Category Archives: Aging & dementia

A repost in memory of my dad

It’s the first day of summer, and also Father’s Day 2015.

My dad’s been gone for nearly five years. It just doesn’t seem that long, though.

Today I did a random jump or two into the pool of memories, aided by my blogging through his long decline and eventual death.

My second try yielded this entry which I first posted almost exactly a year before he died. I’m reprinting here in full.

You’ve got to read until the end to get the heart of it.

It’s one of those small moments when my dad surprised and amazed me, and continues to amaze me with his unexpected grace under dismal circumstances.

Happy Father’s Day.

Another visit: The third floor chorus. October 16, 2009.

Last weekend, I realized that I had been finding excuses to avoid visiting my dad. No time today, I think to myself. Of course I want to stop by, but this or that thing just popped up that “needs” to be done instead.

Visiting isn’t joyful, although there are, I suppose, small moments to be treasured. Walking into the nursing home is a reminder that this is a one-way trip we’re all on, each patient now only a fragment of a life lived, a family raised and scattered, hopes, whether fulfilled or not, now only fading memories, if memory by chance remains. Walking down the hall towards his room requires negotiating passage past men and women in wheel chairs, leaning on walkers, moving slowly, sometimes painfully, or sitting, some alert, some blank, past nurses managing medications or special care, past nursing assistants providing the nitty gritty hands-on support needed for so many simple tasks, getting up, sitting down, getting to the bathroom, getting out of bed, greeting a son or daughter. It’s an inescapable reminder of our own mortality, and I find myself mentally fidgeting, subtracting my age from his and wondering about how long it’s possible to avoid this collision path with aging.

One patient dies, another takes his place. That happened again recently in my dad’s room, and so there’s someone new in the next bed. He’s hooked up to a medley of electronics and tubes delivering oxygen, monitoring responses, dripping solutions or medications. There’s a curtain separating their beds most of the time, but some times of day it’s apparently pulled back and my dad can turn his head and see what’s going on over there.

The first day I visited after the new patient’s arrival, my dad pointed to the curtain, and whispered: “That man sleeps with his mouth open.” He imitates, opening his mouth, exaggerating the act of breathing. It bothers him, the open mouth in the next bed, although I’m not sure why he fixates on this among all the things he hears and sees each day.

Then there are the sounds. When I arrive, my dad again points to the curtain, asks me what’s going on. He can hear can hear one of the CNA’s at work, tries to hear what she’s saying.

“What’s going on out there,” he sometimes asks me, pointing generally towards the rest of the room and out to the hallway. “It sounds like they’re doing a lot of work in the hotel today,” he’ll say, his mind trying to make sense of the sounds beyond his own sheltered bed next to the window over looking the bus stop on Beretania Street and City Feed Store.

He listens to the beeping machines, sounds of heavy breathing. Then there are the occasional human sounds. Moans, shouted, seemingly requiring more accumulated energy than the wired-up man in the next bed could possibly muster. He groans loudly. Repeats. Once. Twice. Again. No real rhythm, no language. A strangled sound of frustration. The nursing assistant tries to shush him.

“Don’t make noise, Mister,” she calls. “Oh, don’t make noise.”

I can’t tell whether these are involuntary visceral outbursts or attempts to communicate. If it’s communication, I admit that I’m trying not to listen, as if ignoring the disturbance it will somehow shield my dad from it as well.

And I find myself not wanting to know what’s really going on. It’s hard enough dealing with my dad’s condition, and I draw a mental curtain around us. I know that I should extend my empathy to the others here in the room and on the floor, but I haven’t gotten into the space to do that. So I pretend not to pay attention to what’s going on behind the curtain. I know it’s distressing for me, and I’m only there for short periods. I worry about the toll it may be taking on my dad, who is there essentially 24 hours a day, all the while struggling to make sense of what’s happening in the next bed. Or, as he says, the next room. Next door. I want to pretend all is well, but the sounds of labored breathing, interrupted by urgent moaning, give the lie to my efforts.

When I arrived to visit one day earlier this week, made my way down the hall, stopping first for a squirt or two of hand sanitizer, into the room, past the other beds, past moaning man, then around the curtain, and found my sister, Bonnie, already sitting at the bedside. My father is on his back, sheet pulled up just above his waist, foot moving restlessly under the sheet. He’s awake, lucid. Bonnie finds the button to move the head of the bed higher so that he’s almost in a sitting position.

I look to sit down. The nearest empty seat was the portable hospital commode sitting in front of his bed, next to the closet. On the wall, two photos, one of my nephew’s daughters, one of my dad on his boat after a successful fishing trip. On a not so good day, Bonnie says that he looks at those photos and asks who the people are. On a good day, I point to the boat and he smiles gamely, not letting on whether or not he is remembering.

In any case, I select his walker, which has a built-in seat, move it over near the foot of the bed, sit down. We make conversation for a while, Bonnie’s good at that. After a while, the man behind the curtain started the loud groaning again. There’s nothing we can do about it. I flinch. It’s jarring, uncomfortable. I want to get away but can’t.

I watch for my dad’s reaction.

He looks to his right, then gestures at the curtain and beyond.

“Would you call that ‘disturbing’?”

We nod, yes, of course. The groaning from behind the curtain continues. I’m worried about my dad’s reaction.

Then he slowly raises his right hand off the bed, holding it out in front, palm down. The hand moves, slowly, up and down, left and right, and suddenly I see the twinkle in his eye and realize that his hand is moving with the sound from beyond the curtain. He’s no longer just enduring a disturbing sound, he’s directing it, leading the choir. Taking control of events, even in this small way, a big victory.

Live and learn.

It’s the anniversary of the first protest landing on Kahoolawe on January 4, 1976

Today marks the 39th anniversary of the 1976 landing on Kahoolawe to protest the use of the island as a naval bombing range and to highlight Hawaiian issues more generally. I was fortunate to have ended up among the nine people who made it to shore that day, only to be arrested by Assistant U.S. Attorney Bill Eggers several hours later, escorted to a waiting Coast Guard cutter, and dropped off at Maalaea Harbor.

Kawaipuna Prejean had phoned me the week before and asked if I wanted to head to Maui with him to join in the protest. It was an offer I couldn’t refuse.

This protest came at the right time, and became a tipping point in the resurgence of Hawaiian cultural and political activism.

Kekoa Enomoto wrote an excellent story for the Maui News soon after the 30th anniversary back in 2006 that provides a good background.

For the record, I’m linking to some of my photo collections from that first landing on Kahoolawe, and some of the protests that followed over the following year or so.

Each photo below links to a set of other pictures, so click on any of these photos to seem more. And have fun browsing. I hope the old links are working.

The first landing, January 4, 1976. Seven of us gathered on the beach to give thanks.

The First Landing

April 1976. Walter Ritte and supporters before his trial for trespassing on Kahoolawe, held in the old Honolulu Federal Building, Judge Sam King presiding.

Walter Ritte trial

February 1976. Emmett Aluli outside federal court in Honolulu, and a public meeting at Maui Community College. In this photo, George Helm and Walter Ritte flank the door of the room at MCC.

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January 1977. Rally at Iolani Palace. A new song by Liko Martin was performed publicly for the first time (“All Hawaii Stand Together). In this photo, Steve Morse and Emmett Aluli are posting a large sign with the lyrics to the song.

All Hawaii Stand Together

My dad would have been 101

My dad would have been 101 years old today, had he not succumbed to various maladies of old age back in October 2010.

This morning I tracked back to the last birthday that we were able to celebrate with him. It was December 7, 2009. At that point, he had been a resident of the Oahu Care nursing home on Beretania Street for just a few days shy of a full year. It was one of those bittersweet days.

You can click on this photo to see a few more pictures from that day.

A lot of people we know are still coping with aging parents. My advice: Enjoy them while you can, and make the most of the good days. You have so much to learn. In any case, John Lind at 96.

December 7, 2009

Here’s what I wrote back in 2009.

Pictures can be deceiving.

In this series of photos taken yesterday on my dad’s 96th birthday, he appears to be smiling and enjoying the occasion, complete with birthday cake, several cards and messages, and family.

Actually, he was mentally confused and didn’t feel well.

When I arrived, he was sitting at a table in the common 4th floor dining room, staring at a large photo of his high school graduating class which I had made from an old photo found among his papers.

He told me he didn’t know who these people were, and when I said it was his high school class, he said quickly, “not my class!”

So I pointed out where he was standing in the back row. He looked. Then he identified Phyllis, standing in the front row, who married his older brother. “She’s passed away now,” he said matter-of-factly.

Then he told me that there was a big job waiting in the afternoon moving a shipment. I think, in that dreamworld that becomes a dementia patient’s reality, he was dealing with what had been a typical business problem. Get a customer’s order from the dock back to the store, then delivered to their business.

“There’s some big stuff that has to be moved,” he told me, voice serious.

Then he looked down at the class photo and the thoughts merged.

“It’s going to be hard moving 65 people,” he said, looking at the group.

I decided not to try following down that mental path.

When I told him it was his birthday, he wanted to know what year it was.

“Nineteen…nineteen…” He paused, looking at me to fill in the blank, tell him what year it is. I had to say that it’s 2009.

“So how old am I? Eighty?”

96, I answered.

He looked bemused. 96 is something that happens to someone else, to old people.

Then lunch arrived. He had scoop of what looked like a creamed turkey, rice, mixed vegetables. He pushed at the vegetables with his fork, but did not try them.

“What do you think that is?”

I told him that it looks like peas, corn, and beans, just sort of mixed up.

He turned the plate around so that they were on the far side, away from him.

He poked the fork into the turkey, then moved it to his mouth, sampling the taste. Then he put his fork back down without eating any more.

“It’s turkey.” I say the obvious because sometimes it makes a difference. Sometimes he ignores his food but, with a little encouragement, eats through the whole plate.

This wasn’t one of those times.

He seemed to have trouble with the food, although he drank a small can of Ensure, a protein drink. Even with that, he looked somewhat pained as he drank, as if it was in danger of unpleasantly returning.

I tried to get him to eat a little more. He refused, first saying that he didn’t like the food. Then that he wasn’t hungry. But I could see that food wasn’t going down well. After we sat for a while, he said that when he tried to eat, his breathing got faster. I don’t know what this could mean, so I reported it to the nurse on duty. She said it would be reported to the doctor. All that will come later.

My sister, Bonnie, and my mother then arrived and went down the hall to his room, so I hailed a nursing assistant to help us make the trip back to his bed, a trip that’s becoming increasingly difficult.

We made it, with some difficulty along the way, but finally he was back in bed, settled, alarm clipped onto his shirt, comfortable. Bonnie had a birthday cake set alongside the bed, but he didn’t notice until she pointed it out. There were several birthday cards, including one from his sister in California (his only surviving sibling), and another from the members of the Waikiki Surf Club, which he served as a founding member and first president more than 60 years ago.

I passed on a telephone message from one of his friends with a boat near his at the Ala Wai Harbor.

He went through the motions of reading the cards, but I don’t think he can actually see much without his glasses. Even after he put his glasses on, I couldn’t tell if he was able to process the contents, despite the time he spent on the task.

Then we got to the cake. He perked up. Despite skipping lunch, he managed to work his way through a nice piece of cake. I still don’t know if he understood that it was birthday cake served for his birthday. But perhaps that doesn’t matter. Looking at the photos, he was happy, in that moment, birthday or not.

One sad note. Although he often asks about my mom and frequently worries about her, he didn’t have much to say to her during yesterday’s visit. Perhaps he just felt comfortable and simply accepted her presence without comment. I don’t know. I hope that he understood that she was there to share the birthday with him and all of us.

Then he was ready to take a nap. We packed up the paper plates, the plastic implements. The cake went into a box. My mom tacked his birthday cards onto the bulletin board above his bed. Bonnie lowered the head of the bed, which had been up in sitting position. We wished him a happy birthday and a pleasant nap, Bonnie said she would be back today with another piece of cake, and we all made our exit.

96 and counting.

If I had my druthers, I would choose to remember different images of my dad. Here are two. Top, on Waikiki Beach on Christmas Day, 1948. Below, at the wedding of two friends. He’s on the right in the white suit, looking like a movie star. I don’t remember ever seeing him all dressed up like this, but it’s a great image.

John M. Lind and Rabbit Kekai

Showing off his white suit

Kauai poised to finally require lobbyist registration and disclosure

Six months ago, in July 2013, my weekly column at Civil Beat pointed to Kauai County’s failure to regulate lobbyists (“Hawaii Monitor: Kauai’s Free Range Lobbyists“).

But on Wednesday, the Kauai County Council’s Committee of the Whole voted unanimously in favor of a bill to regulate lobbyists. It is now scheduled for a final vote at the council’s January 16 meeting.

I wasn’t able to navigate the council’s document system yesterday to find the text of this final version of the measure, but here’s how it was described by the Garden Island newspaper.

A lobbyist, according to a draft version of the bill, is defined as any individual who is paid to engage or is engaged in lobbying or lobbying activities on a particular county government issue or action for more than five hours in any month or spends more than $750 during the county’s six-month financial disclosure period.

The ordinance, however, would exempt individuals who represent themselves; federal, state or county employees acting within their official duties; media companies; attorneys in an advisory capacity; and certain experts and consultants.

The proposed bill also included amendments expanding the amount of financial information that must be disclosed, including how much is spent on print, electronic, broadcast or other media advertisements, and changed the registration deadline date from Jan. 31, 2014 to Jan. 31, 2015.

It would also exempt 501(c)(3) nonprofit employees from registering as lobbyists but require them to submit financial disclosure forms.

Members of county advisory committees or tasks forces would also be barred from lobbying on topics being considered by those boards.

The county Office of Boards and Commission, which will maintain all the financial and registration records, must also post the forms on a department-maintained website within 10 business days of it being received by the Board of Ethics.

Council chair Jay Furfaro said the bill will “help us be compliant with the other counties….”

While I’m glad to see the county finally take this step, the chairman’s comment sort of underplays the matter. The problem isn’t that Kauai wasn’t keeping up with the other counties. The problem is that the State Constitution includes a requirement that each of the counties establish an ethics commission that, among other things, regulates lobbyists. Kauai simply failed to comply for decades.