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

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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.

Two Years

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Today marks two years since Ben left this world. I don’t know if it feels like a longer or shorter time. I guess both, depending on what moment I’m in. I’ve spent the past few days thinking about what to write and how I’m feeling. These are hard days filled with tears that flow easily. In my mind, it’s perfectly okay to have a few sad days. In a way, the tears are reminders that I was fortunate enough to have had a beautiful love that I miss so profoundly. But, it’s sad nonetheless.

A year ago, I posted this video, and I am posting it again because I love these memories of Ben and I love people to remember him alive and vibrant. He loved those photos, too. And, “In My Life” was his favorite Beatles song. It was played for him by a lovely guitarist named Todd on the day he left.

I know for sure that Ben has not left me. As Mrs. Frankenstein says, he has moved into a special place in my heart. I often feel him with me. I still talk to him. That does not make sense to everyone and that’s okay. It seems to me that the best thing that I can do is try to honor him in my actions. Sometimes I buy things, listen to music or watch movies because they let me get lost in thoughts of him, and in those moments I see him smiling. Sometimes this gives me comfort and at other times it is a painful reminder that he is not here. Sometimes I do need a good cry.

In facing this second anniversary, I took time to reflect on the past year and where I am compared to last year. Firsts are hard, and in that first year without him, every first occasion hurt in a very raw way. I labored through that first year, often just going through motions. Although I slowly ventured out and saw friends and participated in activities, I often returned home in tears because it took so much energy to act cheerful, and if I was at all enjoying myself, I felt guilty and overwhelmed, or almost confused by, the conflicting emotions. Blogging helped me find purpose and revisiting the Disney films I love so much helped me to focus, as I looked for messages and guidance and opportunities to gain insight into my experiences.

The fact was that although my dad died a year and a half before Ben, since I was so busy as Ben’s caregiver, I did not have the time to really grieve that loss. When I lost Ben and I no longer had caregiving responsibilities, I was able to truly grieve, but it was for the loss of both of them. It was also the loss of what had become my definition of myself as a caregiver.

In this second year, I still profoundly felt Ben’s absence, and yet, I have found that he is always present. I had to establish a new normal. I would say that this year was spent integrating my caregiving experiences and grief with rediscovering myself and redefining my life. I have made changes, particularly to my apartment, and I’ve documented those in this blog. The changes have not come easy, but Ben has been a part of the choices I’ve made. And, there are some things that I cannot let go, which was why I got so upset when his computer crashed and insisted on restoring his music library on his desktop computer with his speaker, and why I have continued to use his desk chair/wheelchair although it is not in great shape and I have new and beautiful Mickey Mouse chairs that he would love.

I admit that I dreaded this day and have been very emotional even thinking about this blog post. In general, although I have not forgotten the scary and devastating times, I prefer to summon the fun and loving ones. Unfortunately, summer, and these few days in particular, are spent reliving Ben’s last days, with hospital and hospice memories. There was a lot of love, but there was ultimately loss. I can’t seem to stop replaying the scenes in my mind. I’m trying to embrace the sadness as part of the process of grieving and as a quiet time to think about Ben and about us, and how much I miss him. I give myself permission to be emotional.

Last week, I did have a wonderful distraction, traveling to Chicago and visiting my dear college friend, Monica, whom I hadn’t seen in many years. She named one of her daughters Abby and I’d never met my adorable namesake, her adorable sister, Andi, or even her husband, Mike. Caregiving certainly kept me from going anywhere, but I’d lost touch with so many people I cared about. Catching up with Monica and meeting her family was a most special time and the happiest I’ve been in a long time. Spending time with good friends, being with kids, laughing and exploring are fun and treasured moments for me. Monica wanted to know about Ben, and it felt good and important to talk about him and our relationship in the good times and the bad times. Ben knew how important my friends were to me, and he would have loved Monica’s family and seeing me with them. He also would have enjoyed Chicago, and although it was sad that he was not actually there, I delighted in the Shedd Aquarium and the architecture, and especially The Bean, through his eyes. Yes, it brought some tears, but it also brought comfort. I can keep living and honor and carry Ben with me all the time.

The Bean sculpture in Millennium Park. It was probably the most sentimental place we visited, since Ben’s nickname was Mr. Bean.

Abby 2.0, my namesake, Monica and I taking our picture off of the reflection from The Bean!

Watching the historic solar eclipse with Andi and Monica. Ben, the science and documentary lover, would have relished this moment.

I learned a lot about myself over the past year. In Walt Disney Pictures’ Alice in Wonderland, Alice said, “I can’t go back to yesterday, because I was a different person then.” Caregiving and watching Ben battle ALS changed me. I felt and expressed love and compassion in such deep and immeasurable ways. I came to recognize a strength and bravery in myself that I still have trouble acknowledging, but I do know they are there. I found myself in caregiving and I want to support other caregivers whenever possible. I’m redefining my life with things that make me feel happy, satisfied and useful. I am not quite there, and I have my setbacks, but I am on my way, and I know that Ben is with me on my journey.

I don’t know what the next year will bring. I do know that I will take Ben with me in that special place in my heart.

I’m thinking of you today, my dear and silly Ben, as I do every day, free from the constraints of ALS and walking, talking, eating and playing your music. I love you.

Walt Disney World, Halloween

Ben and I at Walt Disney World, Halloween 2011. Good memories are always a comfort.

Bambi’s Story Rings True After 75 Years!

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From Bambi. (1942)
Music by Frank Churchill
Lyrics by Larry Morey
Photo: Walt Disney Pictures

Today marks the 75th anniversary of the release of Walt Disney Pictures Bambi. It is a special film to me, and has become even more special during my experiences in caregiving and grief.

One of my very first posts was a reflection on the lyrics to “Love Is a Song That Never Ends.” Click here for that post. I frequently refer to that song. Here is the song clip to accompany the lyrics:

Love is a Song that Never Ends
Music by Frank Churchill
Lyrics by Larry Morey

Love is a song that never ends
Life may be swift and fleeting
Hope may die yet love’s beautiful music
Comes each day like the dawn.

Love is a song that never ends
One simple theme repeating
Like the voice of a heavenly choir
Love’s sweet music flows on.

Love guided us through even in the darkest and most trying times. The truth was that as much as we loved each other, when there was stress, we did not always show each other our best sides. We were scared, devastated and angry at what life threw at us. We were human. Now, nearly two years after Ben has left this world, I continue to sort through emotions, but the profound memories that I have – of the more carefree and healthy days as well as the most challenging caregiving and grief-filled days- constantly remind me that “love’s sweet music flows on.”

I wrote another post about the wonderful relationship between Bambi and Thumper.  The following most delightful scene took on a new meaning for me.

What I wrote in that post bears repeating:

Thumper was the very adorable and lovable young forest gossip, and he certainly didn’t always say the right thing. He was the one to point out that Bambi was “kinda wobbly, isn’t he?” and “he doesn’t walk very good, does he?” This is not exactly the positive reinforcement someone wants when struggling and self-conscious! And while his mother had to remind him that “if you can’t say something nice, don’t say nothin’ at all,” Thumper was a child making an observation, albeit tactlessly, but his heart was in the right place. He was quite devoted to his new friend, the young prince Bambi.

Thumper and his siblings (also incredibly adorable little bunnies) play with Bambi but also watch out for him. They anticipate where he is going to struggle and they gather around to help him so they can play together. Thumper was Bambi’s motivation. I especially love this clip, in which Thumper assesses the situation on the ice and tries to position Bambi’s legs, advising Bambi to “walk both ends at the same time.” It doesn’t go so well and they both end up skidding and falling. It reminded me of the way I had to work with Ben to help him up and figure out the best way to get around. We each had to trust each other and there were times we were nervous and other times it was fun. There were times that I managed to keep him from falling and got him safely onto the bed or a chair. There were also the times that we both ended up on the ground, fortunately unharmed. And, like Thumper, we often found ourselves saying, “Gee whiz, what happened that time?” I always loved this scene in the film, but now I see it in a new light.

Thumper never gave up on Bambi or their friendship in the same way that as caregivers, we never give up on our loved ones. And, Thumper was so happy when Bambi did have an accomplishment like walking steadily. Though Bambi is first learning to navigate the world and Ben was adapting to new ways to do some tasks and dealing with losing the ability to do others, I could relate to Thumper’s positive attitude of problem solving and encouragement.

Also touching was that he never left Bambi behind in pursuit of his own fun. ALS is known to be an isolating disease, particularly because you lose the ability to communicate. Thumper was determined to have Bambi join him with their other forest friends. It is an important lesson for all caregivers, friends, relatives and others to find some way to remain engaged with our loved ones. Visits, cards, texts, emails, photos, videos and a simple presence can all help a person feel remembered and included in life. Ben and my dad always enjoyed hearing that people thought of them.

Bambi was so frightened, confused and sad to lose his mom. He did not know what the future and the world held in store. But, time went on and winter turned to spring, and Bambi grew up. He reunited with Thumper and Flower and the rest of his friends and all their families, and none of them forgot the friendship they shared. Thumper and Bambi- and a dose of Disney- remind us that love never dies and beautiful memories stay strong and sustain us as we move through life’s good and bad times.

(f you haven’t seen the film, or haven’t watched it in a while, treat yourself. It is a beautiful story.)

Happy Anniversary, Bambi. And, thank you!

The Lives that Touch Us. RIP Barbara Cook

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Today the world lost Barbara Cook, a legendary Broadway performer and one of my favorites. I have always been starstruck, but I am always hit kind of hard by the loss of these people whom I never really knew but whom I admired and whose talents gave me so much joy. At 89, she only recently retired. I was fortunate to see her perform many times over the years. I wish I had seen her in “She Loves Me,” since it is one of my very favorite shows, but I am grateful for original cast recordings so I can listen to her.

Many years ago, Ms. Cook did a CD signing at Lincoln Center. I was so excited to actually meet her. I brought all of the CDs I had of hers and she was very gracious. She smiled so brightly when she saw “The Disney Album.” She said she hadn’t seen it in years. I explained that I played the cassette so often that it broke, and it was hard to find the CD! She asked what my favorite song was and I really couldn’t pick just one, but I asked if she had a favorite. She said it was hard for her to pick, too, but she thought it was probably, “When I See an Elephant Fly.” I always think of her when I hear that song. I was grateful to have had that sweet exchange, and to see the sparkle in her eye from that seeing the album.

Rest in peace, Barbara Cook. In my mind, you will definitely be leading a chorus of angels.

Thinking about that signing also conjures another dear memory. My aunt Eleanor took me to book signings when I was young, and I was always thrilled to meet famous and wildly talented people. I always think of my aunt as I continue what has become one of my favorite activities. When Eleanor’s Alzheimer’s advanced and she could no longer accompany me, I got books signed for her.  We looked at the books together, which she enjoyed despite the changes in her memory, and I enjoyed because it let me step back in time and relate to her in a way that transcended the Alzheimer’s. I am tremendously proud of my collection of signed books and CDs, and proud to honor the relationship that I have maintained with my aunt.

Aunt Eleanor with our Standard Schnauzer, Dulcie. Ellie was never a huge dog lover until she met Dulcie.

The Sound of Memories

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Ben playing the drums at Walt Disney World’s Animal Kingdom. He loved listening to and making music.

 

In a post last week, I wrote, “I’m learning to be here in this world with the knowledge that Ben is a part of everything I do- as are my mom and dad- and they will never leave me. I am creating a new way of relating to them and they are here, without physically being here, evermore.” I’ve also written a lot about things that matter because they represent Ben and our memories. It has been so difficult to even consider parting with things that he loved, that he frequently used, or that were important to us. I’ve written about his table breaking and needing to be replaced. In that case, I never liked that table and until faced with how substantial a part of Ben’s life it was, I would not have imagined it to be something that mattered. Then, there is his shabby desk chair that became his makeshift wheelchair, filled with some lousy memories, but which is still the chair that I choose to sit in, despite my new and lovely Mickey Mouse chairs.  Yes, they are things, but they give me a sense of peace and security. I feel Ben when I am surrounded by these things, even though I also know that he is in my heart evermore.

A few days ago, Ben’s desktop computer crashed. This was something I dreaded because Ben’s computer was his lifeline. Almost every single day, I would get him dressed and wheel his chair out of the bedroom to his desk and computer. He used the computer all day–paid bills, watched movies, texted, surfed, and, most memorably, listened to music. I especially loved to arrive home and see him with his cute little smirk, singing along to our Disney soundtracks, recounting our visits to Walt Disney World. Ben’s face lit up when he listened to music and he loved to talk about music and orchestrations. Without wanting to resort to many clichés, music was essential to his being. During his last weeks, I came home from the hospital each night and turned on his computer just to listen to his playlists. It kept him close and present in our apartment, where I felt very alone as I grappled with the knowledge that he would never return home. I have continued to use his computer, almost exclusively to play his music. Since music was so important to him, it has kept his spirit vibrant to have his music fill the rooms.

The Dapper Dans were very cool! Ben always loved them.

When suddenly his computer would not boot, I went into a complete panic. I tried to remember things he taught me about working with computers, but nothing resolved the issue. I was completely devastated at the thought of losing Ben’s music and not being able to play it on his very own computer. The fact that this happened in August, with the quickly approaching second anniversary of his “leaving,” amplified my emotions. I remembered the many times that he set up a video and music for me as a surprise for my birthday, Valentine’s Day or our anniversary.  I remembered the song lyrics he gave me over the years to express his thoughts about our relationship and love. Even at Walt Disney World, he loved the barbershop quartet, the Dapper Dans, and the live bands that performed at the England Pavilion of Epcot, especially when they played The Beatles. Of course, I had some of the same music in my library and I could get any music, but I wanted things to be the way he had them, with the sounds of the iTunes playlists on his computer coming from his speaker. I tried to listen to music from my laptop and iPhone with a different speaker but it was too unsettling. These are the setbacks that bring back all the pain, just when I think I’m beginning to manage things pretty well.

In addition to the potential loss of his music library, I was also upset about possibly losing the inventory data for Pets en Voyage, my pet travel souvenir business, though I was pretty sure there were back-ups. Ben had painstakingly set up the inventory for me, and he was masterful with this kind of thing. He was so proud of what he had done, and of my business, and the data was invaluable not just for the information but for the memories it held of something that we worked on together and that gave us joy and hope. Although I had to put the business aside when caregiving responsibilities became overwhelming, planning and designing when I had a few minutes here and there, or even brainstorming in my head, kept my mind active and gave me some sort of focus for positive thoughts of the future, which generally seemed very bleak. Using Quickbooks to utilize the information has kept Ben a part of my activities and that has been such a comfort and inspiration to get back on track. I could not imagine losing that.

Caregiving,Grief,ALS,Memories

Ben’s birthday, 2013, seated at his table. He loved peanut butter M&Ms but shortly after that photo was taken, he had to stop eating them.

Ordinarily, Ben would have been able to troubleshoot and solve his own computer problems. He did teach me many things, but I was unequipped to deal with a hard drive failure. It felt like another loss. As much as I did not want to ask someone to take on tasks that were integral to who Ben was, I also wanted to preserve those things that were Ben. So, yesterday, I hired a computer tech consultant, Carlos. It felt very strange and sad, and yet, I think Ben would have enjoyed working with him. He was fantastic, and although the hard drive was corrupted, thankfully, he was able to recover the data. He made a couple of copies of Ben’s music library, and I will also upload it to the cloud. Although he suggested putting the music library on one of my laptops, I asked him to set up a desktop computer that Ben had purchased but had never used.  Carlos understood that although I did have to change the computer itself, emotionally, I needed it to still be Ben’s, with the identical files and structure, and the same monitor and speaker. Thanks to Carlos, Ben’s music will still play as it always did, with the sounds still coming from his speaker. The first music I played on the restored system was The Beatles’ “Love Songs” album, as it should be.

As I have written, I have been ready to make some changes in my apartment, but definitely not this one. I’ve written about what we know from Bambi, that “Love is a Song That Never Ends,” and, thankfully, it will sound just right, as I continue to sit in his chair, peruse his playlists, smile as I remember his love of music and know that I have honored him and our life here.

Here is a tiny video that I took during our last trip to Walt Disney World, with Ben watching the live band at Epcot’s England Pavilion. He was so happy to listen to live bands and I wanted to capture the memory and he didn’t want me to miss the music!

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