have gone well. One of the things I like is the connection of phone calls to my hearing aids. Generally, it works like a charm, but I encountered a problem with my friend’s call.

When the call came in, I was listening to music. I didn’t think it was too loud, but I couldn’t hear my friend very well. At first, I thought it was because the music was coming from my phone, and the phone couldn’t handle two audio signals simultaneously. Then I realized that the music was really coming through my audio speakers, not my phone.

As my friend began talking, I tried to determine what I could do to hear him better. I opened the hearing aid app on my phone and turned up the volume from 1 (the lowest except for zero) to 15 (the highest). It helped, but it also increased the sound of the moving air coming from our apartment’s heating and cooling system.

I picked up the phone with my left hand and raised the phone to my ear. I could hear him better. I thought my friend’s voice must be coming from the phone and not my hearing aids. Then I tried a second time with my right hand, and I couldn’t hear him any better.

I thought about asking my friend if he would hang up and initiate another call, but I didn’t want to break the flow of the conversation even though I was missing much of what he said.

The noise of the airflow was making it difficult to hear, so I thought of a place where the air wasn’t moving. Ah hah, a closet. I went to the closet in our guest bedroom that is loaded with stuff I didn’t have room for in any other place. That included an old Hoyer lift to get Kate in and out of bed or her wheelchair. I purchased a new one about a year ago and stored the old one.

I walked into the closet and closed the door. I forgot to turn on the light, but I remained in the dark closet with the rest of the “stuff”.

I found that I could hear my friend pretty well, and we continued the conversation which lasted 40 minutes. As we were winding down to say goodbye, I rested both of my forearms on the arm of the lift that is the height of my shoulders. When I did that, my friend’s voice was much louder than at any other time in our call. I looked to my left where the sound was loudest. It was coming from my watch. In other words, I had accidentally answered the phone from my watch; therefore, our entire conversation had been via my watch. I told my friend, and we ended our call with a good laugh. A nice way to start the day.

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Sources of Stress in My Life as a Caregiver

I participate in three different support groups for caregivers. In virtually every one of the meetings, people talk about the various things they find stressful.

Most of the conversations in the groups with which I am involved deal with the frustrations caused by their loved one’s behavior. One of the most common is repeating the same questions over and over. Another is the loved ones’ denial of the diagnosis and the refusal to cooperate when the time comes to issues like giving up the keys to the car, needing a walker, or willingness to accept a caregiver. The frequency with which the others are mentioned varies a good bit with the individual situations and the stage of the dementia.

At present, I believe my greatest source of stress relates to Kate’s in-home care. I emphasize “present time” because I depend more heavily on paid help now that Kate requires total care. When caregivers are sick or have other personal issues that prevent them from being on the job, it is stressful for me.

These situations have always occurred periodically since I first engaged paid help six years ago in September 2017. In the beginning, this was a minor issue. For the first three years and two months, the caregivers’ responsibility was simply to be a companion for Kate, and we had help only three days a week for four hours a day. If a caregiver was late or unable to come, it was not a big problem.

Life is very different now. For almost three years, Kate has required Total Care. Without help, I can’t get her dressed, out of bed, and into her wheelchair. I need help more than ever.

That leads me to another problem – getting someone who can come regularly. For the past two-and-a-half years, we have been fortunate to have two different people who were with us for eight hours a day Monday through Friday. One of them was with us for a year and a half. The other left after a year. To cover the weekends, We have had two people who alternate weekends. One of those has been with us two years this month, the other person has been with us for close to a year.

Four weeks ago, our latest Monday through Friday caregiver developed a health issue of her own and had to resign. The agency that provides our caregivers has had trouble finding people who would commit to a full 8-hour shift. As a result, they have divided the day into two shifts of 3-5 hours. Since then, we have had 28 new caregivers. On top of that, one of my regular weekend people called two Saturdays ago to say she couldn’t come. Another new person came to take her place. That makes 29 new people in four weeks.

I am working hard to maintain a cool head, but I have to admit that it has been quite stressful.

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Health Aids and Technology

Since moving into our retirement community, Sarah and I have had more than the usual contact with people who have a wide variety of health issues. I have to admit that we have our own to deal with. Sarah’s primary problem is her Alzheimer’s, but she was also hospitalized with Covid three years ago and had a stroke two years ago in February.

I’ve been relatively fortunate. My biggest problem has been dry eyes which makes reading a challenge. For the past two or three years, my hearing has also become a problem. Like so many things, I found it easy to postpone taking any action; however, my hearing has deteriorated during the past year or so. It has been especially difficult to hear the speakers at my Rotary meeting and other large gatherings. Even in a group of one or two friends at lunch, I’ve found it hard to hear.

I finally decided to take action. After speaking with several people about their own experience with hearing aids, I called a few places for an appointment. I quickly discovered that I wouldn’t be able to get in right away. When our son and his wife were here a few weeks ago, I went with them to Costco. I was able to set up an appointment for the following week. Within two weeks, I had my hearing aids.

The next step is getting used to them. Upon leaving the hearing office at Costco, I was immediately struck by the noise in the store itself. As I walked to my car in the parking lot, I heard a loud crashing sound behind me. When I looked, it was simply a man and his wife pushing their cart with their purchases. Then I passed a couple about twenty feet away who were putting their items in their car. I could hear every word they were saying.

At home, I hear lots of noises I hadn’t noticed before. Simple things like water flowing from a faucet and taking items from cellophane wrappings are much louder now. I guess I shouldn’t be surprised that my own voice is the loudest voice I hear. After all, I am closer to the mike than anyone else. I had been missing more than I thought. Some of those I could live without. The good news is that I can hear, and I am told that my brain will adapt to these new sounds in a month or so. I hope that’s the case.

It wasn’t much of a surprise to learn that current technology has had an impact on getting and using hearing aids. That began with the initial hearing test itself but has become a new addition to my daily living. That involves two new devices to charge. The hearing aids themselves require a daily charge, and they also come with a portable charger that needs to be charged every few days.

Of course, the hearing aids come with an app for my phone. That allows me to raise and lower the volume, and block out (not perfectly) sounds behind, in front, or to the right or left of me.

In addition to my hearing aids, I am now wearing a heart monitor for a month. I am hoping this is just an irregularity in my watch and phone, but the monitor should soon provide an answer.

This began a month or two ago when I noticed that (according to my watch) my heart rate made a number of unusual changes during my exercise on the seated elliptical. Normally, my exercising heart rate ranges between 85 and 100, but I noticed a few occasions when it would jump to 135, or 155, and twice 195. I thought this was peculiar for a couple of reasons. First, I hadn’t observed changes of this magnitude before. I also thought the changes were dramatic enough that I should have felt something, but I didn’t. As far as I could tell, my heart rate had remained within the limited range my watch had measured previously.

At a regular appointment with my doctor, she referred me to a cardiologist for a heart monitor that I am wearing for a month that ends next week. This involves two devices. One looks like a mobile phone and is called the monitor. The other is the sensor that is attached to my chest. The sensor is connected to the monitor by Bluetooth. The monitor transfers the data about my heart via Wi-Fi to the company that owns the monitor. They forward the information to my cardiologist.

As you might guess, this involves more devices that have to be charged. The monitor needs to be charged daily. The sensor requires a 4-5-hour charge every five days. As a result, I now have to charge 8 different devices – my computer, my phone, my iPad, a Bluetooth speaker, the hearing aids, the charging case for the hearing aids, the heart monitor, and the sensor. At least, I live in an apartment where the utilities are included.

One of the nice things is that that this is a completely wireless system. That allows me to take a shower without taking off the monitor. That assumes I don’t drench it. A few splashes are all right. I should say that devoting my attention to technological issues keeps me from worrying about any negative health news I could receive based on the data being collected. At this point, all is well.

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Not Everything Goes Well

In my previous post, I described “An Extraordinary Day” with Kate. In many posts prior to that, I have discussed other “Happy Moments” in our lives. Monday, we had an experience that was the opposite.

One morning several months ago, I walked into our bedroom to see if Kate might be awake. She was, and she looked very frightened. When I got closer, I could see that she was hot. Her skin was clammy. I took her temperature, and it was normal. She was very agitated. I took her blood pressure, and it was 190/100.

That led me to call the doctor who came to our apartment accompanied by his nurse. They also took her vital signs and got the same results. It didn’t seem as though she was ill. They remained around for a short time, and she calmed down.

Several years ago, Kate experienced delusions and hallucinations periodically. Most of the hallucinations were not unpleasant at all; however, there were occasions when she was frightened in the morning. It was easy to spot even though she wasn’t able to tell me what bothered her.

My interpretation of her problem was that she woke up without knowing where she was, who she was, or who I was. On a couple of occasions, she asked, “Who am I?” I dealt with that by getting into bed and comforting her. I explained who she and I were and where we were. Mostly, I just lay there holding her hand and saying comforting things.

Nothing like that had happened in years, but the doctor and I decided she had had a delusion of some sort and was simply scared. The intensity of her reaction was much greater, and, afterward, I wondered if we might see more of this in the days ahead.

Nothing like that happened again until Monday morning. The symptoms were the same as they were before. She looked frightened. She was hot but did not have a temperature. Her skin was clammy, and she was agitated. Her blood pressure was 195/104. This time I didn’t call the doctor. I got in bed and moved close beside her and tried to comfort her. I also put on some soft music that I know she enjoys. About thirty minutes later, she was calm. She was fine the rest of the day. In fact, she had “Happy Moments” the rest of the day, but will this be something she experiences again? Right now, there is no way to know, but time will tell.

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An Extraordinary Day

Once in a while, I highlight unusually positive experiences that I call “Happy Moments.” I use the word “moments” to emphasize that the experience is not usually long-lasting although it can occur over several hours.

On a typical day, Kate doesn’t express much emotion until the afternoon. She rarely says a word until after 2:00. This past Friday was very different. It began about eight o’clock in the morning and lasted until she fell asleep around 8:30 that night. It was a day filled with “Happy Moments.”

Kate generally sleeps late. Sometimes, she is asleep when the caregiver arrives at 11:00. Recently, however, she has waked up as early as 7:00. At 8:15 Friday morning, I checked on her. As I approached the bed, I could see that her eyes were open. I have a little routine that I follow each day when I see that she is awake. I say, “I think I see Kate. Yes, it is Kate. She’s my Texas gal. I’m so glad to see you.” Then I remind her that we started dating in our senior year of college, fell in love, and became engaged a year later. I go on to tell her that we’ve been married sixty years, and have two children, and five grandchildren.

Sometimes, but not always, she smiles. That day she smiled and started talking. She has aphasia, so I couldn’t understand much of what she said, but, as usual, I tried to play the role of facilitator saying things like, “Really?” “Tell me more.” “That’s interesting.” From that point, I got beside her in bed, and we began to talk. She dosed a few times, but we talked on and off until the caregiver arrived at 11:00.

A new person was filling in for our usual caregiver, so I wasn’t sure how Kate might respond to her, but she was fine as I left for lunch. While I was gone, the caregiver walked Kate around the hallways in her wheelchair and stopped to visit with residents in a couple of places. I learned later that she had been smiling and talking with other residents who had stopped to say hello.

Friday afternoon I had coffee with a longtime friend. When I arrived home, I went directly to the café where the caregiver had taken Kate for ice cream. I walked up behind Kate. As I looked around to see her face, she gave me a big smile. That happens frequently but not always. When it does, it warms my heart.

From there, we went to dinner in the community dining room where she always receives a lot of attention from the staff and other residents. She remained cheerful and talkative the entire meal. I can’t tell how long moments like these will last, and this time I was in for a surprise. She remained the way she had been all day until I turned out the lights around 8:30. It was an extraordinary day, unlike any I have seen before. I treasure moments like these.