Thursday, April 4, 2013

Warning: Sad Side-effects

Preface

This is my revised version of the second essay. It focuses on Dementia and my observations of it through my grandma. I hoped to replicate the gradual progression of the disease. This is extra; so do not feel obliged to read it, but if you do, I would love to hear feedback on it! Thanks! Hope you have a lovely day and weekend! : )

 Declining Dementia


            Her attentive bright brown eyes gaze straight into mine. Her smile exposes laugh wrinkles around her mouth and eyes. Her short wavy white hair frames her face against her cleanly pressed white shirt and navy blue capris. She stands in front of the lighted red brick fireplace. One hand by her side, the other embraces the hand of her husband, who grins his rare smile straight ahead. She rests her head against his arm. The camera flashes.
            It had been September of my freshman year of high school. My parents and grandparents were throwing a farewell party for my sister, who was leaving for Cameroon in the Peace Corps. In the kitchen my grandma helped assemble appetizers with my mom as Jessica answered the questions about Africa that Granddad asked, and I talked to Grandma about English and high school.
            “How’s your crocheting going?”
            “Good.”
            “Jessica, how’s English going? Do you like your teacher? What books are you reading?”
            “It’s fine. . . . He’s fine. . . . We’re discussing To Kill a Mockingbird.”
            My dad called us over to the family room with camera in hand. We were going to remember this day. We would be able to send pictures with her and maybe use this as the family photo for Christmas cards. We lined the four of us together, took one with my grandparents and my sister, and then one with just my grandparents.
The photo sat on the table across from her white bed. The windows were decorated with shamrocks, and Valentine’s Day cards lay on the windowsill. I closed the door and returned to my grandparents and parents at the end of the hall. In the wheelchair, Grandma’s brown eyes appeared tired and glassy, the way a child’s eyes are when sick with the flu. Her wrinkled white top stained with brown food and wet drool matched her disheveled white hair. She mumbled non-coherent words and kept her head down against her shoulder.
For a couple months before that fall of my freshman year of high school, my parents had suspected that Grandma had dementia. This was not the first time that she had confused me for Jessica or forgotten small little things: her favorite books, birthdays of her grandchildren, dates of main holidays or even how to crochet. She had always been very astute, the constant teacher and observer. For her to forget something was not normal. Initially we ignored it, assuming it came from some stress that we didn’t know about. That it was just our imagination.
Still her memory dwindled. Every Sunday we drove to their house in Stow, Ohio. My mom and I would listen to her teach us about how the Writer’s Cup for Golf was really a reunion of international writers. We would watch her read underlined passages from her favorite books like Rebecca or The President’s Wife, or her magazine about Ireland. We would watch her struggle over words or phrases. We would see her constantly washing the dishes, stuffing buckeyes into her pockets, or hide pens in her favorite drawer. We heard her forget my cousins’ names. We saw her not recognize me, my mom, or my dad.
Sometimes she would merely confuse my mom and me for each other. Often we became relatives that she knew growing up in Plymouth, Ohio. She would share how her mother was doing, or how she had run that day and hid in the fields to read a book. We were her college friends, hearing the new gossip from a night of bridge. Or about her new beau, Ken, and how she did not know what to think of him, an engineer, her brother’s friend, just so tall with the Scandinavian  blonde hair and blue eyes. We were her concerned friends in Akron, visiting her after the delivery of her fourth child Christopher while her husband was in Africa for work. She would laugh as she related her fear in the hospital or the expressions that she received from the nurses as a woman without her husband, giving birth to a child. We were her colleagues in BPW, Business and Professional Women, and she would recount how her English students were doing at Stow High School. We were the nurses or some friendly strangers, and she would lie about how her husband was not taking care of her. She bemoaned about how she needed to leave this place, how he didn’t understand her.
Good days would follow bad ones. Some days she would correct the grammar of an article. Or she would write in the margins of a book, “Good job! That was a great point.” Or she would sit down next to me, pull out her yarn and begin teaching me a stitch. Those days, she recognized who I was. She would ask about Jessica in Africa. She would turn to my Dad,
            “Chris, what is happening? What was your father saying?”
            It was those days that made the bad ones seem like nothing. To catch a glimpse of Grandma, the way she had been, made us laugh at her mistakes on the bad days. They made us forget about her dementia. They convinced Granddad that she was not losing her memory, that she could get better.
            As those four years progressed however, the bad days outnumbered the good ones. She would frequently stumble on passages, angrily closing the book half way through reading. She would come downstairs, wearing capris in the winter or Halloween clothing during December. She would cry more often and complain about Granddad more. It was hard to not ignore this decline; yet, Granddad desperately did. He hung onto anything that he believed would bring back his beautiful bean chéile.  
            He had set up a St. Patrick’s day dinner my senior year of high school for that exact purpose. For years Grandma had celebrated St. Patty’s day with a huge family dinner; she normally made the traditional corned beef, cabbage and soda bread. She always wanted to remind us of our Irish heritage, something that Granddad desperately desired to prompt Grandma to now remember. So my mom followed the family recipe for the food; we set the table and decorated the house with green shamrocks. We dressed Grandma in green and white with her favorite Celtic cross. We gathered around the table and after prayer, began eating. Everything seemed normal; everyone was cheerful. Grandma was complacently there, quietly eating the food that my dad spooned onto her plate.
Soon, however, she became upset as her hearing aid squealed. She winced in pain and cried out. My dad and Granddad tried to console her but to no avail. Dinner was interrupted. My mom and I led Grandma to the next room, hoping that new surroundings would distract her from her present distraught. Somehow, eventually, she did calm down, but we did not continue dinner. We left that night, realizing that she would have to move into a nursing home.
Granddad, however, did not agree. It wasn’t until she fell and ended up in the hospital that he was forced to comply. I was a freshman in college when my parents told me the news. That winter break as the heavy snow flakes fell onto the windshield, we made our jaunt to Briarwood Nursing Home. They warned me what to expect, but I will never forget the stale stench of dry urine that infiltrated the nose as stagnate air stifled the body. The insistent beeping of the door that sounded, complementing the ever present wailing and screaming. The bright fluorescent lights. The twenty elderly patients in wheelchairs, all lined up in a row with their backs against the white-washed wall and in front of the hospital-like reception desk. How their white balding heads sagged, leaning against their shoulders.  How some eyes were shut and mouths open as they snoozed; how others stared straight ahead, their eyes glazed over. How at the end of the wheelchairs, Grandma joined them.  
As my parents nonchalantly discussed the week with Granddad, I kept fidgeting, crossing my legs and uncrossing them that day. The coach seemed rigid and uncomfortable; its red upholstery looked old and torn against the putrid pink wall. Across from us, Grandma continued to gaze downward, isolated from the outside world. She seemed inhumane, lifeless, too drugged to even move due to her list of medications. Meanwhile, the nurses would stop and chat to one another. They did not inquire after her or even greet Granddad, who came every day. They were too busy to care. It was the modern version of an insane asylum, except rather than electroshock therapy, they had resorted to medication. That day I left angry and frustrated, determined to not journey back to that nursing home every again. Back at school, I tried desperately to forget the horrid conditions in which my grandma was living.
Spring Break, I found myself staring out the ugly nursing home windows onto the garden’s bare frozen ground. I was pushing Grandma’s wheelchair around the circular hallway so my parents could peacefully converse with Granddad. Her head drooped onto her shoulder as we rolled past the peaceful and happy pictures of pasture land and hills.  Nonchalantly I chatted about college, my biology classes, my boyfriend, anything that I thought she would have liked to know about in the past. Rather, she placed her feet down on the floor.
“Grandma?” I knelt down to face her. “We need to keep going.”
For minutes she ignored me, and we stood there in the middle of the hallway. Patients obliviously passed. It was not until my dad came around to check on us that we began to move again. Unsure how to really react, I settled Grandma next to Granddad and took my place in the middle of my parents. The rest of the visit continued in that awkward fashion.
I left feeling a sense of freedom. Fresh air. The cold froze my senses, numbing my emotions and pain. As my parents and I walked toward the car, the snow/rain mix fell to the ground, washing the hideous building. It attempted to hide the grotesque truth behind a blank slate, the clean beginning. It allowed us to forget the reality of the situation.  It acted like a new tradition from an old foundation: an insane asylum for the elderly. It took care of Grandma, because we could not.
Yet it could not hide that history forever. That Spring, Grandma contracted a series of illnesses, including pneumonia. In the hospital room beside Granddad, I watched her small frail body that disappeared behind the white sheets live through oxygen tanks, feeding IVs and who knows what else.  Her combed white hair fell against the pillow and her shoulder, and her eyes peacefully remained shut. About two months later on June 5, 2011, she passed away.
Whenever I meet anyone that knew my grandma, they gently pass their condolences and reassure me that she is in a better place. They sympathize with the family, understand how awful her conditions were, and how she is not suffering anymore. For months, my parents convinced me that I needed to accept the conditions – the nursing home and hospital – that she had lived in, accept her death, and accept her disease. Acceptance is hard, though. For a while, the only way to accept that was to picture her before the disease.  To remember her before dementia engulfed her, and she lost her memory.
If I do not remember her during the disease, is it possible to properly mourn her death? Yet if I depict her during dementia, is that properly remembering her life?
 On June 12, 2011 – what would have been her 82nd birthday – a wake was held in honor of her. The next day the coffin lay under a white tent, above the lush green grass and beside the huge dark hole. The sun in the beautiful blue sky with fluffy white clouds baked down on us as we in black made our way toward it. As I touched the dark brown box, I remembered her brown eyes, her brightening smile and her beautiful white hair.
I remember her that September day in high school and Easter in the hospital. I remember her as the intelligent, constant teacher; I remember her as the declining child-like patient. I remember her as the person that encouraged Jessica and me to read, love our heritage and history. I remember her teaching me to crochet. I remember her forgetting what to say. I remember her not knowing who I am. I remember her as someone whom I loved.
             


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