Category Archives: Aging & dementia

A call from the nursing home

My phone rang mid-day on Friday. It was one of the staff at the nursing home where my dad’s been for the past year and a half. She wanted to let us know that visiting won’t be allowed for at least a few days as they move to contain an outbreak of a stomach/intestinal bug of some kind on his floor.

She said I should call before trying to visit on Monday, but my sister, Bonnie, tells me visits are off at least until the end of this week.

I was at a restaurant with friends when the phone rang, so I took the call standing in the restaurant lobby. Any kind of illness can probably fly through a population of elderly who aren’t able to take care of themselves, and I’m sure that any illness is potentially dangerous for the frail elderly.

My dad had a cough the last time I visited, and he has contracted a case of the flu. Apparently not a terribly bad case, Bonnie reports, but bad enough. Now it gets complicated. If he doesn’t drink enough water, he can get dehydrated, and dehydration can be life threatening. Suddenly a simple stomach flu can turn into something much more serious.

But at this point there’s really nothing for us to do. We know he’s under medical supervision, which is more than he would get if somehow he were at home.

The folks at the nursing home have their hands full coping with stomach flu among a bunch of people who need assistance to use the bathroom. All was can do is wish them well, monitor the situation from a distance, and stay out of their way. It’s not a good feeling.

Meanwhile, Bonnie reports on an interesting conversation with our father, who said that he always wanted to play the piano and took lots of lessons. Apparently the lessons never took.

Then he drifted onto the topic of cars. She reports:

“I didn’t think I could get along without a car.” he said. “I’ve had a car since I was 16.” Another revelation.

“Oh, did you have a car while you were in high school?” That would be interesting. I thought the family had so little money during the Depression that they had trouble putting food on the table.

“Yes. I had a 1928 Dodge coupe.” Even more interesting. My dad celebrated his 16th birthday in December, 1929. OK, maybe he wasn’t 16.

“Did you work on your car yourself?”

He didn’t answer yes or no. “There was always a group of about six fellows who were ready to work on my car.” He was never much good with things mechanical. Always had to have someone to work on the boat engines, too.

He had a knack for getting people together to do things. He wasn’t the best surfer, not anywhere near it, but managed to get people together to create a democratic surfing club open to all, the Waikiki Surf Club, and was elected to lead the club for a number of years. He repeated it with the Makaha International Surfing Championships and, along the way, lots of other lesser events. I’m not sure what the magic was, but he had it.

Searching for memories

[Note: click on any photo to see a full-size version.]

Meda dropped me off to visit with my father late yesterday afternoon. She continues along Beretania Street and makes a sweep through the Goodwill Store while I head up the stairs to the third floor of the Oahu Care Facility, sign in the visitor log, and make my way down to his room.

Bonnie’s name was there in the log, so I wasn’t surprised to find her sitting along side his bed, a bag of dirty clothes on the floor next to her chair, ready to be taken home and washed. Bonnie greeted me. “It hasn’t been a good day,” she said. “He said he needed to go to the airport.” Something about business, or clients, or something.

And my dad was coughing. Not a simple clear-your-throat cough, but a real cough. Not a good thing in a nursing home setting.

He was lying in bed. His feet, in socks, stuck out from under a sheet, which was tossed around, apparently the result of a restless sleep.

He looked up. “Hello, Ian. Did you meet your sister?”

His voice was low and gravely. Tired. I’m not sure if he’s joking or confused, but I respond, yes, of course we met.

“Was I coughing when you came in?” he asks. I nod.

Then he and Bonnie resume the conversation they had been having.

“Whose birthday was yesterday?”

Bonnie responds with patience. “It was mother’s birthday, and you remembered.”

“Where was I?” He’s trying to connect to this birthday, but it’s hard. He’s drawing a blank.

Then, frustrated, he shakes his head: “Where did my memories go?”

Ouch. He’s still self-aware enough to recognize that memories are becoming an endangered species. I don’t know what to say. The thought lays there in the middle of the room. We don’t touch it.

Bonnie says goodbye, gathers her things, and leaves, heading back to the house we grew up in where she is again in residence, this time assisting our mother, whose birthday we celebrated on Saturday.

On her way out, she opens the little fanny pack that hangs on the side of his walker and pulls out his reading glasses, handing them to me.

I turn back to my dad, put the glasses in place, sliding them onto his head, the bridge settled on his nose. He accepts the assist.

I’ve brought a few more old photos, hoping that he may be able to add some information to them. It’s also kind of a trick. Sometimes he recognizes them immediately, at other times the photos seem to tap into very dimly held memories. Sometimes they draw a total blank. You never know.

The first photo I pull out is an 8 x 10 showing him standing with a surfboard. They’re posed alongside what appears to be a stack of large, stainless steel refrigerated units with an ice machine stacked on top.

Makaha“Makaha.” He recognizes it immediately. The Makaha International Surfing Championships were his baby, founded by the Waikiki Surf Club when he was still president, if I recall correctly, in cooperation (at first) with the Waianae Lion’s Club.

The memory seems to give him more energy, focus. “That’s me,” he points. His eyes search the photo. “Is that a fat man?” he asks, pointing to figures in the background. I try to see where he’s pointing. Yes, it looks like he’s fat.

I ask about the surfboard, and he identifies it as his own. It appears to be around a 10 foot board, wood strips for strength, standing on its nose.

He asks if I can tell what decal is on the surfboard. Even up close I can’t make it out.

Then I ask about the ice machine, and I’m surprised by the immediate and detailed response. He rattles off the manufacturer, model number, and capacity, then adds, “that was about a $10,000 investment.”

That was his profession, selling restaurant equipment and supplies to hotels, restaurants, bars. For about a decade, he also set up his own equipment and peddled ice, with truckloads of bags of ice delivered to stores and service stations where customers could help themselves from self-service bins that he provided to the retailers.

CatamaranThe next photo I show him is of a woman sitting on the bow of the catamaran Manu Kai. He stares at it, his eyes roaming the 8×10 inch paper. I don’t see any spark. He turns it over. It’s stamped on the back. November 25, 1953. Photo by “Scoop” Tsuzuki. Then, in pencil: “22nd trip. Doris Backlund. Miss Lurline.”

Even with the aid of this extra information, he doesn’t recall the occasion or the photo. He feels he has to explain.”My memory’s real bad,” he says, a bit of pain in his voice.

Woody BrownWe move on. Another catamaran picture. This time he knows. “That’s Woody Brown,” pointing to the man in the hat.” His finger tapes on the other figure. “Dave, Dave….” The name eludes him.

I consult my iPhone, Wikipedia and the Legendary Surfers web site.

According to Wikipedia, Brown designed and built the Manu Kai (“Sea Bird”) in 1947, described as “probably the fastest sailing boat in the world at the time and now seen as the first modern, ocean-going catamaran.”

It’s just at the edge of his memory.

[text]Then there’s another catamaran photo. This one looks older, more worn, stained. It shows a catamaran being carried by a group of people towards the water.

There’s a number (“46”) written in pencil on the back. The year? If it’s 1946, it could be the original launch of the Manu Kai.

He stared at this one for a long time, his fingers rubbing along its surfaces, searching for clues. He comments on how many people it took, fingers tracing the bodies arrayed beneath each of the twin hulls and under the deck, but he doesn’t seem to recognize anyone. It remains a mystery.

Just a couple of additional photos to try.

George DowningHe immediately recognizes himself in this photo, along with George Downing. It’s dated on the back, stamped Sep 5, 1949. Another Scoop Tsuzuki picture.

“George is skinny!” he says.

I ask about the woman. He draws a blank. I think he recognizes her but there’s no name attached and he tiptoes around its absence. I imagine it’s frightening, feeling the presence of these memories but unable to get to them.

ClubhouseThere’s another photo that appears to be from the same batch. It had a note: clubhouse.

He holds it, looking closely.

I ask whether the Waikiki Surf Club had a clubhouse. “Not anything like this,” he said with some energy.

Then he stops. “I wonder if this is on Kauai?”

I ask, “Why Kauai?”

Because, he replies, it was the only place the Surf Club traveled for competition to that looked something like this.

Women on the beachOne last picture. He holds it. Moves it closer to his eyes. I ask if he remembers them. He nods, yes. Names? Blank.

I let a polite length of time pass, and then ask again. Do you remember any of them?

He looks at me. “I know all of them,” he says, his finger indicating the row of young women. He points to one. “She’s now about 300-pounds,” he says matter-of-factly. Then to another: “She’s the one who was always after George.”

Their names? He shakes his head, tries to explain in a few words. He knows them, he says, but just can’t get their names right this second. Maybe later, he says.

We’ve just gotten through the photos when cart delivering meals arrives at the door of the room. A nursing assistant walks to the back of the room, where his bed is located, the fourth bed set along the wall of the long room. She’s just checking if everything is alright before the tray of food is brought in.

He looks up. “Hi, who are you?” She laughs, turns. He calls after her, “What’s your phone number?” Then he joins the laughter.

Dinner is served. A cup with colored cubes of jello. A plate with mashed potato, a scoop of ground mystery meat, a nice serving of diced carrots.

He fingers the jello with his right hand. I can’t tell if he’s just toying with it or really plans to try to grab ahold of one of those wiggling little squares. Then he changes strategy, spears it with a fork. That gets it to his mouth with less effort.

He seems to be enjoying the food. But the cough returns. A deeper sound this time. He gets past it, continues eating.

I say goodbye and leave him with the rest of his meal. We’ll look at those pictures again, I call back. Maybe you’ll remember more. He nods, mouth full. We wave at each other. Then I step past the curtain that separates his small world from the next bed and start walking toward the stairs.

Monday miscellany…BusinessWeek on Hawaii’s auction rate investment, Kent State update, countering right-wing lies, faces of dementia

If you were frustrated by being unable to open this site yesterday, you weren’t alone. It was down for hours Sunday morning before service was restored. And thanks to everybody who emailed to let me know about the problem.

Businessweek.com reported critically last week on Hawaii’s continued bond deals with Citigroup “even after one of the bank’s brokers sold the state $1 billion in auction-rate securities that have lost a quarter of their market value and cannot be redeemed easily.”

The company has continued to earn fees from the state for underwriting state bonds since the collapse of the auction rate securities market put nearly $1 billion of state money into limbo. The state holds the bonds and has collected interest but can’t sell because the market for them has evaporated.

The article is critical of the state’s failure to use its current contracts with Citigroup as leverage to force a resolution that would free up the cash from this investment.

It’s surprising that Hawaii hasn’t barred Citigroup from underwriting bonds as a way of pressuring the firm into settling over auction-rate investments, said Thomas R. Ajamie, a Houston- based attorney who represents some individual holders of the securities but does not have any business with Citigroup or the state.

“We always tell our clients, ‘If you want to show you are upset, let your money do the talking,’” Ajamie said in a telephone interview.

The Lingle administration sounds lame with its “oh, we don’t really need the money, so no problem” approach to the issue.

Thanks to Denny McPhee for this link to the Cleveland Plain Dealer’s latest report on the 1970 shootings at Kent State. The findings: National Guardsmen were given an order to shoot, according to an enhanced version of video of the event.

And Mike Middlesworth sent over a link to from Truthout.org, “Why the Left Has No Answer to the Right-Wing Lie Machine.”

The oligarchy that owns and runs our government and controls our mass media has learned Goebbels’s lesson well: A lie unanswered is a lie believed – more so if the lie is repeated, over and over again.

Accordingly, a successful propaganda campaign must accomplish two essential and coordinated tasks: (a) tell the lies, and (b) see to it that they are not effectively refuted. The six media conglomerates that now control most of the US media accomplished both tasks supremely well.

Give it a read!

And the media group FAIR had an interesting blog post last week about the NY Times reliance on what was described as a “conservation group” for views playing down the impact of the Gulf oil spill. Turns out the group’s directors include a number of oil industry representatives, including one from Transocean, the company that owns the drilling platform that is now spilling millions of gallons of oil.

Finally, from one of the participants in a photo group that I follow, “the beautiful faces of dementia…”

To California and back (another dementia story)

“How did you find me?”

My dad was in bed, his mid-day meal arrayed on a small rolling table that extended out over the bed in front of him.

He seemed genuinely impressed that I somehow tracked him down. He’s not sure where he is, so how do I always seem to know? I think it bothers him.

He hadn’t touched his food. A tuna sandwich on soft whole wheat bread, cut in half. A small plastic cup of what looked like chicken noodle soup. A cup of orange slices. A small glass of milk, and another small glass of Ensure protein drink.

“It’s a good thing you’re here,” he said, looking over as I sat down on the seat that folds down on his snazzy four-wheel walker.

“I think it’s just about the last time I’ll be here. I’m going to be visiting Southern California.”

My dad grew up in Long Beach, California, and visited his family there regularly over the years.

“But I don’t know exactly where I’ll be staying.”

The lunch sat untouched in front of him, while his attention was on a new flat screen television that the man in the next bed was watching, apparently a gift from his family.

It was a tense tennis match between two pretty and evenly matched women players. He took a long look at the women.

He looked back over at me.

Then he turned inward. He was thinking about Long Beach.

“I don’t have any close communications with anyone there anymore,” he said.

I tried to be rational, ticking off relatives who would be glad to see him.

He nodded. Paused.

“Where would you go on the mainland?”

I wasn’t sure where this exchange was heading.

“I don’t know,” I replied, playing for time. “But I think I would avoid winter.”

He nodded.

More silence. I can’t tell what he’s thinking.

He reached out and stuck a spoon into the soup, then drew it out to examine the contents. Slowly, he took a bite. Another. Then the soup was finished, and he turned to the fruit. By now he was on auto pilot, slowly eating his way through the waiting lunch.

Finally, with his mind somewhere between his lunch and thoughts of travel between Hawaii and California, I decided to cut the visit short.

“Well,” I said, “don’t take off for Southern California before I get back to visit you again.”

He looked up, apparently a little surprised.

“Oh, I’m going back to Honolulu. The weather’s pretty nice over there.”

The trans-Pacific mind-travel had my head spinning.
He seemed unfazed.

I quickly chanted the dementia “rules” to myself. Don’t argue. Don’t correct. Be supportive. Go with the flow.

“Good choice,” I reply. “You’ll like it over there in Honolulu. You always did.”

I turn to leave. He says goodbye. On the screen, groans and cheers from the crowd accompany a double fault. The players somewhat stoically take up their positions for what looks like the final game. He’s got the first half of the tuna sandwich in hand, the tuna mixture staring to spill down his hand as he moved it towards his mouth. I give a last wave and head out into the hallway.