Caregiver

One Dance, Many Memories

The photo at the beginning of this video came up on my Facebook memories today. It is such a cherished memory because it was a happy time and the last time that Ben and I danced together. It reminded me of the following post, which I wrote quite a while ago about a special song and magical memories. I wanted to share it again to revisit the thoughts and share the beauty that music and lyrics offer as we sort through our feelings and experiences.

This beautiful song by Chris Martin, and performed by Jodi Benson, never made the final cut of “The Little Mermaid.” I discovered it on “The Essential Collection of Disney Love Songs” and it also appears on other Disney albums. Unlike many other Disney memories that I share on this blog, this song was not one that held a specific meaning for Ben and me, and it did not represent a special time in our lives or relationship. It was not even associated with our time spent at Walt Disney World. But, it is the song whose lyrics spoke to me at a critical time when Ben was in the hospital. Given Ben’s profound love of music, I believe that he would appreciate that it was the lyrics to a song that proved to be so powerful to me.

As the title of the song might imply, Ben and I loved to dance. Nothing fancy, but we would put on music in the apartment and just dance. And, when we worked together at The Little Orchestra Society, we always danced at the organization’s events. It was romantic, silly, fun- it was us.

Before he ever went to a doctor, much less was diagnosed with ALS, Ben started having trouble with his legs. It took him a long time to admit to me that he had fallen down the steps in the subway and on the street, though he had told me that he was perplexed that I could do my Zumba routines better than he could- coordination and grace are not my strongest suits!

The first and last pictures on this slide show were taken at the Bar Mitzvah of my good friends’ son. Ben’s legs were bothering him but he wanted to dance. We were having so much fun at this happy event. As it turned out, this was the last time we danced together. Who could have guessed? I am so grateful to have this photo!

As it became more difficult for Ben to stand on his own, music and dancing still played a part in our lives. While he could still walk several steps, sometimes I would just help him up and we would hug and sway to the music. It felt like dancing, and like old times, and that felt good.

I remember that during our first visit to Walt Disney World after his diagnosis, I was helping him to stand up from a rather low sofa in our hotel room. I counted to 3, but then, remembering the song “1,2,3” by Gloria Estefan, I added the song lyrics, “4, come on baby say you love me!” From that point on, we rarely just counted to 3 and he often laughed as I reached “3,” waiting for me to add the rest. As the ALS progressed, Ben was less and less mobile, but our counting and that song continued to make us laugh. Transferring a person is not easy, and it can be stressful because there is always a risk of falling, or dropping, so it was good to have these little moments of levity.

Our lives changed drastically, but because it happened over a period of almost six years, maybe some changes felt more subtle. ALS slowly took away Ben’s ability to use his legs, his arms, his hands, his voice. He couldn’t eat foods unless they were pureed. He had difficulty breathing. But, he was still Ben and he had determination (at times, stubbornness) and a good sense of humor. He was also clever and he loved gadgets and technology. For example, he used an app and an on-screen keyboard to use his computer and to send texts through his computer when he could no longer handle the phone. He figured out how to organize some of his things so he could make them accessible. These are just a few of the things that were part of living with ALS. We adapted as best we could.

Ben adjusted to the things he could and could not do as the ALS progressed and I adjusted to new tasks to help him. When I think of Ben’s very serious challenges, it may seem silly to lament an inability to dance. But, dancing was one of the things that was so special, so intimate, so us. In the chaos of the disease, I can’t say that I thought to analyze how much the changes in our lives were affecting us beyond our daily routines. I can’t say that either of us even had, or took, the time to dissect the dynamics. We just kept going. But, losing something like dancing made more painful the shift in our relationship from husband and wife to patient and caregiver. Impromptu moments like dancing to a favorite song were replaced with the more immediate tasks of caregiving. To mention missing things like dancing meant the possibility of upsetting Ben, and making myself sadder, because things were not going to get better and we could not change that fact. Sharing a memory was wonderful, but expressing sadness about our losses was not.

Eventually, yet in a pretty rapid and intense decline, Ben began to have more and more difficulty breathing and eating. His feet were also swelling very badly. He opted to get a feeding tube. However, just before the arrangements were made, Ben ended up in the Emergency Room and he got a feeding tube and a tracheostomy. It felt like it happened in a whirlwind and yet it felt like time stopped. So many decisions to make, and so many adjustments. Suddenly, we could not even communicate in the same way. It was frightening and devastating, but he was so incredibly brave and calm. It was clear that he was not going to be able to come home because he would need 24-hour nursing care, and, intellectually, I understood that. But, I believe that my mind was spinning too much to think about what it really meant. Ben was frustrated and upset about not coming home, and that broke my heart. I was worried about him not being home and my not being able to be with him constantly, but I was also dealing with logistics and his medical teams, and simply being present for him as we determined next steps.

I spent every day and several nights with him during the nearly two months that he spent in the hospital. I usually got home very late at night and sometimes relaxed with music, using Ben’s computer for his playlists, which I found comforting. One evening, I remember sitting at his desk when “One Dance” played. I thought about the fun times that Ben and I had dancing in the apartment and I realized just how much I missed those moments. I had done pretty well with recreating memories, especially when we returned to Walt Disney World for our last visit. But, in that instant of hearing the lyrics to the song, the realization came crashing down on me that we would never dance again, and he would never be home again, and he really was going to die. Maybe you’re thinking that he had ALS, so, of course, he was going to die. Yes, I did know that, but that does not mean I truly accepted it or the fact that the time was nearing. But somehow, hearing those lyrics was a jolt of reality that I had not yet faced.  On that quiet night, listening to this song, I finally accepted and reacted to what I had not until that moment let myself fully believe–that Ben would soon leave this earth and nothing would ever be the same.

There are stars that fill the night, can you see them? 
There are two, or three or gee, a million more 
And I see you in their light 
Oh, me? A dance? All right. 
Just to move and glide with you across the floor 

I would change who I am 
Leave the sea for the sand 
Just to stand with you 
I would leap at the chance 
For a glimpse of a glance 
Of one dance with you 

I still listen to the song even though it always makes me cry. In fact, sometimes I play it when I need a good cry, because, yes, there are those times. I have become unapologetic about embracing sadness, because, frankly, there will always be the tears over the loss of Ben, and how much he and we lost. At this point in time, however, I think it’s a matter of my finding the balance between grief and life. It’s not an easy balance to find, but I do feel a steady shift in my perspective that’s allowed me to bring more joy back into my life while I keep Ben in my heart.

It makes perfect sense that the clearer memories are the more recent ones, during Ben’s ALS, when the physical and emotional issues and tension were center stage. Those issues were not unique to us or even to ALS. They certainly are not the memories I want to define us. However, they are important in their own way, because they represent a strength of heart, love and compassion that saw us through such terrible experiences.

I also want to let myself get transported back to those dances and special times that made us who we were together. The memories I cherish, and that belong only to Ben and me, are simple joys like dancing and, of course, anything related to Disney! I will always miss those times, and I will always know that I am fortunate to have had them. I am pretty sure that I also always will believe in happy endings, pixie dust and Disney magic, too.

One dance, just you and me 
Beneath the moon, beside the sea 
One dance and it’s happily ever after 

Happy 35th Anniversary, Epcot!

ALS,Caregiving,Epcot,Walt Disney World

July 2014

Learning about this anniversary brought a big smile to my face, as I remembered how much Ben enjoyed Epcot, and how much fun we had there together. I consider it a gift that, in the face of difficult memories of ALS, our experiences at Epcot were so positive and full of joy.

After Ben’s diagnosis, we splurged and stayed at the Boardwalk Inn, because it was the hotel that always impressed us when we strolled the Boardwalk, and we never knew which visit would be our last. As it turned out, the Boardwalk was a perfect location, because Ben could easily scoot to the back entrance of Epcot by the World Pavilions, which he absolutely loved. The World Pavilions have less attractions requiring transfers, so he had the freedom to ride around in his electric wheelchair. As I’ve written in my post about our visits to Walt Disney World, another highlight of Epcot was that during the Food and Wine Festival, we could try a variety of foods from the kiosks and then find a discreet place to sit where I could feed him and we could take as long as needed.

We met Mickey and many of his friends, laughed with Crush, and Ben played the air guitar along with the bands he loved to listen to.

I will always be grateful for the good memories of our time at Epcot, and for the kindness and graciousness with which the Disney cast members accommodated and welcomed Ben.

Thank you, Epcot, and may your anniversaries continue to infinity and beyond!

Here are some favorite memories from visits to Epcot. They range from our carefree, pre-ALS days to our last visit in 2014. You can see some of the physical effects of ALS on Ben, but his attitude was always great!

I took this in “Mexico” during our first visit together to Walt Disney World, in 2001, when there were no thoughts of ALS or physical limitations.

ALS,Caregiving,Epcot,Walt Disney World

Fun times pre-ALS, 2006

2006

2006

This was Ben’s first excursion in the scooter, May 2010

Epcot shopping in the rain in our matching Mickey and Minnie rain ponchos! May 2010

October 2011

Ben needed a cane but he walked to Mickey! 2012

July 2014. Things were harder to do, but Ben was still smiling! Below: air guitar at the England Pavilion. He always looked forward to hearing the live bands, and was especially thrilled when they played The Beatles!

 

On Wishes and Knowing What’s Really Important

I’ve written a lot about wishes. Maybe it’s my belief that wishes can come true that allows me to see, or to look for, the bits of wishes that come true, and remind me of what’s really important.

When my cat, Disney, became ill a few weeks ago (click here to read about that), I sat in the vet’s Emergency Room waiting area wishing for her to be okay. I’m happy to report this update that my wish came true. Some would argue that I’m seeing through Disney-colored glasses, because she has several medical conditions and requires a lot of medication, but her conditions are manageable. And, her kidneys actually improved, which was a great, surprising relief to her vet and to me! She is back to bossy, spoiled and adorable self, cuddly as ever, but most importantly, comfortable and feeling well. I understand that this will not last forever, but what is really important is to treasure this time.

When Walt Disney World announced that the “Wishes” fireworks show was ending, I was a little heartbroken. I find it hard to lose things that were symbolic to our relationship. Ben and I watched that fireworks show during our last visit to Walt Disney World in July 2014 from the Pirates and Pals cruise on the lagoon. We both cried as we listened to the lyrics. We’d seen the fireworks show before, but now we really wanted to believe that our wishes, our dreams, would come true.

Pirates, Walt Disney World,ALS

Ben loving the Pirates & Pals Fireworks Cruise. That joy on his face is my favorite memory of our last trip.

Excerpts from the “Wishes” Fireworks Show

Hear the music from “Wishes”

Star light, star bright,
First star I see tonight.
I wish I may, I wish I might,
Have the wish, I wish tonight.

Oh, a world of wishes,
A world where dreams come true.
So make a wish, see it through.
Dare to do what dreamers do.

CHORUS:
Wishes…
Dream a dream.
Wishes…
Set it free.
Wishes?
Trust your heart.
Just believe.

We’re all just children,
Reaching for our dreams.
They’re shining high above us,
And even though it seems so far (so far)
We put our faith and hope on a shooting star.

JIMINY CRICKET
You know, any wish is possible. All it takes is a little courage to set it free! A wish is a powerful thing—especially when it comes from the heart.

BLUE FAIRY
Remember, we must always believe in our wishes, for they are the magic in the world.  Now, let’s all put our hearts together and make a wish come true.

ALS,Caregiving,Grief,Walt Disney World, Disney

The wishing Well at Cinderella’s Castle. We always wished for a cure for ALS. I still hope that wish comes true.

Some people might have rolled their eyes at my saying that Ben and I tossed coins into Cinderella’s Wishing Well after his diagnosis of ALS. We did wish for a cure. That did not happen during his six-year battle with the disease. As I have written before, maybe it is a matter of perspective, but despite that wish not coming true, maybe we did have some pixie dust, because for four of those years, Ben did okay managing the ALS. And, he always had a positive spirit and tremendous determination. That spirit and the love that got us through the awful times are at the core of what is really important.

Walt Disney said, I always like to look on the optimistic side of life, but I am realistic enough to know that life is a complex matter. I have wished to find ways to cope with profound grief and the physical and emotional toll of caregiving. While I am realistic enough to know that this is a work in progress, my wishing and firm belief in the power of pixie dust allows me to carry the good memories, look for the good moments and recognize how Ben and my dad are always with me. Maybe it’s Walt’s philosophy and my whimsical love of wishing that encourages me to take the time to think about what is really important amidst the conflicting emotions and myriad memories, and to embrace the Bibbidi-Bobbidi-Boo that gives me peace. I wish that for all caregivers and patients with ALS and all diseases.

On Mulan and Reflecting What’s Inside

 

The new school year started last week. It had me thinking about the past several beginnings of the school years. Honestly, they were not great. I was going from a difficult caregiving situation to a challenging and often unpleasant, bordering on abusive, public middle school environment. While teachers were sharing fun summer stories, I sat quietly, smiled and shrugged if anyone asked me how my summer was.  I was the caregiver with the dad and husband who were both dying. I did not have fun summers. I did not have fun weekends. After I lost both of them, I was the person in grief. In 2015, was not prepared to return to school just two weeks after Ben passed away, and I went through that school year in a bit of a fog, largely just going through motions.  When people looked at me, they saw my experiences in caregiving and losing the people I loved. Well, that and anything Disney-related.

Ben loved Mulan and he really loved the song in this clip, Reflection. I can relate to it, although Mulan was struggling with her identity within her family.

Somehow I cannot hide
Who I am, though I’ve tried.
When will my reflection show who I am, inside?

I’ve written a lot about feeling like I am floundering because I am no longer a caregiver, which was my role for several years. Caregiving consumed my life. I did what I was expected to do but also what I felt in my heart was the right thing to do. Despite the emotional and physical stress, it was the most important, valuable and loving work I have ever done. The attentive and devoted caregiver was who I was inside and out. Caregiving also revealed to me a strength that I never would have believed I possess, and that my often emotional demeanor would never have conveyed. Once that role was removed, I lost myself and my reflection was blurred.

Now, when I look at myself, I don’t really know who I see. I do have more moments when I feel like the more eccentric and whimsical person of my pre-caregiving days. But, I cannot- at least for now- compartmentalize my caregiving experiences and losses.  The truth is that I have embraced my caregiving qualities as positive parts of myself.  It is an accomplishment to feel proud of myself, and caregiving did that for me, though it took a long time for me to realize it.   My struggle is finding a balance of being true to Ben and my dad, and true to myself, while living in the present.  I wonder if and when I am talking about and reliving too much about Ben. I want the Abby I am now to reflect all of those experiences without remaining immersed in them.

Over the summer, I was fortunate to find a new position in a wonderful school. I am back in a high school, which is my preference. As I was gearing up for my first day in that building, I realized that people would not know my story. I was no longer going to be known as Abby, Ben’s caregiver, or Abby who was so devoted to her dad and her husband. I will just be Abby. I guess that offers many possibilities for self-exploration and reinvention. I know that inside myself, I will hold all of my love and experiences. The problem I have is how to reflect on the outside what I feel on the inside and not remain in the past.

When asked to introduce myself at professional meetings or in my personal life, I feel like I’m not really sharing who I am because I do not talk about caregiving, my dad, or Ben and his ALS. I see myself more as a caregiver than anything else. Being my dad’s caregiver and his whole world, and being the person at Ben’s side throughout his battle with ALS are a vital part of how I see myself, even though those actual days are done. Presenting myself apart from Ben, as a person on my own, seems incomplete, and almost disrespectful. I have to keep reminding myself that Ben is still a part of everything that I do and we will always be connected. However, I have to find my own way now.

I do often see signs that Ben is with me. I received one on the second day of school with the students. At this school, instead of bells to signify the beginning and end of class, they play music. It’s quite fun. As students trickled into class, The Beatles’ Twist and Shout came over the loudspeaker. Ben LOVED The Beatles, and it was when Twist and Shout  played at a gala for the organization were we met and worked, that, for the first time, Ben pulled me onto the dance floor. From that point on, we danced to it whenever we heard it, even when I had to hold him up as ALS claimed his legs. I found myself smiling instead of crying, as I turned to the kids, whom I don’t really even know yet, and told them that this was the first song I danced to with my husband. Of course, high school girls love romance, so there was lots of gushing. I knew in that moment that it was a sign that Ben was with me as I embarked on new experiences in this new school.

All of our experiences help us grow and evolve. I will always see the people I’ve cared for, loved and lost in my reflection and I am proud and comforted that this will always keep their spirits alive and close. I hope that what others see in me honors them and our love and does justice to all of us.

Reflection:
Music by Matthew Wilder
Lyrics by David Zippel
Performed by Lea Salonga

Mulan (1998)  Walt Disney Feature Animation

More Than “Just Keep Swimming”- Wisdom for Caregivers from Dory and Hank

Brave Disney during her hospital stay.

I have written before that although I lost myself when I was caregiving, I also found myself in caregiving. I might have fought it when things were difficult or devastating, but I also learned to embrace the beauty of caregiving and to recognize the strength that I do possess when I am in the role of caregiver. I have lost my dad and Ben, but my role continues and it is a perfectly imperfect fit. That became especially clear to me over the past few days, while caring for my ailing cat, Disney.

Disney is almost sweet 16, and sweet she is. She is the most gentle, loving girl, and a little bit of a spoiled brat, but as Ben would say, I created that monster. She’s got a lot of medical issues- diabetes, thyroid, arthritis, heart murmur. With each diagnosis or complication, I’ve channeled my inner Dory and I “just keep swimming.”

Disney was originally diagnosed with a thyroid problem and diabetes just two weeks after Ben passed away, and the news sent me reeling but I was not going to let the undertow drown me. I was told that I would manage her condition by administering injections of insulin twice a day. I am a squeamish person and this had me terribly nervous. But, I reminded myself of all the very ugly and messy things I had to do for my dad and for Ben. “You are braver than you believe, stronger than you seem, and smarter than you think.” Yes, and thank you, Christopher Robin, I am. Disney is a wonderful patient, and she makes things pretty easy. She has begun to eat the pill pocket containing her thyroid medication, leaving the pill visibly displayed for me, showing that I have not outsmarted her. But, as her caregiver, I have to ensure that she gets what she needs.

A couple of days ago I took Disney to the veterinarian for a follow-up visit, pointing out that she was not eating as well as usual. The vet suspected some kidney damage and an infection. Her blood sugar was also very low. She stayed in the hospital overnight for glucose infusions and monitoring. Then, it was determined that she should have an ultrasound. I was able to visit her during her two night stay, and when I was with her she curled up against me and closed her eyes, because all is well in Disney’s world when her mommy is with her. I love the quiet, sweet moments when I know that I am comforting her.

Visiting hours for Disney.

We were sent home with new medications, including one to be given with a syringe, and fluids to be administered under her skin with what looks like an IV drip. I think her vet thought I would pass out or break down as I wrote down all the notes and when I saw the set-up. As Dory says, “You can do whatever you put your mind to.”

When we got home and before we went to sleep she was not acting right. She had two accidents on the bed, which I attributed to the infection. But, she was extremely lethargic and wobbly. Then, she had what turned out to be a seizure. I held her in my arms and she calmed down. After another similar episode, I decided that I had to call the Emergency Room at around 4:30AM. The doctor asked several questions and heard Disney’s distress meow, and said that I should get her to the ER. I sat and waited for a report, as I had done so many times with my dad and Ben. I felt that same exhaustion and worry. And, I realized that although I was distraught, I only wanted to care for and console this little girl whom I love so much.  I am most comfortable in the role of caregiver. It is who I am.

It turned out that Disney’s blood sugar was super low, and had I not taken her to the ER, she might even have died. I am still having trouble wrapping my head around that. She was kept in the hospital for several hours for monitoring while they intravenously administered dextrose. She perked up and was doing much better, so I was allowed to bring her home.  We are adjusting her insulin dosages but I must carefully watch her behavior and reactions. As I cancelled my weekend plans with friends to be with her, I had flashbacks of the many plans I had to cancel or postpone due to issues with my dad and Ben. Of course, there were times I was very disappointed about not going out, but caregiving was my priority and, at the time, because of so many conflicting emotions and so much chaos, I don’t think I even realized that I took pride in being the person they trusted and on whom they depended. It is only in retrospect that I began to realize that it was through caregiving that I really knew who I was and what I was meant to do. Now, I know that Disney will feel better if I am home with her and I love that I make her feel better and that I will be able to give the vet necessary information to inform the treatment plan as we move forward.

I was afraid to go to sleep last night for fear that something would happen. Eventually, we both fell asleep. I awoke to her on the bed staring at me. She did not want to eat much of her breakfast, which has me concerned, but I will be in touch with her veterinarian. She definitely was not thrilled with all of the medications, but was very cooperative. She has been very cuddly and purring a lot, which is a good sign. As I’m writing this I am smiling, because although this is stressful, it is the normal with which I am most comfortable. This is who I am. And, for the first time, I’m feeling proud of it. Like Hank, I’m OK with crazy!

I admit that I am terrified of losing Disney. Intellectually, I know that she has health concerns, and that she is a senior cat. Emotionally, she is just such a lovely cat and she has been there for me as I cared for and lost my dad and then Ben. At my loneliest, most frightened and most inconsolable, she was there with cuddles. She is the cuddliest cat I’ve ever met. People who don’t love animals don’t understand. People like me, who love our pets, don’t understand people who don’t understand the love we feel for our furbabies. But, I was raised in a family that unquestionably valued our dogs as family members. My dad loved my cats, too, though he did unabashedly compare them to our Schnauzers! Some people might take offense at my comparing caregiving for Disney to that of my dad and Ben. I can tell you that my dad would have had it no other way and he would be flattered. Ben would completely understand and he, too, would be flattered. The bond that is felt when caring for someone you love, human or otherwise, is profound and priceless, despite the difficulties.

I summoned the courage to ask the vet if she felt that I should brace myself for losing Disney soon. Thankfully, she said that we do not yet have to make that decision. But, she said that with all of Disney’s health issues, it is a challenge to manage all of her conditions. It is a lot of medication, additional vet visits and always the risk of ER visits. This is a big financial and emotional expense and challenge. In my mind, if she has a good quality of life and just needs management of her conditions, I am up for the task. Disney has always risen to the occasion of comforting me and giving me joy and laughter. She did that for Ben, too. She was definitely affected by the way he changed as a result of ALS and in her own way, she was protective of him. When he was in the hospice in his last days, I was allowed to bring her to visit him. At first, she didn’t like being on the bed with him because her arthritis renders her uncomfortable at times. She sat on the chair next to him and intently watched him. At one point he asked me to lift her and put his hand on her. When I put her on my lap to bring her closer, she pulled herself onto the bed and curled up on him. I put his hands on her and she turned on her side. They both closed their eyes. I believe that in that moment they said their good-byes. It was beautiful. For me, Disney represents a very close remaining connection to Ben. I’m sharing a photo of them in the hospice. I generally don’t share these personal photos, because they are difficult memories and private, but I do think that it is important for people to see the realities of disease.

Disney watched Ben throughout their visit in the hospice, even when he slept, as pictured here.

I will never be selfish and prioritize my desire to keep Disney with me over her quality of life. But, once again, I am lovingly, proudly and purposefully, though sadly, in the position of caregiver, and I will do whatever I can to give her a good quality of life and a lot of love, as she did for my dad, Ben and me.

Disney thanks everyone for their well wishes while she recuperates.