Category Archives: Aging & dementia

A reader questions the sharing life’s “final indignities”

A question left in response to yesterday’s post was brief and to the point:

Ian, how do you go about deciding whether or not to publicize your dad’s final indignities?

It’s a good question. Thought provoking. I’ll try to answer, if I can.

I should say at the front end that I was asked the same thing when I chronicled my dad’s final two years while it was all happening. He had been taken to Queen’s hospital after a second fall at home, and then admitted to a bed in a room with four other patients in the Oahu Care Facility, a nursing home on Beretania Street, near the corner of Artesian St. That was his last stop. He was there just a month short of two years.

At that time, I wrote about my visits to his bedside, his life in the facility, his struggles with dementia, and my own coping with what was happening. I couldn’t avoid writing about family history, sometimes family dynamics, and occsionally about a family secret.

I probably did tread somewhat on his privacy, had he been in a condition to worry about such things. To tell you the truth, my mom probably didn’t know what I was sharing. My dad certainly didn’t. My sister, Bonnie, was supportive, and occasionally wrote on her own blog, a successor to another blog in which she previously detailed her husbands years-long battle with lung cancer.

I wrote primarily for myself, and still do. Witnessing through writing helps process the direct experience. I viewed myself as a chronicler, a reporter, trying to convey the intensity of our shared experience. I really didn’t worry much about privacy, although there were topics I avoided at the time and still sidestep.

And apart from a few questions like this, the feedback I received was uniformly positive and personal. Others who were dealing with aging parents and the scourge of dementia said they appreciated the insights they had gained. I didn’t write for that reason, of course. I wrote as a means of coping with an unfamiliar and painful end-of-life process.

And here’s the thing. Why should the end of life remain an unspoken realm that we enter with parents, loved ones, and ultimately for ourselves, unaided by the experience of others who have gone before?

In an earlier time, when death and dying wasn’t controlled by The medical-industrial complex, people died at home. Families dealt with the details, and such knowledge and the resulting skills were recognized as valuable and passed on to younger generations.

Today it’s much different for most of us. I’m betting that others will receive my sharihg of personal experience, and personal details, in the spirit in which I offer them.

It’s also fair to point out that, at this point, my dad’s gone. My mother is gone. Their siblings are all long gone. His longtinme girlfriend is gone. Their friends are dead. None of them are much worried about keeping the “indignities” of aging secret.

It’s not that I don’t edit myself. But it’s a very light edit, and perhaps uneven and inconsistent. Human, one could say.

Welcome to the mysteries, joys, and pain of this end of life.

And thanks for putting the question out there. Now I’ll have to go back to check how I first answered the question a decade ago.

Another year’s gone by since my dad died

My father, John Montgomery Lind, died just before 2 a.m. on this day nine years go, October 23, 2010. He spent most of the previous two years in the nursing home along Beretania Street in McCully, just a short distance from the where his small restaurant supply business was located for probably 30 years. I was at the nursing home with him until late the night before, but was not there when he passed away in the early morning hours.

In the past nine years, I’ve thought a lot about the things I never got around to asking him, about his life, his relationship with my mother, his relationships with other women, his role in the post-WWII period in Hawaii surfing and canoe racing, and even about the growth of the visitor industry, which he watched as an insider who met and worked with most of the players in the hospitality business while sellilng kitchen equipment and supplies to hotels and restaurants for more than 60 years.

And I have the occasional sense memory of him. We are now living in what had been my parents’ house during most of their 70 years of marriage, and although we remodeled it enough so that it’s not the same, there are still times that I can close my eyes and almost feel him sitting in “his” chair reading the newspaper, or walking from the master bedroom into the hall towards the bathroom, although the door to the bathroom isn’t in the same place after our renovation. Other times, when I’m walking from the living room towards our bedroom, which is still in the same place, I can easily close my eyes and see how it looked when I was just a kid and he returned home after a long weekend day in the sun at some Waikiki Surf Club event, tired, sunburned, and he would retreat into the bedroom and collapse on the bed for a while, and I would hesitantly follow, hoping to lie beside him for a few minutes to maybe hear something about the day as I attempted to feel some fatherly connection, if only briefly.

And now that we walk down the block to Waialae Beach Park every morning before dawn, I can easily imagine being transported back in time to when I was maybe between five and eight years old, and we would finish dinner and, shortly afterwards, he would walk my sister and me down the same street as the evening twilight deepened, and as we passed the park and got to the entrance of the Waialae Country Club, we would be enveloped by the raucous sounds of the hundreds, or possibly thousands, of mynah birds in a banyan tree beside the road where, many mynah generations later, they still carry on in their brash manner, morning and evening. Close your eyes and it could be then, or now.

The world turns.

Here’s a selfie taken with him at the nursing home where I would visit almost daily.

Remembering my mother on her birthday

Today would have been my mother’s 105th birthday. I don’t know if she would have enjoyed living this long.

The photo below was taken a decade ago as we celebrated her 95th. She was still very sharp mentally, although slowing down a little physically as a hip replacement down about 20 years before was starting to wear out. On occasion, she would complain all of her friends were gone, and she could, if pressed, list them from memory, how she had known them, who they were related to, who they married, where they had lived, when she had last seen them, and when they passed away.

But this wasn’t a day for complaining. She was enjoying the meal. We all were. Meda and I were there, along with my sister, Bonnie. My mom was laughing as she got ready to blow out the candles on her birthday cake.

This simple photo tells you a lot. Behind her is a large wooden pig bowl that I believe had belonged to her parents. Displayed in it are jars from her latest batch of surinam cherry jelly, orange marmalade, and other goodies cooked in the tiny kitchen she had ruled since they bought the house in 1942. Over her right shoulder is a little purple ceramic elephant, one of her fun and artistic animal creations. Behind her, partially visible, is the neck of a blue ceramic wine decanter, another of her products. On the wall, a David Lee painting on silk she had scrounged at a garage sale. Bits of a good long life, and she was fortunate to enjoy a couple of more good years.

In any case, Happy Birthday to her.

Chicago Tribune investigation tracks nursing home infections, citations

A long investigative story by the Chicago Tribune shines the light on the dangers of sepsis infections in nursing homes across the country.

See: “In Illinois’ understaffed nursing homes, deadly infections persist from bedsores and common injuries that go untreated.”

The “Extra Extra” blog by Investigative Reporters and Editors summarized the report:

A joint investigation by Kaiser Health News and the Chicago Tribune revealed that thousands of older Americans in nursing homes are dying from preventable sepsis infections and offered readers a first-of-its-kind “lookup” that lets readers check infection violations and staffing levels at all 15,616 nursing homes in the United States.

The database tracks “infection related deficiencies and staffing levels for nursing homes that take Medicare/Medicaid. These factors are linked to an increased risk of sepsis infections and are reported to the federal government.

According to the database, two facilities were found to have been cited for the highest level of risk, “immediate jeopardy,” and several others cited for “actual harm.” Most citations involved bedsores or the failure to have or to follow an infection control program.

To check out facilities in Hawaii or elsewhere, go to the Look-Up database and enter the state and/or city or facility that you’re interested in.

It’s an excellent piece of reporting along with a useful presentation of data that should prove useful to many readers.