Wednesday, December 26, 2012

U.C. Davis Alzheimer's Center Martinez



                Dr. Ha asked Mom whether she would be all right while we three--Kathy, Suzy, and I--were talking to him.  She said yes, but he hadn't asked her whether she'd be all right alone.  Maybe she meant she would be all right with us while he was talking to us.  She looked a little bit uneasy as we left the lobby.
                It was clear that Dr. Ha had read over the notes.  He knew one of Mom’s kids had died of a heart attack although he thought it was the son.   He asked questions and we three answered until Mom someone came in to say that Mom needed someone to be with her.  Since Kathy and I had known Mom longer, we could probably provide more information, so Suzy left.   
            Dr. Ha asked questions about whether Mom got lost when she went out, and we said she didn’t go out.  
             He commented on how physically healthy she was, and it did seem remarkable that in 89 years the only surgery she’d had was for cataracts and a bladder suspension.  He said that an MRI showed there was evidence that there was a baby stroke, according to the neurologist who wrote up the report.  (Later they told us they had found no such evidence).

             It was established that Kathy had Power of Attorney. 

            Our appointment began at about 1:30, when we were returned to the lobby.  Then shortly after that, Dr. Ha came out again and spoke to Mom.
             “So did you feel a little nervous being out here alone?” and Mom said, “A little” or “Sort of.” 

            “Well, now I’d like to speak to just you, and if they get nervous, we’ll send you back out to stay with them.”
            Mother entered his office at 2:15, and even though we did get nervous, we didn’t tell.  Kathy told us that Mom had been agitated at first on Sunday but then played the piano and didn’t get up one time during the Oscars, which she had really enjoyed.  (They were sweet that year.)
 
            Dr. Ha brought Mom out at 3:15.  Then all of us were left alone, and we really got agitated.  We knew that Dr. Ha and some other doctor were consulting, but it seemed like a long time.  Mom and Suzy worked on a crossword puzzle together—one from Mom’s Easy Crossword Puzzle Book. 
            Looking through a book that was almost all filled out, I made the verbal slip, “Yes, this has ones you can still do” instead of saying, “Yes, this still has ones you can do.”
              Suzy comforted us a bit with the concept, “The longer we wait, the closer we are to leaving.”     Mom described Dr. Ha as “One of the most interesting people I’ve ever met.”
              Then…we all went in with both Dr. Ha and some imposter, overacting the part of doctor to make up for the fact that he had never had any medical training at all!  He talked very fast and as far above our heads as he could throw things—particularly names of medicines and the proper dosage—Exelon…Nemenda…Galantonim… Rasadrine…Remanil…
            What?  What?
            Then he started doing a test with his fingers, asking Mom to follow his fingers with her eyes, which she did, and then he pumped her arms and asked her to resist.  At one point he had her sit on the exam table, and Mom made some comment like, “I’ve liked everyone I’ve met up to this point,” words that could be ambiguous, but there was no ambiguity to us.  We knew she wasn’t including now, not with Dr. Hammy Imposter in the now. 
            “You have a cognitive deficit,” he told Mom, and he used deficit two or three times.
             He told us shes had Alzheimer’s mild to moderate. 
            “I feel bad,” Mom said, "that I couldn’t remember who the president was because I’ve always liked politics.  I’ve always cared.”
            But the So-Called Doctor said, “I think she remembered the current president,” without saying Obama’s name, “but not the one before.”
             I said, “We’re all trying to forget him,” and the doctor gave me a How Can You Say Such a Rude Thing to a Loyal Member of the Tea Party look. 
            It was interesting when he asked her what her sexual orientation was and she said, “Well, I was married and had five children, and now Kathy is my partner.  I had a very unhappy marriage, but my kids were my payback.” 
            “So would you say bisexual?” 
            “I think so,” Mom said.  Mom also said she didn’t want to be irritating. 
            The doctor said she could make some changes in her Mestanon, and Mom, after making sure the Mestanon was what she had in the every-two-hours case said, “I like my Mestanon just the way it is.” 
           
            We were out at 4:30, and Mom said to Kathy, “You sure have been good for me, Kathy.” 
            Then in the car, she started singing, “I Am Going Home” with its lyrics of deep and stain and how “love lifted me.”  That segued into “Sunday School is over, and we are going home.  Goodbye!  Goodbye!  God guard you everyone.”  Nothing wrong with her long-term memory.
             As for her short-term memory?
            “I was told that I was doing very well,” Mom told us.  “I don’t want to brag, but I think I got an A.”

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