Events That Make Me Think About the Future

Several things have happened this morning and the past several days that make me think more about Kate’s condition and progress. As usual, we went to church separately and were to meet in the sanctuary. When she didn’t show up, I thought she must have gotten detained with someone after Sunday school and ended up sitting in the back of the sanctuary. When we drove to lunch after church, she said she had had one of those experiences in which the brain just didn’t work. It turned out that she had entered the sanctuary on the left side rather than the right side where we (I) always sit. She looked along the rows in the area where she thought I would be and finally took a seat by herself. It was only later (I think after the service) that she realized she had gone to the wrong place and that I was sitting right where I always do.

The other events involve updates on several people we know who have dementia. At our recent (this past Wed) meeting of the executive committee of the music club, someone asked about one of our members who has dementia. The word was that she has good and bad days. She and her husband have moved to a continuing care facility. This has been a problem for him because his photo studio is in their house and he is still active in his photography.

In addition, in Sunday school this morning one of our members reported that her husband will be staying permanently at the nursing facility where he has been in rehab. Although he has recovered physically from recent surgery, it has been a setback mentally. He was diagnosed with dementia 7 years ago. It made me think about Kate’s progress. Seven years would put her at 77 which is much sooner than I care to think although I have feared from the first that she might move along more quickly than we have wanted to believe.

Another member of our Sunday school class was there this morning. She seemed to have progressed further in her dementia than I had noticed in the past. She gave me a gentle but big hug and told me she loved me. It breaks my heart to see her and to imagine where Kate will be in a few years.

In this morning’s paper I read an obituary of an old acquaintance who would have been my age. Donations options were given, one that included a day care facility, and I thought he might have had AD or dementia. I found out that is correct.

On occasion I mention to Kate about someone’s having AD, but most often I find myself unwilling to say anything because I don’t want to add any anxiety to that which I know she already feels.

Another Instance of Getting Lost

I ended quickly on the last entry because Kate called and said she was in the parking lot and didn’t feel like coming in at the time. As planned in the earlier conversation, we went to Casa Bella. We had our usual veal piccata along with amaretto cheese cake for dessert. For extra measure I decided to try their pistachio gelato which was good but not nearly as good as the cheesecake.

It turns out that Kate got lost as I has suspected. She drove around a long time and finally called the hostess for her meeting that she wasn’t coming. She was clearly frustrated, and I am sure, though she didn’t say so, that she attributed the problem as related to her Alzheimer’s. I commented over lunch that we know that she is geographically-challenged and that we can work harder to relieve any frustrations in that area. I also noted the conversation we had had with her behavioral psychologist commented on how well she does with the verbal area and that that is something that will work in her favor going forward since so much of day-in-day-out social activity relies on such skills. I also said that she might put greater emphasis on making scrapbooks and albums for the grandchildren as this is something she enjoys and that the grandchildren will appreciate in later years.

Having time at lunch in a place that has been special to us was just the right thing. Not surprisingly, she had thought of suggesting Casa Bella herself. She was quite calm during lunch and left for home relaxed and ready to tackle the family album that she and her brother Ken have worked on for the past 4-5 months. During Ken and Virginia’s visit to Knoxville this past week, Ken and Kate were able to make a good bit of headway. It now looks like they are into the final editing. I think they are both beginning to see the end. My guess is that they may let it go sometime in the next 2-3 weeks.

Because of their visit, I haven’t written anything about our visit to talk with Lillian Walters, the social worker at Kate’s physician’s office. The visit went well. Nothing of special note came out of it. We did not schedule another visit but Kate said she would prefer to call when she felt the need. Kate later told me she was glad I had gone with her although nothing occurred that makes me think it is good for me to be there. She began by asking Kate how she was doing, and Kate hesitantly said she had her ups and downs. This surprised me because I would have said she has done remarkably well. At the same time I recognize there are times of frustration that occur. We talked with Lillian about her irritability. She suggested that Kate give herself permission to excuse herself for some of this and to organize her life to minimize frustration. We talked about my doing more things and how Kate feels about that. One thing in particular was taking over the checking accounts. Kate said that was fine with her.