Candi Miller
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Conversations
with my Mother

Water infection

2/27/2019

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Myra was in so much pain I called an emergency doctor. The shiny-haired young thing was at a loss about what to do for someone who could not be diagnosed because she refused an endoscopy and who eschewed all anti-spasmodic medication. So Dr Longlocks tests a urine sample.
 
—  You have an infection in your water.
 
—  I knew there was something wrong with the water in this place.  It should be shut down. I‘m not drinking a drop from that tap unless it’s boiled and filtered. 
 
Nor did she.
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Does the dementia mind become more literal or is this a case of uncontaminated logic over colloquialism?  

​Or is dementia paranoia?

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Guest Blogger - Mandy Ross

2/19/2019

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 ​Mandy Ross is a poet and children's author. She writes in community arts projects.  Her dad, Alan, 84, is a retired pharmacist. He recently moved into a nice Jewish care home. He's only ever been Jew-ish; the Jewishness of the place would appall him were he in any fit state... there must be a Jewish joke in there somewhere.

Nisht Vor Mir

Today my father summons his grandmother,
an old lady. Nisht vor mir, she would say.
Not for me, someone else must bend to pick up from the floor. 
Nisht vor mir, I am old now, I am too old.
He is a small, obedient grandson, picking up the things she drops.
Now my father is his grandmother's age.
He is amazed. Old? Me? Nisht vor mir.
His eyes hide blankness.
He swims lost in a wood, his map a sieve of branches.
His old watch ticks in the present tense.
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He swims lost in a wood, his map a sieve of branches.
Now he is the young man in the photo in Mum’s wallet
nearly sixty years since they made their vows.
(Youth’s easy promise. Old age? Nisht vor uns.)
Now she counts out her pledge to him with his bedtime pills,
helps him dress, keeps his youth between the notes.
 
Nisht vor mir: Not for me (Yiddish)


Pun-gent

Knock, knock,
Who’s there?
Dad.
Dad who?
Still Dad, still likes a joke.

Waiter, waiter, there’s a fly in the care home.
Don’t shout, sir, everyone will want one.
What do you get if you cross Dad with dementia?
Pun-gent.
Hates a shower, still loves wordplay.

Doctor, doctor,
What’s actually happening in Dad’s brain?
Are there holes like Swiss cheese?
Not in the humour cortex.

What has four legs and can see just as well from either end?
This armchair. It’s very comfy,
but you’ll get sore if you sit for too long.

I say, I say, I say,
what’s the point of telling jokes in the residents’ lounge?
Still human, still waiting for the punchline.

What goes ha-ha-ha-bonk?
Patients, staff and visitors laughing their heads off.
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What’s actually happening in Dad’s brain?
Are there holes like Swiss cheese?
Not in the humour cortex.

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WET WASHING

2/17/2019

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This evening I get a call from CareLine. Mother has been pressing the emergency button (on a chord around her neck) repeatedly. CareLine phoned her number, but no response, so summoned an ambulance; they’re just letting me know as Next of Kin.
    
An ambulance – she won’t like that, even if she’s dying. Especially if she’s dying. I rush over. 
Outside her housing complex I see the First Responders unit– they’re leaving.
 
—Excuse me, have you just attended Myra Miller?
 
—Yes.  Don’t worry, duck, she’s alright.
 
—What happened?
 
—She couldn’t get her laundry out the machine.
 
I start to laugh. I know I shouldn’t, but it’s the sight of these two burly blokes bristling with  life-saving equipment and the thought that they rushed down the corridor … to rescue wet washing. 
Good-naturedly they explain that Mother thought she was summoning a carer (Lately she forgets how to operate appliances, and being deaf, she didn’t hear the phone ringing in her flat.) I apologise profusely for the inconvenience. 
 
—No worries, duck, we were only up the town.
 
—I’m sure my mother is very embarrassed.
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She's forgetting how to operate appliances.
Even very familiar ones
.
 —Aye, bless ‘er. Offered to make us a cuppa and a Christmas cake each next year.
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Crossing the bridge

2/13/2019

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The difficulty of coping with an elderly, confused parent - a conversation I've found myself having  quite often  in recent years. 

With Frederica, something about a lack former intimacy between us facilitated my confession about feeling resentment towards my mother; I suspected that Myra then, about two years ago, was far more capable than she allowed herself to be. (Scans and assessments indicated some fall off in cognitive function, but not as much as she complained of). And she certainly didn’t need the two sticks she insisted on. When angry she strode off without support... like when I so annoyingly pointed out that hers was a gilded life by comparison with those of the people I’ve worked with in the Kalahari desert.
 
Frederica raised an elegant eyebrow — And how did that go for you?
 
I laughed and show her my ‘knife’ wounds. 
 
Frederica refers me to a TEDX talk, ‘The Power of Connection’, by clinical psychologist, Hedy Schleifer, who like me, had a hero mother * she felt she was losing to dementia.

It resonated with me so I'll list some learnings:

  • I needed to present myself to Myra simply as her daughter, not as the know-it-all, resentful, too busy woman she was slightly afraid of and felt ashamed of being so dependent upon. I needed to try and see the situation from her point of view.
  • I had ‘polluted the sacred space’ my mother and I inhabited together – ‘via a look, a judgement, a criticism’, (Schleifer, TEDX, 2011. ) We were so uncomfortable we reacted to ‘the danger in the space’ by ‘exploding our energy’ or ‘withdrawing’.
(See why it resonated?)
  • Schleifer recommended ‘crossing the bridge’ into one’s mother’s world. Leave behind prejudices, ego, identity, justifications and story.
 
So, before ringing Myra’s doorbell, I mentally discarded my suspicions, grudges, resentments and agenda, and stepped in just as her daughter. No baggage.

You know what? It worked.
*My father was, at best, a narcissist, but Myra managed to keep my sister and me from his worst abuses. She made the house look nice and our five-acre plot productive: vegetables, fruit and a horse-baiting business. Sometimes she worked three jobs and she ran a thriving equestrian club because her kids were horse-crazy. She supported our tertiary education while getting professional qualifications of her own and for a decade she travelled the world selling cookware very successfully.
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Time

2/13/2019

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— I can’t tell if it’s day or night.
 
— I know; it’s that time of year. Short, dark days.
 
— When I woke up just now I thought it was morning, but it’s not, is it?  (She looks genuinely puzzled)
 
— No, it’s late afternoon, nearly early evening.
 
 Later she returns to the worry.
 
— I don’t know if it’s morning or afternoon.
 
— Look at your clock. See, it says 16;43.
 
— But is that 16:43 in the morning or the afternoon?
 
— Um,  perhaps we should reset the clock to show a.m. and p.m?
 
— I won’t see that.
 
Later, still fretting about date and time while staring  at the  large clock with its enormous numbers on the display.
 
— It’s going to be Boxing Day soon.
 
— Yes.
 
— My mother died on Boxing day.  Maybe I’ll be lucky.
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Little Knives

2/13/2019

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Anyone remember the way the eponymous hero in Vernon God Little likened a mother’s ability to emotionally wound her child as receiving a small stab in the back? (Whatever happened to DBC Pierre after that great literary début?) 
 
My mother’s dementia seems to have increased her accuracy at knife-throwing. Or perhaps I’ve just slowed down as a moving target? My guilt complex, nurtured, I now realise, by Myra’s parenting style, has grown unfeasibly large and encompasses everything from apartheid to climate change. I’m a sitting duck for emotional blackmail.
— You’re always too busy. 
— You’re always in such a rush.
Then there’s After-all-I’ve-done-for-you and If-you-loved-me. Shameless stuff, and in her right mind, Myra wouldn’t have been so transparent. I wonder if dementia corrodes parts of the personality while exaggerating others? Is it always the worst parts that bloom like blisters?  
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I wonder if dementia corrodes parts of the personality while exaggerating others?
Is it always the worst parts that bloom like blisters?

Reasoning with her doesn’t help. I switch to remonstrating.

— Don't you dare scold your mother! 

She balls her fists and waves one at me, saying she’d like to smash it into my face. I'm shocked. I know how irritating criticism from one's child is, but her reaction is uncharacteristic and disproportionate.  I withdraw, popping in only briefly for errand-duty in the days that follow.

She doesn’t say sorry and nor do I. While I stand at the door she bumbles around her immaculately organised flatlet trying to find the chore lists she’s drawn up for me.
They are lost amid her coping notes:  
  • Go to lunch. 11:45. Everyday. 
  • I tablet, morning and night.  
  • Turn shower towards wall for hot. 
  • Emergency numbers....
  I don’t help.
 
— Every time you walk through that door I start feeling confused.
 
(A knife, but just a glancing blow). 
 
— I’m sorry, we say simultaneously.
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The good girl and the bad boy

2/11/2019

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My parents met in Leeds in the early 1950s. He was the George Best of his day, handsome and headstrong, unusually, a South African import in the Leeds United  football squad. I wondered how a naturally shy person like Myra caught the eye of the local legend? 
 
— On the bus. 
 
— Football stars travelled by public transport in those days! 
 
— Oh yes. They didn’t earn much more than anyone else. 
 
— But you weren’t a football fan. How did you recognise him?
 
— He was always in the newspaper. Everyone knew the footballers.
 
— I bet he flirted with you on the bus.
(I’ve seen pictures of her then, the height of affordable glamour.)
 
— Yes. Gave me tickets to a match. My dad was a big fan, so we went… But it was very embarrassing.
 
— Why?
 
— Because George stopped in front of the stand and waved at me when he ran onto the pitch. Everyone turned and looked at me ... my dad frowned but I knew he was chuffed.
 
Now I understand her uncharacteristically bold decision to follow George to South Africa, in the days when it was unheard of for nice lasses to undertake solo adventures abroad. They were eventually married. Very unhappily. As an only, motherless child (Myra lost her mum aged 7) she adored George's big-hearted mother and his warm sisters, as they loved their ‘Limey’, even after the divorce.
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Myra, on her Mind

2/11/2019

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​When her confusion isn’t making her anxious, Myra is morbidly fascinated, even half-amused, by her diminishing cognitive function.
— I’m losing my mind, you know. I hope I don’t find it again or I’ll have to sort out this mess.
   (She indicates the dishevelled dressing gown   state she’s chosen to remain in today.)
 
-- It’s like my mind’s gone on holiday.
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It's like my mind has floated off, like a balloon. It's above me, I can see a string, but I can't grab it.
A while back I suggested she knit a little cardigan for her new great grand-daughter. The idea delighted her, but she kept veering into anxiety: she might not be able to follow the pattern, or work with two lots of wool, or remember how to cast on, etc.  

She did remember when I put the wool and needles into her hand. Muscle memory kicked in. As her fingers flew to the task she looked visibly relieved. By the time she’d cast-on and clicked  out two rows, she was cheerful and chatty. 
 
— Funny, isn’t it? My brain can’t remember, but my fingers can.
 
— You used to knit a lot and were very good at it.
 
Again she became distracted so I picked up the knitting and did a row, muttering about how slowly I knitted by comparison with her, bemoaning the fact that I didn’t even understand the terminology in patterns. ST; G; CO. 
 
--I wish they’d come up with a way to take what’s in my brain and transplant it into yours. Then the knowledge wouldn’t be wasted, she said.

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Mystery of the orange roses

2/11/2019

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— I just got big bunch of flowers and I don’t know who from.
 
— What does it say on the card?
 
— Anna Stanley.
 
— And you don’t know her?
 
— She might be the daughter of the man in the room next door… wotshisname…?
— Harry?
 
— Yes, she’s got the same colour hair.
 
— The same colour hair as Harry?
 
— No! (Exasperated) As the flowers. 
The roses were Trump orange. They were a thank you gift from a grandma-in-law to whom she’d shown kindness when Myra could still write Get Well cards. Just last year.
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WHAT IT IS AND WHAT IT ISN'T

2/11/2019

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This is not a blog about what it’s like to have a dementia. It’s about what it’s like to love and care for someone with dementia while having no prior experience of the disease. It’s about bewilderment, frustration, resentment, sorrow, and occasionally, it’s funny.  
My Dear Demented is Myra, my 84-year old mother living with vascular dementia. She’s intelligent, proud and loving. Also, stubborn as a mulberry stain on white clothing, shamelessly manipulative and to quote her: ‘flippin’ furious’—often all in the course of an hour.
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Our roles, mother/child, change constantly and her medical care is often thwarted by her right to agency in her own life.
Our roles, mother/child, change constantly and her medical care is often thwarted by her right to agency in her own life. Because, frail as she is, (weighing less than 5 stone - 30 kg,) sometimes, she’s perfectly lucid and I find myself trembling again in the presence of a fierce parent or listening to a top-class manager analyse exactly how the (very nice) care home she lives in, could be run better.    

This blog aims to bear witness to our stumbling journey together along the road to her death. I hope the observations and reflections recorded here by me and guest writers will help us, if not others. 
 
I have no intention of speaking for those diagnosed (or not) with a dementia. Fortunately, there are now a number of platforms where these folk are speaking for themselves,
e.g: http://www.createdoutofmind.org/talking-life/  
​I can only speak for myself and tell you what Myra said.  
 
The conversations are not all bad. Oftentimes I’m enchanted by a memory Myra trots out from her childhood in war-time Leeds. Or I’ll be gobsmacked by Myra’s matter-of-fact musings about family secrets my sister and I thought we were shielding her from. Then there are her bizarre conflations, when with deceptive logic, she weaves actual incidents together and comes up with a wrong but wondrous conclusion. 
 
Many of the entries will be in the form of reported conversations. But they are reconstructed dialogues and as a teacher of auto/biographical writing, I’m very aware of the impossibility of truth in life-writing. 
 
I’m also aware of the cathartic capability of creative writing, so write about this, I must! 

P.S. If you as kin or carer of someone living with (or departed from) a dementia wish to contribute, please contact me. Or if you just want to comment, do. I’m trying to learn to be a better dementia supporter, so feel free to offer advice.
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    Author & CO

    Sharing conversations had with our dementia-living parents.

    Dialogues sad, funny and sometimes insightful.  

    ​Bearing witness to memories made and lost.  And to the pain and frustration of being dementia kin and/or carer. 
     


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