Today instead of a sermon, a member of my church gave a message on stewardship. Only he is a real estate developer who in the current economic situation may be facing bankrupcy, so it wasn't about giving money to the church. Instead, it was about his trying to learn from his experiences this year to stop trying to be God, stop trying to be in control of what happens. He said he hasn't had a transforming moment, a moment of surrender and then everything is different. Instead, it is more like Jacob wrestling with the angel all night. But he knows that being in community helps. And while he didn't talk about this I know he has re-invented himself several times before.
Today I got done two tasks that I had put off for months--revising a professional article and buying air tickets for a Christmas trip. In both cases I was afraid that there would be problems because I had put the task off so long, but they went smoothly. So I got away with being gentle with myself, not forcing myself to deal with those things earlier. I felt "I do what I can do."
I really don't know how much is reasonable to expect myself to be able to do. John can still take care of himself, though I have had to take over a lot of family organizing. My time isn't terribly full (particularly if I count the work time I could use for writing projects). But knowing the situation we are in is such a drain on my emotional energy. I think I have let go somewhat of trying to plan too much for the future, but I tend still to be braced for something bad to happen. How can I let go more of wanting to be able to predict my days and be more flexible to take advantage of what opportunities I have?
LEWY BODY DAILY JOURNAL
This is the story of Pam and John; she in her early 50’s and John is 62. Pam is a college professor. John taught at a local community college until diagnosed with Parkinson’s in March 2008, then Lewy Body Dementia in April.
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Sunday, October 26, 2008
letting go of control
Labels: future planning, Lewy Body Dementia
Friday, September 12, 2008
Reclaiming myself
For the last week of the journaling workshop, we are supposed to write about reclaiming ourselves.
Reclaiming myself:
How much of me is going to be left, after what I am guessing will be 10 years of caregiving? I’m hoping not to have to give up my job, but I worry whether that will work. Right now John is pretty functional, and yet I already feel my freedom to follow my own path has been taken away from me.
A priest suggested that I ask myself where I would have hoped to be in 10 years if John hadn’t become ill, and then see if there was any small part of that dream I can hold on to. I would hope to have written a more important scholarly book and to have served a term as president of one of my professional societies. I would hope to have done an Ironman triathlon. I would hope to have built the program I run into a major. I would hope to live a simpler life, to have reduced chaos in my house and made my life more peaceful.
I guess I need to take that last one more seriously, because it is the one I can have. And in fact we are making plans to move in a year to a smaller house. As the appraiser commented today, the problem with a house with lots of storage space is that one accumulates lots of stuff. I keep clothes because they are classics or because I might wear that size again. I keep books because isn’t that what one does with books? I stock up on food and office supplies so I will have on hand anything I might need. I keep bills and bank statements and the like because it is too much trouble to sort out what should be kept. I keep china and decorative objects because my kids might want them. I need to change my thinking.
A friend’s mother used to tell her: “Someone else could be enjoying that right now.” Instead of holding onto things because I might need them in the future, I would like to learn to let go of anything that I haven’t used in years. I imagine that doing so is a step on the road towards becoming a person who radiates peace.
Labels: future planning, Lewy Body Dementia
Sunday, August 31, 2008
secrets
We had lunch with John's aunt today, as we do most Sundays. She is 96 and gets around with a walker, but is fairly sharp. She moved here from Oregon about 15 years ago because John is her closest relative--she never married. She lives in an apartment in a nearby retirement community which does have different levels of care. Lunch is provided in the dining hall but she hires a driver to take her out to buy food and still makes her own breakfast and supper. Occasionally she comes to our house for supper but more often John picks her up and we have lunch together at a restaurant.
What worries me is that John doesn't want to tell her even that he has Parkinson's disease. She tends to be obsessive about health and he doesn't like it when she criticizes his food choices (she carefully eats a very low fat diet). He has been good about helping her himself when she occasionally needs help, not putting it on me. But it worries me that she is counting on him to continue to be available.
I told John that at least he should get her to change her durable power of attorney document so that it would name me as backup. He said he could do that, but I don't think he has raised the subject. I can't imagine doing it myself because I am so uncomfortable with keeping secrets that the only way I know to respect his wishes is to avoid any related subject.
Labels: future planning, Lewy Body Dementia
Tuesday, July 29, 2008
house renovations
I sent out 5 or six emails the end of last week looking for leads about house renovation. So far one call, and it is an interesting one from a designer. The man doesn't have particular experience with home design for disabled persons (though he said he had worked with such issues in institutions) but he said he has 50 years experience in design, contracting, architecture, and engineering (he is now semi-retired). I asked him to define what he would do for us and he said he would want to examine the house carefully and take measurements, discuss with us in detail what we wanted, including explaining our alternatives for different cost and quality, and then produce a design for us. Once we have the design, if we wanted his help with finding contractors, etc., he would give us a proposal and we could choose whether we wanted to contract with him for that. I asked him how much having him do a design would cost, and he said $500 to $800. That's worth it just for what we will learn, whether we use his design or not.
John liked my description--he felt that because this man wouldn't be trying to sell us something he would be able to tell us whether the house is really suitable for what I'm thinking we could do with it. So finally I'm making progress. Though meanwhile the roof of the house we live in how is leaking, when I thought I had solved that problem.
Labels: future planning, Lewy Body Dementia
Saturday, May 24, 2008
Worry
Barbara Crafton writes:
Planning and worrying aren't synonyms. Planning is developing strategies, which is a good idea. Worrying is experiencing pain in advance of its actual arrival in your life, which is not a very good deal.Read the rest (Christian).
Labels: future planning, Lewy Body Dementia
Friday, May 23, 2008
should we move?
Pearose makes an excellent point in the comments to the last post that it would be better to move while John still can learn the space.
We would move to another house in the same town, where I work, so it wouldn't get us better services. I would like to move back to the house we used to live in, which we kept when we bought a bigger house. It is rented to students so we probably couldn't start renovations until next summer. It has a finished basement that is ground level on two sides so you can walk in from a carport with no steps. That would be John's space. We lived there for four years when we were first married but John doesn't seem to have the good feelings about it I have. He doesn't want to move and have to get rid of stuff, while I want to move while he can still be of some help. I would like to move to a smaller house because it would force us to simplify, and I want a house where his disorganization doesn't take over the public parts of the house. Or would moving just be too stressful?
I need to find an expert to advise us on whether the lower level of that house could be made into a nice safe space for John. A friend recommended a pamphlet on such issues and then finding a Certified Aging-in-Place Specialist. The only person who comes up on that search in this area is a builder, so I'm not very hopeful. Another question for the Alzheimer's Association.
That thought finally motivated me to make the contact. I have so many negative feelings from my grandmother's dying from Alzheimers that it is particularly hard for me to identify with the Alzheimer's Association. But I got an email back almost immediately from the program director of the state chapter, who lives in the same town we live in. And she said that someone in the next town over is starting a support group specifically for Lewy Body Dementia! I was feeling no one in this area had heard of it. I am much relieved that I have found people who know what is available locally.
If the Alzheimer's Association has on-the-ground support here in rural South Carolina it should be helpful almost anywhere in the US. I recommend searching by state (click on the map to get to the web page for your state chapter)--their zip code search did not give the office closest to me.
Thursday, May 22, 2008
focusing on the future
In a group I was in yesterday, someone said: "Don't be anxious, God has a plan." Or from Exodus 14:14: "The Lord will fight for you, and you have only to keep still." (New Revised Standard Version)
I am anxious about the future. One of my reactions to the diagnosis was that I want to spend six months getting things in order, before focusing just on living in the present and taking advantage of the time we have. I've actually made some progress. I met with our lawyer and found the only thing I needed to do was to change my power of attorney from John to my sister. I haven't started working on the question of whether we should stay in this house or move, but I've got some idea of what the next steps are. We are making progress in getting our financial affairs in better order. The financial planner is looking into an impaired risk annuity for John's retirement savings. I just heard that I was approved for long-term care insurance at the preferred rate--too late to get it for John but I now have it for me.
But I can't imagine what I will do when John needs full time care. I thought I could do some research and at least understand the options, but I'm not finding decent options. I don't want to retire. There is adult day care in the area, but I wouldn't be able to get him up and there and still get to work at a decent hour--I'm an early riser and he isn't. If he needs more than a sitter, full time care at home is likely to be too expensive. The local nursing homes don't have separate dementia units. I hear the closest nursing home with a good dementia unit is in a city 40 miles away. I guess it is time to call the Alzheimer's Association, as the most relevant organization that is actually on the ground here.