Our Sunday

Yesterday morning Kate got up to use the bathroom about 7:00 and went back to bed. I was in the bathroom when she got up. She was quite cheerful and seemed more awake than usual, especially at that hour. When she hadn’t stirred by 11:30, I checked on her. She was lying in bed awake. We spoke to each other, but she didn’t seem as clear-headed as she was earlier. I asked if she were confused. She said she was. I said, “I think I could help you? Would you like me to start with who I am?” She said yes, and I said, I am Richard Creighton.” She said softly, “I know that.” I said, “Do you know I am your husband?” Again she answered, “Yes.” “Do you know you are Kate Creighton?” She also knew that. I decided to go in a different direction. I said, “I have an idea. I think if you get up and we go to lunch, you’ll find things will clear up. We’ll have a nice meal and a good dessert.” Then I suggested the first thing would be to take a shower and that would help to wake her up. That’s what she did. Although she wanted some guidance from me, she still expressed a little independence. She didn’t want me to help her out of bed or to the bathroom. She just wanted me to tell her where the bathroom was.

Following her shower, she got back in bed but she didn’t seem confused at all. By the time she had rested a little longer and gotten dressed, it was after 1:00. We got to Andriana’s shortly after 1:30. She was particularly concerned with Frank Sinatra’s name yesterday. We had been there only a few minutes when she pointed to his picture and asked him name. That was the first of many. One time when she asked his name, I said, “Frank Sinatra.” She replied, “Frank Sinatra. You’ll probably have to tell me again. What’s his name?” She wasn’t kidding.

We were back home a little after 3:30 and spent the balance of the afternoon relaxing by a fire in the family room. Not too long before dinner we had a nice phone call from our son, Kevin. Then we went to dinner and returned home where I watched the Patriots and Chiefs game. She worked on her iPad until just before 10:00. It was a nice day.

Getting Back to Normal

As I expected, we had a rather quiet day yesterday. Kate slept until almost 11:00. She was in a good humor and smiled at me when I walked to her bedside. At first, I felt that she must have known me. I asked if she were hungry. She was and wanted her clothes. I pointed them out on the chair right next to the bed. She asked me to help her up. She sat up on the side of the bed. I got her clothes. As she started to dress, she looked up at me and said, “Who are you?” I told her my name. Somewhat hesitantly she said, “Are you my husband?” I told her I was.

When she was ready to go, we went to lunch. The only question I recall her asking was the name of the restaurant. I can’t be sure that she remembered my name and/or that I am her husband. She didn’t ask.

After lunch, we came back to the house where we relaxed almost an hour before going to get our hair cut. Apart from one small incident, she didn’t seem confused. That occurred after the stylist cut her hair, and I took my turn. I had given the iPad to her in the waiting area while I went to the back of the shop. In a few minutes, she came looking for me. She indicated that she didn’t know where she was to go. The stylist told her she could stay in a chair near me or that she could go back to the waiting area. I couldn’t hear exactly what was said, but Kate ended up staying in the waiting area where I had originally left her. I think that she had forgotten where I was and just needed to know.

The rest of the day was rather laid back. We came home and relaxed for a while before going to dinner. When we returned home, I watched the evening news while Kate worked on her iPad. Kate went to bed early but did not go to sleep. I was up later watching the first half of the Baylor/Vanderbilt game. When I got in bed, she was still awake. Much of the time she had been in bed running her fingers through her hair. She said that she was “making progress.” Otherwise, she seemed perfectly normal and didn’t get up at all during the night.

Miscellaneous Happenings Yesterday

Yesterday Kate got up after 12:00. I wasn’t troubled by this since we were going to Flat Rock, North Carolina for a Christmas show that started at 8:00. That is the latest event we have attended in almost two years. I knew she would need as much rest as possible. She had no trouble getting up. She seemed to recognize me and was in a good humor but not ready to engage in conversation. After her shower, she thought I was trying to rush her as she was getting dressed. I was actually trying to avoid rushing her, but I moved too quickly explaining the order of the apparel I had put out for her. She snapped at me. Then she apologized. I said, “That sounds more like the gal I know.” She said, “I was taught to be polite.”

In the car on the way to lunch she worked harder than I ever recall to learn my name. She repeatedly ask me my name almost the entire time we were in the car. She never seemed frustrated, just intent on getting it right. She finally said, “That’s enough. I’m not going to remember it right now, but I will later.” We went through the same thing with her name without the same degree of repetition. Once inside the restaurant she said, “I think we are a perfect match.” I told her I agreed. She didn’t ask my name again.

On the way to Flat Rock, I had the radio on to the news. She was attentive to what was said but couldn’t understand it. She kept wanting me to explain what they were saying. A number of times she said, “You’ll have to explain this to me later.” She does this a lot when she is getting overwhelmed by information. In the early years after her diagnosis she used to say, “TMI.” Now she has forgotten that acronym.

Once we arrived in Flat Rock, we spent about an hour in our hotel room and then went to dinner with our friends. She handled herself well although it was hard for her to hear and/or understand the conversation. She had to ask us to repeat what we were saying several times. She gets confused about items on the table. For example, at two of the restaurants we frequent the butter is in black wrappers. She always thinks they are chocolates. I have to watch or she starts to eat them. She’s only been successful one time and didn’t waste time spitting it out. The other times I have caught her before she puts one in her mouth. I usually remember to unwrap a couple of them put any remaining ones near me to minimize the chance of her making a mistake.

We didn’t have that problem last night, but there was something else. Three of us had either soup or salad before the meal. At the same time, the server brought a basket of small rolls and placed them near the center of the table in front of Kate. Thinking they were hers, she put the basket at her place and ate all of them along with the butter.

Keeping up with things like coats, sweaters, and gloves can be a challenge. I try to watch for these things, but I am far from perfect. Last night she wore gloves to the restaurant. As we started to leave, she could only find one. A quick search produced the missing glove under the table.

When we walked into the lobby of the theater, our friends wanted to buy CDs while we went to our seats. When they met us, Kate greeted them cordially as though we had not been together just a few minutes before.

When we were ready to leave the show, she had lost another glove. We checked with the box office and found that it had been turned in. I should also mention that she has difficulty putting on her gloves. She gets them on the wrong hands so that they are upside down.

As we walked to the car, she asked me where we were going. I told her we were going to the hotel. She was very confused. She thought we were going home. I explained that we were staying at a hotel and would go home tomorrow. She said, “How was I to know?” This is a common experience and is my fault. I know that she can’t remember anything for longer than a few seconds, but she behaves so normally most of the time I tend to forget. In this case, we had spent an hour in our hotel room before dinner. I didn’t think about the fact that she would have forgotten that we were staying in a hotel. There are also times when I assume she won’t understand when she does. It is difficult to recognize those times when she will know something and those times she won’t. I suspect I am not the only caregiver who makes mistakes like this.

Nothing Special, But a Nice Day

It’s a cool, rainy morning in Knoxville. Both the neighborhood and the house are very quiet except for some soft piano music playing in the background. I had planned for us to visit our friend Ellen in Nashville today. The weather report changed my mind. It is supposed to rain a good bit and might snow as well. Either way, I’d rather not be on the highway.

I trust that Kate and I will have another good day. We usually do. That was true yesterday. Kate was up surprisingly early (before 9:00). She had gotten up to go to the bathroom and went back to bed. I checked on her at 10:00. She wasn’t asleep but very relaxed and didn’t want to get up.

When I went back about about 10:20, she asked me what she should do. I suggested getting up and taking a shower. She said she didn’t want to take a shower. After she had been to the bathroom, she changed her mind. This was another day she wanted my help to the bathroom, toilet, and shower.

One thing was different yesterday. She knew me as her husband. She may have asked my name one or two times, but she knew we are married and mentioned things during the day that made that clear.

We were able to leave for lunch by 11:30. That made it easy to return home for the sitter at 1:00. Before she arrived, I pulled up a series of YouTube videos with Christmas music. The first one I previewed was Handel’s Messiah. I told her that was a special piece of music for us because we attended a performance of Messiah on our first date in 1961. I have mentioned this a number of times during this Christmas season, so I was surprised to see that she responded emotionally. Her eyes immediately filled with tears.

I left Kate and the sitter with the videos running. When I returned four hours later, they were still watching. Kate said, “You should have been here for the beautiful music.” Mary said that Kate had rested part of the time and may have actually fallen asleep for a little while. She couldn’t be sure.

We relaxed at home for another thirty minutes before going out for our Friday night pizza. We came back home where I watched the evening news while Kate worked on her iPad. Following the news, we watched a portion of Messiah broadcast by the BBC. It was a good way to end the day.

The Rest of Our Day Yesterday

Since our sitter was unable to come yesterday, I decided to see just how long Kate would sleep if I didn’t wake her. When she was still sleeping soundly at 11:30, I decided to put on some music. About fifteen minutes later, I checked on her. She opened her eyes as I approached the bed. I won’t know how long she would have slept, but I decided it was better to get her up. Although she sometimes takes as long as two hours to get ready to leave the house after getting out of bed, she was ready in an hour and fifteen minutes. Except for needing help getting her pants on and misplacing the underwear and socks that I had put with her clothes, everything went smoothly.  (I haven’t gotten used to the rapid disappearance of things like her underwear and socks. I looked in the obvious places around the chair where I had put them without any luck. I keep a large supply of both items. It comes in handy at times like that.) I asked if she wanted my help getting dressed. She didn’t, so I felt sorry for her when she had to ask. She still wants to be independent. That is something I understand.

We went to lunch at Panera and stayed there for about two hours before going home. When we came inside, Kate went directly to the bathroom off the laundry room. I went to the back of the house. I walked back to the family room where I expected to see her. She wasn’t there. I looked in several rooms and still didn’t find her. I called to her. There was no answer. Then I went to the living room. She was lying down on the sofa. It was obvious that she wanted more sleep. I let her stay there until 4:30. Then I decided she would be awake all night if I didn’t get her up. It turned out that she was awake although she must have been dreaming something. When I walked in, she said, “That’s funny.” I asked what was funny. She thought a moment but couldn’t remember. I asked if she had been dreaming. She said, “Maybe so.” The she asked, “Where are we?”

We went back to Panera. As we got out of the car, she asked, “Where are we?” I told her we were in Knoxville. She said, “I know that.” Then I said, “Panera.” After we sat down, she said, “I think I remember this place.” A few minutes later, she said, “You’re a nice guy. I guess that’s why I married you?” I said, “And we’ve been married 55 years.” She looked skeptical and said, “You must have been gone a lot.” Then she said, “What’s your name?” She asked me to repeat it slowly. Not too long after that she said, “I think I’ve been here before.”

From Panera, we went to dinner. She told me she was sleepy and might go to bed soon after we to home. When we returned to the house, she said, “They take very good care of this place.” Once we were inside, she commented on how much she liked the family room. She does this almost every time come back home. It always sounds like it’s the first time she has seen it. Sometimes she doesn’t recognize it as our house. I’m not sure what she was thinking last night. She asked what she should do now. I suggested she might want to brush her teeth. She said, “Where’s the bathroom?” I said, “I’ll show you” and showed her the way.

She had asked if there were something on TV that we might watch. I decided to try the DVD of Les Miserables again. This was the first time I recall that it did not get her full attention. She worked on her iPad, but put it down periodically to focus on particular songs, but it was clear that it did not grab her the way it had in the past.

Our son called, and we had a nice conversation with him. I handed the phone to Kate to answer. In previous occasions when I have done this, she has declined and handed the phone back to me. This time she accepted it and took the lead in our conversation. She handled herself well except for getting confused about what Kevin was telling her about a recent business trip. After his call, she got ready for bed but was still awake an hour later when I got in bed.

Early Start Today

Last night, Kate was tired and had trouble working on her iPad when we returned from dinner. I’m not sure her problem with her puzzles relates only to being tired. She seems to experience increasing difficulty remembering how to open her puzzle program or how to get a new puzzle once it is open. As I have mentioned before, she is also asking for my help when she has only one or two pieces left. It should be pretty easy to see where the pieces go with a 16-piece puzzle, but it is not easy for her. It is not unusual for her to ask me to finish the puzzle for her. She finally gave up trying and got in bed around 8:00. When I joined her closer to 10:00, she was awake. I got the impression she had been awake the whole time.

Around 5:30 this morning, she must have had a dream. She moved close to me and put her arm around me and held tightly. She did not appear to be awake. Neither she nor I said a word. I put my arm around her. She was very tense. As I held her, she relaxed. Since we didn’t speak, I don’t know if Kate remembered my name. The way she reached for me made it clear that she recognized me as someone she knows. I take it as another sign that she looks to me for security.

About 8:30, I checked on her. I expected her to be sleeping soundly. To my surprise, she was getting dressed. I helped her briefly, and she was ready to leave for Panera and her muffin shortly after 9:00. It’s a little like old times. As we walked in, we spoke with a couple we have seen most frequently on our visits. The man and I have connected, and each of us has missed seeing each other.  We arrived before a Bible study group from a nearby Baptist church. That gave us a moment to speak with one of their group whom we have known through musical circles in town. We also said hello to a young woman seated at the table next to ours. She is a medical student who often spends time at Panera studying. Kate went over to her, and they spoke for a few minutes. Since she didn’t get as much sleep as usual, I suspect Kate will be ready to go back home and rest a bit before we go to lunch, but we’re off to a good start.

Sleep and Our Daily Lives

Kate’s sleeping later has certainly had an impact on our morning routine. Now it seems to be encroaching on our lunch. Yesterday and the day before, it was much harder to get her up than it has been in the past. We didn’t leave for lunch until 1:50 on Saturday. We were so late that I sent a text to our server at Bluefish letting her know that we wouldn’t be there. We went to Panera instead. Then we came back to the house for the balance of the afternoon. She worked on her iPad for a while. Then she took a nap, something I might have thought she didn’t need.

After dinner, I found a YouTube video of the 10th Anniversary concert of Les Miserables and played it. While this video was not nearly as good as the 25th the music was the same, and Kate enjoyed it just as much as the one we had watched before. At my suggestion, she went to bed a little earlier than she has been doing. I thought she needed the sleep.

The big surprise yesterday was that it was just as difficult to get her up as the day before. Both days I played music and kept going back to the room to wake her. She didn’t want to get up either day. She finally consented but didn’t want to get up. We saved time yesterday since she didn’t take a shower. Still, it was almost 1:00 before leaving for lunch and almost 2:30 when we headed back home. That shortens our day quite a bit.

Despite her sleeping late, she was in a cheerful mood both days. That doesn’t mean there was any improvement in memory or lessening in her confusion. When I went to check on her yesterday, I immediately noticed that she was still in her night gown. Then I saw that she was wearing her pants as well as her shoes and socks. I quickly realized this was a replay of something she did last week. She thought her gown was the top she was to wear for the day. When I gave her the top I had shown her earlier, she said, “Can’t I just wear this one (her gown)?” I told her that was her gown. She looked a little sheepish and said, “Oops, sorry.”

We went directly to lunch at Andriana’s. Our server was unusually eager to see us. I must have neglected to let her know that we were not going to be there last week. She was worried. Then when we were late yesterday, she became even more concerned. It was nice to know that we were missed. We had a good lunch topped off with an enormous slice of a 5-layer cinnamon spice cake with a heavy butter cream icing on top and between the layers. So much for weight control.

From there we went back home where we relaxed about an hour and a half before leaving for a neighborhood association meeting and get together. This is an annual celebration in connection with Halloween and includes a short parade around the neighborhood. She was somewhat reluctant to go, but she enjoyed herself. We were talking with one of our neighbors who mentioned a new puppy that someone had brought. She and Kate walked over to two or three others who were looking at it. At the same time, I became engaged in a conversation with two other neighbors. I looked over to see that Kate was also talking with the group around the puppy. That was good to see.

A few minutes later as we started to walk back to the house, she said, “That’s a nice church.” I said, “What church is that?” She said, “The one we were just visiting.” She was obviously confused. I agreed. Then she asked me the name of our church. As we walked along the street, she commented about the neighborhood and houses along our street. She liked both. It wasn’t surprising that she also commented on the trees. She loves them almost as much as she loves music. As we approached our house, I said, “I like this white house.” She didn’t give any indication that she knew it was our house. She said she liked it as well, especially the contrast of the white with the green of the shrubbery and trees. When we entered the house, she turned very naturally to her right to enter the bathroom off of our laundry room. She wasn’t confused about that.

A few minutes later, we went to dinner. When we returned, I watched the end of the Cowboys/Redskins game while she worked on her iPad. After a while, I pulled up a series of YouTube videos of The Three Tenors for Kate while I took a shower. She was taken with the music and put her iPad down. We watched together for another hour after I got out of the shower. Then we were off to bed. Except for the slow start, it was a good day.

Slow Start Followed by a Recovery

Until the past five or six months, Kate’s sleep pattern had been fairly predictable. She used to go to bed reasonably early (between 8:00 and 8:45) and got up about twelve hours later. Sometimes she rested during the day but rarely went to sleep. The result was a predictable daily schedule for us. We almost always went to Panera and got there between 9:00 and 9:45. Even then, I avoided making any commitments before noon. Now, I find it difficult to predict when she will get up. That and the fact that it takes her much longer to get ready has a significant impact on our daily routine. We often pass up Panera and go directly to lunch.

I had to wake her again yesterday. That made four days in a row. Although she was sleeping soundly the previous three days, she got up with little difficulty. That wasn’t the case yesterday. I started playing music for her at 10:00. At 10:15, I checked on her and found that she was still asleep. I tried to wake her gently several times over the next hour and forty-five minutes. I was able to get her out of bed shortly after noon. She wasn’t ready to leave the house until 1:50 and arrived at the restaurant for lunch after 2:00.

After her shower and before we left the house, she was grumpy. She felt I was pushing her. I obviously communicated that I thought it was time to go. At one point she sternly said, “I’m getting ready.” I said, “I don’t mean to rush you. Well, I guess I really do want to rush you; I just don’t want you to feel rushed.” She laughed. I took that as a good sign. Then as we reached to door to leave, she stopped and said, “I love you.” I think that was an apology.

She was just fine and talkative all the way to the restaurant. She asked how long we had been married. When I told her 55 years, she was surprised and said, “That can’t be. I’m not that old.” I reminded her that we have a daughter who will soon be 50. She asked her name. When I gave it to her, she said, “Oh, she’s married to Greg. He’s a nice guy.” Kate has great difficulty remembering names, but she always recalls his name when I tell her Jesse’s first and last names. Then she started talking about her mother and father and how important they had been in her values. At lunch, she was not as talkative, but she did talk about our meeting at TCU and how lucky we were to find each other. Sometimes, she just says, “Thank you, TCU.”

It was after 3:00 when we got home. A little later, we went out to get our flu shots before going to dinner where we had two separate conversations with people we know. When we got home, we relaxed a while before getting to bed. Kate was in bed by 8:30, but she wasn’t asleep when I got in bed at 9:45. I’m curious to see if I have to wake her this morning and also eager to see how the visit with the sitter goes this afternoon.

Everyday Life

At Rotary yesterday, several people asked me how Kate and I are getting along. My answer is very much the same as it has been as long as I can remember. I say “remarkably well.” I believe that is just as true as it was when I adopted that as my standard answer. Recently, I have modified it slightly to say that over the past few months she has declined more significantly than in the past. Depending on the situation and the person I am talking to, I may say something like “She is now having trouble remembering my name as well as her own.” Then I add that we continue to be active and are enjoying ourselves. I think that is a reasonable summary of where we are right now. It just doesn’t fill in the details of what is going on. I try to do that in this blog.

I think yesterday presents a good picture of our daily lives. It was our day for the sitter, and Kate slept later than I would like in order for me to take her to lunch before the sitter arrived. I tried to get her up at 9:30. She seemed very tired, but she was ready for lunch around 10:45. That made it easy for her to have her lunch and get back home. She was neither very cheerful nor grumpy and not very talkative. Shortly after sitting down at our table, she asked my name. I told her. Then she said, “Wait, a minute. Say it again.” I did. She repeated it. Not five minutes later, she asked again. I told her. Over the course of the next few minutes, she asked another two times.

I told her that I would be going to Rotary and that Marilyn would be with her while I was gone. She asked me several times in a row to repeat Marilyn’s name. She wanted to know her first and last name. She was never able to remember it, but she did not express any concern about not being able to remember or the fact that I would be leaving her. Marilyn was already there when we drove up. Kate greeted her cheerfully. We chatted a few minutes. Then I told Kate I was going and would be back later. She asked what she could do. I told her she could stay at home and work on her iPad, talk with Marilyn, or look at some of her photo albums. I also mentioned Panera. That seemed to interest her. When I said goodbye, Kate gave me a dirty look.

When I got home, they were in the family room where Kate was working on her iPad. Marilyn said they did not go to Panera. She mentioned that they looked at the photo book Kate’s brother had made for her and that Kate had also taken a nap. After Marilyn left, I walked over to where Kate was seated. She said, “I’m glad you’re back.” I said, “I’m glad to be back. I like being with you.” She said, “I like being with you.” She placed emphasis on “you” as if to say “and not the sitter.” I said something about Marilyn’s being nice. She said, “She’s all right.” I didn’t pursue the discussion. I think we’ll just have to live with this a while.

The highlight of our day occurred later that evening. I should point out that our time together late in the day until we go to bed seems to be the most consistently good time we have. That may relate to the fact that I am more relaxed. By that time our routine is consistent, and I don’t have to think too much about entertaining her. We have a pleasant dinner. We come back to the house where I usually watch the news while she works on her iPad. Then I put on a DVD of a musical or something similar. Last night, I decided to go to YouTube for some of their musical performances. That turned out to be a real winner. Kate loved it. When I decided it was time for us to call it a night, she said, “It’s been a great day” several times. I also thought we had been well-entertained, but I especially liked seeing Kate’s response. We sampled an assortment of music and performers starting with the video of Kevin Spacey and Billy Joel and “The Piano Man” that I had played for Ellen on Sunday. Then I played about thirty minutes of Andrea Bocelli followed by The Three Tenors (Pavarotti, Domingo, and Carrera).

Kate’s confusion seems to be getting worse. That was expressed in a number of ways yesterday. As we prepared for bed, Kate said, “Where are we exactly right now?” At first, I said Knoxville, but she wanted a more specific answer. I told her we were in our house. She reacted with surprise. She seems to be putting more emphasis on knowing where we are now. She has asked that a long time, but it seems to be more frequent now. I can tell by other things she says that she often thinks we are out of town. At dinner last night, she said, “Are we in Fort Worth?” I mention this as another illustration that she is frequently confused, but it doesn’t keep us from experiencing enjoying life. We’re getting along “remarkably well.”

A Nice Way to End One Month and Begin Another

Good Morning. I hope it is as pleasant a morning for you as it is here. The sun is shining brightly, and the temperature is a little bit cooler. Sometimes days when you don’t do anything special turn out to be especially good. That was certainly true for us yesterday. I was pleased that Kate was up early. So early, in fact, that we beat the group of Catholics who come to Panera after mass. We spent an unusually long time at Panera. We were there 2 ½ hours. Not only that, but we spent the entire afternoon at home after returning from lunch. That was almost 4 ½ hours. It’s hard for me to remember a time when we spent more than 3 hours at home in one stretch (during the day, of course). It would have been when Kate used to work in the yard. During that period of time, she could easily spend as long as 4 or 5 hours working outside. That hasn’t happened in at least two years.

During our time at home, Kate worked continuously on her iPad. She does have more problems working puzzles now than in the past, but she feels comfortable asking for my help. Her biggest problem is accidentally getting into the puzzle store to buy more puzzles. The creators of the app she uses make it very easy to buy more puzzles. I do that once in a while to make sure she has a good supply, but it doesn’t mean a lot to Kate. She has her favorite puzzles and works them over and over, often repeating a puzzle immediately after completing it.

For a long time, I thought it was just completing the puzzles that was appealing to her. Recently, however, she comments a lot on the beauty of the colors. She has one puzzle in particular that she frequently points out to me. She likes the colors and the kitten in the middle of a bouquet of flowers.

Apart from getting herself into the puzzle store, the second biggest problem is her eyesight. She often loses puzzle pieces when they are on top of pieces that are already in place. I admit that sometimes the patterns make it challenging, but it is mostly her eyesight that is a problem. I often move the pieces she can’t see to the side where they are clearly visible. I’m going to buy her some reading glasses and see if that helps. She’s had plenty of them in the past, but they get lost or broken rather quickly.

There are also two other possible reasons she doesn’t see well. One of those is her cataracts. In discussions with her ophthalmologist, we have decided not to have surgery. That’s true at least for now, but the likelihood of surgery decreases as her Alzheimer’s progresses.

The other reason involves dementia itself. I don’t fully understand but people with dementia often don’t notice things that the rest of us would see easily. One of the best examples is that Kate often doesn’t notice her iPad that is in a bright red case. I bought that case to make it easy to find. She often looks right over it. It’s not that her eyesight is that poor. She has 20/60 vision. That would make reading a problem and also identifying the right puzzle piece, but not seeing larger objects lets me know there is something else going on.

Kate is awake but not up yet. I expect she will be soon. We have a new sitter coming today. She is filling in for Anita who had minor surgery last week. I’m not sure when she will be back, but I feel good about Marilyn. While she is here, I will get to Rotary and then to a United Way meeting. I’m hoping for another good day and believe it is likely to happen.