{"id":3290,"date":"2005-06-26T12:00:00","date_gmt":"2005-06-26T12:00:00","guid":{"rendered":"https:\/\/care-givers.com\/articles\/wish-you-were-here\/"},"modified":"2021-06-25T18:00:25","modified_gmt":"2021-06-25T18:00:25","slug":"wish-you-were-here","status":"publish","type":"post","link":"https:\/\/care-givers.com\/articles\/wish-you-were-here\/","title":{"rendered":"Wish You Were Here"},"content":{"rendered":"<div class=\"post-content\"><blockquote><p>I am sitting in the restaurant having lunch with my husband, Howard. But Howard\u2019s not here.<\/p>\n<p>We ordered our lunch; Minestrone soup (Howard\u2019s favorite), Caesar salad, a nice panini bread, and tea. Howard excused himself, \u201cI have to go to the bathroom Dear.\u201d<\/p>\n<p>\u201cAlright,\u201d I responded. The soup came; I didn\u2019t want to start without Howard, but I was hungry. I finished my soup, still no sign of my husband. The salads arrived, still no Howard. The food items have taken on a secondary importance.<\/p>\n<p>By now, I\u2019m beginning to wonder. I asked our waiter, \u201cExcuse me, would you please check on my husband? He\u2019s been in the men\u2019s room for a very long time.\u201d<\/p>\n<p>The young man complied, and reported back to me, \u201cyour husband says to tell you that he has to wait for his friend. In fact, the two of them are engaged in conversation.\u201d<\/p>\n<p>\u201cI don\u2019t understand,\u201d I replied. \u201cHoward went to the bathroom alone.\u201d<\/p>\n<p>By now, the young man could see that I was becoming anxious. With a sigh, he said, \u201cOkay, Madam, I\u2019ll check on him once again if you like.\u201d<\/p>\n<p>And he did so. When he reported back to me, it was the most confusing and frightening message I have ever received.<\/p>\n<p>\u201cYour husband is talking to his friend in the mirror. He told me to tell you he can\u2019t join you for lunch until his friend is ready.\u201d<\/p><\/blockquote>\n<p>Peggy and Howard met nearly 45 years ago at a University dance. Peggy was studying Nursing, and Howard, Civil Engineering. Peggy said, \u201cI knew I was going to marry that guy, when he offered to take me home from the dance, with a bus ticket he found on the dance floor.\u201d They married three years later; two children followed, a son and a daughter.<\/p>\n<p>\u201cWish You Were Here\u201d is a true story. Howard is in early stage Alzheimer disease. From the moment of diagnosis, his wife, Peggy, family members and friends are thrown into a state of turmoil, attempting to understand and attach meaning to what is happening to this person, Howard, they once knew.<\/p>\n<p>Alzheimer disease has no known cause. Alzheimer disease has no known cure. In 1906, Dr, Alois Alzheimer cared for and documented evidence on Auguste D., a fifty-one year old woman in Frankfurt, Germany. Even he didn\u2019t know for sure until he examined the slice of brain tissue under the microscope, identifying the plaques and tangles surrounding the neurons, hallmarking the disease process. This was the very first step in searching for the cure. However, families don\u2019t know for sure it is Alzheimer disease until autopsy.<\/p>\n<p>There is absolutely nothing uplifting about any of this information for family members and friends caring for their loved one with Alzheimer disease. They don\u2019t understand what is happening. There is a lot of chaos and confusion as they attempt to deal with the activities of daily living and restore once again some form of normalcy to their lives.<\/p>\n<p><b><i>The interview with Peggy, the wife follows:<\/i><\/b><\/p>\n<p><b><i>Talk about how it was for you when Howard was diagnosed with Alzheimer disease<\/i><\/b>.<\/p>\n<p>The first thought I had was fear, but then, as strange as this may sound, the diagnosis almost came as a relief. I now can understand what has been causing Howard\u2019s strange behavior. And, to empathize with some of his fears.<\/p>\n<p><b>Can you offer suggestions for other families who are passing through a similar journey?<\/b><\/p>\n<p>The scary part of Alzheimer disease is I don\u2019t know from one day to the next how Howard is going to react to different things. He said to me one day, \u2018Peg, I can\u2019t remember from one minute to the next what I\u2019ve done and what I haven\u2019t done.\u2019<\/p>\n<p>What has really been most helpful is to draw closer with family and friends. We always have been a close knit family and now I feel the children are even closer. I feel blessed to have them. The best thing for us has been to take one day at a time. Some days, Howard is really himself again, and this gives me hope.<\/p>\n<p><b><i>Do you communicate with Howard any differently since the diagnosis of Alzheimer disease?<\/i><\/b><\/p>\n<p>After 39 years of marriage, Howard and I are sensitive to one another\u2019s body language. I know when Howard is happy, sad, glad, mad. I don\u2019t talk to him any differently, but I find Howard now communicates with feelings, not words. This happened when we were in the restaurant that day. Howard seemed to be getting agitated as soon as we arrived and needed to excuse him.<\/p>\n<p><i><b>Are there times you have difficulty understanding what Howard is saying?<\/b><\/i><\/p>\n<p>I find I must be real sensitive to his body language and anticipate his needs. One day Howard wanted a glass of water and couldn\u2019t articulate the word glass. This frustrated him a great deal. We played guessing games for a bit until I figured it out. Even that day in the restaurant, he was trying to tell me he didn\u2019t want to be there.<\/p>\n<p><b><i>How do you make the transition from being the wife of Howard to being his caregiver?<\/i><\/b><\/p>\n<p>It\u2019s difficult. This disease is not about me. I know that, and yet some days I feel, \u2018hey, my needs aren\u2019t being met.\u2019 Howard and I have always been very close, and we still are. Alzheimer disease has changed our lives, but Howard is still Howard and I love him, whatever my role is. I will always be here for him.<\/p>\n<p><b><i>What made you choose this particular restaurant to have lunch?<\/i><\/b><\/p>\n<p>I have been told that the person with Alzheimer disease needs an environment that is non-threatening, familiar, and simplified. Howard and I have been to this restaurant many times. This visit, he no longer recognized the place or the waiter. I guess that means we are onto the next stage.<\/p>\n<p><b><i>Do you find that social situations have become awkward?<\/i><\/b><\/p>\n<p>Howard and I never have been social butterflies. We have a small circle of friends. However, I do find that we stay at home more now. That day in the restaurant was awkward; I guess because the \u2018mirror dilemma\u2019 was so shocking for me. I had a difficult time encouraging Howard to get to the car following. He didn\u2019t even eat his lunch.<\/p>\n<p><b><i>How did you manage to get Howard to the car?<\/i><\/b><\/p>\n<p>Good question. As hard as I try not to be embarrassed or humiliated by these \u2018public scenes,\u2019 I am. I know that Howard doesn\u2019t function well with noise or outside distractions. I really should have been more sensitive to his body language at that moment. The waiter was terrific and so helpful in encouraging Howard to \u2018excuse himself from his friend,\u2019 and return to the table.<\/p>\n<p>On the car ride home, we found humor in the situation. I find that it works really well to change the subject.<\/p>\n<p><b><i>Talk about some things in your home environment that you have changed?<\/i><\/b><\/p>\n<p>Howard is down to basics. I have simplified the environment as much as possible. I find that this eliminates a lot of confusion for him. The fact that Howard was engaged in conversation with \u2018a friend in the mirror\u2019 is an indicator that he no longer recognizes himself or others around him. Interesting that Howard isn\u2019t bothered by the mirrors in our home.<\/p>\n<p><b><i>When do you pause in your busy day to take care of Peggy?<\/i><\/b><\/p>\n<p>I only give Howard so much of my time. I take good care of me. I maintain a healthy diet for both of us and we take walks together. I love that Howard still likes to hold hands when we are walking.<\/p>\n<p>Howard loves to garden; he finds great joy in pruning the shrubs. I join him outside and we both enjoy the fresh air and nature.<\/p>\n<p><b><i>Talk about how Alzheimer disease has changed your family relationship and interactions with your children and grandchildren.<\/i><\/b><\/p>\n<p>The children focus on Howard, their Dad and their Grampa, and not the tragedy of Alzheimer disease. Some days, Howard doesn\u2019t remember our children\u2019s names. This hurts. Never mind; we keep our love strong and our family strong. I do try to keep family gatherings smaller now; Howard enjoys this much more.<\/p>\n<p><b><i>What lessons have you learned from caring for your husband?<\/i><\/b><\/p>\n<p>Alzheimer disease has robbed Howard of our memories. However, one can still be someone without memories. We can still have a life without our memories.<\/p>\n<p>Howard is lacking in judgment. The other day, he had his best suit jacket on to go out and wash the car. I have resolved that if the behavior isn\u2019t hurting him or others, then I let it go.<\/p>\n<p>Howard gets upset with me when I try to do too much for him. So, I focus on what he still does really well. Howard makes a \u2018dynamite pasta sauce,\u2019 and when we work together in the kitchen, I make sure that I chop the veggies.<\/p>\n<p>I find that Howard lives in the moment. I know that Howard \u2018is still in there.\u2019 And I know Howard is still a beautiful human being.<\/p>\n<p><em>Gwendolyn deGeest<\/em><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>The author interviews one of her clients regarding the onset and discovery of her husbands Alzheimer&#8217;s and her experiences with the disease.<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,13,16],"tags":[],"ppma_author":[952],"class_list":["post-3290","post","type-post","status-publish","format-standard","hentry","category-caregiver-issues","category-caregivers-experiences-ideas","category-diseases-illnesses-conditions"],"authors":[{"term_id":952,"user_id":0,"is_guest":1,"slug":"gwendolyn-degeest","display_name":"Gwendolyn deGeest RN, BSN, MA","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/?s=96&d=mm&r=g","1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/posts\/3290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/comments?post=3290"}],"version-history":[{"count":3,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/posts\/3290\/revisions"}],"predecessor-version":[{"id":4781,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/posts\/3290\/revisions\/4781"}],"wp:attachment":[{"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/media?parent=3290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/categories?post=3290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/tags?post=3290"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/care-givers.com\/articles\/wp-json\/wp\/v2\/ppma_author?post=3290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}