Strange But True

Guest blog by Carol Boyer Peterson

--Photo by David Matos on Unsplash

Have you ever heard a story that seemed so unlikely that you thought to yourself, “that couldn’t happen”? Yet, reluctantly, most of us learn that awkward and even bizarre experiences can yield unanticipated life changes.

My recent story is about how loneliness, isolation, and physical challenges led to an opportunity to reengage with life that I could not have anticipated. Who could imagine that spending two months in a memory care facility would become a journey into vulnerability and community? But it happened.

A little over two years ago, I tripped over an errant lawn-watering spigot and broke bones in both of my hands and fractured my wrist. Surgery was required on my left hand; a cast, on my right hand/arm. At the time, I was also part of a 15-month clinical research trial for chronic leukemia, and my orthopedic surgeon could not predict how long it would take for my bones to heal.

Keep in mind that, as a participant in a clinical research trial, I learned compliance—not easy for someone who prides herself on being in control! So, I should have readily accepted the hospital’s recommended placement in a traditional rehab facility, but my instinct told me otherwise.

While I was confident that my bones would heal, I knew that what I wanted was a quiet place where I could get the care that I needed and spend time in solitude, prayer, and reflection. I chose a nearby senior living community that had skilled nursing, a faith-based organization where I had volunteered and was familiar with some of the staff. However, there were no rooms available in the rehab section. Given the urgency of finding a room and my deep conviction that I needed to be at this particular location, I agreed to a room in their memory care facility, where I joined 12 elderly people—many close to my age—who were no longer able to live independently.

My health care professionals were horrified, but I prevailed.

My sparsely furnished room was on the second floor; my view, the monastery and an adjoining college campus. When I arrived, I spent much of each day alone…and looking out the window. But the shock of being physically unable to care for myself—even eating and brushing my teeth required assistance—and living in a locked ward with 12 other souls with advanced dementia became much more than a story of an awkward and inappropriate healing environment.

Rather than stay in my room, I chose to become an active member—albeit differently dis-abled—of this community. I participated in group activities, interacted daily with other residents, ate with them, volunteered to lead a chair exercise group (I am a certified exercise coach), and more. I learned to love being with my new friends, who quickly became comfortable with my active presence in their daily routines.

I often tell people that my perspective on everything was forever changed by the experience of being my late husband Jerry’s primary caregiver for nearly a decade. As his Lewy Body Dementia progressed, I learned to slow down, be more patient, and live with a good heart because I loved him so dearly. But, it was also a time of increasing detachment from the rest of the world.

And yet, two years after Jerry passed away in the same memory care facility that was now my temporary residence, something implausible happened: I felt part of a community. In a place that clearly was not intended for someone like me, I gained a different and deeper respect for the many challenges faced by those with advanced dementia. I also became reacquainted with critical life lessons, including how essential it is to protect individual dignity, call people by their first names, and listen closely to their life stories, which often appear in fragments rather than a well-designed narrative.

So, looking back, I can now see that my story—which others might have seen as ripe for a comic review titled “Life in the Alzheimer’s Unit while needing help with the Activities of Daily Living”—turned out to have been a gift.

Spending time in a memory care facility brought me face-to-face with my own vulnerabilities in a way that I had never even considered before. And, perhaps most important of all, it got me “unstuck” from loneliness and isolation, giving me instead a renewed sense of hope, healing, and connection. At a time when things could easily have gotten much worse, they started getting better—all because of a choice that I made against the advice of pretty much everyone…a choice based on instinct, not rational thought.

Fast forward to today. My cancer is in remission, my bones are healed, and I’m beginning to find a new way forward with greater humility, courage, and a heart that is more open to others. Caring, which has long been a defining characteristic in my life, will be guided by my faith and what I started to learn in those two months. Writing and sharing stories about my life-affirming or life-changing experiences will become part of my calling to bring peace and light into the lives of others. And, even though this is not what I planned for myself when I retired early and married Jerry, I will take the curious, compassionate, spiritual, and loving version of myself—which is slowly emerging—with me on this next phase of my life journey.  

“We do not think ourselves
into new ways of living;
we live ourselves
into new ways of thinking.”
                       —Richard Rohr

Carol Boyer Peterson

I am a widow, stepmom, grandmother of 9, social scientist and retired university administrator. I love many forms of exercise from Pilates to hiking. Despite the long winters, I also love living in Northern Minnesota with a view of Lake Superior. I am blessed to have dear friends and family who are with me on my life journey.

She Wants to Put Me in a Box

By Guest Blogger Katharine Malaga

This week we’ve invited Katharine Malaga as our guest blogger. Katherine is a retired RN, ESL teacher, and Spanish interpreter and lives in Minneapolis, Minnesota. She is writing a memoir about the multilayered aspects of caregiving after her husband’s stroke and dementia.

Katharine’s husband, Ross, had a massive stroke several years ago, which drastically changed their lives of travel and adventure. Ross is now facing dementia. One interesting thing about Ross is his uncanny ability to use words in a way that seems slightly off but is incredibly insightful. We wanted to post this because many of us have similar struggles or may have them in the future. Thanks, Katharine!

Here are some of the unique ways he has relearned to use language:

  1. “He’s unhelpful,” he said of his dangling right arm.
  2.  “Who’s coming tomorrow?” he asked one Wednesday evening.

             “Rachel,”  I said. “Your favorite.”

             He looked down and moved his jaw back and forth while gathering his words.

             “I would like a degree of freedom.”

3. “Hee..loo,” Ross said.

             A  loud bang thundered in the background. Maybe a truck backfiring.

             “Where are you?” 

             “ I…I…am… at the… apogee… of my walk.” 

“She wants to put me in a box,” Ross said one day.  He had overheard me discussing memory care options on the phone.

I don’t want to put him in a “box,” but he needs more care.  His doctors are recommending 24-hour supervision because of his decreasing memory, judgment, and poor balance. 

I am home twenty-four hours on most days. But sometimes I take the bus to a grocery store or to get a haircut. Today I had an appointment with a retina specialist and Ross was alone from 8:15 to 10:00. Last week I saw another eye doctor and a physical therapist. I have a mammogram on the 28th. I could take him with me, but that would be hard for him.  I text him when I arrive somewhere and he texts back. I come and go as fast as I can. He worries about me as much as I worry about him.   

My efforts to find home health care have not been successful. Between the pandemic issues and the shortage of home health aides, agencies cannot find workers.  (Minnesota is reporting a need for 15,000 home health aides.) “We hear that all the time,” his doctors tell us.

I put him on a waiting list for the Veterans Administration Home (VA) last June. They told me there was a two-year wait for veterans with  “immediate needs.”  I was surprised when they called last week and said he was getting close to the “top of the list.”  

I spent about thirty hours filling out their thick packet: tax forms, one year of bank statements, insurance forms, health records, marriage and divorce degrees, rental agreements, and more. 

The facility is on the Mississippi River and sits on 53-acres of woods.  Every resident has a large private room and bath that meet disability needs. They have a medical, dental, and podiatry clinic in the building and provide transportation to the nearby VA hospital and clinics. I take Ross to those appointments at Hennepin County Medical Center (HCMC) now, but it is getting more difficult for him to get into cars. They also have a barber shop which after COVID has been very difficult to schedule.

“I like it,” he said. I was impressed, too.  There are a lot of patios and gardens for walking, as well as decks on each floor.  They can accommodate a vegetarian diet.  They have mass on Saturdays on the first floor. It is on the bus and light rail lines. All visitors must wear an N95 or surgical mask, plus a face shield in the skilled nursing area. They must mask in the hallways.

If not for the price, $11,000/month, I would be making plans for his move there.  (The community  standard for skilled nursing/memory care is $10,000 to 12,000 per month.)  He has long term care insurance that would pay about a third of that, but so far they have denied him coverage.  We are applying for the sliding scale payment plan, based on income.  I still have more paperwork to fill out. The VA is doing a background check and getting his medical records from HCMC.  (Unlike assisted living, he must prove medical needs.) It may take a month or two before we can make a decision.

We don’t know if it will work out, but we are looking into the possibility.  These are not easy decisions, not what we planned, at least this early in our lives.  But, we have to try to meet his ever increasing needs for care.  

It’s not a “box,” but it is a more restrictive way of life for both of us.  This is what so many face with age and disease.