Happy Anniversary “The Incredibles 2”: Tapping Our Super Powers in Caregiving and Grief

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July 2014 at Walt Disney World

Today marks the one year anniversary of the release of Disney’s The Incredibles 2. The Incredibles hold a particular place in my heart because Mr. Incredible was one of Ben’s top three Disney buddies, along with Buzz Lightyear and Sully.

Because of this, and since it was our tradition, it was especially important to me to see the film on opening day. I remember that I had my little cry in the theater as the film began. Where I usually feel Ben’s presence at these films, at this film I profoundly felt his absence. I was angry that he did not have the chance to see this movie. Grief had brought a lot of emotions, but until this point, I can’t say that I had felt anger, despite often feeling frustrated that he was cheated of so much of life. I went on to feel more anger later in the summer when I visited the Georgia Aquarium, another place that Ben would have loved. There are certainly more profound life moments that Ben is missing and will miss that I should probably be more angry about, but sometimes the little moments make a tremendous impact.

In the past year, there have been more Disney films. Each one comes with sadness and acknowledgement of Ben’s physical absence but spiritual presence. However, I have also seen some growth in my perspective and experience with grief. I have noticed that I no longer debate with myself whether I can and should enjoy myself. The experiences are a time to focus thoughts on Ben and good memories. This seems to, on some level, alleviate the deep sadness and loneliness. It’s respectful of him and maintains the Disney bond that was such a strong part of our relationship.

This blog is a clear reflection of the way I look to each Disney film for enlightenment, and hopefully a quote that will carry me forward or give me perspective. I like to be able to share these thoughts with other caregivers with the intention that they will validate, inspire or comfort. The Incredibles 2 did not disappoint. The film actually has a lot of messages about inclusion, diversity, fighting for justice, family and love. I do remember the audible expressions of agreement when Dicker said, “Politicians don’t understand people who do good things. That makes them nervous.“

Interestingly, the quote that resonated with me was very appropriate for caregivers, and for an opening weekend that included Father’s Day. Edna Moda told Mr. Incredible, “Done properly, parenting is a heroic act. Done properly.”  I was so fortunate to have had two devoted and loving parents. As a public school teacher, over the years I have seen many children who are not parented properly, in fact, they are barely parented at all.  Good parenting is indeed a heroic, selfless act of love. The same came be said for good caregiving.

As a caregiver, I often questioned my abilities, especially when I was struggling with exhaustion, sadness and patience with Ben when he was stubborn and demanding. But, like any other caregiver, I put my emotions and feelings aside, or, at least on hold, and trudged on because the immediate needs of caregiving are not negotiable. Phone calls abruptly ended, activities were thrown to the side, chores ignored (well, I can’t say I minded that very much) as I attempted to create order amidst chaos, calm when he was panicked, and peace amidst the devastation of watching Ben deteriorate and suffer, physically and/or emotionally. Like all caregivers, I also ran interference among medical professionals and other related staff, as well as family and friends. I provided spirit boosts and levity and also administered difficult doses of reality, as tactfully as possible.

It certainly wasn’t my goal as a caregiver to be heroic and I don’t think that caregivers generally perceive themselves as heroes. We probably spend more time following Dory’s advice to “just keep swimming.” As a crybaby, I’ve never seen myself as heroic- at any point in my life- which is why, I think, I was puzzled when people told me that I was brave. Ben was brave, I was along for the ride, trying to be helpful and, a good deal of the time, not sure if I was much of a success. My insecurities made me feel much less than a superhero. However, I can attest that I definitely earned the Wonder Woman t-shirt Ben got me after I managed to grab him and keep him from falling off the bed!

In the film we are introduced to new super hero, Voyd, who asks Mrs. Incredible/Elastigirl, “How do you balance the superhero stuff with the life stuff?” Indeed, that’s a very important consideration for caregivers. For me, I constantly struggled with balancing the responsibilities of caregiving against a full-time job, daily life chores, relationships with friends and family, the emotional strain of losing the life Ben and I had, and knowing that ultimately, I was going to lose Ben. In retrospect, I think the balancing act IS the superhero stuff.

Young Dash tells his dad, Mr. Incredible, that he wants to fight bad guys because “It defines me.” I can say that caregiving defined me for several years and I found that it is a significant part of who I am and how I see myself. I have written about how I floundered when I was no longer a caregiver, until I found myself again through blogging, volunteering and trying to support other caregivers. Although I would rather not have discovered this through the illness and loss of my dad and Ben, I feel like I have identified caregiving as my super power. Unfortunately, I was not able to defeat cancer or ALS, but my dad and Ben always felt cared and advocated for and loved, and that is incredibly powerful. I did not see it while I was actively caregiving, but time and distance have provided valuable perspective.

Mr. Incredible at Walt Disney World’s parade, 2014.

Mr. Incredible summed up well the life of a caregiver when he said: “How do I do it? By rolling with the punches, baby!” I can picture Ben smiling and nodding, because, in actuality, both he and I rolled with the punches. I am still in awe of how well he rolled with the severe punches dealt to him by ALS. I guess we were both super heroes, albeit without the cute costumes.

I highly recommend The Incredibles 2. It’s quite fun and fantastic and offers unexpected words of wisdom for caregivers and everyone else. Post your thoughts! I look forward to reading them.

Ben as Mr. Incredible- Part of a birthday collage that I made for Ben. When it came to battling ALS, Ben was indeed a super hero!

Where Do I Go From Here? What Would Pocahontas Do?

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Where Do I Go From Here?
Written by Marty Panzer and Larry Grossman
Performed by Judy Kuhn as Pocahontas

The earth is cold
The fields are bare
The branches fold against the wind that’s everywhere

The birds move on
So they survive
When snow so deep
The bears all sleep to keep themselves alive

They do what they must for now
And trust in their plan
If I trust in mine, somehow I might find who I am

But where do I go from here?
So many voices ringing in my ear
Which is the voice that I was meant to hear?
How will I know?
Where do I go from here?

My world has changed and so have I
I’ve learned to choose
And even learned to say goodbye

The path ahead’s so hard to see
It winds and bends but where it ends
Depends on only me

In my heart I don’t feel part of so much I’ve known
Now it seems it’s time to start
A new life on my own

But where do I go from here?
So many voices ringing in my ear
Which is the voice that I was meant to hear?
How will I know?
Where do I go from here?

May was a bit rough for me. May is ALS Awareness Month. Milestone dates and occasions are always significant. Even though it is not a milestone in Ben’s personal journey with ALS, it is an important time for me. I want and need to participate in the month to raise awareness of ALS, but I never feel like I really make a difference. I’ve been questioning so much about where I am and where I should be in my life. I feel like the sharpest pangs of grief have begun to subside and I have wanted to think that things have been steadily improving. And they have been improving in many ways. Unfortunately, the questions haven’t really ended, they are just different. Now, I question what I should be doing in terms of moving forward, in terms of my relationship with ALS, in terms of grief. Where do I go from here?

There is so much that resonates in this song. Since Ben “left,” as he referred to dying, I have grappled with where to go with my life. I stopped questioning how I survive after I lost my mom, which was my first major loss and was especially earth-shattering because we were so close and it was sudden. The first year, I went through motions. Just like animals Pocahontas described how the bears instinctively know what they have to do from season to season, I just kept going through motions, sometimes instinctively, sometimes lead by others, but never really thinking. Now, it is nearly four years since I lost Ben, and although I have gotten back on track and know that I have much to be grateful for, the setbacks  really throw me and I am frequently anxious about my plan for the future and I rely on a wealth of wonderful memories to sustain me. When it comes to the future, there are people who are fine to say that they put things “in God’s hands.” I have never been one of those people, despite being a person who does have faith.

I have done a good job of reclaiming the things I always loved to do. I have resumed active theater-going, socializing and I even travel a bit. Still, there is an anxiety. I feel like I don’t have a strategy for my life. There’s a lot of worry and emotional analysis. There is also judgment. I have had to deal with the judgment of others, to my face or behind my back, but I also judge myself. Am I balancing past, present and future? How do I effectively help others? How do I best help people with ALS and their caregivers? Does that keep me in the past? How do I maintain my connection to the past and to Ben’s journey with ALS while forming a new life and hopefully finding love again? Will I find love again or will I be alone? As much as I would like to find a new relationship and have that kind of love, I don’t seem to have found a good strategy for getting there. Each night, I look at my photo of Ben that is my laptop background, I say good night to him, and wonder if I will ever find someone who “gets” me the way that he did. He doesn’t have to be a Disney prince, either. No matter how good I feel about the strides I’ve made, and no matter how many happy days I have, there is an uneasiness that keeps me from feeling contentment.

While some people think I should put more distance from the past and focus more intently on my vision for the future, being by Ben’s side as he bravely battled ALS changed me. Just as my dad’s cancer began to progress and Ben was diagnosed with ALS, I was launching a pet souvenir business, Pets en Voyage. I slowly put it aside because I couldn’t juggle full-time work, full-time caregiving and building a business. The business was a dream come true for me, and one Ben and my dad, the consummate dog lover, were so excited about. I always said that I would come back to it, but whenever I begin to revisit it, I find it a painful reminder of those days of illness and chaos. I am not letting go of it, but cannot seem to fully embrace it again, either. Not yet.

I was profoundly influenced by my role as a caregiver, and when I lost my dad and Ben, and I lost that role, I did lose a big part of myself. I feel most comfortable when I find ways to tap into that side of myself. This blog has been one way to sort out my experiences and spread the word about caregiving and ALS. I have been touched by the connections I have made and comments I have had from cALS (Caregivers of people with ALS) and pALS (people with ALS) in response to my posts. I was inspired by earn my Certification as a Caregiving Consultant but have not yet figured out how to use it more effectively, though I participate in various online ALS and grief support groups to lend an ear, share my experiences and persistent questions, and offer ideas to those currently struggling with caregiving.

When I was a caregiver, my role was clear: the goal was to keep Ben comfortable and get him the help he needed. There might have been twists and turns, and a lot of curve balls, but I had to come up with plans, and then back-up plans! Now, I’m just not sure of where to go and what to do for myself. What I know, and what I learned as a caregiver, is that I am a born teacher and caregiver. I also saw that I could be a strong advocate for my dad and Ben, but I did not seem to know how to use those skills for myself.

As a teacher and someone who spent more than 30 years in the field of arts and education, I love kids and could not help thinking about how difficult it must be for children to watch a parent or other family member navigate ALS and take on caregiving responsibilities. I have felt that my background could be useful to children who are affected by ALS in their families. A while back, I was able to collaborate with my local ALS chapter to conduct a small workshop for kids who had a parent with ALS. We did crafts, ate pizza and ice cream and talked. Click here to read  my post about that experience.

Earlier this month, I had the supreme privilege of working with Hope Loves Company, an organization dedicated to supporting children whose families have been affected by ALS (click here to visit their web site). Hope Loves Company runs camps for children and their families- it’s a special opportunity to get away, participate in all kinds of activities, from hiking to fishing to music and crafts. Also, it is an opportunity to be surrounded by other people who share, understand and can commiserate about the experience of ALS and its impact on our lives. I was a facilitator of a workshop where the children made scrapbooks- some brought photos from home and we also printed photos from their activities during camp. I believe that going through photos can be a very valuable process- it’s a time to relive memories and remember our important relationships- and I was happy to hear the stories that the children shared with me. It was fun and meaningful, and it felt like I was exactly where I should be. I look forward to continuing my volunteer work with this wonderful organization.

It feels good to me to work children in this way. I want and need to follow a path that lets me discover ways to reach out to young people affected by this disease, but also to young caregivers in general. I’m just not sure exactly where to go or how to get there.

Now it seems it’s time to start
A new life on my own

But where do I go from here?
So many voices ringing in my ear
Which is the voice that I was meant to hear?
How will I know?
Where do I go from here?

I have lots of ideas, but I’m a worrier by nature, so I tend to identify the obstacles before I see a clear path. While it’s probably not terribly realistic that I will resolve everything during my summer vacation from teaching, it’s my plan to address ways to expand my work and relationship to ALS. Summer is always strange because it marks another year that Ben spent in the hospital and then left the world, so it’s good to have a focus. It’s especially meaningful to make that focus something that relates to him. Yes, I keep the dating thing on my mind, too, but that kind of strategizing seems to be more daunting to me.

I do welcome ideas and brainstorming, so please feel free to comment or email if there is a project you’d like to consider or implement.

On ALS and What The Little Mermaid Learned About Losing Voice and Herself

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“The Little Mermaid” © Walt Disney Pictures 1989

May is ALS Awareness month and despite the popularity of the Ice Bucket Challenge, it still is not a well-known or understood disease. It’s a melancholy month for me because I see so many posts about ALS that remind me of the tragedy and cruelty of this disease and how far we have to go to manage and ultimately, to cure and eliminate it. I am always happy to see the strides that have been made and proud to be part of a community of people with ALS and their caregivers, who offer boundless support, commiseration and encouragement. While I tend to reflect on how I felt as a caregiver and in grief, this month brings me back to the actual, day-to-day impact of ALS and how Ben expressed his experiences.

ALS/Lou Gehrig’s disease, is defined as a disease which causes the death of neurons that control voluntary muscles. My friends and family became aware of the physical effects of the disease primarily through Ben’s experience. Ben’s first symptoms were a lack of balance and falling. His legs also became tired very quickly. As the disease progressed, he lost the ability to use his legs at all, and then his arms and hands, then chewing and swallowing became difficult, and his speech became increasingly impaired as he experienced those muscle losses. His cognitive skills were not affected, so he was completely aware of what was happening to his body.  The progression of ALS varies from person to person, so, for example, some people may never lose their ability to walk, others lose their ability to speak first, while Ben lost it last. Eventually, the ability to breathe is lost, and that is often the cause of death from the disease.

This scene from Disney’s The Little Mermaid was poignant to me within the context of ALS. Ariel wanted so much to be a human and to be with Prince Eric that she was willing to relinquish her voice to the sea witch, Ursula. Ariel knew that her voice was integral to who she was, but she was in love, and you know how that goes, especially in a Disney film. Once she gives her voice to Ursula, she quickly realizes that she has lost the ability to express herself, and her ability to sing, which was so important to her. She also did not realize that without her voice, she was no longer recognizable to Prince Eric. Of course, she made a choice. Someone with ALS does not get a choice, and I would venture to guess that they would advise her to keep her precious voice.

The Magic Kingdom at Walt Disney World- 2001. Pre-ALS days

The loss of easy communication was very frustrating to Ben. First, phone use became difficult because handling the phone was hard and it was difficult to understand him. We then began frequent texting. Ben used a virtual/on-screen keyboard and an app that connected his phone to the computer screen. However, if his hand slid off the mouse, communication was cut off and that led to some very tense moments.

Living with Ben, I was more likely to understand what he said and I could facilitate conversations with others. There were times, however, that I could not understand him. He would shake his head and tell me to “forget it,” which upset both of us. When communication was an obstacle and he was homebound, Ben did notice and lament that he had less contact with people. Friends and relatives with whom he thought he was close stopped reaching out, or, they made promises to visit that they did not keep. At the same time, he did not really want people to see him as he looked. He did not want them to see him looking gaunt and struggling to talk, eat and move. It did leave him feeling isolated and hurt.

When strangers did not understand Ben, they sometimes assumed that he was mentally challenged and spoke to him like a child or addressed only me. Often, Ben laughed about it, but on some occasions he felt invisible and very misunderstood. So, I involved Ben in the discussions to show people that Ben was fully capable of understanding and had lots of opinions and many people did follow my lead. As caregivers and loved ones, I see it as our responsibility to educate people through example, because some people are willing but not quite sure how to engage with people with a variety of disabilities. Unfortunately, not being able to say what he wanted and be truly seen and heard sometimes caused Ben to withdraw. I cannot begin to imagine how Ben felt to be seen for the ALS symptoms rather than for himself.

[bctt tweet=”I cannot begin to imagine how Ben felt to be seen for the ALS symptoms rather than for himself.”]

After a respiratory crisis landed Ben in the hospital, he had a Bipap mask before he had the tracheostomy. This was the first time that Ben really had absolutely no voice. He could not call me, or call for help, or just have a conversation. On an emotional note, he could not kiss me or tell me he loved me. When I recently re-watched The Little Mermaid and I saw Ariel panic the first time she tried to speak and remembered that she could no longer do so, I remembered Ben’s panic at the thought that he could not easily get someone’s attention with is voice, but he also could not use a hospital call button. Ben was afraid to be alone in the hospital room and I was afraid when he was alone. The mask obscured his mouth, so reading his lips was also very difficult. We spelled out words by my reciting the alphabet and his nodding when I reached the correct letter. However, the length and tediousness of that process frustrated him, and he began to weigh what he really needed to say. There were many incidents when hospital staff ignored Ben and asked me questions that he could answer. I immediately addressed those questions to him so that he could participate in the discussion. Yes, it took longer, and it was not easy, but he mattered, and staff had to accept that. Most really were wonderful, and they got a glimpse of who Ben really was beneath the ALS. But, just as Ariel felt devastated that Prince Eric did not recognize her, Ben, too, felt that he was becoming unrecognizable, even to himself. It also made him look at how he saw himself moving forward, which was something he had tried to avoid since his diagnosis nearly six years earlier.

Ursula tells Ariel that even without her voice, she has her looks, and to “never underestimate the importance of body language.” Unfortunately, with ALS, Ben could not rely on body language. He certainly did not underestimate its importance. ALS slowly strips away a person’s ability to move their limbs and even make facial expressions. Although Ben’s experience with ALS never progressed to the point where he was completely immobilized, some people are left only with the ability to blink, if that. Without a voice or facial and body expressions, a person would understandably feel isolated and even irrelevant. Although visits from loved ones are appreciated, they are not easy, so, unfortunately, as in Ben’s case, visits become less frequent.

Walt Disney World, 2001

Ben could certainly have related to Ariel’s wish to have legs like a human. As he lost his ability to walk, he often told me that in his dreams he always saw himself walking and running. As Ben lost his abilities to walk and move his arms and hands, he saw himself as weak and self-conscious. He missed going outside and playing handball. He did enjoy using his scooter, but daily life skills were becoming impossible and that carries an emotional toll. He walked until he accepted that his legs could not handle a single step without his sinking to the ground. That took away his freedom to move around the apartment. It chipped away at his dignity to have to be transferred to and from the bed, his chair and the commode, and to have to be fed his meals. He often denied that he needed as much assistance as he did, which was stressful for me as his caregiver, but that was what he needed to tell himself to deny that ALS was progressing.

Ben was also aggravated that he could no longer do things that he loved to do, like play music on his keyboard and fix computers. He could still talk me through what needed to be done with the computer hardware, but it was not the same. He also continued to research and discover adaptive electronic and computer devices, though they rarely worked for long, as new symptoms of ALS constantly appeared that rendered them ineffective. Music always remained an essential part of Ben’s life and our relationship, and although he couldn’t play his instruments, and we could no longer dance, he never stopped listening to music and making little videos with music clips for me to celebrate different occasions. I also brought his iPad to the hospital, so he could always listen to his favorite tunes.

Body language encompasses body image. ALS seriously impacted on Ben’s body image. He said that he did not like to look at himself in mirrors. As eating became more challenging, Ben lost a lot of weight. His feet got terribly swollen and even the widest shoes did not fit, so he wore adjustable slippers. He could no longer shave himself and although he said I did a pretty good job, I did not do as perfect a job as he did. We could make it fun and funny, but the underlying issue- the deterioration of his muscles- was frightening and tragic. At one point, his aide shaved his beard and left only his mustache. He was a bit insulted that it took me a while to notice exactly what was different.  I think that I somewhat tuned out the physical because there were simply so many changes, and they were too sad to dwell upon. Ben, on the other hand, regularly studied the photos from our visits to Walt Disney World and compared his physical changes from visit to visit. In fact, when I showed pictures of those visits to friends, they always commented on how thin Ben had become, shocked by his physical transformation. When I looked at the photos, I saw only the joy on his face. I guess that’s the Pollyanna in me.

Fortunately for Ariel, she was surrounded by people (well, mer-people and some very adorable sea friends) who loved and looked out for her. Sebastian was an astute and compassionate, if high-strung, caregiver. Nutty but devoted Scuttle revealed Ursula’s evil magical trick to get Eric and Ariel’s voice was restored, she was able to keep her legs and marry the Prince. There was the Disney happy ending.

ALS is not a fictional magical trick with a happy ending, rather, it is a cruel disease to which Ben ultimately succumbed. Still, despite the obvious devastation of his struggle and of losing him, I have to look at the end of Ben’s ALS story with some positive thoughts. Ben’s personality shone as he left this world, according to the very wishes that he expressed, even without his voice, embraced by people he loved and requested to be present, and with music that filled his heart. He was heard and he knew that he mattered and was loved, as his hero Buzz Lightyear said, “to infinity and beyond.”

Now, I use my voice to spread awareness and support caregivers and people with ALS. And, in my Disney way, I will keep wishing on stars for a cure that will ensure a genuinely happy ending for those with ALS.

[bctt tweet=”In my Disney way, I will keep wishing on stars for a cure that will ensure a genuinely happy ending for those with ALS.”]

Walt Disney World
July 2014