A Child

When I arrive for my weekly visit at the Hebrew Home, I can almost sneak up on my mom in the dining room because her gaze is transfixed on a baby. She is leaning over to caress the child, who is held lovingly by a woman at a table.

“Look honey,” my mom says when she sees me approaching. “Look at the baby!”

I see the child from behind. It is a very young infant, the innocent face staring up at me, and I feel a tingle in my spine.

And then I get closer, and the spell is broken. The baby is a doll.

“She is so cute,” my mom says. “She’s beautiful.” She accompanies each sentence with a caress of the child’s face, and the woman holding the child beams.

“You know, every now and then,” my mom says, “she almost doesn’t look real.”

“Oh, you can bet she’s real,” says the woman. “I will never forget how much pain it caused me to have her.”

“She’s beautiful,” my mom says again. “Are you the grandmother?”

“Oh, no, I’m the mother,” says the woman, who is probably as old as my mom or older.

“Well, she’s beautiful,” my mom says again, and I agree.

As I lead my mom out of the dining room, she can’t stop talking about the baby.

“She’s beautiful, isn’t she? But sometimes she doesn’t look real.”

I hesitate for a moment. I’ve learned it’s best to affirm my mom’s perceptions of reality. But this time, those perceptions are competing with each other.

“It’s a doll,” I say.

“What?! Does she know?” My mom has a horrified look on her face.

“No. She doesn’t know,” I say.

“But what happens when she finds out?”

“I don’t think she will.”

“But … but,” she starts, searching for a way to understand this. “Oh, that’s terrible.”

“It’s not so bad,” I say. “It’s really okay.”

“Oh, I hope that doesn’t happen to me,” she says.

“Me too,” I think. “But I’m afraid you might be on your way.”

I don’t say this out loud.

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“What’s My Name?”

“This is my daughter,” my mom says to everyone we meet, as we walk the halls of the Hebrew Home. “Why am I so short and she’s so tall? She should be the mother,” she says, pointing to me, and then she laughs and I smile.

She’s still doing so well identifying me, at least most of the time. Sometimes, she actually does think I’m her mother, and other times, her sister. Usually, I go with the flow, because there is often no good reason to correct her. I will only do it if I sense the correction will somehow enhance the moment, because with my mom, all that matters is the moment.

But sometimes I wonder, “Does she really remember who I am?” And so I will start with the basics, and I will ask her, “Mom, what’s my name?”

I know I shouldn’t do this. It doesn’t seem to upset her, but it feels like I’m giving her a test, and it can’t be right to do that to an 87-year-old woman with dementia. Still, sometimes, I just need to know.

“Mom, what’s my name?”

She hesitates.

“Elizabeth,” she says, usually, and looks at me to make sure the answer is correct. “Sure, I remember.” Strange, because although this is certainly the name she gave me 45 years ago, she’s always called me, “Beth.”

It makes me wonder if lying somewhere deep in her brain, where the amyloid plaques have not yet settled, is the memory of the day she named me, or of the dreams she had for the baby who grew inside her.

There are times when she doesn’t remember my name, though.

“What’s your daughter’s name?” asked an aide named Christina one day about a month ago. My mom couldn’t come up with it.

“You know my name, Mom,” I said, and then I kissed her on the head.

“Beth,” my mom said. I nodded and smiled. (Beth! Not even Elizabeth!)

“Now you have to remember that,” said Christina, smiling. “You always forget after she leaves, when she’s not here to kiss you on the head.”

So Alzheimer’s hasn’t won yet. Not when a kiss on the head can still help her remember.

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Sofia

“Your mommy… she no belong here,” says Sofia,* an independent aide who cares for a couple of people on my mom’s unit at the Hebrew Home. She wants me to move my mom to another unit for people in earlier stages of dementia, where the residents “no do pee-pee in the bed.” (English is not Sofia’s first language.)

“The people here … they crazy,” Sofia says, twirling her finger in a circle next to her head. “But your mommy… she no crazy; she just no remember, and she no aggressive like the others.”

“But she’s happy,” I say. “My mom is happy here.”

“How do you know? You see her for one hour,” Sofia says. “I see her every day.”

I can’t argue with her. I do only see my mom for a short time every week, although it’s longer than an hour. I have no way of knowing what she’s dealing with most of the time. Sofia doesn’t indicate there’s abuse happening, but she does feel strongly that my mom is surrounded by the wrong people, especially her boyfriend Kenneth.

“He crazy. Totally crazy,” Sofia says. “The worst.” She proceeds to tell me that his behavior is worsening as his disease progresses.

This isn’t the first time Sofia has given me unsolicited advice, nor the first time she has complained about Kenneth. Sofia has strong opinions about others, and she likes to voice them. In the past, I have disregarded them, especially the complaints about Kenneth, who has always seemed to make my mom happy. But for some reason, Sofia’s comments bother me more this time. Maybe it’s because I’ve finally reached a place of calm about my mom, and a part of me doesn’t really trust it.

I take my feelings to my support group and immediately conclude I’m not going to move my mom. Moving is stressful for anyone; it’s traumatic for an Alzheimer’s patient. But I do decide to talk to her care team about Kenneth and ask if they think the relationship is harming my mom.

“Theirs is like any relationship,” says her social worker. “It has its challenges. But mostly your mom and Kenneth seem to give each other a lot of comfort and companionship.”

“Does that answer satisfy you?” asks Nancy, my support group facilitator, when I report it to the group.

“I … guess,” I say, because the truth is I’m not sure. I don’t think her team would allow obvious harm to come to my mom. But overworked and overwhelmed, can they be attentive enough to recognize something that might not be the best for her when on the surface, she seems to be doing okay?

If I listened to Sofia, I’d have to conclude the answer is no. Yet I have to remember that though I trust Sofia cares about my mom, she has an agenda of her own, as does everyone else involved in looking after her. I have to hope everyone’s top priority is to provide the best care for my mom. But the reality is never so clear-cut.

There’s nothing simple about putting an increasingly helpless family member in an institution.  There has to be a better way for our culture to take care of frail elderly people.

(*Sofia is not her real name)

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Winning and Losing

My mom and I had a good summer. I spent the long days after work meeting friends for dinner, visiting museums, going to outdoor concerts. My mom gradually, but increasingly, shed the worries that had burdened her all of her life. She used the summer to get happier.

These days, every time I arrive to visit, my mom is talking with Kenneth, stroking the arm of another resident, or laughing with a staff member. She is often smiling, sometimes beaming, or sitting with a contented look on her face. When I take her off the unit, she marvels at the beauty of the facility and the grounds.

Even when she’s on the unit, she has no idea where she is (she thinks she’s at work or at school). She often wonders aloud whether or when she’s going home to Niagara Falls (is it tomorrow or the next day?), or even where she’s going to sleep that night. Still, she’s remarkably present and comfortable. She’s not like some other patients, who don’t make sense when they speak, who are living in a world only they can see. She engages and jokes and notices everything.

“Your mom is an anomaly,” says Jessi, one of the facilitators of the Alzheimer’s caregiver support group I attend.

“Yes, she’s actually gotten better at the Hebrew Home,” says Nancy, the other facilitator.

And it’s true. Although I know my mom is never really going to get better from this disease, she’s thriving in the company of so many people around her, which she didn’t have at home or even in the assisted living facility where she lived before. In assisted living, people gathered for meals and then retreated to their respective apartments. My mom’s roommate slept 18 hours a day, leaving my mom alone and bored. When the roommate was awake, she apparently bullied my mom. In the nursing home, my mom is so much better off.

Which is ironic because I always thought going to a nursing home would be the worst thing that could ever happen to my mom. It would mean that she had nothing left, that she had lost everything.

I can’t deny my mom has lost a lot. She’s been alive for almost 87 years, and yet I could probably fit everything she owns into a single car trunk, which wouldn’t be the case if she still owned a home. Her short-term memory is gone. Any consistent sense of herself as a mother, a grandmother, a sister, an American — a person with a stable identity and a unique set of experiences — is gone.  Her ability to reflect on her life, to assess its value, to look ahead and plan for the future — gone, too.

And yet, so is her low self-esteem. Her chronic worries about money and about my sister. Her resentment toward my father. Her intense self-consciousness that stifled so much of her personality, her humor, her ability to enjoy life. Gone, all gone.

Loss is a horrible part of life. Except when it isn’t horrible. There are times, I’m learning, when loss isn’t the worst thing in the world, when loss isn’t always a reason to grieve.

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Conversing with Dementia: A Play in One Scene

Setting: A large dining room on a dementia unit. Spotlight is on a table against the wall with three chairs, occupied by Ken, an octogenarian man wearing a hat, Mariann, an octogenarian woman, and Beth, a middle-aged woman.

Mariann: (Looks at Beth.) I didn’t know you were coming today!
Beth: I know, Mom. I didn’t tell you.
Mariann: (Beams.) You rascal! (Glances toward Ken): This is my daughter!
Ken: Well, excuse my expression, but “Wow.”
Marian: (Looks at Beth.) What did he say?
Beth: He said, “Wow.”
Mariann: “Wow?” Oh boy. (Points at Ken’s hat.) Hey Bethie, did you see his hat?
Beth: It’s a very nice hat.
Ken: Hmmm?
Mariann: Your hat. (Ken takes it off and places it on the table.)
Beth: (Reaches into her bag and takes out a small color photograph.) Hey Mom, I have something for you.
Mariann: (Looks at the photo.) Oh, how nice!
Beth: Yes, it’s Kathy, Kristen and Kaitlin. On their cruise.
Ken: (Nodding.) Very interesting.  I have a question. Did you ever do … (mumbling) Hart and Hurst?
Mariann: (Looking at Beth.) What did he say?
Beth: Something about Hart and Hurst.
Mariann: What’s that?
Beth: Must be a company.
Mariann: Oh. (Shrugs and throws up her hands.)
Ken: It’s a funny thing … so and from … absolutely. Those are the words.
(The two women look at each other, puzzled. They shrug. They turn to Ken and nod, slowly.)
Mariann: (Looking down at the table.) What’s this? Oh, what a nice picture!
Beth: Yes, I brought it for you. That’s your daughter, Kathy, and your granddaughters, Kristen and Kaitlin.
Mariann: Kristen and … Kaitlin?
Beth: Yes.
Mariann: (Shows the photo to Ken.) Look at this picture!
Ken: (Takes the photo in his hand.) Oh, yes.
Mariann: Those are (struggling to find the words) … oh… isn’t it terrible when you can’t even remember your own sisters’ names?
Beth: Um, no Mom, those are your daughter and granddaughters.
Mariann: (Puzzled.) My daughter and granddaughters?
Beth: Yes. Your daughter, Kathy, and her daughters, Kristen and Kaitlin.
Mariann: Oh, how nice!
Ken: (Still holding the photo.) I say, that is very top-notch. (Hands the photo back to Mariann.)
(Ken nods, then starts to nod off.)
Mariann: (Speaking to Ken.) Now, don’t fall asleep! (Speaking to Beth.) He does this a lot.
Beth: Maybe he’s tired.
Mariann: Oh, no. What would he be tired for? (Looks at the table and sees the hat.) Who’s hat is that?
Beth: Um, it’s Ken’s.
Mariann: (Reaches over, picks up the hat, and puts it on her head, so it’s covering her eyes.) Let’s see what he says when he sees me.
(Silence. Ken continues to sleep. Mariann takes the hat off.)
Mariann: (Looking down at the table.) Oh, look at this picture!
Beth: Yes, Mom. I brought that for you.
Mariann: Who are they?
Beth: Your daughter and granddaughters.
Mariann: Oh, yes. That’s Kathy … and (pointing at Kristen) … you … and who’s that little one?
Beth: Kaitlin. But that’s not me. It’s Kristen.
Mariann: Kristen!? Oh, I’m confused. (Speaking to Ken.) Hey, wake up over there.
Ken: (Opens his eyes.) Let me ask you a question. What was … the international lawsuit?
Mariann: There was a national lawsuit? (Looks at Ken, then at Beth.)
Beth: Um, I don’t know, Mom.
Ken: Okay, okay, I’ll accept that. Very good.
Mariann: (whispering to Beth.) Do you know what he’s talking about?
Beth: (whispering) No.
Mariann: (Looking down at the table.) Oh, what a nice picture!
Beth: I brought it for you.
Mariann: Who are they? My daughters?
Beth: No, just one is.
Mariann: I only have one daughter?
Beth: No, you have three. But there’s only one in the picture. The other two are your granddaughters.
Mariann: (Speaking to Ken.) Hey, take a look at this picture. (She hands it to him.)
Ken: Oh, nice. (He hands the photo back to Mariann.)
Mariann: (Pointing to Kaitlin.) Who’s that one?
Beth: Kaitlin.
Ken: (Nodding.) Oh yes, Kaitlin is one … of those two … little places.
Mariann: (Pointing at Kaitlin in the photo.) No, that’s Kaitlin. (Pointing at Kathy in the photo.) Who’s that?
Beth: Kathy.
Mariann: Who’s Kathy? My daughter, isn’t she?
Beth: Yes.
Ken: Is she expensive?
Mariann: Hmmm, I don’t know. She does have a lot of clothes! (Pointing at Kristen in the photo and speaking to Beth.) Who’s this one–you?
Beth: No, Kristen.
Mariann: Oh, Kristen!
Ken: Okay, I want to discuss something right here. (Positioning his hand over his dinner plate.) It was well apportioned (mumble, mumble). There was this… and there was that. What do you think about that?
Beth: Um, I don’t really know.
Mariann: (Looking down at the table.) Hey where did that hat come from? And look at that picture — did you see it, Beth? It’s beautiful.
Beth: (Sighing.) I think I need to be getting home now.
Mariann: Oh, no! I thought you were going to stay the night!
Beth: Next time, Mom. I promise.
Mariann: Okay, sweetie. I love you. (Leans over and kisses Beth on the cheek.)
Beth: Love you, too. Mom. (Looking at Ken and getting up.) Bye, Ken!
Ken: Well let me just say that was really, really, really solid, and very frankly the next one you run off is going to be really good.

Note: I’ll be taking a short break from this blog while I work on another writing project this summer. Look for my next post in the fall. Thank you so much for reading!

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The First Time

“You’ve never been here before!” my mom exclaims as we head down the hallway of the dementia unit where she lives. She’s talking like she’s excited to show me the place for the first time (or more likely, thrilled to discover it with me, because it probably seems new to her as well).

“Sure, I’ve been here, Mom,” I say. “At least 30 times.”

“Thirty times?” A surprised look comes over her face.

“Yes, Mom.”

That’s 30 or more trips to the Hebrew Home from Brooklyn. Thirty or more times when I take a subway to a subway to a bus and back again, two hours each way, at least once every weekend. Thirty or more times of walking the halls with my mom, and if I’m lucky and she agrees, taking her off the unit so we can visit the main floor to see the birds and the fishes, the cafe, and the sculpture garden where we might walk along the path by the river.

“I’ve never seen this before!” she always says once we step off the elevator. Because it’s brand new to her every time. But for me, it’s getting old.

“It’s beautiful here,” my mom says, and I can’t disagree. Especially on these 80-degree late spring afternoons when the sky is a cloudless and crystal clear blue and the air is soft and warm. When we return to her unit, she is like someone coming home from a rejuvenating vacation, who wants to share her experience with everyone.

“Hey, do you know it’s beautiful here?” she asks another resident, lightly caressing her arm.

“Your mother is always smiling,” one of the nurses tells me.

And I’m so thankful for these days and so thankful that her disease, while robbing her, is doing it gently.

But as grateful as I am, I’m weary.

The landscape at Hebrew Home, however expansive it may be when compared to other nursing homes, is starting to confine me. I’m also feeling constrained by the shrinking dimensions of her brain. There are so many things we can’t talk about now, so much that is out of our conversational reach. It will only get worse.

I feel guilty for feeling this way, and so I try to counter the feeling by summoning my gratitude for whatever environmental, biochemical, or universal force that is making her a happy Alzheimer’s patient.

But then on my way out, I meet another happy Alzheimer’s patient, a woman I’ve seen regularly on the unit for the past seven months. In every encounter, she’s pleasant and smiling and wishing me a nice day. Not today, though. Her face is seriously distressed; she is disturbed and upset and demanding to be taken to a room that doesn’t exist.

It stops me in my tracks.

“Oh, shit,” I think. “Happiness can stop on a dime with this disease.”

What if that happens to my mom?

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Mother’s Day

When I arrived at the Hebrew Home for a visit on Mother’s Day, my mom was sitting alone at her table, hunched over and staring downward, like she was reading a book perched in her lap. She looked up as I walked in, and I caught her attention.

“I didn’t know you were coming today,” she said, not as excited as she usually is when she sees me.

“Is something wrong, Mom?” I asked, kissing her on the cheek.

“He’s mad at me,” she said, gesturing toward Kenneth, who was kneeling next to their table working on a knot in his shoelace.

“Hello there!” he said to me. “Do you think you can fix this?”

“Sure,” I said, stepping away from my mom, but not before taking another look at her. She looked crestfallen. I stopped and touched her face.

“Excuse me!” he said, pointing his finger at me.

“I’m coming,” I said. I approached him, bent down, and loosened his shoelace easily.

“Thank you very much,” he said. “I’ll take it from here,” and he tied his sneaker and circled a few times and finally walked away.

I sat next to my mom and put my arm around her. She was close to tears. We sat like that for a few minutes. And then we got up to take a walk.

Kenneth came back and started to walk with us, or more accurately, around us. And then one of the aides approached him because it seemed he needed some bathroom help. While he was being shepherded to his room for changing, I took my mom’s hand, and we escaped from the unit.

“Don’t worry; we’ll be back in a few minutes,” I said to her, punching in the code and steering her onto the elevator. We rode it to the main floor.

“I’ve never been here before,” she said with something like awe or wonder when we stepped off the elevator.

She stopped to see the tiny birds in a cage and then walked toward the fish tank.

“Look at them!” she said. “Are they real? I’ve never seen them before!”

We stopped by the auditorium where a performer alternated between singing and playing the saxophone. We listened for a little while.

“This is really nice,” my mom said.

“Yes, it is,” I agreed, and took her by the arm toward the door to the outside.

“I don’t want to go out,” she said, and I responded, “Okay.” But the weather was beautiful, and I wanted her to experience it, so I walked her around the lobby for a few minutes and then led her out the door and onto the patio.

“It’s so nice out here,” she said.

“Yes, it is,” I said.

We sat on a white wicker couch with bright yellow cushions.

“Give me your hand,” I said.

“My hand?”

“Yes.”

And when she gave it to me, I started to trim her nails, which had grown overly long.

“I bet we’re the only people out here doing this,” she said.

“That’s probably true,” I agreed, filing away the rough edges.

“So tell me how everyone in the family is doing,” she said.

By family, she didn’t mean her children or her grandchildren, who she often forgets. She meant her family of origin — her mother, father, brothers and sisters. She’s the youngest of ten. Except for her, they’re all dead.

But I don’t need to remind her of that anymore.  Now, I take the phrase, “Tell me how everyone in the family is doing,” to mean, “Tell me a story.” It’s the kind of comforting story you tell to a young child at bedtime to lull her to sleep.

“Everyone is doing great,” I said.

“I’m so glad!” she said. “How about Fred and Eleanor?”

“They’re good, Mom. Still in Niagara Falls.” (Fred, her oldest brother, was like a father to her. He died in 1998 at age 89, and his wife died a few years later.)

“And Laurie — is she alone?”

“Oh no, mom. She has her husband, Les, and the three kids.” (Les died tragically of a sudden heart attack at age 37 in 1959; Aunt Laurie never remarried. She lived til age 90 and died in 2011, just as my mom was entering assisted living.)

“Oh, that’s wonderful!” she said. “I’m so happy she’s not alone! Who else is there?”

“Dory and Earl,” I said, referring to the very lively and gregarious sister who found any excuse to entertain and who put herself through college (the only one to go) in her 40s.

“Oh yeah; are they still together?”

“Of course; he’s crazy about her.” (But he lost her in 1978, when she was in her early sixties. I still remember the day Aunt Dory died; it was my mom’s birthday and she got the news by telephone because we lived 400 miles away. She put the receiver down and cried.)

“And Bill and Bob — they still live in Mom’s house, right?”

“Well, just Bill, Mom.” (That house hasn’t been in the family for almost 25 years; it was sold after Bill died in 1990.)

“What about Bob?”

“He lives with his wife,” I said.

“I didn’t know he was married. Do they have children?”

“No, he and Diane married a little too late in life for children.” (And they weren’t married for very long before he died in 1983 in his 50s.) “But they’re very happy together.”

“I’m so glad everyone is doing so well!” she said. “For a while, I didn’t think things were going to turn out so well, but everything is pretty good, isn’t it?”

“Yeah, Mom. Everything is great,” I said.

I took her hand and we looked into the sun.

I can’t save my mom from Alzheimer’s, but I can write her a happy ending every now and then.

“Who’s Kenneth?” she asked, as we made our way back to the unit. I was explaining who I was taking her to see.

“He’s your boyfriend, Mom.”

“What?!” she said. “That is so crazy!” She had been so consumed with “visiting” her family that she had completely forgotten he existed, much less that they had been in conflict an hour before.

But then when she saw him, she knew him instantly.

“Oh yeah,” she said, “I know him.” A smile spread over her face. They walked toward each other, hugged, and kissed.

Two happy endings in one day. Now that’s what I call a good Mother’s Day.

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The Bottom Line

My mom and Kenneth are already at the dinner table when I arrive for a visit at 4 PM on a Saturday. They’re not saying much, just waiting for their food, which will be served at 5 if they’re lucky, but more likely at 5:30 or even 6 PM.

I get the feeling they’re moving out of the honeymoon phase, when couples seem to relish being together. These days, he sometimes acts annoyed by her clinginess, and she gets increasingly frustrated by his endless circuitous business strategy talk.

“The bottom line is we really basically, basically know we have different, various areas. Okay? Because I’m game.”

“What?!” she asks.

“I’m just trying to get a sense,” he says.

“Well, who are you trying to get it from?” she asks, perplexed.

“Exactly,” he says. “So are you going to buy in?”

And she shakes her head, not understanding a word.

I watch this perpetual miscommunication and wonder if they ever understand anything the other is saying. And then I think, what do they mean to each other?

He seems to think she’s his business partner. Sometimes he’ll point to her and say, “This gentleman over here … is doing great things.”

“I’m not a gentleman!” my mom will respond, usually with laughter. He’ll look confused, because she must be a gentleman, and they must be colleagues because why else would they spend so much time together?

“He’s not my boyfriend,” my mom will say when he doesn’t want to join us for a walk around the unit and she feels dejected. But other times she’ll refer to him as her husband and say she met him long before she ever entered the Hebrew Home.

But there are also times when she forgets he even exists. Like when Kathy called and asked about Kenneth.

“Who’s Kenneth?” my mom responded.

“You know — your friend,” she said. “Isn’t his name Kenneth?”

“I think there are a lot of Kenneths here,” my mom answered, maybe trying to work out why the name sounded so familiar when she couldn’t attach a person to it. Even if he is the person she spends most of her time with (and clearly wants to).

When I accompanied my mom on a Hebrew Home trip to a local museum, Kenneth wasn’t authorized to go. I had to practically pry them apart to get her off the unit.

“I want him to come, too!” she said.

“Come where?” he asked, looking down. “Wait a minute. So you’re going?”

“We’ll see you later, Ken,” I said, leading my mom quickly down the hall to her room so she could get her coat.

My mom wasn’t happy, at least not at first. She didn’t want to be apart from him. But within half an hour, he receded from her mind. She got caught up in the sights from the bus window (“Boy, that’s a tall building; I’d be afraid to live there because I might fall out of the window!”), and then she enjoyed the exhibits.

“We should do this more often,” she said to the docent, a smile on her face.

When we got back to the home a couple of hours later, she was a little confused but not distressed. Then she saw Kenneth.

“There he is!” she said, her gait quickening to meet him.

He threw his arms up in the air, and when they met, they embraced and kissed.

“Your wife is back,” said the aide Kenneth was sitting with.

They smiled and held onto each other’s hands. And they looked happy and comfortable and at home with each other.

And then I realized, it doesn’t matter if they don’t understand each other or even remember each other. It’s the senses that matter — they see each other and feel happy, and when they touch, they communicate. And through touch, they remember.

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My Birthday

On my birthday, I went to the Hebrew Home so I could see my mom on my “special day.” Of course, she didn’t know it was my birthday. Even after I told her.

“It’s my birthday!” I said, after settling down in a chair next to her and Kenneth.

“ConGRATulations!” exclaimed Kenneth as he reached out and gave me a firm handshake. He was acting like I’d announced the birth of my firstborn child, and I wondered if he might hand me a cigar.

“Happy birthday!” my mom said. Her eyes lit up, and she reached over and touched my face. Then she kissed me.

My birthday used to be a big deal for my mom. When I turned 16, she marveled at the fact that her youngest child had reached that age. In her early days of Alzheimer’s, we went through the list of key birthdays almost daily so she could write them down (and promptly lose the list). She didn’t want to miss anyone’s birthday. But now, she’s past even trying to keep track, or even remembering that people have birthdays unless she’s reminded.

It doesn’t bother me. I don’t always love my birthday, anyway. But there’s something strange about having to remind my mom about it. As my friend Sharon said to me, birthdays are family affairs; if your family doesn’t remember your birthday, then who does?

“Hey, I don’t have any money,” my mom said. “Do you think you could give me a few bucks?”

Normally, I would put her off. She can’t do anything with money other than lose it. But that day, on my birthday, I reached into my pocket and took out five singles. I gave them to her. She thanked me and put them into her pocket.

As we got to talking about other things, I started to have second thoughts about giving her the money. Five bucks is no big deal, I know, but I started to feel like I didn’t want to throw it away after all. Not on my birthday.

“Hey Mom,” I said. “Today’s my birthday!”

“It is?! Happy birthday!” she said. She reached over and kissed me.

“ConGRATulations!” said Kenneth. He firmly shook my hand.

“I wish I had a gift for you, but I don’t have any money,” my mom said.

“Sure you do, Mom,” I said. “Take a look in your pocket.”

“Ooh,” she said. “Five dollars!”

“That’s perfect,” I said.

She peeled off a couple of bucks.

“Here you go,” she said. “Is two enough? I should keep the rest in case I need it.”

“Sure, Mom,” I said. “Thanks for the gift.”

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Men

“Yuck … men!” said my mom more times than I can count, from my teenage years until about three years ago.

My mom wasn’t happy with my dad, who was her husband for over 35 years. When they divorced more than 20 years ago, she was happier than I’d ever seen her.

“I don’t ever want another man,” she’d say. But these days with Alzheimer’s, she’s changing her tune.

She can’t seem to get enough of Kenneth. In the infrequent moments when they’re not glued together, other residents ask, “Where’s your husband?”

But it isn’t just Kenneth. She has something to say to the other men she encounters as well. On our way to her room so she can change her pants (which she’s put on backwards), she leads me past her doorway so she can “say hello to my friend,” a bald man in a wheelchair. She can’t even communicate with this guy, who speaks only Spanish, but that doesn’t stop her.

“Hi!” she says, leaning over him, patting his hand. “Did you eat?”

He’s not ready to eat because he wants to stay near his room and listen to his music. He tells her this in Spanish, and I translate.

“You need to go eat!” she persists, stroking his shoulder, smiling widely. He returns the smile.

Seeing I understand a bit of Spanish, the guy says a few words to me. He says he knows my mom has a “novio” already, and that the man is “muy rico,” as Kenneth has obviously made it clear to all that he’s a successful businessman. Everyone remembers Kenneth, it seems. That is, everyone but my mom, who in the presence of another man, has forgotten all about him.

But even men who aren’t present have become a preoccupation for my mom. When seeing a woman she dislikes, someone who periodically tells people loudly to fuck themselves, she makes a point of saying she doesn’t like the lady.

“But boy does she have a cute son!” she adds, leading me to wonder who has taken over my mom’s body, and what have they done with her?

The last time I took my mom downstairs to attend the weekly Sunday concert was several weeks ago, before she and Kenneth were an item. A couple hundred people attend those concerts, and it’s often hard for her to pick out people she knows. She didn’t recognize her own roommate, who was sitting in the row behind us. Yet she noticed a man from the unit, one she’d called “cute” several weeks before, who was on the other side of the very large room.

“I know him,” she said. “We work together. Let’s go talk to him.”

“Hi,” she said, taking his hand. “So you didn’t go to work today, either?”

If things don’t work out with Kenneth, I have a feeling my mom won’t be alone for long.

Oh, Alzheimer’s, if you can turn my mom from a manhater into a shameless flirt, what else do you have in store for us?

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