Thursday, November 29, 2012

Son of Alzheimer's



Alzheimer’s is a bitch.  My mom’s mind is not totally gone yet, but it’s going.  She still remembers my name and my father’s and my sisters’.  She knows we’re related to her but the whole son, mother, daughter, husband dynamic may be beyond her reach.  My family all take shifts so he is never alone. One of the worst parts of the disease for me is she forgets to go to the bathroom.   Sometimes we help her in the bathroom just in time for her to pee or poop.  Usually she just pees or craps in her diaper and we have to help her clean up later.

She always resists when one of us tries to get her in the bathroom.  She cries, “No!” and screams like a baby with her mouth open.  Most of her teeth are gone which is ironic because she used to be very stylish, maybe even a little vain.  The woman she used to be would have cringed if she could have looked into the future and saw what she would become.  But now she doesn’t care: her teeth, her hair, her urine, it’s all good. She’s in another place. The family does our best to keep her clean and neat, but after an hour getting her to go to the bathroom, some of the finer points of hygiene seem to recede in value.

I go and sit with my mother four to six hours every weekend while my dad goes out and runs errands and clears his head from taking care of my mom.  One of my sisters watches mom during the week while my dad works.  He’s 83 and still working.  I think it keeps him young and healthy.  My other sister goes over one afternoon and one evening.  Another cousin helps out a couple of evenings a week when my dad works late.  Everyone wants to keep her at home as long as possible.  My sisters are better with her hair and nails then I am.  I specialize with toileting assistance.

One of the first times I helped her use the toilet I was trying to help her wipe afterward and the fact that I was her son hit her.  Not in the crazy baby scream voice that she used at the beginning of the procedure, but in a more aware, shame filled voice, she tried to push my hands away and  told me, “No, no, stop.  I don’t want you to do that.”

I said, “I don’t want to do it either, but it’s got to be done” and finished the job.  

When I’m helping her clean up after toileting, it’s weird to think that’s the vulva I came into the world from.  I never heard my mother use the word vulva.  She was the kind of lady who would have told me the stork brought me if she thought she could still get away with that in the mid sixties when I was a little boy.

After toileting she goes back to her chair.  My father got her one of those fancy recliners that also push you up when you’re ready to stand.  My mom is never ready to stand when we have to take her to the bathroom.  As we push the controller to make the chair goes up she screams, “No!”  Then, when directed, she puts on her slippers with help and walks to the bathroom.  She used to have a cane, but we took it away because she would swing it around and try to hit everyone with it so.  Now, she has a walker.  She doesn’t like to use it as much as the cane.  It’s too heavy and awkward to pick up and hit anyone with.

Most of her teeth on the top are missing except for one that is slightly protruding in front.  Before she got sick, she took good care of her teeth.  She had all her own teeth until Alzheimer’s hit.  Then she started to lose them quickly.  Her old dentist had retired by that point and she remembered enough to remember she didn’t like my father’s dentist so she started to get her teeth pulled at my dentist’s office.  It was kind of embarrassing to take her to this place where they just knew me as a cool dad, but it gave me a kind of strength to do that too.  This is my mother, dammit.  We did take her cane away before she went in the dentist office.

After we got all the rotten teeth out of her mouth, we had her fitted for dentures.  It was hard to get her not to bite the dentist when he was measuring her mouth. She usually asked him first, “Should I bite you?”  He always answered in the negative, but sometimes she tried anyway.  My job was to kneel next to the chair and if I couldn’t stop her, to pry her mouth open before she did any damage.  The dentist never got pissed, although he clearly didn’t enjoy it.  He works with a lot of children and was probably used to unruly patients.  On one of my individual visits, he told me his mother was starting to get symptoms.  That’s the most he ever shared with me about his life.

So we finally got her fitted and she looked great in her new dentures.  This was during the time when the family would leave her home for an hour or two alone.  She only left the condo once in many hours of being alone.  Since she and my dad live on the second floor of a senior condo building the chances of her getting totally outside with no one seeing her were minimal.  Regardless, we stopped leaving her alone after that. Even before that we had stop leaving her alone much because every once a while another resident burns something on their stove and this amazingly loud fire alarm goes off throughout the building.  The place is independent living, but when the alarm goes off a staff person from downstairs goes to that condo and can usually get the alarm to go off by opening a window and fanning the smoke out.  The situation doesn’t seem dangerous fire wise but that alarm scares the bejeezus out of my mother.  

The alarm makes her more upset than anything I’ve seen since she’s gotten sick.  She curses A LOT and looks very panicked when the alarm sounds.  It’s not a good scene even a family member is with her.  It's painful to contemplate how freaked she would get if the alarm went off when she was alone.  One time when it went off the fire department came and all the residents had to leave their apartments.  I wasn’t there, but my sister said when she led our mom out they walked past a fire fighter and mom cursed him right the fuck out, really loudly.  Bet that made his day, old lady cursing him out.
So that day coming from the dentist my sister took our mom upstairs with her new dentures in and left her for an hour until my dad came home.  When he got home the dentures were gone, totally missing, not in her mouth, not anywhere else.  We all looked everywhere we could imagine and they never turned up.  Another Alzheimer’s mystery. That was a year ago.  I think dentures were too big to flush, but it’s like $1200 down the toilet.  That’s why she has the tooth sticking out in front.