jmgoyder

wings and things

Last Christmas

Last Christmas was the first Christmas that Ming and I didn’t bring Anthony home and, instead, exchanged gifts and food in the nursing home, where my mother joined us after church. She reminded me the other day that I had promised crayfish cocktail last year but failed to deliver; I think I was probably disheartened and just brought cheese and crackers. I don’t remember a lot about last Christmas except that Anthony was nonplussed by gifts given to him by Ming and me, and generally confused about how to open them; I do remember Ming being hurt and annoyed, and my own hot tears much later at home. It was horrible.

I am determined not to let this kind of scenario play out again this Christmas; if we can’t bring Ants home for Christmas, we will bring it to him, and this time I will do it properly. I will buy six crayfish a couple of days before Christmas and clean/de-shell them on Christmas Eve. Then I will make Anthony’s mother’s cocktail sauce (a secret-ish recipe!).

The real buzz for me is that Ming has agreed to allow me to do the pillow-case/sack thing for the last time. This means I can fill his special Christmas pillow-case with gifts just like Ants and I used to do when he was a bit younger (like a couple of years ago ha!) So Ming and I will wake up on Christmas morning and he will get some surprises and, hopefully, so will I. Then we will meet my mother at the nursing home for crayfish lunch after which Meg and Ming will probably go their separate ways and I will stay with Ants.

Anthony’s prostate cancer + Parkinson’s disease prognoses (both of which were determined several years ago), indicated that he would be probably be dead by now. So my wonderful husband – who never complains, who is never depressed, who never forgets me, who mentions Ming every hour I am with him – has exceeded his ‘use-by’ date.

Maybe this will be our last Christmas with Anthony; maybe not. In the meantime I’ve decided to take a bit of a break from blogging until after Christmas. I am messaging blog friends individually but this will take some time. If anything profound occurs to me I will put it on FB ha.

One of the most exciting things about Christmas is the Christmas Eve dinner at Meg’s (my mother’s) and this year we amount to around 20! My mother does the whole turkey roast thing and I usually bring the ham. Ashtyn Paterson (my niece) does the organisation of Secret Santa stuff. She is a legend!

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From L to R: me, Meg, and my nieces, Ash and Sage.

Sometimes I feel like I shouldn’t be happy whilst Anthony is in this predicament; then I come to my senses and yesterday I even lingered at my brother’s place instead of rushing back to the nursing home. And the other week, I lingered in Perth to see my youngest brother, his wife and Special K and, despite the dramatic circumstances, I looked at this family and wanted them to adopt me.

In February next year, Anthony will turn 80. He is not in good health but he is in quietly good spirits. Will this be our last Christmas together?

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Peacock poop

I thought it was time for a light-hearted post so here goes.

Every morning I am woken up by a bang-crash sound from the back of the house. King Ken has never done this before but he is now attacking his reflection in the back veranda windows on a regular basis. He does this so ferociously that I’m a bit nervous he will actually break a window.

Here he is pretending innocence.

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Now, apart from the alarming regularity of this banging and crashing, King Ken’s obsession with his own reflection also means that there is more than the usual amount of peacock poop waiting for me every morning outside the back door. Obviously I have to wait for this to dry before I can sweep it away because my new straw broom (which I can’t find anyway) doesn’t take kindly to wet peacock poop.

I like to tell Anthony about these mini-adventures and show him photos, but his verbal responses are now becoming few and far between. Our friend, N, another resident in the high care section, is also becoming less vocal although she still possesses a wonderful ability to laugh loudly. N’s daughter and I have become friends via our mutual concern for each other and our two loved ones.

Yesterday Ants couldn’t get any words out at all, no matter how much he tried, so I began to “interpret” what he was trying to say by suggesting possible topics from recent conversations. I didn’t always get it right but, when I did, he would sigh with relief (or maybe resignation) and give me a small smile. He was very sleepy and silent but not sad; he is never sad and this amazes me! I have never known anyone to be this resilient and content and this is a gift to me now because he has always had a rather calmingly buoyant effect on me.

I love metaphors and I was thinking that King Ken’s bang/crash might represent what used to be Anthony’s very healthy ego (still intact). But maybe King’s antics represent me versus the brick wall of acceptance.

As for the peacock poop, or any poop for that matter, it is its own metaphor and I just need to find my straw broom!

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Disorientation

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When I entered Anthony’s room the other day, his lunch had just been delivered but he was staring past the meal into space. So I pulled my chair close to his and began to feed him, spoonful by spoonful. Despite the way Parkinson’s disease has affected his facial musculature, he is still able to eat – to chew and swallow – but at times he seems to forget how to actually feed himself. He will often pick up a knife and poke at the food but not know what to do with it. Staff are aware that: (a) he still has a good appetite; and (b) he sometimes needs to be fed. So that is reassuring.

I compare Anthony’s increasing confusion about sustenance to my own hopeless sense of direction. When I was in Perth last week, I got lost several times on my way to various destinations. As soon as I knew I was lost, I became anxious, then went blank. Of course these situations were short-lived; nevertheless, they were a bit frightening because I didn’t quite know where I was.

Anthony often doesn’t quite know where he is. His list of possibilities include the following:

1. His childhood home in a country town down south.
2. The boarding school he went to as a child.
3. The boarding school he went to as a teenager.
4. A country mansion not far from here.
5. An historic hotel owned by a neighbour.

A couple of hours after I fed Ants his meal the other day, afternoon tea was delivered at about the same time my mother arrived to visit. Anthony has a sipper cup now but often cannot figure out how to use it. I took the lid off and tried to get him to sip but it was as if he didn’t remember how to do that either and some of the liquid spilled onto the feeder/bib. “Can’t you even drink now?” I exclaimed in frustration as the lukewarm tea continued to dribble out of his mouth. My mother remonstrated and I pulled myself together immediately.

I don’t like this impatient side of myself but, luckily, it doesn’t happen very often and of course is easily fixed with an apologetic hug. But I am now noticing within myself a strange, new disorientation; I fluctuate daily between a sense of desperation to see Anthony and a horrible reluctance. This means that lately I haven’t been visiting as often, or for as many hours, as usual.

Most probably, this is just a new phase. After all, Anthony is often asleep for hours now, unaware that I am sitting next to him with my hand on his shoulder. I think our phase of watching television series together has exhausted itself and I need to get back to more productive ideas of how to be in his room for long stretches of time. Scanning photos from the many photo albums I have stored in Anthony’s room will be my first task.

This afternoon I wanted to show Ants the more recent photos of the flourishing vegetable garden. But Anthony was too drowsy and incoherent which made me feel very tired and sad and, yes, disoriented too. I wanted (briefly) to just give up, whatever that means.

But then my mother sent me a photo of me with my first great nephew!

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I have found my footing again.

Reorientation.

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Special K’s operation

I wrote about this topic rather clumsily a few days ago, before my nephew Special K’s operation to remove the large plate in his thigh. Many thanks to those who commented but I deleted the post, and its Facebook counterpart, because I thought it might be better to wait until after the operation was over.

At 13, Special K is now over 6’2″ so the plate had to be removed because of how much he has grown since the car accident. Like all of our extended family, I was feeling a mixture of anxiety and confidence that it would all go well.

Well, Special K came through the gruelling operation (apparently an actual hammer was required) with flying colours, and was discharged the very next day – yesterday! As I was in Perth anyway, I was able to visit my brother, sister-in-law and SK in their hotel room. SK was lying on his bed, nonchalantly doing something on his iPad, while his mother was zooming around the city looking for KFC. I had a chat with my brother, then the chicken arrived much to SK’s relief.

As I watched him gobble his 5 pieces (or was it 6?) and noticed his parents’ tired but relieved faces, I squeezed Special K’s toe, then left them all to rest. SK was having to, once again, use crutches and take painkillers, and they were all planning an early start this morning as they live around 6 hours south of Perth.

I only live 2 hours south of Perth so I got home not long ago, and immediately checked my emails. My mother had sent me one and I was amazed to see that Special K and co. had dropped in to have breakfast with her on their way home – a significant detour!

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I love this family.

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Surprise

Yesterday, I arrived at the nursing home much later than usual (around 5pm) because I was going to a 21st. Anthony was eating his evening meal and much more alert than I expected him to be. Sometimes he is unable to even form a word, let alone a sentence, especially late in the day. But he is good at surprising me!

Anthony: Where have you been?
Me: Oh you know, busy.
Anthony: Well, you’re here now.
Me: Not for long. I’m going to a 21st!
Anthony: Whose?
Me: G’s, you remember G?
Anthony: Am I invited?
Me: Of course but I don’t think you’re well enough.
Anthony: Rubbish!

I helped him with his meal while we watched the news.

Anthony: Well you better go then.
Me: What? I don’t have to go yet. Don’t get huffy with me, boy! I spend a lot of time with you, almost every single day, and when I’m not with you I miss you. I’m doing my best, Ants!

And then Anthony came out with such an eloquently profound statement it almost took my breath away… but I am developing quicker reflexes.

Anthony: Well, compared to the time I’d like you to be with me, you’re not with me at all.
Me: Oh shut up, you silly old fool!

Then I hugged and kissed him and, as soon as he smiled, I left for the party.

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When I look at these wedding photos, recently dug up, I feel amazed that we still have that same joy, regardless of the circumstances. And I feel a constant sense of surprise!

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To resuscitate or not to resuscitate?

This afternoon Anthony and I had a case conference with one of the registered nurses (RN) at the nursing home. This kind of interview is done from time to time (I think it’s annually) so that residents and/or relatives can provide feedback about everything from the quality of meals to the aesthetics of the room to the drug regime etc.

Obviously the quality of care is paramount so I just pointed out that if the television is on, Ants can’t focus on the job of walking to the shower despite two helpers, because the noise of the TV confuses his senses. I also wanted it noted that he hallucinates; that he asks me for panadol regularly but, due to his verbal difficulties now, and dementia, and that farmer stoicism, would never ask for pain relief from anybody except me.

Anthony didn’t really understand what was going on but the RN and I continued to try to include him. I was sitting on the left arm of his armchair and the RN was facing us. She wrote everything down and conversed with us as a couple as much as she could but when it came to hospitalisation I said no.

The last question on the case conference form was palliative. I think this is now a standard question and I think I have been asked this same question on numerous occasions over the nearly four years that Anthony has been in the nursing home. I still haven’t provided an answer.

But today, when that question was asked, I cried a little bit, quite openly, and the beautiful RN, cried a little bit too when Anthony said:

“You’re crying because you’re under more undue stress than usual.”

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The magic of make-believe

One of the most wonderful aspects of being a small child is the magic of ‘make-believe’ – the power of the young imagination to create anything out of anything and to see the world through the lens of magic.

The first time I climbed high up into a tree as a child, the first time Ming saw fog (he was 4), were moments of intense magic – make-believe moments

Anthony is 23 years older than I am so I have no way of knowing what his childhood make-believe moments were. But, as his Parkinson’s disease dementia progresses, I am becoming more amenable to his visual, auditory and tactile hallucinations. For example, he often sees dogs or calves in his nursing home room and wants me to shoo them into another ‘paddock’; and, yesterday, he asked me who the small boy was, in the corner of the room. This small boy often features in our faltering conversations.

Anthony: Just over there.
Me: Is it Ming?
Anthony: No, of course it isn’t Ming!
Me: So who is it?
Anthony: I don’t know.
Me: So do you like this kid?
Anthony: I think so.
Me: Okay.

I came home last night in a bit of a quandary. Do I tell Ants he is hallucinating and there isn’t a kid in his room? Why is this hallucinated little boy such a constant presence in Anthony’s room? Who is this little boy, if it isn’t Ming?

Maybe the older Anthony has make-believed himself into his childhood self? I don’t know if this is magic or tragic, but I am trying very hard to figure it out and go with the flow etc.

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Facebook friendships

Over the last few months I have become Facebook friends with many of the staff at the nursing home where Anthony lives. Some of the staff have ‘friended’ me and I, too, have actively ‘friended’ others. This means that my blog (which automatically connects to my Facebook) is accessible to the very people who look after Anthony.

This is a little bit scary because I feel like I’ve made myself vulnerable. On the other hand, it is the most wonderful thing to be able to connect with these fantastic carers outside the context of the nursing home. The Facebook connection is virtual, yes, but also very real because I see many of these beautiful people every week and sometimes every day!

I didn’t deliberately plan these Facebook connections; it just kind of evolved and now I feel enthused to connect with as many staff at the nursing home as I can. I want to thank them personally; I want to acknowledge their amazingness; I want to know about their lives, their woes and joys.

I want to hug them back. So, to the staff at Anthony’s nursing home (yes, he thinks he owns it), many many many thanks! I think we can use Facebook to communicate.

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Photographs with Anthony

Yesterday, two of Anthony’s nieces visited us at the nursing home.

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It’s only lately that I have realised how important it is to take photos of Anthony with the various friends and relatives who visit. I’m astounded that I haven’t taken more photos of Ants with Ming, with my mother (who often visits him on my behalf), the regular visitors, occasional visitors, the wonderful carers!

My reluctance to take photos is partly to do with people’s privacy; partly to do with savouring the moments rather than trying to capture them on camera; but mostly because I don’t want to post photos of Anthony that are unflattering. After all, he was always rather vain about his appearance. When I showed him the photo I posted a couple of days ago (of him and me), he remarked, “Who is the old idiot?”

If it weren’t for the nieces yesterday, I would never have realised how important these photographs are. I will now coerce the staff to take heaps and heaps of photos of us! My camera is on charge.

Today, I stayed home for a break, and my amazing mother visited Ants and rang me from his room.

Meg: Here he is, darling.
Me: Ants?
Anthony: Hi Jules.
Me: What do you want for tea?
Anthony: Some hot, hot …
Me: Pies?
Anthony: Not ….
Me: What about crayfish or prawns?
Anthony: Save for tomorrow.
Meg: He is fine, darling. Are you?
Me: Yes and thank you, Mama!

Of course the above is a compressed version of a dialogue filled with pauses, and impossible to capture via photography.

But I have decided to ask the various staff members who have become my friends to take photos of Anthony and me.

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Elsewhere

The horrific carnage in Beirut and Paris is an indication of a very serious hatred, fuelled by a proliferation of small pockets of extremists. Regardless of religion, history shows that fundamentalism, in all its flavours, hurts us, hurts the whole wide world.

As I sit with Anthony in his nursing home room, tell him about recent events, and watch him sleep, I realise how insignificant our problems are in comparison to what is happening/has happened elsewhere.

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