Archives

The Little Things – Mother’s Day 2017

Mama and DaddyIt’s the little things that I think and dream about now that Mama is gone. Some of them are real and some, those in my dreamworld, are reconfigured to how I wished or hoped they had turned out.

As time passes between my parents’ deaths, I find more and more Daddy and Mama are together, the two of them and sometimes with my sisters and and sometimes just with me, but we all seem to be younger, when our lives were more together than they are now and we shared the little things that glued us together.
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Four Years Gone: Grief, Loss, and the Paradox of Time That Seems Both Immediate and Eternal

mama-october-2010Today (August 14, 2016) marks four years since Mama died. It was a Tuesday then. At 5:50 pm, Mama took her last breath.

She went into what would be her death sleep around 1 pm on Sunday, August 12, 2014, with her last words of “I guess they’re going to throw me out now,” suffering, I think, the final heart attack that led to her death.

I assured her that I was not throwing her out, that she was home, and I loved her. It took me several months and writing Fields of Gold: A Love Story before I realized that Mama was back at nursing school at East Tennessee State University, unable to follow all the instructions she was given because of a congenital hearing loss, about to be dismissed from the program because she could not hear the doctors when her back was turned to them (she compensated for her hearing impairment by masterfully reading lips, even with hearing aids, most of her life). Continue reading

Elder Abuse Awareness Day – June 15, 2016

Elder Abuse Awareness Day: June 15, 2016There are many forms of abuse that humans can inflict on other humans. We see these kinds of abuse – and sometimes experience them ourselves by being on the receiving end – in action on a daily basis in the world around us.

While you and I may be strong enough, savvy enough, knowledgeable enough, and aware enough to recognize and prevent (or avoid or remove ourselves from) these manifestations of abuse, the most vulnerable people in our human family – children and the elderly – are often the most susceptible to and unable to protect themselves from these kinds of abuse. Continue reading

Remembering What Would Have Been My Parents’ 60th Wedding Anniversary

mama-daddy-wedding-announcementSixty years ago today at 4 p.m. in Unaka Avenue Baptist Church in Johnson City, Tennessee, my parents, Ned Moses Ross and Muriel June Foster, in front of a few family and friends, took their vows of marriage to each other, for better or worse, for richer or poorer, in sickness and in health for as long as they both lived.

Although neither of them on that day could have imagined how their lives together would unfold, testing along the way the strength of the unconditional commitment they made to each other, my daddy and my mama were lovingly faithful throughout their union to their promise before God and their promise to each other.
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Life Lessons From Mama – A Tribute to My Mom on Mother’s Day 2016

Mama - Going Gentle Into That Good Night - Mother's Day 2016This is my fourth Mother’s Day without my mom. Although the immediate excruciating pain of losing her has subsided into a dull constant ache and longing punctuated by sudden and unexpected moments of intense grief, often triggered by a memory or something externally that I associate with Mama, I still miss her terribly.

But time and space has allowed me to grow into a deeper understanding, a greater respect, and a more complete love of this incredible woman that I was blessed to have as my mama. Continue reading

The Memories Never Die

Mama November 2011Mama has been everywhere on my mind the last few days and I realized that her birthday is coming up this Wednesday – March 2 – or Thursday – March 3 – depending on whether the date on her handwritten birth certificate is correct or the date that Social Security had listed for her is correct.

Growing up, Mama’s birthday was always March 2. A part of me still sees that date as her legitimate birthday. It wasn’t until I started in the role of her medical power of attorney (several years before dementias came to stay) that I became aware that the government had her birthday as March 3 and I memorized that date as part of the litany of information I had to give to medical providers, insurance companies, and pharmacies each time we interacted with them. Continue reading

Grief

Grief is unique and the grieving process is different for everyoneRecently in one of my caregivers’ support groups, I was asked by of the members if I could give her recommendations on books she could read on how to cope with/get over the intense grief she is still experiencing several months after the death of her grandmother (who had dementia).

My response was that I didn’t know that a book would help her because grief and the grieving process is unique to each of us, especially in the case of dementias because we lose our loved ones with dementias and Alzheimer’s twice: first while they’re still living and then again when they die.

Grief is sometimes very complicated. We all grieve differently, based on our relationships, our personalities, our temperaments, and our experiences in life.

The reality is that no two people ever grieve exactly the same way.

And this is one of those areas of life where people can cause a lot of irreparable damage – and layer even more pain on top of the pain of grieving – by imposing their ideas about grieving (how long, how much, how deeply, etc.) onto those grieving in the form of criticism for and impatience with the process as it unfolds.

None of us can get inside the grief of another human being. We’re not them. We haven’t walked in their shoes. We don’t know everything about them and we don’t know everything they know.

To assume that we do and to turn those assumptions into lectures about how we have been where they have been and we know what they’re going through and we know they’re not “doing it” right is the height of ignorance and arrogance.

Having had several friends in the last couple of months lose a parent and walking through the valley of the shadow of impending death with someone else who is losing a parent right now has brought the grieving process, which I’m still in to one degree or another with both of my parents, and its winding road that it is continuing to carve out in my life, back to the forefront of my mind.

The reality is that grief never really leaves us (it changes over time and it changes us over time, but it also comes right back in full force at you in the oddest moments even after a lot of time has passed).

In the end, grief is the price of love. It’s a high price, but I know that none of us would ever choose not to pay it.

I can’t imagine not having ever had my parents in my life, so even though their deaths have left gaping, sometimes acutely oozing, sometimes intensely aching holes in my heart that will never be repaired in this life, having them both for as long as I was blessed to have them makes this worth it.

Even in those moments when the pain is so strong that I can’t remember it for that instance.

So, for all of us who are somewhere on that continuum of the grieving process, know that grief after death means we loved in life. It doesn’t have a playbook nor does it have a time limit. It will get easier to do over time, but it will be a constant companion for the rest of our lives. 

And, when it’s all said and done, that is a very, very good thing. Never forget that.

Remembering Mama – August 14, 2015

Mama November 2011Three years ago today at 5:50 pm, my mama’s journey through dementias, Alzheimer’s Disease, and congestive heart failure ended.

With Mama’s death, like my daddy’s death almost 17 years ago, each anniversary seems like yesterday and forever at the same time.

But I’m thankful for the memories to help me try to cope with the permanent voids of their losses in my heart and in my life and I’m thankful for the hope that I’ll see them again whole and healed. 

I promised you and Daddy both that I’d be there. God’s willing and so am I. So even on the days when it feels like life is just unbearable torment I continue to put one foot in front of the other with God’s help, enduring, persevering, and continuing to grow in that faith and walking toward fulfilling that promise, even if it doesn’t look like it and nobody else can tell.

But you, Mama, and Daddy would know if you were here and you’ll know when I’m there. That’s often the only comfort I have these days. And maybe that’s all I need when I can see that comfort through the pain. I know it’s worth it because I watched you and Daddy and I learned from both of you.

So I’m remembering you publicly today, Mama, just like I do privately every day of my life. I love you. I’ll see you soon.

United States Hospice Agency Report Card 2015

In “The Layperson’s Guide to Hospice Care for Our Loved Ones with Dementias and Alzheimer’s Disease,” I gave a comprehensive discussion about how to choose and what to look for in hospice agencies when the time comes that our loved hospice report card united states 2015ones with dementias and Alzheimer’s Disease need comfort care and gentle and compassionate assistance with the dying process.

The Huffington Post, on January 8, 2015, had this article, which includes interactive maps for each state in the United States where state inspection data was available, giving detailed report card information for American hospice agencies. 

Here Are the Hospices That Break the Most Rules” is a must-read.

Do You Know And Have You Prepared What You Need To Ensure That You And Your Affairs Will Be Well-Taken Care Of When You Need Help?

financial legal medical documents power of attorney going gentle into that good nightEvery few months, I write a post on the immediate need for everyone – no matter what their age, their health, or their life circumstances – to know and understand the vital information that needs to documented (and executed in terms of legal documents) and communicated to their designee when they are unable, either temporarily or permanently, to take care of their own affairs.

This includes digital access (email accounts, online bank accounts, retail accounts, etc.) documentation as well as legal, medical, and financial documents everyone needs to have in place when we need help or can’t take care of our own affairs in this area.

I am extremely puzzled by the fact those most people put this off and avoid thinking about it or doing it. It’s illogical and it is really cruel to those whose laps it ends up in.

I can’t tell you how many stories I’ve heard about a family member – especially parents of grown children – being incapacitated with life and death in the balance and because nobody ever talked about this contingency and no documents – living wills and/or DNRs – exist, there’s no clear decision-maker and the ability to let go (taking off life support when there’s no chance of recovery) is long, hard, and gut-wrenching on the family.

And the one who didn’t take the time to spell out their wishes suffers terribly and needlessly, not to get better, but essentially just to run up a meaningless huge debt that will decimate their estate and perhaps ruin the financial health of those they leave behind. 

None of is guaranteed our next breath, a healthy life with no life-changing accidents and diseases, nor a healthy mind for as long as we live. Things could literally change 180% for any of us and our families and loved ones while we’re reading this sentence. Yet, of all the things it seems that we humans deceive ourselves about, this seems to be the top “It won’t happen to me.”

But the reality is that it will.

If not sooner, then later.

And the most selfish and irresponsible thing that we can do to our families and our loved ones is to not be prepared ourselves and to not ensure that we have designated and prepared the decision-makers we choose in advance.

This is one of the greatest acts of love and one of the biggest blessings we can do for and give to those closest to us and whom we love the most.

to be prepared is half the victoryAll of us need to be preparing in advance for the possibility that something – whether it’s Alzheimer’s Disease, dementias, other life-threatening illnesses, or simply time and chance – could suddenly and dramatically or slowly and insidiously render us incapable of taking care of our own affairs.

With the precipitous rise in dementias overall, which may be in part related to a more toxic planet, more toxic water, and more toxic food, and the burgeoning number of lifestyle-related dementias that are emerging, the odds are not in our favor that every single one of us, in time, will not suffer from some sort of neurological degeneration. 

Who is going to help us when this happens?

And even if you or I are the exception to the rule, we’re still going to die. Everybody dies.

You can ignore it, you can deny it, you can live in some fantasy world where you refuse to think about it ever, but it doesn’t change the reality that it will happen to you and me.

I believe most of us assume that death will be quick and instantaneously, but the reality is that, in all likelihood, most of us will probably have a period of decline in which we will need help handling our financial, legal, and medical affairs before we take our last breaths.

And, after we take our last breaths, someone will have to take care of getting us buried and ending our financial, legal, and medical status among the living.

Who would that be for you? Yes, you, the one who is reading this post. Do you know? Does that person know? If that person knows, have you made this as easy as possible for him or her by doing your part and making sure he or she has everything he or she needs to do what needs to be done?

Or, because you don’t want to think about it or talk about, will that person have the burdensome responsibility of trying to figure it out all on his or her own?

We say we don’t want to be burdens to our loved ones. By taking care of this, you and I – we – have taken a big step toward easing the magnitude of that burden that, if we live long enough, will be shouldered by our loved ones.

I did my first will and living will shortly after I turned 21. I review and update, if necessary, both of those when my circumstances change or 12 months have passed. I have a signed and notarized DNR.

I have complete documentation on my digital footprint, as well as other financial, medical, insurance, property, and notification (for death) documentation that I keep updated as well.

I have detailed instructions regarding my funeral service and my burial.

Do you?

If not, why not?

What are you going to do about?

When are you going to do something about it?

What if tomorrow never comes?