Tuesday, December 25, 2012

Diagnosis of Memory Loss of the Alzheimer's Kind: Clouds and Angel Hair


Bows and Flows of Angel Hair

            On the day of Mom’s appointment I was up at midnight beginning my day the way old people get ready too soon for an appointment.  I felt the irony in the fact that my mother was to be evaluated for Alzheimer’s the same week I was being evaluated as an instructor at City College of San Francisco.  But in my case, the evaluation was routine and came around every three years, and I was my harshest critic—if we go by official evaluations and not those found online, which varied from “Excellent!”  and “Wonderful teacher!” to “Mean” and “incompetent.”  How did I rate myself?  I honestly think I was a better teacher before I had so much experience. 
            But my mother believed her only problem was her IBS (Irritable Bowel Syndrome) and we thought her main problem was her OCD ( Obsessive Compulsive Disorder.)  She couldn’t remember that she had short-term memory loss or that she had just come out of the bathroom.  She really didn’t believe she had short-term memory loss or OCD although once, just once, she said, “I think I’m going crazy” when I was with her during Kathy’s absence.
            So the evaluation she underwent at the Neurology Clinic was a reality check.   
            The morning before we took Mom in, I updated and added instructions for the extra credit reports for the students in my ESL Advanced Academic English class.  I sent my usual “social” messages—a way of keeping in touch with friends I didn’t see every week or even every day.  I drifted off to sleep for an hour, and then I drank my breakfast and went to the Y, where I did strength and conditioning with others in the 5:00 AM group.    At school I ran off a pair dictation for my listening and speaking class and a Round Robin group activity.  I got to class in time to give a student a make-up quiz she missed when she had to be absent, and then my ESL 150 students turned in their essays comparing their moms with Amy Chua, Tiger Mom.  I was glad I never had a tiger mom, and yet I knew that I had once thought I’d do much better with the push I never got.  I got other things from this mother who now needed a push to get out of the house, even out of the bathroom. 
            My classes went fine.  Like most teachers, I was constantly evaluating myself, judging what I was doing well and not so well, sensing when I was connecting and not connecting.  The students in my Intermediate Speaking and Listening class were particularly warm and supportive that day—almost as if they knew that I needed their warmth and support as much as they needed mine.
            I left my ESL Speaking and Listening class ten minutes early—something I never did because I was an overly-conscientious teacher--and I had cancelled my Beginning Listening and Speaking class with written instructions on how they could spend the hour.  I didn’t feel guilty because in my thirty years of teaching I had been absent only for the death of a sister and the death of my father.  Now it was for my mother’s life.
            The sun was out as I got on freeway from the Multi-use Building of the Ocean campus to Ocean Avenue and then to 280 North for the first time.  I was supposed to be at the house my mother and Kathy shared in Pleasant Hill by noon, but I made it by 11:30.  Our 1:30 appointment was only thirty minutes from Pleasant Hill, so we had time to help Mom relax and to coax her if she didn’t want to go, didn’t want to leave the bathroom.
            But she was very “up.”  She had in her new dental plates and flashed her new smile, which she said was much prettier than the one she had before her teeth were pulled.  They looked the same to me.  I always thought she was so much prettier than she thought she was.
            Mom was wearing a bright red wool sweater and navy blue sweatpants with tennis shoes.  Her beautiful white hair had grown an unbecoming long during the period of time she’d been afraid to leave the house to get it cut.
            I got in the back of Kathy’s van, and Mom sat in the front with Kathy, and as we went, Mom rhapsodized about the clouds.  That was one of the things I loved about her.  She helped me see things I might have missed otherwise.  I don’t mean the shapes of the clouds she was describing but just the concept that clouds are beautiful and deserving of notice, as she had always said they were.  But that day I got the impression that Mom was trying to buoy her own spirits.  We wanted to give her confidence, and she was helping us out.

            I sang the Joni Mitchell, Judy Collins song “Both sides now,” but I knew when to stop.

Bows and flows of angel hair
And ice cream castles in the air
And feathered canyons everywhere.
I’ve looked at clouds that way.

I didn’t sing about how now they only blocked the sun and rained and snowed on every one.  Mom continued to talk about the shapes—the way a child would.  “See that man with the big nose?  See the girl lying on the beach?”   Then she wanted to sing hymns and patriotic songs she remembered from her childhood.

            We arrived thirty minutes early.    The registered nurse xxx had four sessions with us.  First the three of us were all together, and she explained that she was going to be testing Mom’s memory.  Then she saw Mom without us.  Next she called Kathy and me in to consult with us.  She would try to be gentle in what she told Mom. 
            Then we joined Mom, and xxx told her that she had “global memory loss of the Alzheimer’s kind.”
            Mom asked, “So what can I do about it?”
             But after the nurse had talked about the mental exercise to do and medicine to take, Mom seemed to forget what the nurse was talking about.  She said she needed to go to the bathroom.  Then, soon after she was out, she spotted another restroom and said she had to go.
            Outside the clouds were still beautiful.  I asked Mom to pose for a picture, and she said, “Gladly, with my new teeth.”  She smiled and I took  a portrait picture of her with her new, lean form, and a landscape one of her and all the fat, white clouds.  Her overgrown, willowy white hair blended right in to the fantasy shapes she saw.
            She had no recollection of her diagnosis. 

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