by Dawn Corrigan
Global Deterioration Scale, Stage 6:
People in Stage 6 require
extensive assistance to carry out daily activities.
They start to forget names
of close family members and have little memory of recent events. Many people
can remember only some details of earlier life. They also have difficulty
counting down from 10 and finishing tasks.
Incontinence is a problem
in this stage. Ability to speak declines. Personality changes, such as
delusions, compulsions, or anxiety and agitation may occur.
Average duration: 2.5
years
6/14/09
It’s often said that old age is a second
childhood, but at eighty-nine, my Nan more resembles a cat. Specifically, a cat
washing her face. All day long, every day, she rubs and rubs her face.
Sometimes with a tissue, sometimes just with her fingers. And just like a cat,
she periodically licks those fingers, or the tissue, then resumes rubbing
again.
But unlike the experience of watching a
cat giving itself a bath, watching her rub her face all day doesn’t fill me
with a sense of well-being.
I try not to let it get to me. I try to
look away and just listen as she tells me—again—how she earned her
retirement because she worked as a senior tax compliance agent at the World
Trade Center for forty years.
At first, Grandpa and I used to remind
her that the Towers only stood for twenty-eight years, not forty, and that her
career with the New York State tax division lasted eighteen; but our facts
can’t compete with the cadences of her imagination. The phrase “senior tax
compliance agent” in particular seems to give satisfaction.
6/23/09
Over the weekend my uncle calls to say she’s
complaining of abdominal pains, so on Tuesday after work I run in to check on
her.
“How are you feeling? Is your tummy any
better?”
“Yes, I’m feeling a little better today.
My stomach was so rumbly, and I kept having to run to the bathroom. I thought I
was pregnant.”
When I burst out laughing, she rolls her
eyes upward. “God forbid!”
8/13/09
In August she’s still rubbing. She’s
also begun to complain that she has something in her eye, which she surely
does, a result of the constant rubbing. She puts makeup on, then rubs it off.
She covers her face in Vaseline, she rubs it off. Finally, my aunt makes an
appointment for her to see a psychiatrist.
I take her to the appointment. On the
drive over, she tells me her father came to visit the other day.
“He drives the car and comes to see me,”
she explains.
In the office I tell the doctor about
these hallucinations, and about the rubbing. I try to do so furtively, so she
won’t know we’re talking about her. But of course she does know.
“What are you saying?”
“I was telling him you have these sores
by your eye,” I say, brushing her temple.
“Oh, that’s where my husband punched
me,” she says, looking straight at the doctor with a deadpan expression. “It’s
all right, it will heal.”
Other things may be deteriorating, but
her sense of humor—tough, outrageous, of another era—is still intact.
8/25/2009
Less than two weeks later, she falls and
breaks her hip. I wait with her in pre-op.
“I’m glad you’re here,” she says. “I
would be very lonesome if you weren’t here.”
The surgical nurse stops by to remove
her dentures and jewelry.
A minute later, she asks, “Where are my
teeth?”
I explain where her teeth are.
“I bet they’re talking about me.”
She says she’s cold, so I ask for some
of those warm blankets from the little blanket ovens that are the nicest thing
about a hospital. The nurse brings two, tucking one over her and draping a second
around her head, forming a kind of halo.
“I look like an angel now. Where are my
teeth?”
I tell her.
“They don’t want me to swallow them
during the surgery?”
“Right!” I say, happy she remembers
something.
“But where are my teeth?”
I tell her.
“They were afraid I’d bite them,” she
says.
9/13/2009
After the surgery, she’s moved to a
nursing home for four weeks of physical therapy. When I visit a couple weeks
later, she’s out in the hall by the nurses’ station. She gets excited when she
sees me, and throws her arm around me and gives me a big kiss. Then she says,
“People are going to think I’m a lesbian!”
9/20/2009
The four weeks she spends in the nursing
home are by far the longest interlude she and Grandpa Dom have been apart since
they married in 1966. And because Dom isn’t around and she doesn’t understand why,
she imagines the worst, like any jealous lover.
After the first week she starts telling
me about all the fun Dom’s been having. “He’s been playing cards—and dancing! I
had no idea he could dance so well! You should have seen him doing the
Charleston! He was great.”
Part of the problem is she doesn’t know
she’s not at the assisted living facility anymore. The corridors, the staff wearing
scrubs, the wheelchairs parked in corners—the details of the nursing home are
just too similar to the ALF where
she and Dom have lived for the past two years. Her fading memory can’t parse
the difference The only possible explanation she can fathom for why she doesn’t
see Dom is that he’s staying away on purpose—because of his wild new social
life.
However, it’s also still important to
her that she should appear as a sophisticated, worldly person in my eyes—as she
has for my whole life. Therefore, she makes an effort to mitigate her jealousy:
“That woman he was dancing with, she was great too.”
When Dom and I visit her together on
Sunday, though, the gloves come off.
At first she keeps it fairly
good-natured. Ignoring Dom, she addresses me. “He has a girlfriend, you know.”
“No, I didn’t know that.”
“It’s okay. He can have a girlfriend. In
fact, he can have three girlfriends.”
“No one could argue with that, Nan.
That’s very generous.”
My grandfather, however, is not amused
by this largess. “I don’t know what you’re talking about,” he tells her
nervously.
“What’s your girlfriend’s name? You
know, the tall one.”
“My only girlfriend is Frances.”
Frances is her name. She isn’t fooled
by this trick.
“No! You know who I mean.”
“Dawn,” he says.
“Hey!” I say. “Leave me out of it.”
“The tall one,” she says again.
All of a sudden I have a terrible
feeling I know who she means. Her friend Sara at the ALF
is quite tall, a fact she’s commented on frequently.
“The tall one,” she says again, looking
at me impatiently.
I shrug. “I don’t know, Nan.”
10/1/2009
On her last night in the nursing home, I
arrive to find her telling one of the staff members, a young woman who’s been
extremely nice to her, to “Shut up!”
“Nan! I don’t want you to tell people to
shut up.”
I sit next to her. After a few minutes,
she says, “I guess I’m getting older. I get scared. But I’ll try to do better.”
I take her for a walk outside. Back in
her room, she starts going through her drawers in preparation for the next
day’s departure, about which she’s very excited.
In one drawer there are several boxes of
tissues. I notice one is covered with her handwriting, in a narrow column that
runs the length of the box.
Frances was playing
all by herself
Dom was downstairs
or upstairs
and I was
all alone
From
now
on
I am
playing
by
myself
The
hell
with
Dom
To
the best of my knowledge, it’s her first poem.
12/28/2009
A month after returning to the ALF, she breaks her other hip. She’s back from the
second surgery by Christmas, but she can no longer walk. This time she refuses
to participate in physical therapy. And there isn’t much you can do to make a
person with dementia do something she doesn’t want to do.
Even before the dementia, there wasn’t
much you could do to make her do something she didn’t want to do.
When she returns to the little apartment
she and Dom share, it doesn’t go well. She immediately begins falling a lot. When
I stop in a few nights after Christmas, he’s agitated.
“Thank goodness you’re here! She’s
trying to get out of the bed.”
Dom and I start the lecture: You have to
be a good patient, etc.
“You fell TEN
TIMES,” I tell her, holding up my ten fingers.
“Oh, my.”
“You have to do what they say,” I continue.
“Otherwise you’re going to wind up crippled for life, and you’ll never get out
of that bed.”
She nods in agreement with me. “They
have to do what,” she begins. Then I see she knows she has it wrong.
“They have to ...” she shakes her head.
She’s trying, she really is, but dementia and a lifetime of her true temperament
are fighting against her.
She tries again. Slowly.
“I … have to do ... what they
say.”
1/10/2010
By the new year it’s clear she isn’t
capable of independent living anymore. She’s moved to the ALF’s specialty unit, up on the third floor. Dom
remains in the apartment downstairs.
Tonight when I arrive she’s just been
served dinner, a hot dog and fries. There isn’t a lot of extra room in the specialty
unit dining room, so I tell her I’ll go see Dom and then come back once she’s
finished eating.
When I return upstairs, I’m happy to see
she’s made a good job of her hot dog, finished the fries, and is working on a
serving of pudding.
“Did you see Dom?”
I admit I did.
“I played a trick on him. I pretended I
was mad when I wasn’t. That was mean.”
I agree it was mean.
“Mean, but funny.”
5/7/2010
In May, she turns ninety. When I arrive
on the big day, she’s dressed up in a new outfit, hair freshly permed, a
corsage on her wrist, and clutching the strings to some balloons in one hand.
Dom holds her other hand. She’s very excited. While we wait for the other
guests, she wraps the string from the balloon around her neck like a noose,
pretending to hang herself. Then she looks for my reaction.
My aunt and uncle arrive. We sing and
pass out cake.
In her room afterward, she rubs her
belly and mumbles. We look at her with concern. Is she complaining about
wearing a diaper again? Does she have a tummy ache? She rummages around for a
moment, then suddenly produces a package of cookies she snuck out of the goodie
basket downstairs and stuffed down her pants.
When I crack up she smiles, pleased she
still has an audience for her comedy bits.
10/26/2010
In October, she falls again. The ALF staff takes her to the hospital to be checked
out. By the time I get off work, she’s already back on the specialty unit.
When I arrive, there she is, sitting in
the middle of the hall in her wheelchair, in lavender from head to toe. There’s
a scratch on her nose, but aside from that she looks fine.
In my hand I hold a notepad, which she
regards with great interest.
While I chat with staff, she takes off
her left sock and tries to hide my notepad in it.
The staff member excuses herself. “She’s
hot shit,” Nan says, after she leaves.
6/13/2011
Shopping in a secondhand store, I find a
pink jacket I think she’ll like. Her clothes are always going missing. I think
she sneaks into the other residents’ rooms and hides them in the drawers.
The jacket looks like something she
would have worn years ago, when she was, yes, a senior tax compliance agent,
and she looked the way Dom described her to me last night:
I used to drive her around, you know,
when she had to go see
some of her clients. The ones who were
likely to give her trouble.
But I’d just hang back and let her work.
Sometimes I’d look up
and see her on the street in front of
me, wearing her suit just so,
and the sun gleaming on her blonde hair.
So I buy the pink jacket, and take it to
her, and bundle her into it. She buttons all the buttons, and we play with the
sleeves for a while.
“I’ve loved you since the day you were
born,” she says.
Dawn
Corrigan
has published poems and prose in a number of print and online journals. Her
debut novel, Mitigating Circumstances, an environmental mystery,
was published by Five Star/Cengage in January 2014. Currently, she's working on
a family saga set in southern Italy, Hell's Kitchen, and South Jersey. She
lives in Gulf Breeze, FL. Learn more about her work at www.dawncorrigan.com.