Category Archives: Aging & dementia

Encore: Something’s happening

Yesterday, while looking for a good Throwback Thursday photo, I ran across this picture of my dad finishing one of his big races as a high school athlete. He made his mark as a miler, and I love this photo. When I tracked back, I found I had included it towards the end of a post here on September 27, 2010, several weeks before he died.

It was a difficult time for all of us, and it pushed me to capture the feelings of the moment.

I’m sharing it again, well, just because.

The telephone rang at home Saturday morning. It was my sister, Bonnie.

“Something’s happening.”

When Bonnie’s phone call came, I was still on my last cup of morning coffee. I had posted more scans of my dad’s old pictures earlier in the morning, including some of him in Aloha Week events that took place 60 years ago. After that, we had gone out on our regular daily walk down to the beach, paid our respects to dawn, and visited with the daily dogs along the way, then made the walk home where we had a spread of grapes, cottage cheese, a bowl of cereal, and coffee waiting.

Then came the phone call.

“Something’s happening.”

Actually, it turns out, two things were happening. Bonnie reported that when she stopped at the nursing home the day before, our father was confused and disoriented. He’s had several periods like this over the past several years, even when he was still at home. They might last an hour, or more than a day. Each “episode” leaves him with fewer faculties, although in the past he has slowly recovered from each one, just not back to the same level of the last plateau, so he’s on a gradual series of steps down the memory hole.

His doctors have previously said these are probably the visible results of one or more micro-strokes, more active short-circuits in an already diminished brain.

And, she said, he complained of nose bleed, and the nursing staff reported he coughed up spots of blood several times. They scheduled him for a chest x-ray to be done on Sunday.

Bonnie tried to fill me in quickly.

“It’s not a ‘put everything down and come right now’ situation,” Bonnie said, “but you might want to get into town today and visit,” her tone of voice undercutting the first part of the sentence.

I got the message, and soon found myself walking into my dad’s room, towards the back corner, past the three other beds, whose occupants were out having lunch in the common room down the hall.

The bed was adjusted to put him in a half-sitting position. Small plastic tubes ran over his ears and were delivering oxygen into his nostrils from a small machine that sat humming away on the floor beside the bed. His eyes were closed, mouth sagging open slightly.

The sun was shining through the window next to his bed. Through much of his nearly two-year stay in this nursing home, he has been lucky to have the spot under the window, at the end of the room on the third floor. But on this Saturday, he wasn’t in any condition to enjoy the bright, sunny Hawaiian day.

It was quiet in the room, except for the hum of the oxygen machine and occasional sounds as buses pulled up to the stop just below the window and picked up or discharged passengers. He was almost totally still, except for the twitch of a toe or hand every once in a while.

After a few minutes, one of the nursing assistants came to check on him before bringing lunch. She gently woke him up.

“Wake up, Mr. Lind,” she said, squeezing his right hand. “You have company.”

His right eye slowly opened, then his head moved an inch or two in my direction until I was in his field of vision.

Today I couldn’t see any sign of recognition. He didn’t say anything, but moved his almost blank gaze back in her direction. He tried to say something, but the words didn’t fall into place. The next sound was a low chuckle, as if he found humor in his inability to wrap his tongue around the desired words. She retreated towards the hall, leaving us alone.

I had to lean forward, closing the space between us, to hear what he said next. His voice low, raspy. The sound of a brain short-circuiting.

“What was it like on the other side of the mountain?”

“What’s the sky like?”

He could have been talking about our home in Kaaawa, but I got the feeling his mountain was somewhere else.

“I’m a day ahead of you,” he said, apparently by way of explanation.

Pause.

“But Ian can help you. He was there.”

I nod. Nothing else to do.

Seconds pass, ever so slowly.

“The hurricane, did she tell you?”

The words emerge only through effort and will power.

I tell him I haven’t heard about the hurricane.

“They went out and found a hurricane,” he repeats.

Then another mental leap.

“Any sign of Sears Roebuck?”

Followed by, after several seconds of silence: “Were the soldiers with you?”

He paused. His open eye looking straight ahead.

“How did you bump into them?”

I’m starting to feel myself spinning while trying to follow the almost random words, but the nursing assistant returns carrying a tray with his regular lunch, breaking up the moment.

There’s a bowl of what I think was stew and rice, a cup of pudding, a glass of milk, a small can of a high protein drink. She carefully opened two small packets of crackers and stacked them up.

He didn’t make any move to eat. We waited.

She broke first. “Here, I give you some,” she said, picking up a spoon, dipping up some of the meat and rice mixture, and aiming it towards his mouth, which dutifully opened on command. “You have to eat, Papa,” she said encouragingly. He chewed, slowly, chewed some more, swallowed, or tried to. The process was repeated, but on the third spoonful he exclaimed in pain. The source of the pain wasn’t clear, but it seemed to hurt when he swallowed. He refused further food. When offered the straw, he did take a few long pulls on the protein drink, then lay back.

We were left alone again.

“The hurricane,” he said. “They couldn’t get any drapery materials.”

I have no idea whether he is worried about the draperies or the hurricane.

He stared ahead. Then slowly looked at his tray, lifted his hand to point vaguely at the cup.

“It’s pudding,” I said. “You’ll like it.”

With great effort, his right hand lifted off the bed, stiff fingers slowly grasped ahold of the fork, dipped the end into the pudding, and maneuvered it to his mouth. It was just enough to taste, not really enough to eat.

His hand, still holding the fork, dropped down to the tray. He closed his eye. I thought he had dropped asleep, but then it reopened, to stare ahead at…what? I can’t honestly say.

Meanwhile, it was as if he forgot that right hand. It was still holding the fork, balanced in space and time. I don’t know how it managed to achieve such a steady state. It seemed like it belonged to someone else. After several minutes, I finally reached over and took the fork out of his fingers, telling him that he could rest.

I noticed then that the fingertips on his right hand were a pink blush, the color visible beneath his nails. The left hand, no similar color. I have no idea what that meant. It’s too late to worry, perhaps.

Then he spoke again.

“Has your mother been around? I haven’t seen her much lately,” he said.

I tell him that I haven’t seen her yet today. He makes eye contact, then slowly fades into a deep sleep.

Not too long after I left, my sister arrived and caught another interaction.

She later wrote:

He dozed again, but when a little old lady from down the hall “came visiting”, he thought she was my mother and greeted her warmly.

“Why, Mrs. Lind, I don’t see nearly enough of you these days. Won’t you sit down? Bonnie, help your mother with a chair.”

I did not correct him, and he was disappointed when a nurse came to take the lady back to her own room.

Bottom line: The x-ray confirmed that he does have recurring pneumonia. This is not good. He’s getting an antibiotic, small doses of morphine for the pain, along with oxygen. His physician has now put in a referral to hospice care, which will be handled by St. Francis, if he’s approved. We meet tomorrow with the hospice nurse to learn more.

Bonnie writes: “I wish him a fearless mind and a peaceful heart.”

Well said.

[text]Was it a coincidence that I just found this small, somewhat blurry photograph at the end of last week? On close inspection, it’s my dad at the finish of a mile race while running track in high school. The year had to be 1932 or 1933.

In the photo, he’s caught mid-stride, both feet just off the ground,
his eyes fixed on the finish line ahead, his closest competitors visible far behind, spectators watching him pass, one even stepping onto the track for a better view.

Click on the photo for a larger version.

An accompanying undated news story identifies the event as the Eighth Annual Coast League track and field meet held at Fullerton.

Johnny Lind of Wilson furnished the biggest upset of the day when he won the mile by six yards from Mallery of San Diego. Lind’s victory fell like a bomb among the Coast League Schools.

He was, they say, a great high-school miler.

From another clipping: “That beautiful stride of Lind’s is greatly feared by many of the best milers in Southern California.”

Now I wish I had seen him run, but this is as close as I’ll get.

The morning Bonnie went missing

My sister would have enjoyed hearing this story.

On Wednesday morning, for a couple of very long hours, I couldn’t find Bonnie. Well, you need to know that Bonnie died in October, and what I really mean is that I went to pick up her ashes in preparation for scattering them at sea in a couple of weeks and, to my surprise, they weren’t where I expected them to be.

Not lost, necessarily, but not where I expected them to be. I credit my brother-in-law, Peter, for that fine distinction.

I thought they were in a box that was among the last things moved to storage when we finally emptied Bonnie’s condominium last month in preparation for offering it for sale. There were probably a half dozen boxes in that last batch. Time was running out and things were a bit chaotic, but I thought I remembered carefully placing the urn with her ashes into a box along with some old family photo albums. And I remember moving those boxes in to our rented storage locker and stacking them up on one end of the almost-full space, along with the remaining boxes of unsorted memorabilia left from my parents’ passing and now, most recently, from my sister.

So on Wednesday morning, I unlocked the storage locker, located the stack of most recent boxes, and went looking for Bonnie. She was nowhere to be found. I pulled that stack of boxes away from the others and carefully examined the contents, one by one. No sign of the urn.

I had been confident that I knew just where to find it, but that confidence quickly faded. And I started getting nervous.

Despite my best efforts, in the back of my mind I began imagining that the designated box could have been mistakenly dropped off at the Kaimuki Goodwill along with other bags and boxes of giveaways. It didn’t rationally feel like a reasonable scenario, but the longer the search went on, the more that thought pressed into the back of my consciousness.

So then I thought that perhaps my initial recollection was mistaken, and that Bonnie was still back in our garage in Kahala among the last remnants still waiting to move to storage. So off I went back to Kahala for a look. Unfortunately, once there in the garage, it didn’t take more than five minutes or so to examine all of the possible places. No urn. No Bonnie.

Was there a fleeting memory of giving the urn away? I know I wouldn’t have done that, but…possible? Thinking about the possibility planted a tiny seed in my mind that perhaps….Don’t think it.

Tick, tock. The clock was ticking. What was I going to do if I couldn’t find her? My brain was now speeding, fueled by simple paranoia.

So it was back to the storage locker as I chanted a simple mantra. Calm, calm, calm. She’s got to be there because where else would she be? Back in to the building, punch in the computer code to reach the second floor, walk back several rows to our storage spot, unlock, lift the roll-up door. Stare at the wall of boxes. Visualize where it would have made sense to leave her urn when I brought in all of those final boxes.

This time I used a different search pattern. Instead of assuming the urn was among the last boxes that had been moved there, I looked at the boxes most easily accessed. And that did the trick. It might have been the second box I looked in, and there was the urn, with its contents, along with the original plastic box that came from the mortuary.

A rush of relief. A moment of wonder that I ever considered that she was actually lost. I won’t have to come up with an explanation for her family after all, and she’ll be returned to the waves on schedule.

I would have enjoyed telling her this story, emphasizing my foibles. And she would have enjoyed hearing it. So perhaps I’ll tell it anyway.

Obliteration of Thomas Square history apparently already underway

The city’s ignorance of history is no excuse for destroying the heritage of Thomas Square. This is an instance where the mayor needs to step forward and take action to save this highly symbolic piece of island history.

Thanks to Doug Matsuoka for reminding us of the situation in a Facebook post last week.

He wrote:

The City & County of Honolulu is erasing the Hawaiian flag from Thomas Square… The pathways in Thomas Square are designed to look like the Union Jack in Honor of Admiral Thomas who restored Hawaiian sovereignty back in 1843. You can still see the design in the Google Earth image.

But this last Sunday… check the pano. No paths. They’re fertilizing the paths away, disappearing even the memory of Hawaiian Sovereignty. WTF?

The top photo from Google Earth shows the design of Thomas Square. The Union Jack design is still clearly visible.

Thomas Square

But in the photo below, taken just over a week ago, the paths and the historic design are being obliterated. Click for a larger version of the photo.

Desecration

This isn’t esoteric Hawaii history. Do a quick online search for Thomas Square and you’ll find numerous references to the importance and significance of the British flag design.

Read Denby Fawcett’s recent column in Civil Beat, which is an excellent review (“Denby Fawcett: Tap The Brakes On Thomas Square Proposal“).

Earlier, Thomas Square was identified as one of our most threatened history sites in a 2014 Honolulu Magazine review (“The 8 Most Endangered Historic Places in Hawai‘i“).

From the article:

Thomas Square is Hawai‘i’s first official public park, dedicated in 1850 by King Kamehameha III for British Rear Adm. Richard Thomas. During a ceremony in 1843 on the plot of land now bearing his name, the admiral restored the sovereignty of the Hawaiian Kingdom after British subjects unlawfully seized the Hawaiian government. It was during that ceremony that King Kamehameha III spoke the famous words that would become the state’s motto, “Ua mau ke ea o ka ‘?ina i ka pono.” Nearly 90 years later, additional features would be added to the park, including a central water fountain, radial coral pathways arranged in the pattern of the Union Jack and the Beretania Street Promenade, designed by landscape architects Catherine Jones Thompson and Bob Thompson. The park was placed on the National Register for Historic Places in 1972 based on its political significance.

WHAT THREATENS IT?
In his 2014 State of the City address, Mayor Kirk Caldwell listed the restoration of Thomas Square as one of his top priorities, says Curtis Lum, spokesman for the city Department of Planning and Permitting. “His vision is to see Thomas Square emerge, once again, as a crown jewel and, with the Blaisdell, become a more active gathering place that anchors a vibrant arts and cultural community,” Lum says. While concrete plans have not been developed, one proposal discussed in April includes designing a bike path through the park, box planters and hard pathways. The concepts “were not based on restoring the features and characteristics from the historic period, but rather would erase most of the landscape architecture designed by Thompson and Thompson,” says Kiersten Faulkner, executive director of Historic Hawai‘i Foundation.

WHAT CAN BE DONE?
The public should make its opinions known. The city has made no decisions on Thomas Square’s future, says Lum, but the public will be asked for its feedback during the various phases of planning.

The city expects to complete an environmental assessment of the project soon, and public comment will be essential.

I find it sad that Mayor Caldwell, who benefited from a large property tax exemption due to the historic designation of his residence, is turning a blind eye to the far more significant history of Thomas Square.

Come on, Kirk. The city can certainly renovate the park without destroying its historic character. Show some leadership.

Feline Friday: Homecoming

First catWe bought our first kitten right after we returned to Hawaii to enter graduate school at the end of August in 1969. She was a wonderful kitten we found at a pet store in Ala Moana Center. We were living temporarily with my parents in Kahala, so our kitten moved in with us. She later moved with us into a high-rise apartment building in Kaimuki. Before she was a year old, we adopted kitten #2, a stray found wandering and crying in a construction area near our building during a heavy rain. The two bonded and were very close as long as they lived.

Later, when the owner of our apartment building died and new owners decided to turn the rental units into condominiums, we moved to a townhouse in a development just down the hill towards the ocean, across from Wilson School. We lived there for another ten years before buying our house in Kaaawa and relocating. Kitten #2 died in about 1985. First cat survived and made the move with us. A few months after that move, early in the summer of 1988, she died.

That was 28 years ago.

On Sunday, we decided it was time to welcome our first cat, and the many others that followed, to our new home.

[text]On Sunday afternoon, I brought a box from the garage containing more than a dozen small containers, each with the ashes of one of the cats that have lived with us over the years.

We took them all out onto the deck, overlooking our back yard and the welcoming shade of the mango trees. One by one, we picked up the containers. Each had a small label with the name of the cat that had been such a part of our lives. One by one, we opened them, pulled out the small plastic bag inside, and emptied the remains into a bucket half-filled with soil. One by one, we moved through the generations of cats, remembering each of them, retelling their stories to each other, shedding tears, then mixing them into the soil. The first container was actually a glass jar containing the ashes of Emma, kitten #2. The rest of the metal boxes were different sizes and shapes, each marked with a cat’s name, some accompanied by condolence cards signed by our vets and their staff.

When we were done, we stopped for a glass of wine. We let the silence speak.

And the next morning, all of our former cats became part of our newly renovated yard, the bucket of soil added to that being used to put additional plants along the side and front of our house. A bit here, a bit there.

All of our cats are now here at home.

And, yes, there’s a story behind the rusted boxes you can see in the photo above. They were stored on the bottom shelf of the book shelves in our bedroom. Being on the bottom shelf, they were in that 15″ zone of vulnerability to acts of random cat pee. Over the many years, the boxes that had been there the longest fell victim to the drive-by peeing many times, despite our efforts to remove the odors and repel future deposits.

Meanwhile, Romeo seems to have come back from his last vet visit with a cold. He’s been sneezing this week. Unless he shows other symptoms, we’ll treat this as a common cold and see if it passes before too long. The other cats have had a relatively uneventful week. Check them out below.

–> Click here to see all of this week’s Friday Felines!