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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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Christmas Eve in Memphis

Yesterday Kate and I drove up to Memphis to spend Christmas with our daughter and her family. We came in late in the afternoon and just about an hour before going out to dinner. Following that we returned home where we watched The Grinch that Stole Christmas and a portion of Disney’s version of A Christmas Carol. It was a nice evening

Today has been leisurely for Kate and me. Although we both woke up around 5:00, we went back to sleep, and I didn’t get up until almost 7:30. Kate remained in bed an hour or so longer

Jesse worked on the preparation of a cheesecake for our dessert tomorrow and a shrimp salad she was preparing for a drop-in at her neighbor’s across the street. We all went to lunch at the old train station there. It was a delightful ride over and back with a lunch that was quite good.

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Summary Notes on Trip to Texas

We are nearing the end of our trip. Here are a few observations of things that have happened.

Kate has been confused about when and where we are going the entire time. Fortunately, she has not been frustrated or depressed., but she keeps asking me where we are. I know that has been a special problem because we have been going from one place to another visiting family and friends. We flew into Dallas where we visited two childhood friends, one of mine, Carter Owens, and one of hers, Meg Wright. Then we drove to San Angelo where we are stayed two nights with Kate’s brother, Ken, and his wife, Virginia.

From there we went to Lubbock to spend Christmas with our son, Kevin, and his family. Then we drove back to Fort Worth where we visited one of Kate’s cousins and his wife. We also made a day trip to Waco to visit the Magnolia Market that has gotten so much attention on HGTV. Considering all of this travel, it is not too surprising that Kate has been confused.

When she has had the opportunity, and she did almost every day, she has rested in the morning and the afternoon. She has also gone to bed at a decent hour. Only the first night in  San Angelo did she get to bed late as did I. That is a good thing. She has needed her rest.

One afternoon we called Laura Williams, a high school friend of Kate’s. She was uneasy about what to say to Laura when she got on the line. She didn’t want me to leave her alone in the hotel room to make the call to Laura without me. I stayed.

In a number of conversations she asked me to tell a story to others instead of telling it herself. She seems to remember the gist of stories but can’t remember enough details to relate them to others.

One of those stories goes back to the days of our dating. It involves a phone call that Kate’s grandmother took one night. As I recall the story, when the person asked for Kate, her grandmother (a very proper person) said, “She’s not here. She’s at a dinner party at the funeral home.” Recently Kate has been telling it as a call her mother received and that her mother said to the caller, “She’s not here. She’s at the funeral home.” One night at dinner with a former professor of mine she said that her mother received a call for her and her mother said, “She’s not here. She’s gone out of town with Richard to pick up a body.”

One morning in San Angelo before Kate came to the breakfast table, Virginia whispered in my ear that she really felt for me in terms of what we are going through. I told her we had been fortunate so far but that the tough times lay ahead. She nodded in agreement. I know that she is observing Kate’s behavior closely since Ken also has Alzheimer’s having received his diagnosis about three years after Kate.  That is about the same difference in their ages.

During the trip even this afternoon and evening she has expressed some irritation with me. This afternoon it involved shopping at the Magnolia Market in Waco. I told her she needed to set some priorities on what she bought because we were flying home tomorrow and would not have room for a lot of things. She also got annoyed when I was about to reach the checkout counter after waiting a while in line. Kate had wandered around. I saw where she was and called to her to come to me. She was irritated. We have not had a lot of moments like this, but they occur frequently enough for me to notice and comment on this behavior. I am wondering where this will lead.

While the trip has gone well, I am glad that I made the decision to make it. I believe we are likely to visit Lubbock and San Angelo again, but I am less confident about Fort Worth.

I continue to feel confident about our trip to the Caribbean in January and optimistic about the trip to Europe in May and Chautauqua in June-July. I don’t know after that.

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Things continue to go well.

Today we came over to Fort Worth after spending 3 nights in Dallas. Kate has enjoyed every social contact we have had. That continued today when we had lunch with the Greeleys at their favorite barbeque place. That was followed by a visit with Arthur Cotti, the former chair of the sociology department at TCU and an important mentor to me. Finally, we had dinner with another cousin of Kate’s, Chester Hendricks and his wife, Polly. Kate hadn’t been interested in going out tonight. She rested in bed for about 45 minutes following the day’s activities. When we got out to the car, she asked, “Where are we going?” I told her to meet Polly and Chester for dinner. She said, “Oh, I want to see them. I didn’t know.” This is a case in which I should have known that she would not remember. Then I could have told her that we were going to meet them as I told her it was time to go in 15 minutes. I have found that even though I know her short-term memory is weak, I still often respond to her as though she is perfectly all right. I think that is because she has not reached the stage where she always forgets. She forgets most things, but she sometimes remembers.

He memory problems cause her to get stories mixed up when she is talking with friends. While we were at lunch with Scott and Jan, she said something about Roger Rosenblatt whom we have seen several times at Chautauqua. She told them that he is a ghost writer for celebrities who have a story they want to tell but lack the time or necessary skills. I heard her tell someone else the same story in the past few days. He is actually a former journalist and writer who writes only for himself. This is just a small thing that matters little. I mention it only as an example of the kind of confusion she experiences.

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Lunch With Sharon Billings

As we were walking by the front desk to check out of the hotel, Kate engaged in a conversation at the front desk. While it was not long, it was another illustration of her desire to engage in interaction with people.

We got to Sharon’s house just before noon. We had some refreshments and conversation before going to a French restaurant for lunch. At one point Kate stepped to the ladies room. While she was gone, Sharon told me that she thought Kate is doing very well. Her perception is that she didn’t see anything that would even cause her to seek a diagnosis. This is yet another reminder of how well someone with Alzheimer’s can hide the problem. It is remarkable how I could see the kind of confusion I observed over the weekend and how well Kate could “”perform” today. The key is that her greatest strength is in the area of social skills. In most social situations that is what really matters. It is other skills that are called on in other situations. These are the ones that are affected most.

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Memphis: Alone Time

This morning Kate and I were awake at 7:15. I brought her some orange juice and a breakfast bar around 7:45 and told her the family was just now coming to the kitchen. She thought I was asking her to come on downstairs and asked, “I’ll be able to see them later, won’t I?” I told her yes. She remained in bed using her laptop. She remained there until close to 11:00. She came downstairs and started editing photos on her laptop. Sometime around noon, she went back upstairs. I just checked in on her and found that she was resting in bed.

It is interesting how much she enjoys being with everyone (I think), but how often she removes herself to rest. I am not sure whether this occurs because she is simply tired or because she isn’t interacting with everyone and gets bored or feels left out. For the most part, each person has been on his/her own today. Jesse has been busy the entire day preparing food for our Thanksgiving dinner. I have remained in the kitchen most of that time working on my iPad and talking with Jesse and Greg. Ron has been playing games on the TV (football, basketball and hockey). Randy has been upstairs almost the entire morning. He is downstairs right now working on his computer. It could be that Kate has simply gotten tired of working on photos. It may be taxing on her. It could also be that she is having a very low-key experience with the family since no one is giving her any special attention. Of course, she hasn’t taken any time in the kitchen except when Jesse gave her a slice of banana nut bread and some fresh blueberries and raspberries.

Yesterday she was hurt when we were with the Robinsons in Nashville. We had had a good visit. Near the time to leave, she broke into the conversation and said, “Wait a minute, the three of you have done all the talking. Let me say something.” When we got in the car, she seemed depressed. We didn’t chat about it, but she offered several comments. She mentioned something that I have noticed before but did not notice yesterday. She said Angie and Tom looked at me and addressed all or most of their comments to me. She also said that everybody (even Ellen, her best friend) does this. She said, “I am not dumb.” meaning that she has things to say and contribute to our discussions as much as everyone else. I apologized to her because I had not been sensitive to that and that I would try to direct more conversation her way. I really do believe that my own personality is such that I quickly engage in conversation with other people and don’t think as much about whether or not she is being included. This is something I need to work on. I might think that the behavior of the Robinsons is a result of their knowing that Kate has Alzheimer’s, but the same pattern appears to be true with other people who have no idea of her illness. It may have something to do with the kinds of comments that she makes. Often they don’t tie into anything that we are discussing at the moment. It could also be that there is so little that she can offer to many of our conversations that she is more retiring and gets ignored. At any rate, it is a problem and one that I hope I can offset but fear that this will become a more common pattern.

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Assessing the trip to New York

Looking back at the trip to Switzerland as well as the trip to New York, I would have to say that both went quite well for Kate. Although I felt that greater demands were placed on me during both trips, they were terrific for Kate in that she was kept busy doing things that interested her. She handled everything well except the usual difficulty in meeting time deadlines. Even here, the problem is really one for me and not for her. She doesn’t worry about being on time for anything. She only gets up tight when I am encouraging her, sometimes having to push her, to get ready.

As I think about it, I feel she is getting along better right now and that I am also less frustrated. I am not sure whether this is the result of an improvement on her part or that I have become more accustomed to her decline in short-term memory. At any rate, I feel that things are moving along rather smoothly.

I continue to notice that Kate gets irritated with me and not always because I am rushing her to get ready. She continues to want to be more independent. She seems to be working hard to demonstrate her capabilities to me. She believes that I don’t think she can do anything, and that annoys her. It is then expressed in things she says to me. One of the little things that happens is that she does not want to take my hand when I extend it to cross a street, go up steps, etc. This has become a sign that she is needy, and she doesn’t like it.

Looking ahead, I am unsure about whether we will be able to attend Chautauqua after this year. I have already thought that if we do, it might be easier if we stayed at the Athenaeum Hotel because it offers three meals a day. That would make things easier for us.

 

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Visit to Dr. Reasoner

Kate’s visit to Dr. Reasoner was uneventful last week. I was called in at one point to provide some information about a new prescription (Prempro) for which we were having to get prior authorization. It has now been a month since the doctor prescribed it. I got an email yesterday that it is ready. This is to deal with Kate’s hot flashes.

We are in our third day with Ken and Virginia in Ann Arbor. The visit is going well though Kate has expressed a desire to be home. Last night she was worried that Virginia might be ready for us to leave. I think his was a misunderstanding. It was actually Ken who asked when we were leaving – as a simple question. She translated it as Virginia’s asking interpreted it as being ready for us to go.

I have had two good conversations with Ken. We have exchanged info on Kate’s situation and how she has changed since we last were together at Christmas. He has been open about his own situation and the frustrations he has and that Virginia has. I told him that Kate is more irritable, especially with me, that in general she is more emotional, that her short-term memory is worse, that I notice a decline in the long-term memory as well, that she is frightened by sudden noises, and that she is suffering occasional panic attacks when getting ready to go places.

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Coming Home

As the previous post indicated, we had a great time in Chicago. Kate, in particular, enjoyed being with Brian and especially enjoyed my interaction with him. I don’t think there was anything noteworthy about that interaction. I look at her reaction as another indication of how impressed she is with the things that other people do quite normally that for her are becoming difficult. She thinks many of the people she is around are very intelligent and skilled in many areas. She believes Brian is quite observant because he notices things that she doesn’t notice. One of the things she is losing is the ability to notice things around her. She misses so much; however, that doesn’t keep her from enjoying travel and doing things like attending shows and movies. She also felt that I did a good job of explaining things to Brian. I was, indeed, attempting to teach him things without being too pedantic. For Kate, this was something she can’t envision herself doing. In fact, when she tries to explain things to the grandchildren or anybody else, I can tell that she works very hard to make a clear expression of her thoughts. It is getting harder and harder to express herself.

Lest I paint too glowing an impression of the way that I handle things, especially with Kate, I should point out that Kate told me yesterday that I said something that I should not have said and that there was no reason to say that. After she said she didn’t know something, I had told her that I had told her the day before. That is like saying, “Do you remember . . .?” That is also something she has asked me not to say. Something else occurred today, but it was not a big issue. When she was looking for her computer, I told her that I had taken it to the shop for servicing before we left for Chicago. As it turns out, I had told her, but she had forgotten which is not surprising since that was a week ago yesterday. I did not tell her I had told her before, but I did say that I was sorry to have caused her some distress. She said she wasn’t distressed, she just wanted to know where her computer was and that I should have told her (which I had but didn’t want to say so).

The final thing that I believe is important to say about our trip home is that she was very eager to be back home. She repeatedly expressed how much she wanted to be home. When we finally arrived at the airport, she had a hard time moving quickly off the plane. She was just whipped and emotionally drained.

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In Chicago With Brian

We are having a grand time in Chicago with Brian. Today begins our third day, and we have been busy. Here are a few observations about Kate.

She has enjoyed herself. I have been trying to see that she doesn’t get out of my sight for fear of losing her. Yesterday I slipped when we got off the train in front of our hotel. I led Brian and Kate across the street. I looked back and saw Brian and assumed incorrectly that Kate was right behind. When we got in the hotel lobby, I looked around and she was not with us. I rushed back outside and she was waiting on the street corner where we had gotten off the train. I later asked if she realized she was across the street from the hotel, she said no.

A couple of other things are both sad and cute. When we were walking to Tommy Gun’s Garage Friday night, we passed the Sommerset Hotel. It had a plaque that indicated it was built in 1889. I pointed this out to Brian and Kate. The next day we walked past the same spot. Kate noticed it and pointed it out to Brian and me. I didn’t say anything about having shown this to her the day before.