Linda has been diagnosed with temporal lobe dementia. It has produced some alzheimers-like symptoms and some completely different ones. I hope to share some light-hearted stories, some information and just help me remind myself that things are moving along with this disease. Please keep in mind that I love my wife deeply and that no stories are intended to mock, simply to keep perspective! Enjoy.
Morning Coffee
Morning Coffee
Your hand moves toward the coffee cup
As it steams on chairside table.
Slowly.
Then stops and retreats under your blanket.
Moments later to emerge and approach
And again retreat.
A third time you reach the cup.
Lift
Bring to your lips.
But do not taste.
Slowly back to the table.
Again the cup reaches your lips.
I prompt:
“Drink some coffee”
You sip and smile.
And start again
Beginnings...
...After Breakfast
Let's take your robe off
We'll hang it in the closet.
There's your toothbrush.
Put it under the tap.
Here's some toothpaste.
Push the top button
Yes that's the one.
Push it.
Now brush
Spit
Rinse the brush.
Under the tap
Now brush again.
Spit
Here’s a towel
Dry your hands and lips
Now let’s get dressed
I’ll fold the towel
And put it on the rack
Here’s your hair brush.
Brush your hair
We’ll put it in the drawer.
The day has begun
.... And again tomorrow
.... Each day
.... 20 minutes of life
.... Together
The Care-giver Support Group
This type of group can be an extremely valuable resource, heading off care-giver burn out. None of this is meant to deride the idea, the particular group or those who need it. Every case is different, every family deals with dementia differently. Dad has experienced the group and not found what he had hoped for out of. Please think of this in the spirit it is meant, as a release for the pent up feelings as a result of caring for Linda!
- posted by Eleanor
By James Sonley
I attended a Care Givers meeting and was thinking about raising the issue of the Family Restroom app. However, they started with a round table and almost everyone was in full whine/complaint mode about how impossible their lives are, they can’t cope and CCAC is helping. It seemed that most of them (12 I think attending) didn’t have anyone to talk with who would listen and just went on and on when they had an understanding ear. I felt out of place as I don’t think I have that problem. It didn’t seem to be the right time to raise the idea of the app.
Everything was so serious the memory humour below appealed greatly to me when I got if from Linda's cousin Ron.
Do elephants have a good memory?
In 1972, Joe Miller was on holiday in Kenya after graduating from Tulsa Junior College.
On a hike through the bush, he came across a young bull elephant standing with one leg raised in the air. The elephant seemed distressed, so Joe approached it very carefully. He got down on one knee, inspected the elephants foot, and found a large piece of wood deeply embedded in it. As carefully and as gently as he could, Joe worked the wood out with his knife, after which the elephant gingerly put down its foot.
The elephant turned to Joe, and with a rather curious look on its face, stared at him for several tense moments. Joe stood frozen, thinking of nothing else but being trampled.
Eventually the elephant trumpeted loudly, turned, and walked away. Joe never forgot that elephant or the events of that day.
Thirty years later, Joe was walking through the Tulsa Zoo with his family. As they approached the elephant enclosure, one of the creatures turned and walked over to near where Joe and his family were standing.
The large bull elephant stared at Joe, lifted its front foot off the ground, then put it down. The elephant did that several times, then trumpeted loudly, all the while staring at the man.
Remembering the encounter in 1972, Joe could not help wondering if this was the same elephant... Joe summoned up his courage, climbed over the railing, and made his way into the enclosure. He walked right up to the elephant and stared back in wonder.
The elephant trumpeted again, wrapped its trunk around one of Joe's legs and slammed him against the railing, killing him instantly.
Probably wasn't the same elephant.
62
Jay has thought of a new way of expressing himself so this is the first of a new type of post. I think it is both beautiful and tough to read. I appreciate this new venue for your expression Dad!
- posted by Eleanor
By James Sonley
...After Breakfast
Let’s take your robe off
We’ll hang it in the closet.
There’s your toothbrush.
Put it under the tap.
Here’s some toothpaste.
Push the top button
Yes that’s the one.
Push it.
Now brush
Spit
Rinse the brush.
Under the tap
Now brush again.
Spit
Rinse the brush.
Under the tap
Turn it off
The small button
Yes, push it.
Here’s a towel.
Dry your hands.
And Face.
And the brush.
Put it on the stand.
I’ll fold the towel
And put it on the rack
Here’s your hair brush.
Brush your hair
We’ll put it in the drawer.
… Before Bed
There’s your toothbrush.
Put it under the tap.
Here’s some toothpaste.
Push the top button
Yes that’s the one.
Push it.
Now brush
Spit
Rinse the brush.
Under the tap
Now brush again.
Spit
Rinse the brush.
Under the tap
Turn it off
The small button
Yes, push it.
Here’s a towel.
Dry your hands.
And Face.
And the brush.
Put it on the stand.
I’ll fold the towel
And put it on the rack
Here’s your hair brush.
Brush your hair
We’ll put it in the drawer.
…. And again tomorrow
…. Each day
…. 20 minutes of life
…. Together
New Frontiers
Jay has been really busy, but I felt I could add some things here. I don't live with Linda, but do try to see her at least once a month and have been seeing what Dad and Janet face. It is time to consider long term care, especially since the waiting list is long (2-3 years). This is the hardest decision any family has to make... will she be happy, will she adjust, am I being selfish?
It is hard to be on the outside concincing Dad that it is time. He doesn't want to abandon Mom, but at the same time, we need to remember that his own quality of life is begining to suffer. How does one convince one's parent that it is time to put the other in a home?
My main interest is that both are happy. We are looking at different places, but the front runner is Peter D. Clark for sure. It is a five minute drive from the house and has a closed ward that seems very good. It feels like it would mostly be an increase in the same activities she participates in at the day programs, all through the day. I don't think anyone doubts that we are trying to do our best for Linda, but it is still hard!
Hang in there, Dad & Janet.
- posted by Eleanor
Increased Agitation a Challenge
It's an astonishing long time since I last wrote. Linda has been increasingly more agitated over the past few months.
She requires more attention and needs to be engaged with an activity of interest to her more frequently. It is more demanding on my time.
We have visited our Doctors as a result. Our family physician ordered an x-ray, blood work and urinalysis. Her urine showed some white cells but nothing very significant. The sample was sent for more in depth analysis but nothing shows up.
Linda's blood tests all were normal though her blood pressure is 106 over 64 which is a bit low. That may account for a little uncertainty in her footing and balance at times. We are giving her a bit more salt on her food. She has never liked nor wanted salt so we have to put it on surreptitiously.
The x-ray showed a small bowel blockage that was a bit of constipation. We are treating that with diet at the moment though she does take a stool softerner daily because of one of her medications. Prune juice in the mornings, oatmeal more frequently with bran and flax added, and continuing with whole wheat and flax breads seem to be doing the trick. A sidebar for me, is that my regularity and ease of bowel movement is enhanced as well because I eat the same foods! We also started to monitor bowel movements more carefully. Hopefully that is all that will be required.
The visit to the Memory clinic was very reassuring. Dr. Frank assured us that we were doing everything possible and that Dr. MacMillan had ordered all the right tests to make sure there wasn't a physical cause for any of the symptoms.
When Linda had her last small decline, Dr. MacMillan had prescribed a half tabled of Trazodone every 6 hours if needed. Dr. Frank, although supporting trazodone, suggested another medication with the trazodone as a back-up if needed. We started taking a half tablet in the morning when Linda's upset usually occurs. It seems to do the trick though sometimes she gets a bit sleepy, it is a sedative, and has a small nap before going to her programs. Dr. Frank encouraged the continued use and pointed out that Linda is taking the minimum dosage. She can move to up to 4 half tablets per day and after that to a whole tablet. I found that to be very reassuring as there is a long progression of increased medication to consider in the eventuality it is required. Dr. Frank also indicated there is a stronger medication in the same family which can be used in time when needed. It is also reassuring to learn that Trazodone is not addictive and should not produce any side effects.
Acting quickly to deal with the issues helps both Linda and myself. She is more at ease and my stress level is reduced.
Is that OK?
“Is that OK?” is one of Linda’s most common phrases. She can ask if it is OK on just about anything she does; putting on her boots, zipping up her coat, putting dishes in the cupboard. It seems there must be an amazing amount of insecurity and lack of confidence. Even lying in bed before we get up, she will ask, “Is that OK?” As far as I know, we haven’t done anything. One wonders what thoughts were going through her mind. Constantly being uncertain about any task or event would be very challenging. Maybe it is a blessing that the last episode is gone from memory before the next occasion.
Painting as Therapy
A couple of summers ago, our cousin Carolyn organized a water colour workshop that was intended to explore therapeutic painting. The workshop was marvelous but the theme wasn’t developed as we focused on learning basic water colour techniques. Unfortunately, we haven’t been able to return to Nova Scotia to undertake the next workshop.
However, our good friend Nancy in Ottawa was intrigued by the idea. An accomplished painter, Nancy introduced Linda to the Ottawa Mixed Media Association (OMMA) and has helped explore the acrylic medium. Linda paints with music in the background. The mask series were painted to the Beach Boys. They have become my favourite pieces. I had not observed the ‘mask’ element until we were contemplating where to hang them. The clown was lying on the floor and the angle was just right to see the rather angry looking face with the long hooked nose and large white teeth. One wonders how much of the anger and fear are emerging through the suppression caused by the dementia. I guess one shouldn’t make the imagery try to mean too much.
In our New Year’s Day conversation with friend Diana in Edmonton, the subject of Linda’s painting came up. Diana went to high school with Linda in Etobicoke and had a vivid memory of Linda’s artistic skills. At the end of the first term, Linda shared her portfolio from art class with Diana who was so taken with one black and white sketch of a pair of sport shoes that she remembers the detail and precision to this day.
Throughout our marriage there was no indication or realization of Linda’s art ability. She didn’t paint or draw and wasn’t particularly interested in art galleries. It’s only now that this aspect of her personality has shown itself to me. Truly amazing what comes to the surface even after 42 years together and through the challenge of dementia. There is still lots to learn and grow together.
Totem of Fear

Clown
Road Trip

Chivalry Re-defined
It seems that the older style of treating a lady is becoming necessary. Linda finds it difficult to open the car door and engage the seat belt. Several times in the past few weeks, while holding the car door open for her, I’ve noticed a lady watching us with a smile. I even overheard one saying to her husband; “You never open the car door for me anymore!”
On the other hand, holding open the door into a store or letting Linda exit the elevator first doesn’t work. She doesn’t remember where we are going in the store so allowing her to lead is fruitless. I learned to re-define old fashioned good manners and not let the lady go through the door first. It has proven much better to lead and let her follow.
These little procedures, although apparently contradictory, help us to manage life much better.
New Medication
The new medication seems to be helping but there is a noticeable increase in the number of naps. Linda wants to go to bed after an hour of activity on many occasions. I called the memory clinic today asking whether the lab reports on the urine and blood tests have been received. Apparently not. Anything that goes to the memory clinic seems to take extra time. Usually our family doctor gets lab reports in 1-2 days. The concern is that if there is a bladder or urinary tract infection, I would like to get the medication treatment started. Focusing on extra water as suggested by the pharmacist when we picked up the first prescription may be a contributing factor to her improvement but it does increase bathroom frequency.
Our friends are a wonderful resource. Katie has been particularly helpful. She has taken Linda grocery shopping on Tuesday and for a walk today. Plans are afoot for a visit to the salon next Tuesday for manicure and pedicure. We’ve also talked about a trip to the golf range. Jeff joined Katie at our home last night after Katie finished the office work. Linda had gone to bed so we could enjoy a couple of 2008 red wines to compare. The conversation turned to “End of Life Planning,” which is something very much on my agenda. With Jeff’s experience as an ambulance driver for seniors, his interest and observations on the subject were very much to the point. This is not about Doctor assisted suicide but rather about what kind of heroics I don’t want should I lose my ability to think and communicate. We are too late in the process to formally initiate the plan for Linda so I will have to use best judgment and your advice as the process goes forward.
Alison has offered to help as well. She is taking the summer off before searching for another job. We bought the boys junior geocaching hand held devices which they seem to really enjoy. I have asked whether this might be a useful hobby for us. Linda loves to go for a drive. We are just back from an 1-hour drive on the back roads to Kars and back. The trick will be to include Linda in the search. So frequently, I get really involved in the project and Linda sits on the sidelines. Soon she is bored and wants to do something else or says “There is nothing in this for me.” This might be an easier project that the ‘Walk the Rideau Trail’ plan. Often we go to a launching point for a walk on the Trail and then Linda doesn’t feel like hiking.
Nancy and Roger continue to be a wonderful support. They are busy planning activities for us. One of their prime concerns is to look after me. They have the advantage that Roger can accompany me on an activity while Nancy undertakes a project with Linda. The painting has been a great success. I will send a photo of the most recent creation which was displayed at the OMMA show for HerbFest at the Herb Garden last Sunday. We are looking at following the Fat Cats through the baseball playoff season. An anniversary dinner is planned for Saturday.
With all of these supporting friends, I feel that I just might be able to handle the changes in circumstance for a while. I feel much more relaxed and able to cope right now.