My Best Source of Stress Relief

Because there are greater demands placed on me during this late stage of Kate’s Alzheimer’s, I experience more stress now than at earlier stages. The good news is that Kate is my greatest source of stress relief. I cannot say enough good things about her.

She is happy. That isn’t obvious every moment of the day, but she displays her happiness numerous times daily with her smile. She often smiles in her sleep. Sometimes she talks when she is apparently dreaming. These conversations (at least her part) are usually cheerful, and she sometimes laughs during them.

Our conversations are most important to me. They occur mostly in the evening after the caregiver leaves, but we also have them at other times of the day. These two occurred after I returned home from lunch on Saturday afternoon.

Our Anniversary Celebration

To celebrate our anniversary last night, I arranged for a wheelchair-accessible van and took Kate out to dinner at a restaurant where we had shared many special moments since the early seventies.

Alzheimer’s makes it impossible to predict how she will respond in situations like that, but she rose to the occasion. Her best times are in the late afternoon, and she was smiling before we left. She was cheerful throughout the dinner and after returning home.

Her most difficult times are in the morning, but lately she has been waking up with a big smile. That happened this morning. It looks like another nice day for us. I wish the same for you.  

Our 62nd Anniversary

Happy Anniversary to my wife, Kate. After all of these years, I can’t imagine finding a better match. Our marriage has been the adventure of a lifetime. It really began shortly after our first date on December 19, 1961, when I was in need of money and took a job as an ambulance driver at a funeral home.

Our whole courtship centered around my responsibilities at the funeral home. I worked four nights a week, which handicapped my time for dating. On slow nights, I invited her to the funeral home where we spent the evening in one of the unoccupied viewing rooms.

Periodically, I had to go out of town to pick up a body. She would go with me, and I was on the company expense account. We always found a good steakhouse before picking up the body and driving back home.

At the time, neither of us thought much about this. We were in love, and that was all that mattered. Of course, the most challenging adventure of all has been “Living with Alzheimer’s”. Thankfully, we have lived joyfully despite those challenges. Our love for each other has been a powerful source of strength for both of us, and I am optimistic that our love will sustain us for the remainder of our journey together.

Our Relationship at Stage 7 Alzheimer’s

Our lives have changed significantly since Kate’s diagnosis fourteen years ago. Our world was much larger then. Now, it’s very small. Over time, she has lost almost all of the abilities she used to have.

For the past four and a half years, she has required total care. Her caregivers and I get her in and out of bed with a lift. We bathe her. We dress her. We feed her.

For ten years, we binged on movies, musical and theatrical performances, and ate out for all of our noon and evening meals. Today, the big events of our day are going for ice cream at 3:30 and having dinner at 4:30. We get her to bed at 6:30 p.m just before the caregiver leaves.

These changes have had a dramatic effect on our relationship. More often than not, she doesn’t seem to know who I am in the morning. That is balanced by other moments during the day and evening when she expresses her feelings for me in various ways. Since she has aphasia, she depends heavily on her facial expressions to communicate those feelings.

She often gives me a smile that I am confident communicates her love. That occurs most often when I return home from lunch and meetings with friends or organizations with which I am a member.

My favorite part of the day is our evenings after the caregiver leaves. We watch music videos on YouTube, and I recount many of the things we have done together during our marriage. We hold hands. She strokes my arm. She rarely says, “I love you”, but sometimes she takes my hand and lifts it to her lips and kisses it several times.

Sometimes she is talkative. One night last week, we talked for almost an hour. I love these conversations. Even though I only understand a few words sprinkled among the gibberish, the conversations seem very natural, and it is clear that love still binds us together. I am grateful.

One Fine Day

I often mention the “Happy Moments” that Kate and I share. I chose that expression to convey that these are not continuous experiences; however, we are fortunate that they occur every day. Some days we have more happy moments than other days. Once in a while, we have a day filled with them. We had one of those the other day.

Kate began the day in a cheerful mood. She smiled, and she talked. It was one of those mornings when I got in bed with her, and we talked with music playing in the background. I love moments like this because they seem like we are connecting the way we did before Alzheimer’s, even though she can’t recall past events or speak in a way that I can understand.                                                                                                                                                                                                  

Later, she talked and laughed as the caregiver and I got her ready for the day. That’s saying a lot because she doesn’t like being rolled to one side and then the other in order to get her dressed.

She remained in this mood for the balance of the day until we turned the lights out that night.

Like so many things, I can’t explain what brought this about. I only know that it was “One Fine Day”. The days since then haven’t been quite the same, but they have been days of more Happy Moments than usual. Moments like this won’t last forever, but we will enjoy and cherish them whenever they occur.

Nighttime Conversations

Kate has never been a morning person. That has never been truer than during the middle and late stages of her Alzheimer’s. She rarely speaks in the morning. Sometimes cheerfulness and speech make their first appearance in mid-afternoon, often as we have ice cream shortly after 3:30. Sometimes it doesn’t happen until dinner, or even later.

For me, our evenings together are among the best times of the day. We watch music videos on YouTube and talk. I’ve mentioned this before, but it’s hard for me to adequately express in words. Last night, I took a few videos and attached them to a post on Facebook.

I like to think that Kate would forgive me for letting the public in on private moments like this when she is in bed in her bed clothes and her hair messed up. Despite this, I believe it’s a beautiful example of how happy she is and why this is my favorite part of the day. She still captures my heart as we approach our 62nd anniversary. Not even Alzheimer’s has been able to take this away from us.

More Happy Moments

Kate continues to experience more “Happy Moments” than she did 3-4 years ago. That has been especially true during the past couple of weeks. I often say that I can never predict how she will feel. She can be happy at one moment and withdrawn the next; however, I have come to expect her to be more at ease after 3:00 in the afternoon and often until she goes to sleep at night. That had not been so predictable since her stroke three years ago.

After the caregiver left last night, she and I experienced a Happy Moment that I would call very romantic. I was beside her in bed with my head on her shoulder. We watched a DVD of the 2025 anniversary concert of Les Miserables, our favorite musical.

Touch is more important to her now than at earlier stages, perhaps because she has aphasia. As we enjoyed the music, I put one hand across her stomach, and she put her hand on my hand. In a few moments, she began to stroke my hand gently. As I often do, I talked with her about some of the special times we had had in the past. She didn’t say much, but she was able to communicate her affection with beautiful smiles as I talked. This lasted for about an hour until the concert was over, and we called it an evening.

Her Alzheimer’s, her hospitalization with Covid, and her stroke made this romantic evening different than it might have been in years past, but there was a connection between us that made this particular moment as romantic as any we have ever experienced. We have lost much since her diagnosis fourteen years ago, but we still enjoy life and each other.

An Amazing Day

For years, I’ve noted that mornings are Kate’s most difficult part of the day. I call this her neutral time. Typically, she is not cheerful. As she gets more stimulation throughout the day, she becomes happier. Her best time of the day is generally late afternoon and evening; however, a change has taken place over the past year or so. She occasionally wakes up earlier and with a smile, but it doesn’t usually continue all-day.

During the past few weeks, she has become more cheerful at various times of the day. Saturday was one of those days. It began early in the morning when I walked into the bedroom to see if she might be awake. Her eyes were closed, but she had a smile on her face. I walked over to her bedside and ran my hand across the top of her head as I often do. She gave me a bigger smile. She knew who was stroking her hair. Then she began to talk. As usual, I couldn’t understand much of what she said, but it was clear that she was happy and enjoyed talking. I wanted to take advantage of the moment and spent a good part of the morning next to her in bed.

We had a different caregiver that day. She had been with us once before, but it had been more than a year since we had seen her. I thought that might have an effect on Kate’s mood. I quickly discovered I was wrong. Kate’s cheerfulness continued throughout the whole process of getting her up. She even laughed a few times. That is saying a lot because she doesn’t like to be rolled back and forth to take off what she is wearing and replace it with her clothes for the day.

When I left for lunch, she was eating and still happy. Upon my return, I found her listening to the caregiver who was reading to her. She greeted me with a big smile. Then she and I talked for a while. She is often happy when I come home, but her facial expressions on this day conveyed that she was especially happy.

A little later, we went to a café downstairs. While Kate was eating ice cream, she and the caregiver talked as though they were longtime friends. That is very unusual. Normally, Kate is pretty quiet when we go out. Another resident stopped by to say hello and was amazed to see Kate so talkative. From there we went to dinner and then back to the apartment for the night. Kate continued her cheerful mood. She and I talked and listened to music on YouTube until she fell asleep. It was an amazing day.

Off to Another Good Start

One year ago today, I wrote a blog post entitled “2024: Off to a Good Start.” One year later, I have the same feeling. Of course, I don’t know what lies ahead, but I know that Kate made progress throughout 2024. Not only that, she experienced significantly more “Happy Moments” during the latter part of the year. And yesterday, the first day of 2025, she had a wonderful day. She was cheerful in the morning and continued throughout the day until she fell asleep last night. She smiled and talked all day. We topped it off with a great evening today. Even though I couldn’t understand much of what she said, it was wonderful engaging in the conversation.

This morning got off to a good start when I walked in the bedroom and saw her smiling. Then she said, “Thank you” with an even bigger smile. I don’t know who she was thanking, but she has hallucinations. I suspect she saw someone who did something nice. For me, it’s great just to know that she is happy.

May the New Year bring happiness and joy to you and your families!

Our Relationship at Stage 7 Alzheimer’s

From time to time, people have asked if Kate still knows me. That’s a good question for which there isn’t a simple answer. It depends on what one means by “knowing.” My answer is “Yes, she does,” but I don’t believe she always remembers my name or that I am her husband. I know that one night last week, she looked at the caregiver and said, “Where is Richard?” She often recognizes me as someone familiar and someone she likes.” Every day she shows signs that this is so.

On the other hand, there are frequent times when it appears that she doesn’t recognize me at all and doesn’t have any special feelings for me. That is most common in the morning and began more than five or six years ago. Some mornings, she seems to recognize me immediately and gives me a big smile. That happened yesterday morning. She was very happy to see me. She frequently responds the same way when I return home from lunch.

She is most likely to “know” me in the evening after the caregiver leaves. In those moments she connects with me in a way that suggests a closer relationship than she has with other people. I suspect some of that is brought on by what I say to her. I always recount memories from past events in our relationship. She responds with loving smiles that tell me that those memories and I am special to her.

Most evenings, she is not talkative but conveys her feelings with her facial expressions, by holding my hand and running her fingers across my hand and arm. Some nights and a few mornings, she is talkative. We’ve had a good number of those in the past few weeks. One evening in the past few days we talked more than thirty minutes. These are moments I treasure.

Another time when she conveys that she knows me is when we are getting her up and putting her to bed. We have to roll her on her side in bed to dress and undress her. I always assist the caregiver who stands on Kate’s side of the bed and rolls Kate closer to her. I get in bed on the other side of Kate and put my right arm under her shoulder and my left hand on her thigh to roll her to me. I continue to hold her in my arms while the caregiver does what she needs to do.

Kate doesn’t like being rolled; however, she relaxes when she is in my arms. She affectionately runs her hands across my back. Frequently, she talks to me in a very natural way, and, sometimes she laughs as she speaks. Strange as it seems these are moments involving a physical and emotional connection. They are romantic moments for us. Yes, she knows me, and our love is still alive although it is expressed in ways we could not have imagined before.

It doesn’t matter to me whether she remembers my name or that I am her husband. Our relationship remains strong. For that, I am grateful.