Fading from Memory

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Sunday 7 December 2008

Mum's deterioration

I dropped in to visit mum yesterday afternoon.

I was in for several surprises. Mum was sitting in a wheel chair, wearing a night-dress, and sitting next to her was Rachel.

The wheel chair caused me some concerns. The background to this is that since her series of falls mum appears to have lost the confidence to stand or walk unaided. The staff cannot be there to take an arm each side every time mum needs to walk, and in any event, mum tends to try to slump down anyway, and make herself a dead weight. the wheel chair is the only viable option now for moving mum. Mum also seemed to lose interest in food. The staff are confident that they can get her appetite back, but they are pessimistic about her walking again. The physiotherapist has been a regular visitor, but walking also depends on the will and the memory of how to do it - and mum seems to have neither now. This augurs badly. Once mobility is lost, muscles atrophy that much faster, fluid collects where it should not, and the circulation suffers. All these factors add up to a kind of attrition against the body - a process that we saw eating into dad increibly quickly. And the end is inevitable. Neither Rachel nor Greg think mum will last another year, and I have to agree with them.

Rachel had been successful in encouraging mum to drink orange juice. She can still lift a cup to her mouth and knows how to regulate her own drinking. The only weakness is that she sometimes seems to become distracted and forget that she is holding the cup, and it will start to tip.

On the positive side of the balance, I noted that the bruising on mum's face has reduced markedly. She still looks bad, with her missing teeth, blearly eyes, wild hair and deep wrinkles, but a lot better than she had done a few days ago.

Oddly, none of us seemed that upset about mum's condition. I don't know if it is because this is coming so soon after dad's death, and we area all a bit numb still, or whether we have just seen so much and recognise the inexorable quality of these slow descents.

We did talk a bit about dad at dinner later, the three of us. I mentioned that I keep having the thought, 'my dad's dead', but that it seems to have no content, to be no more meaningful than saying 'a equals b'. Rachel says she has been experiencing the same thing. Earlier this week I told one other friend about dad's death, and we discussed this point. He's also suffered a bereavement and says that he has thought the same thought every day since, with the same emotional detachment.

Maybe mum's passing will be over before we know it, at this rate. It's an odd thought. I always thought we would all be more affected by losing her than losing dad. It may still prove to be so.

Wednesday 26 November 2008

Could be worse

Seeing mum today was quite a shock. The bruising on her face was far more extensive than I had imagined. She looks like one of those Hollywood horror monsters whose flesh is all the colours of rotting meat. She has also injured a leg - her right hamstring is very tender, the physiotherapist discovered - and she is not able to walk without assistance. I spent some time helping to walk mum around the common room with the physiotherapist; mum moved a slide and glide walker ahead of her while we each held on to a loop of the lifting strap which was secured around her chest.

Mum appeared to be suffering a headache, or it might have just been the pain of the injury; she has a big bump on her forehead. It is again remarkable how her bones stand up to falls. We cannot recall mum ever having broken anything, and this must be considered a major blessing now. Anyway, after the short walk we sat her down and although I talked to her, she soon fell asleep.

Other things I noted...

I have never seen such a lack of recognition on mum's face. My face, my voice, my name - none of it really seemed to register at all. Yet mum has come off Risperidone and is currently only being given Panadol to dull the pain of the injuries. Apparently her aggression has already begun to show. One of the assistants showed me several red marks on her forearms, all of which had apparently been caused by mum. She seemed very happy-go-lucky about this occupational hazard, and I thanked her and apologised for it, but I think that this foretells a return to the Risperidone, but perhaps at a reduced dose, as a compromise between unsteadiness and aggression. The staff at the home are incredibly good, I think. They take time to stop and explain what has been going on, they talk to mum as if she is a friend, and do not patronise her, and they seem genuinely pleased to see her improvement since her return, which has been significant, I am told.

Greg told me today what mum was like at the hospital. She was biting his hand, kept grabbing at his sunglasses, and constantly fiddled with the sheet and her sleeve, appearing to want to do something with them but never managing to do it. He said it was like dealing with a six-month-old. He saw no recognition either, but did at least get a smile from her when he tickled her feet.

Tuesday 25 November 2008

More hospital news

Apparently mum has only just been taken back to the retirement village now (6:30 pm), but she is being walked around, seems none the worse for her experience, and has been doing physiotherapy.

After Greg was told that mum was to be discharged today, Rachel was at the hospital and was told that there was no question of that happening. Brilliant! And the reason given for not discharging mum was that there was a purported duty of care - and yet no-one there took care to see that mum ate her meals. It was the same with dad. If he didn't open the containers and eat what was put down in front of him it was interpreted as him 'not wanting' his meal.

Keep your parents out of hospital any way you can, I say.

One step forward, two steps back

That mum's recent falls have come at just this time has had a bad effect on me. I've been short and impatient with people. I am sure it is not just for the reason I am about to cite, but largely it is, I believe.

After dad died we started trying to sort out all his affairs. This took a long time even to get started on, but about a week ago I had finally written to all parties concerned and had started some way down the path of resolving various affairs, one by one. I then began going through my own affairs. Not only do I think that I need to simplify things now, rather than later, as a result of dealing with mum and dad's, but I more immediately need to make sure that all my correspondence is redirected, as I had been using mum and dad's address for all my mail, and I cannot expect the tenants (who will be moving in on 1 December) to dutifully redirect everything for me.

Meanwhile, several of the organisations dad dealt with had told me how to proceed, and once I had complied, then told me what I had done wrong. In one case I needed to show that I had power of attorney for mum. A copy of the power of attorney form was insufficient, as was a copy certified by a Justice of the Peace. In addition to this I was also required to send a copy of both sides of my driver's licence and this, too, had to be certified by a JP! The letter I then sent them began as follows:

"In compliance with your latest unbelievably arbitrary request..."

So, despite all this paperwork very little has been so far achieved. The JP who certified multiple copies of my documents told me that it took six years to sort out all her father's affairs, so I am probably complaining too early.

Greg and I had agreed that what we ought to do to prevent a total replay of this situation when mum dies is to cash out all her various investments (insurance policies, shares, deposits in a mutual society, and so on) and pay the money into a bank account to which we are also signatories. Then we can both access the funds before probate is completed, and have far less to do during probate.

So, today I had a number of things to do in addition to going to see mum.
  1. I visited the house and was just in time to see a couple of lads from the rubbish removal company loading their truck and sweeping up. I told them how much we appreciated their doing the awful job of clearing out the rubbish under the house. This involved crouching low and dragging stuff through the dust. I did a bit of it several weeks ago and was in no mood for doing any more. I put the wheely bins out for rubbish collection on Thursday morning, and I collected the mail (many items of which are still not coming to the new address, Greg's post office box. I put a copy of the garage key into the lock-safe with the house key, and had a quick look around for the snake. One of the builders has been surprised by this reptile when he was moving sheets of asbestos behind the garage. He describes it as fairly thin and having a diamond pattern on its back, which makes it sound like a baby python. I've seen enough evidence to know that a strange thing happens to the human mind when it encounters a snake. People's descriptions are often quite at odds with the reality. I wonder whether the sight of a snake triggers something atavistic in our minds, which makes us later recall the archetypal snake rather than the common or garden variety we've seen.
  2. I sat in the car and went through the mail, scrawling replies on the letters themselves, and enclosing the requested documents (of which I have several certified copies now). On anything unimportant I just wrote 'no longer at this address' on the envelope. I shoved the excess enveloopes and advertising in the Paper and Cardboard Only wheelie bin and put the rest in the post box on the corner.
  3. I went to the bank and requested forms to allow Greg and I to become signatories to the account, so that we no longer depend on the power of attorney to write cheques. While I was there I also set up internet access, so that we can pay ourselves and watch the rent coming in. I fully expect mum to grow steadily richer now. Financially, everything has worked out extremely well so far.
  4. And then I was meant to visit mum, but it never happened. After talking to Greg on the phone and going over everything that has been done today and what we are going to do tomorrow, it was nearly 4 pm and I hadn't eaten at all today. Food was suddenly a priority. I thought that I could drive home immediately and beat the rush hour. I all but did that, but it was not until I was in the car and on my way that I realised that I had meant to visit mum today. Well, that must now happen tomorrow, as Greg and I will be meeting up at his offices to take our ID and the signatory form to a branch of mum and dad's bank, and I can make the long detour to the retirement village on the way home.
Mum was to be discharged today, but I do not know at what time. Seeing her yesterday had had a depressing effect on Greg. He openly wondered, on the phone to me, whether she would be better off dead. I can understand the feeling. We seem unable to do anything for her now, and she oscillates between cheerfulness and weeping without any apparent cause. I never found it easy to go and visit, and today's performance just tells me that unconsciously I don't want to do it, but lately, the trip over (for all of five minutes in which she is occupied with me before she wanders off again) just doesn't seem worth it.

So, nothing seems to be working lately. And just as I reach the end of one task, others spring up. It is no fun.

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