My mom’s brain was chaotic

There was a time, when my mom still lived independently, when she would regale me with tales of her hallucinations (likely brought on by the Alzheimer’s drug Aricept).

“Every night there are people singing Christmas carols outside my window,” she said. She could see them as she was falling asleep, even though her cherry headboard blocked her view of the window when she was lying in bed.

“They’re happy and kind of fat, and they wave at me as they pass by.”

While describing what she had for dinner during one of our nightly phone calls, she stopped mid-sentence.

“Oh, no,” she said, “you’re not going to show me that, are you?”

“Uh, what mom?”

“That girl there…. she’s pulling up her skirt and showing her panties. Ooh, ooh, ooh, now she’s taking her panties off!”

“Is everything ok, mom?”

“It’s just so weird … hee, hee, hee!”

“So, you really see this person, mom?”

“Yes, she’s right in front of me.”

I didn’t know what to say. Her brain seemed to be populating itself with so many strange things.

It wasn’t only hallucinations brought on by Aricept (which she eventually stopped taking). She also seemed to have an ever-present sense of deja-vu, where every new experience was something she had witnessed or lived before.

“You took me to this store last week,” she told her friends Mel and Joan, when they visited a new store.

“I see that lady walk by every day,” she said from a window seat at the Sunshine Diner, which was not a place she ate every day. “She wears the same red blouse and carries her purse that same way. Ooh, now she’s scratching her head the same way she always does.”

It seemed she wasn’t forgetting; instead, she was remembering things that had never happened!

Her brain was like a room full of stuff, and nothing was where it was supposed to be. New things were coming in, and everything kept moving around. It was disorder and chaos.

As time goes on, it seems there’s much less stuff inhabiting her brain.

These days, she wonders where she is and what she is supposed to be doing. She asks where her house is, and how she will get home. She sometimes asks about her brothers and sisters, and on good days, about her children. There’s not a lot of new stuff taking up residence in her brain. She’s concentrating, with all her might, on trying to keep track of what she has.

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My mom used to pray

Throughout her life, my mom found great comfort in prayer. She prayed throughout the day, asking God for help with all of her problems.

When I had a problem as a teenager, she would recommend that I pray also. This did not sit well with me. I was struggling with my belief in God, and I wanted human help. When she told me to pray, I felt like she was passing the buck.

My mom also comforted herself with dreams of salvation in heaven, where she said everything would be peaceful and pleasant, and life would be eternal, as long as you accepted Jesus Christ as your savior.

This always seemed too simple and, frankly, wrong-headed to me.

“What if you’re a serial murderer?” I’d ask. “As long as you believe in Christ, you’re saved?”

“Yes,” she’d say. “But no one who believes in Christ would be a murderer.”

Hmmm.

“What if you’re not a Christian?” I’d ask. “You won’t be saved, even if you’re a good person?”

“No,” she’d say. And then she’d look very sad.

By the time I reached my twenties, our conflict got more intense. This caused her great distress.

“I guess I won’t be seeing you in heaven,” she’d say. And then she’d cry.

Eventually, I stopped raising the issue, but she would bring it up again and again. So I finally gave in to head off this avenue of discussion.

“Of course I accept Jesus Christ as my savior,” I’d say. “And I’ll see you in heaven.”

This seemed to satisfy her, and she’d let the subject drop.

But these days, Alzheimer’s is changing everything. My mom is losing track of God, and I’m trying to help her pick up the traces.

“Did you pray today?” I ask when she’s crying on the other end of the telephone, and nothing I say can help her.

“I forgot,” she sometimes says. Other times, she says, “I can’t pray.”

“Then let’s pray together,” I say. And I go from daughter to pastor, prayer partner, spiritual advisor, as we invoke God over the telephone lines. I ask God to be with my mom, to comfort her, to let her know she’s not alone. It seems to give her some relief, but she can’t do it on her own.

And when my mom talks about death these days, it’s not about everlasting life in heaven.

“I’m going to die soon,” she says, “and I’m scared.”

“Why are you scared?” I ask.

“I don’t want to be alone,” she says.

“You won’t be alone,” I say. “You’ll be in heaven, and you’ll see your family.”

“I will?” she asks, as if she’d never spent all those decades dreaming of heaven.

“Yes,” I say. She accepts it, but she seems to have doubts.

I never thought my mom would forget about heaven. And that I’d be the one reminding her.

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Bombs, Bullies, and Old Age

Two bombs at the Boston Marathon. Two people dead. Over 100 injured.

“That’s terrible,” my mom says after I tell her.

“It is,” I say.

“I want to tell Phyllis,”* she says. “Hold on.”

Three minutes later, she’s back on the phone.

“I couldn’t remember what I wanted to tell her.”

It’s 15 feet from the couch to Phyllis’s bed. Probably less, and my mom moves fairly quickly. Fifteen feet erases the facts from her mind.

“Oh mom,” I say, and repeat what I first told her.

“Okay,” she says, and sets off again.

Two minutes later, she’s back.

“I couldn’t remember it all,” she says. “Something happened in Boston, and two people died. That’s what I told her.”

“The Boston Marathon,” I say. “A bomb. Over a hundred were injured.”

She sighs. “I really want her to know,” she says. “Hold on.”

My mom has been living with Phyllis for 18 months, when they both moved into the assisted living facility. It’s been going extremely well. Phyllis has the mind and can remind my mom where she needs to go. My mom has the body and can help Phyllis with tasks like making tea and putting her clothes into the hamper. It’s a marriage made in heaven.

But the marriage hasn’t stood the test of time.

I got a call last week from the facility that my mom will be moving out. Phyllis is demanding too much and doing it too forcefully, and my mom can’t say no. They say that Phyllis is bullying my mom.

This makes me sad because I feel for Phyllis. She’s old and in pain, and she can’t do much for herself. She’s also depressed and sick of life. And she’s living with someone who has Alzheimer’s Disease, which can try the patience of anyone.

But I don’t want her mistreating my mom, whatever the reasons, so of course my mom will move, with my blessing.

Still, it makes me sad how old age and illness are wearing away at them both, how they can erase people’s memories or turn them into bullies.

*Phyllis is a pseudonym for my mom’s roommate. I didn’t want to use her real name.

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Everything is a puzzle to my mom

My mom used to love puzzles. She would sit for hours at a card table, putting 500 pieces together to make a picture. She got tremendous joy out of completing a puzzle.

Mom Puzzle

But Alzheimer’s took that away from her. It got so she could no longer finish a puzzle because she’d force pieces where they didn’t belong and then wonder why the remaining pieces didn’t fit. All of her puzzles had holes on them.

puzzle with holes

“This puzzle doesn’t work,” she’d say.

Soon she could barely fit five pieces together after emptying an entire box onto the table.

puzzle pieces

So she stopped opening the boxes and she gave up on puzzles.

“I can’t do them anymore, ” she said.

But I’m realizing that puzzles are still a big part of her life, whether she realizes it or not.

Every time I talk to my mom, Alzheimer’s turns whatever I say into a puzzle and spreads the pieces onto her brain like it’s a card table. And I watch her pick up the pieces, struggling to fit them together into something that makes sense. But she never seems to get the full picture.

“Who is your father? Did you say his name was Bill? Isn’t he my brother? Did I marry my brother? Didn’t he die? Who is Bill? I thought he was my brother? He’s married to someone else? But I thought my brother died? I’m so confused….”

No matter how hard she tries, she can’t put the pieces together.

No wonder my mom stopped opening the boxes. She must be damn sick of puzzles.

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Our relationship has never been so simple

“Is it true that I’m your mother?” my mom asks me.

“Yes, mom.”

“Is that how you see it?”

“That’s how it is,” I say.

“So you think of me as the mother?” she asks.

“Yes, mom,” I say. “You’re the mother.”

“So that means you’re not the mother?” she asks.

Good question, because more and more, it seems like she’s right. I’ve become my mom’s mother as Alzheimer’s destroys her brain.

But in some ways, this has always been our relationship. I have always felt like her mother, even as a child — especially as a child. She confided all of her troubles in me, and I took care of her emotional well-being. It screwed me up, and I’ve spent years recovering from it.

That was really hard. What’s happening now isn’t easy, but it’s a lot more simple.

Strange how Alzheimer’s gives me a second chance at having a healthy relationship with my mom.

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The things she’s forgotten

How to tell time.

Clock

What she had for dinner.

Dinner options

The house she lived in for thirty-four years, where she raised her children.

House

The names of her grandchildren … or even that she has grandchildren.

Grandchildren

Whether it’s morning or night.

Sun                       Moon

What she just said, three minutes before.

mom talking 2

What she just heard me say, thirty seconds before.

mom listening3

And lots of other things. As she forgets, I grieve over losing parts of her.

But sometimes she remembers again, and I get confused. Have I lost her, or haven’t I? Alzheimer’s may be decimating my mom’s brain, but it’s messing around with my mind, too.

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Writing things down

“Wait, I have to write that down,” my mom says, during our nightly phone conversation. “Hold on.”

“Okay,” I say, trying to wait patiently while she looks for a pen.

When she gets back on the phone, she can’t remember what she wanted to write down.

My mom has been writing herself notes for a long time. Before she moved into assisted living, I would find little slips of pink paper all over her apartment. They contained random, sometimes indecipherable, messages.

“Stanley. Bible.”

“Milk. Bread. Soda.”

“$10. Mel.”

“800-567-1234.”

She never wanted me to throw any of them away.

“I might need them,” she’d say.

“Really? Do you even know who’s phone number this is?”

“I might remember one day,” she’d say, laughing. “You never know!”

But the notes are fewer these days. She’s forgetting to do the very thing that helped her remember.

“I have so many things I want to tell you,” she says. “But I keep forgetting to write them down.”

One day, about two years ago, she wrote down something she wanted to tell me. I found the crinkled little note under a magnet on her refrigerator.

It said, “Tell Beth. Miss her.”

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Communicating with my mom

A typical nightly conversation with my mom sounds like this:

“When are you coming?” she asks, eagerly.

“Saturday,” I say.

“Oh good,” she says, excitedly. “Are you staying overnight?”

“Not this time, Mom.”

“You never stay overnight.” Now she’s petulant.

“I’m sorry, Mom, but I can’t.”

“Why can’t you?” Inquisitive.

“I’m very busy, Mom. And I don’t like to leave the cat. She’s elderly, and sick.”

“Oh, okay. I guess you’re never going to come live with your mother.” Manipulative.

“Live with you?”

“Yes. Why not?” Matter-of-fact.

“Where would I sleep?”

“You could share my bed.” Imaginative.

“The twin bed? It’s too small.”

“I could sleep on the couch.” Resourceful.

“You could sleep on the couch?”

“Yes. I like to sleep on the couch,” she says. Self-satisfied.

“Ok, Mom, you can sleep on the couch, but I can’t live with you. I’m too young for assisted living.”

“You are?” Full of wonder.

“Yes.”

“So how many years do I have to wait?” Clever.

“About forty.”

“Forty? I don’t think that’s going to work.” Resigned.

“No, probably not.”

“So you’re coming to visit … tomorrow?” she starts again.

“No, Mom. Saturday.”

“How long are you staying?”

Hmmmm.

“For days and days,” I say.

“No, you’re NOT!”

“Okay, Mom. No, I’m not.”

“Are you staying for a day?”

“Yes.”

“Ugh, what good is that?”

I laugh.

“So when are you coming?” she asks again.

“Saturday.”

“Are you staying overnight?”

“No. . . .”

Sigh.

Every night. Same conversation. I hang up laughing and wanting to pull out my hair at the same time.

And yet when I think about her losing the ability to communicate some day, I can’t imagine how I will handle it.

I recently saw the Iranian movie, “A Separation,” about a man who cares for his elderly demented father. The man becomes very upset when his father completely stops talking after a traumatic incident.

“He barely said anything, anyway,” says the man’s estranged wife. “Only a couple of words.”

“I liked those words,” the man says. “They were good enough for me.”

I think that’s how I’ll feel when my mom can no longer talk.

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My mom is confused about where she lives

“I can’t figure this place out,” my mom says. “What’s it all about?”

She’s talking about the assisted living facility where we moved her almost a year and a half ago.

“It’s your home, Mom,” I say.

“It is?”

She’s been confused about the place since the day we moved her. That day was tough — she resisted greatly — but then it got better. She started to accept it, believing, I think, that it was a temporary situation. Like a vacation. She compared it to the little resort in the Catskills we visited when I was a child.

“I wonder what they’re going to serve for dinner tonight,” she says, looking forward to the meal.

But then her attitude shifted as time wore on. The “vacation” never came to an end, and I guess it got old. She never goes anywhere, so I can understand why. I also have to wonder if an endless vacation, as desirable as that might sound, can feel like a life without purpose.

In assisted living, my mom no longer needs to cook or clean or pay her bills (my sister Kathy and I handle all the paperwork). She has no work and no place she has to be (except for meals and to get her medication). She has nothing to accomplish. Being in assisted living is like relinquishing all responsibility for daily life.

Sometimes I think this situation is actually making her Alzheimer’s worse.

I wonder if she would have deteriorated so quickly if she had stayed in her apartment, where she lived for 20 years. I wonder if her own apartment would have grown unfamiliar to her by now.

But there’s no use wondering, because there’s no going back. She’s where she is now, in a place of chronic confusion.

“My living room furniture is here,” she says, puzzled, looking around at her “new” apartment, where she has now lived for almost 18 months.

“Yes, Mom.”

“Is this my place?”

“Yes, Mom.”

Sometimes she gets the place confused with other places where she’s lived. Sometimes she imagines the small one bedroom apartment is a house, with different floors where all kinds of activity are happening.

“The kids are sleeping upstairs,” she says.

“What kids, Mom?”

“You know, the kids.”

“But there isn’t an upstairs, Mom,” I say. “You live on the top floor of the building.”

“Oh,” she says, but I can tell she’s not satisfied. It doesn’t make sense to her, and one minute later, she’s asking me again what it’s all about.

It’s like her memory is being poured out of her head like grains of sand from a glass, and she’s cupping her hands, trying to catch the grains before they fall to the ground. But they slip through her fingers, and she has to work harder and harder to hold on.

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An old man, his horse, and my mom

There’s a parable about an old man whose horse runs away.

“What a terrible thing,” the village people say.

“That’s life,” says the old man.

The horse returns and brings with it three mares.

“What a wonderful thing,” the village people say.

“That’s life,” says the old man.

The old man’s son tries to tame one of the mares and is thrown. He is permanently injured and can no longer walk.

“What a terrible thing,” the village people say.

“That’s life,” says the old man.

An invader attacks the country and all of the young men are conscripted into service, except for the old man’s son, who is lame.

“What a wonderful thing,” the village people say.

“That’s life,” says the old man.

For me, the point of this story is that what causes you pain at one point in your life can be a source of salvation later (and vice versa). I’m thinking about it as I try to care for my mom with Alzheimer’s Disease.

When I was a child, my mom never wanted to face problems. She thought you should make the best of everything, no matter how bad.

“Mommy, I’m upset. Debbie took the remote control from me.”

“Just ignore it and make the best of it,” she said.

“Mom, I can’t stand my science teacher.”

“Tell yourself you love her. Make the best of it,” she said.

“Mom, someone stole my bag.”

“That’s terrible. Well, it could have been worse. At least you’re not hurt,” she said.

Not only did I feel my mom was trivializing my pain, but she was discouraging me from taking action, when I could, to improve a situation. Could anything be more unhealthy, I wondered, than her maddening belief that feelings should be denied and problems left unaddressed and swept under the rug?

But now I think her approach is serving me, and I’m almost grateful that it’s so deeply embedded in her brain that she’s carrying it into her Alzheimer’s years.

I talk to so many people in my situation who have ongoing trouble as they try to help their  parents live with dementia. The parents continually complain, sometimes belligerently, about losing control of their lives (which is understandable). But it’s different for me.

Most of the time, my mom tries to make the best of her new life in an assisted living facility.

“It’s pretty nice here. It really is!”

“The food is fine.” (It really isn’t!)

“There’s a woman here who I don’t like, but I’m not going to let her bother me.”

Certainly, she gets upset about losing her memory. She gets sad and lonely. Sometimes she says it would be better if she would die. But she always ends the conversation with, “Don’t worry about me. Please, don’t worry. I’ll be ok.”

She is taking care of me, in her way, by trying to make the best of her situation. What seemed to hurt me as a child is helping me now.

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