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Appreciation

In the recent past I have noted that Kate is more irritable than in the past. More specifically, I noted that she gets peeved with me. Now I would like to report that she is going through a phase in which she is expressing an unusual degree of appreciation for what I do for her. She frequently says, “”Marrying you is the best thing I ever did.” Every time I help her with something, she seems quite appreciative and is more expressive of her need for me than before. The things I do don’t have to be of much significance. For example, last night she picked up her iPad before getting into bed. She discovered the battery was exhausted. I said, “”Give it to me, I’ll charge it for you.” She said something like, “”Oh, that would be wonderful. I can never figure out which thing to use.” She handed the iPad to me. I plugged it in, and she picked it up and started using it. Then she said something else. I don’t recall exactly what it was, but it was an expression of appreciation.

This makes me wonder if she is experiencing more problems doing everyday things and suffering more frustration. Nothing other than her appreciation indicates that is the case. I also am beginning to wonder if she is entering a stage in which she doesn’t cognitively process things in a way that leads to her being depressed, but she clearly still feels frustration.

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Little Mistakes

Yesterday afternoon I picked up the mail as we were driving in from dinner. I gave it to Kate since I was driving. I noticed that one item was a package wrapped in a strong plastic like a shipment of clothing from LL Bean. I felt it and told Kate that it was my new checks that I had ordered last week. Later last night I opened the refrigerator to see the package on a shelf. I know this is supposed to be a common type of behavior for someone who has Alzheimer’s, but this is the first time I have noticed this. I have frequently noticed, however, that she typically puts things down in various places for convenience (on the floor, a chair, a sofa, the bed, etc.). It seems a bit stranger to open the refrigerator door and put the checks in it.

This morning we went to our monthly Y breakfast. Kate has given up tea as a way to minimize her acid reflux. For that reason, I told the waitress not to bring her iced tea as usual but to bring her water. She did so and also brought my hot tea. In a moment I noticed that Kate had taken my tea. I didn’t say anything. I just order another one for me. She never realized that she had taken mine.

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An Example of Things

This morning I came from the office to take Kate to lunch before I went to a Rotary meeting. She was on her laptop in the bedroom as I walked in. She said, “”My dental appointment is.” . . “ Then she looked at her laptop calendar and said, “”September 23 at noon.” I didn’t say anything, but, of course, September 23 is long past. She had gotten an email reminder of her appointment a day or two before the 23rd. I realized we had a conflict on that day; so I called the dentist and rescheduled for January. Sometime thereafter she ran across the appointment listed on her September calendar and let me know that she had a dental appointment on September 23. I reminded her that we had changed the appointment and that it was past the 23rd. Sometime after we got home from our cruise (last week), she said that she had an appointment on the 23. I simply told her we had changed it until January. Today when she told me once again, I didn’t say anything. I felt it was better not to tell her it was almost November and that the appointment is now in January.

The funny thing about this is that she doesn’t seem to recall that we had made the change. The more typical thing that happens is that she asks me when something is and when I tell her, she says, “”I know. You told me that before.” Sometimes she says, “”I’ve asked you that 2 or 3 times.”

I still want to reinforce that despite these memory issues we can have a good times together. I believe our quality of life is quite good even though we are both making adjustments to her changing condition.

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Not Learning Enough Patience

It is now fall. That means another time for planting. We have been to Lowe’‘s a couple of times already. Friday Kate mentioned that she wanted me to take her back to get some more mums. Today after lunch I did just that. When we got to Lowe’s I noticed that she walked right by the table with the largest selection of mums that is right outside their main section. I got a cart and took it to her. I found her looking at a small section of mums like the ones she had purchased before. She didn’t get any. She walked around without appearing to have a plan. I am confident that she didn’t. Then she picked out a couple of plants that were not mums and continued looking at other plants that were clearly not mums. I suspect she had forgotten that she wanted to get mums; so I reminded her that she had wanted mums, and I wanted to make sure she didn’t get a full load before getting what she said she came for. She seemed to accept this, but before we could get back to the mums section, she picked out several other plants. If I hadn’t reminded her again, we might easily have purchased a full load and not gotten what we came for.

This, of course, is looking at it from my perspective. The reality (I believe) is that she doesn’t have a formal plan anyway. She just likes to buy things that she likes when she sees them. She can always find a place for them. She can tell when I get frustrated which must bother her, and it bothers me. I need to develop more patience to just let her do what she enjoys without trying to get her to approach things the way I would do.

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Shopping for Clothes

This is Friday. We got back home from our cruise on Wednesday afternoon.. Yesterday Kate mentioned that she would like me to take her to Belk’s for a sale they are having this weekend. Today after lunch I did so. I went with some trepidation because she still can’t put her hands on all the things we have bought since February. I sat down in a chair and waited while she strolled through the store. She must have spent almost 45 minutes walking around and trying on a few things. At one point she showed me a top and a pair of slacks that I am sure she had shown me earlier. She was sure that she had not. We finally ended up with 2 sweaters and 2 pair of slacks. When we got home, I took a picture of the things so that I can remember what she bought. I did so because she may ask me the whereabouts of these things, and I probably won’t remember without a picture.

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A New Observation

For a long time I have made a point of saying that the person with Alzheimer’s does in fact know they have the disease, and it frustrates them. In the past 2-3 months I have come to another observation. The Alzheimer’s patient is like all of us in that he or she does not recognize the basis of all behaviors. In Kate’s case, she is most frustrated by the difficulty she has performing tasks like working with the computer or remembering where she puts things. On the other hand, I don’t believe she has any recognition of the lack of care of thought with which she does things. I think it was those things that were the first signs something was wrong, not a problem with memory. Just yesterday she had an experience that may illustrate this lack of recognition.

She has lost several pair of clippers that she used to trim her shrubs. I know I have bought at least 3 or 4 since spring not including 2 I bought this past week. Day before yesterday she told me she had lost one of the 2 new ones. Yesterday she asked me to walk around the yard and help her look for them which I did. Neither of us found them. When she came inside, she said something like, “I just don’t know how I do this?” The way she said it, I was unsure whether this was simply an expression of frustration or if she really doesn’t know the cause of her behavior. I am well aware that she doesn’t recognize how far along she is, but I have assumed that she grasps the fact that her Alzheimer’s is what causes all the problems like this one. I believe I was wrong about that.

On an unrelated note, she came inside for some water about 45 minutes ago. When she saw me, she said, “I didn’t know you were here.” That made me stop and think about it. This is a Saturday morning, and I have been inside working on my SS lesson for tomorrow. She doesn’t usually know what day it is; so she was thinking it is just like every day. She works in the yard while I am at the office (though nowadays that normally occurs on MWF, not the other 4 days of the week). She was probably thinking I was coming home from the office. Then walked in the house only to see that I was here. Before going back outside, she asked me how long I had been at home. That gave me a jolt because I assumed she had grasped that I had been home all along. I thought a moment and said, “”Well, since I came home from getting my haircut yesterday afternoon.” She looked at me and said, “”That wasn’t funny.” I apologized, and she said, “”Well, it was a little funny.” I could not help wondering if she did not think it funny because I was making light of the fact that she can’t help getting mixed up on such things.

Two days ago, she asked me where the church directory was. I told her the last time I had seen it she had taken it out of the drawer in the kitchen where we kept it. She said, “”That’s scary.” This was said matter-of-factly. She wasn’t making a big deal of it but it seems to me interpreting the situation as one in which her Alzheimer’s could mean the directory could be anyplace. Indeed, I have looked around the house without success. It really could be anyplace.

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On Stage

Yesterday afternoon we went to a performance of Five Guys Names Moe at a small local theater. We were seated on the front row and the entire audience numbered about 20. During the final number in the first act, the actors invited members of the audience including Kate to join them in a conga line and they danced around the room. She joined in with little hesitation and seemed to enjoy it. During the first part of the second act, a member of the cast grabbed her hand and walked her up to the stage. Other cast members brought two other women up as well. Then the three were asked to take a seat in chairs set up on the front center of the stage. Kate sat in the middle. A cast member asked each one two questions: “What is your name?” and “Are you here with your husband or a date?” Kate spoke right up and in a loud (not too loud) voice said, “”Kate.” To the next question she said, “”My husband of 52 years.” We have actually been married 51 years, but I know where she got 52. We were in a discussion several weeks ago. I had said we had been celebrated our 51st anniversary in May and were now in our 52nd year. In an email earlier today, I mentioned this account to my friends, Tom and Carl. They wondered whether she had been more at ease because of the small audience. I told them I didn’t think so but that I do think she is a little less inhibited now which I believe is a function of her Alzheimer’s.

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“Don’t count me out yet.”

Last night as we were driving to dinner, Kate said she had counted 8 people walking along the street. This is a habit she has gotten into the past year or so. She started do this after noticing that she sees more people walking along this street than she does other streets. She then told me that she had counted the walkers while listening to me. I joked about her being a multitasker. She then looked at me and said, “”Don’t count me out yet.” This is not the first time she has said this though it is not something she says all the time. I have heard her say this as many as 5 times (an estimate). This is another example of our light-hearted way of recognizing her situation but not dwelling on it or approaching it with sadness.

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Various Signs of Alzheimer’s

At 8:20 this morning, Kate walked into the family room dressed for working in the yard and said sternly (as if in a huff), “”I’m going outside. If I’m not ready when you need to go (to church) then go ahead without me.” Thirty minutes before I wanted to leave, I went outside to let her know how much time she had. When she came inside, she picked up her clothes on our bed and said, “I put these here so you would know that I had picked out the clothes for church.” When it was time to leave, I went to her bathroom to check on her. She spoke rather harshly and told me to leave her alone. I heard her ask, “”Where’s my makeup?” In a few minutes she came out and indicated she was ready. Then she said that she didn’t have any make up on except for her powder.

For the third time in as many weeks, she attended my Sunday school class. I showed two videos. One was a segment from 60 Minutes that featured Mercy Ships. Then I showed one about the work of Samaritan’s Purse in Sudan where they are helping to provide clean water. After the class Kate mentioned two times how good the class was. She really liked it.

We went to the worship service in which one of our young associate pastors preached. This was his last Sunday before leaving for Louisiana where he is assuming the position of head pastor in a Presbyterian church there. He did a very nice job. Kate’s assessment of him was glowing. She said she thought he was the best preacher we have ever had. This positive reaction to people is not new and is what I sometimes describe as a childlike response. She just seems to be very impressed with other people’s skills.

Finally, we went to lunch at Chalupes. She raved about the food and the consistency from visit to visit.

I take both the huffy emotional behavior with me and the positive reaction to my lesson, Jonathan, and her lunch as a function of her Alzheimer’s. She wasn’t this way before.

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Wearing the “Right” Clothes

We have a continuing problem with clothes. As I have mentioned before, I made a significant addition to her wardrobe in February. At that time I was trying to make sure that she has clothes appropriate to wear to some of the foundation receptions and especially a board retreat in Asheville. Some of those things she has never worn. Others are misplaced. We bought 5 pair of pants. At least one or two need alterations, but she hasn’t been wearing the others. More recently, we bought 5 pair of pants and an assortment of tops and matching tops. She has worn at least two of these and a couple of the tops but they are being worn infrequently.

Today I noticed she was wearing an older outfit to a funeral. I was also aware that this is an outfit she is wearing quite frequently. I waited until after the funeral and after we had eaten lunch. Then I asked about her new clothes and that I noticed she hadn’t worn something new rather than some old. She was offended that I had said anything and indicated that the other clothes were not appropriate. When we arrived home, she apologized for getting angry with me. I think this is very hard for her and must not forget that, but I need to figure out a way to make sure she is dressed appropriately.

We had another of those situations in which she fakes her way through a conversation. We ran into a neighbor that she would have recognized in the past. When I asked her if she remembered the person, she said she had no idea. I said, “Well, you faked it well.” She indicated that she does a lot of that.