Trust and a lot of Hard Work

I knew transferring Rhia’s services would be hard, but I had no idea just how close to impossible it would be. The net that was supposed to catch us after we jumped toward a better life is ripped, worn out, and stretched to the point of disintegrating.

San Mateo County services are excellent, but getting to them is another battle.

I haven’t had time to write. My days are filled with work, caregiving, unpacking, and school work. I get Rhia ready for her day, then work a full-time job, rush home to take care of Rhia again and try to get homework done. I’m failing braille simply because I don’t have enough time or mental focus to memorize all those little dots. But if I fail, I’ll get kicked out of school, which means I’ll lose my job, which means I lose our home, which means we can’t be in San Mateo County…

Stop! Don’t go there. Take it a day at a time… no, make that an hour at a time. And trust.

Trust what? Who? Myself? I actually thought I could move to the most expensive county in California and it would all just magically work out. I’m an idiot.

However… every cell in my bones tells me I’ve made the right decision. Rhia is happy here; she now lives in “San Francisco” where she is closer to her doctors and the weather is better. No more long drives. No more 100 degree days. For her, I’ll keep fighting.

The Regional Center is finally helping her access a day program. There are two good possibilities with great opportunities for Rhia. While we wait, I’ve hired a caregiver to help while I’m at work. Finding her was pure luck and I’m extremely grateful, but I hope the Regional Center hurries up because I’m running out of cash to pay for a caregiver.

…if I can’t pay the caregiver then I can’t work and if I can’t work I lose my job and then I lose our home and then we’ll have to leave San Mateo County…

Stop thinking like that! Deep breath… there’s nothing to do but keep going forward. Trust.

Trust that I made the right decision. Trust that this is the best place for both me and Rhia. Trust that people are kind and there is help out there. Trust that I am smart enough to pass braille. Trust that I have enough money saved to get us through this transition time. Trust that I am not really alone, even if I am a single mom again.

Trying Trust

I am a worrier. I need to plan, organize and anticipate at least three possible outcomes for every scenario. So taking a leap of faith is as natural to me as jumping off a skyscraper because I think there might possibly be a rescue net somewhere down there. Never gonna happen.

Until now.

Three weeks ago, I was sitting with a friend sipping a glass of wine at her lovely home while trying to figure out what to do with my life. I was getting divorced, my intended job wasn’t returning my phone calls and getting my daughter the health care she needed felt impossible. I admitted I’d thought about moving back to the Bay Area but feared I couldn’t afford rent.

“My friend has a house for rent,” she said.

“I doubt I can afford it,” I answered.

“Want to see it just in case?”

I shrugged. Why not?

The next day she brought me to a lovely, Italian inspired house with white stucco walls and a red tile roof. Opening the door, she led me inside. My heart melted; it felt like home. The house glowed with sunshine and 1930’s charm. The halls were wide enough for Rhia’s wheelchair to glide through and the view of the bay inspired daydreaming. It was the perfect place to heal a broken heart.

That night, I made a deal with the universe: if my job refused to give me the hours I needed I would apply for the house. Two days later, my job refused. So the following weekend, I met the landlord. And just like that, I had rented a house on the San Francisco Peninsula. Then a few days later, I interviewed for my dream job and that afternoon they hired me. Two weeks later I started school for my second credential while also beginning the process of transferring all of Rhia’s care to a new county.

I don’t know how the transition will go; I don’t have all the information! The paperwork and phone calls and future meetings are overwhelming. But I have to trust that it will work out. Just as I trusted I could afford the house. I found a job that pays the bills, and not only that, it’s a job I love. I’ll be broke for a while, but in time, we’ll find our balance again. Together, Rhia and I can afford our dream house in the wealthy hills of Belmont. We can do it because the landlord is trusting us too.

Rick and I have decided to sell our current home in Ukiah. The new house has an attached studio apartment where he’ll live this winter. He’ll be nearby to help with Rhia and support her transition. She has spent most of her life in Ukiah; this is the house she grew up in and all of her friends are here. The support team the three of us developed over 20 years is here. Who will help Rhia in San Mateo? What kind of support team will be waiting for her in a city? Will her needs be met? Or will she struggle?

This entire transition requires more trust than I’ve thought possible.

This isn’t me! I need to verify and quantify and balance all the pros and cons before making a decision. Who is this woman leaping into the unknown and trusting she and her kid will land safely?

I don’t know, but I like her.

Is it weird I’m happy the doctor found something wrong?

Rhiannon had a Nerve Conduction Test last week. I assumed she would freak out, yell, cry, and punch someone (hopefully not the doctor).

Instead, Rhia sat quietly and allowed the doctor to connect the electrodes to her skin in strategic places. Then she held her step-dad’s hand while a small jolt of electricity was sent along the nerve paths. “That feels funny,” she said with a giggle. The electric surge increased in power, but all she did was stare at the doctor and say, “That feels very funny!”

Next came the acupuncture needles. This must be when she kicks someone, I thought. But the doctor was quick and the needles were very tiny. There was only one moment when Rhia glared at him because she figured out he was poking her with a needle. The entire test was done in less than 20 minutes.

And this time, the doctor actually found something wrong.

Do you know how many times Rhia has undergone tests? How often the doctor was certain he had found the answer to the cause of Rhia’s illness, only to have that test come back negative? Blood work and muscle biopsies have all come back good; no sign of illness or impairment. Even the genetic tests have returned inconclusive. What is causing Rhia’s ataxia and increasing fatigue? Why does her cerebellum keep shrinking? Why is her vision worse? Why did she lose her hearing?

I think the doctors are as frustrated as I.

But the Nerve Conduction Test found something! Her central nervous system appears intact, but the nerves that go out to her muscles are overactive. Even when she is sitting quietly, those nerves are firing like crazy. There’s too much “noise” in the muscles. Why? Not sure. But this test finally confirmed the cause of Rhia’s constant tremor.

When the doctor explained the “noisy” results of the test, I smiled., feeling a rush of relief. He found something! He actually found something! Look at the computer screen. You can hear the static of her muscles firing from too much nerve stimulation.

Rhia’s body is never calm; no wonder she’s exhausted.

Later, I bought myself a big box of Godiva chocolate to celebrate. Is it weird I’m happy the neurologist found something wrong? If you’ve been chasing answers like we have, you’d understand. After 20 years of negative tests, it was a relief someone found a clue at last.

Caregiving with Mars

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(Image from EarthSky http://earthsky.org/astronomy-essentials/why-is-mars-sometimes-bright-and-sometimes-faint )

At 2 AM Rhia calls me again. “Mom! I’m tangled in my blankets!”

Dragging myself out of bed, I groan and yell, “Coming!” Why do I yell? She can’t hear me, she’s deaf! This will be the fourth trip I’ve made to her room since 10 PM and I’m exhausted. I shouldn’t have made my bed so comfy because it makes it even harder to leave it.

Glancing to the window, I see a brilliant red spot in the sky, visible within the gap between my blinds and the window frame. What the …? I lower the blinds a little to see more of the sky. The red glow is huge and I think it must be a helicopter. No, it’s not moving. The orange light shimmers like a star and there are lines of clear light emanating outward, reminding me of how the Christmas star looks in movies.

“Mom!” my daughter yells again.

I dash to her room, disentangle her legs from the bed sheets, fluff her pillow, get her a drink of water, and kiss her forehead as she murmurs “Thank you” and then drifts to sleep.  When I return to my bedroom, the orange light is still there.

It must be a planet, I think. It’s orange, so could be Mars, but I’ve never seen Mars that bright! Jupiter? Then I remember the astronomy app on my phone. After the app loads, I point my phone to the sky and the program centers on that glowing orange star.

Mars.

Mars in her most glorious brilliance as she moves closer to the Earth. The app reports that Mars is making it’s closest approach to Earth in fifteen years and the viewing will be excellent. In fact, Mars will move even closer later in the month.

I stand in the darkness of my room and stare at gleaming, golden-orange Mars and smile. It is so beautiful. If Rhia hadn’t dragged me out of bed again I would have missed it. Not that I’m thrilled to lose more sleep, but I’m grateful she woke me up at this particular moment. Leaving the blind lowered, I crawl back into bed where I discover I can still see Mars from my pillow. I drift back to sleep with that beautiful image filling my dreams.

Good night…

The Day Rhia Declared She Can’t be a Princess Anymore.

I found Rhia crying in her room.

“Sweetie,” I said, taking her in my arms. “What’s wrong?”

“I can’t be a princess anymore,” she said.

“Of course you’re a princess. Why do you think you’re not?”

“Because I can’t walk anymore and princesses don’t have ataxia! Have you ever seen a princess with ataxia? No!” She buried her face in my chest and cried harder.

I wanted to cry, too. Damnit, why does this have to be so hard for her? Why does she have to keep losing ground a little bit every day? If she has to be blind and deaf, why does she have to notice how all her friends are grown up and living there own lives while she gets weaker and has to stay home? What the hell do I say to her?

Rhia is passionate about Disney, especially the princesses. Cinderella is a personal friend and Rapunzel was at her recent birthday party. She wrote them all a letter and they wrote back. When we go to Disneyland, all she wants to do is talk to the princesses.

“They remember me!” she declares. And a few do. Over the years, we’ve met the same actresses who surprisingly remember Rhia out of the thousands of kids they see each day. There’s just something magical about Rhia, something that draws people to her. Plus, she has a gorgeous wheelchair with flower-print wheel rims. Rhia plays with her princess dolls every day and talks to them as if they are alive; her imaginary friends are her closest friends.

But on this day, those imaginary friends failed her.

“Listen to me,” I said, urging her to look up at me; she has to look at me to see me sign. “You are a princess now and always. Cinderella herself said you are a real princess and you have the certificate to prove it!”

“But that was before…”

“No. Once a princess, always a princess.”

“But I can’t walk any more.”

“So what? Cinderella didn’t say you were a princess because you can walk. She said you’re a princess because you’re kind and smart and funny. You care about people and are a good friend. You are helpful and creative. And you love to sing.”

Rhia had stopped crying and was listening, but still didn’t look convinced. “But I’ve never seen a princess with ataxia.”

“I know baby, and I’m sorry about that. I’m so sorry everything is really hard for you now. You are a princess because you are strong and try hard. All princesses are strong. You are a princess forever!” I hugged her tighter.

She sighed, turned away from me, and picked up her Ariel doll. I kissed her head and left her to think about what I had said. I overheard her ask her doll, “Do you think I’m a princess?”

I prayed somehow that doll said yes.

Who Chooses Your Label?

I was chatting with a man who has multiple disabilities, when he suddenly said, “What’s up with the whole person-first thing? Why am I called a man with disabilities instead of a disabled man?”

“Do you want to be labelled a disabled man?” I asked.

“Why not. I am.”

“But isn’t that putting your disability ahead of who you are?”

He scowled. “My disability is who I am. I’m not ashamed of it. Are you?”

“No. But we wanted to make sure people with disabilities…”

“Disabled people.”

I continued, “… were seen as people who are equal to others.”

“We, meaning the allies.”

Nodding, I said, “Yes. We allies.”

He said, “Look, I know you allies mean well, but shouldn’t we disabled people decide what we want to be called?”

He was right.

How often do we allies decide the labels we give to others?

This conversation made me think of the labels used in the LGBTQ community. What do he labels Bi-sexual and Pan-sexual mean? What’s the difference? If you love someone other than your own gender you’re Gay, unless you’re a woman, then you’re a Lesbian. If you love both genders then you’re Bi-sexual, but where does Pan-sexual fit? Transexual, transgender… who decides what you’re called? Labels are vehemently debated and discussed in the queer community, but how are they discussed in the disability community?

What are my own labels and who gave them to me?  White. Woman. Middle-Class. College educated. Mother. Middle-Aged. Teacher. Writer. Celiac. Feminist.

Ally.

Labels have meaning, which gives them power. Therefore, people should decide for themselves what label they claim. If my friend wants to be referred to as a “disabled man” then that is his right. Another person may want to be a “person with disabilities”. That is their right. An ally should respect the choices of the individual, otherwise can we really label ourselves allies?

 

Know Your Options for Senior Care from Afar, a Guest Post by Claire Wentz

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Photo by Pixabay

Claire Wentz is the author of the upcoming book Caring From Afar: A Comprehensive Guide for Long Distance Senior Caregivers. For more information, go to her website.

When you have a senior parent who lives in another state, taking care of her can be especially difficult. But there are ways to stay in touch and keep a watchful eye over your elderly loved one with the help of technology.

According to Redfin, there are five main options for downsizing seniors: buying a smaller house or condo, renting a smaller home, moving in with a loved one, moving into a retirement community, and entering assisted living. If you’re considering putting your elderly parent or grandparent into more permanent care, here is a little more about those options:

Assisted living is an apartment-style facility in which seniors can live mostly independently but they might require help with daily living tasks, such as cooking, dressing themselves or taking their medication. They might also require help with transportation. Assisted living facilities provide these services.

Skilled nursing facilities are more like what traditionally were called nursing homes. They are for people who need around-the-clock care, and they may be temporary for rehabilitation or for long-term care.

Memory care can be in an assisted living facility or in a facility with more intensive nursing care. Memory care units are designed specifically for people with dementia, Alzheimer’s disease or other memory conditions.

If your loved one is aging in place, an amazing amount of new tech gadgets is likely to help her do so.

  1. Electronic pill dispensers — If your mom has trouble remembering which pills to take and when (it can be very confusing!), you can get one of these nifty devices. You can load the dispenser and program it so that she can know when to take her pills. Some can even record a voice telling her when it’s time to take her pills so that she hears it from someone she loves. Some dispensers even connect with her pharmacist who can monitor her medication use.
  2. Emergency call buttons — These have been around since the 1980s, but these days, they’re much more sophisticated. They can use gps systems so that your loved one can run her errands and visit her friends. If something happens, she can summon help without even knowing where she is. There are some systems that can tell when the user has fallen, so that if she’s unable to ask for help, she can still get it.
  3. Tablets for seniors — Your mom doesn’t even need to understand how a computer works. Simple-to-use systems can make it easy for her to video chat with you and your family, and it can monitor her movements and medical care.
  4. GPS-enabled shoes — This is a real gadget that can help you keep track of your loved one if she wanders off. Even if she just doesn’t get home when you think she should, you can check on her.
  5. Easy cell phones — Not all cell phones are “smart.” Some people just want a phone they can use easily. Some carriers have simple phones with large buttons and large screen fonts so that elderly users can access them.
  6. Health monitoring apps — Your mom can go to the doctor, and her doctor will put all of her information in an app so that she (or you) can access it from anywhere. This way you won’t be dependent on her memory of how the visit went, and you can communicate with her doctor any time by sending emails. The systems will alert the user when it’s time for vaccinations or blood work, and you can make sure she gets to her appointments.

We live in a great time to be a senior in the United States. The technology industry comes up with new and exciting options every day to make our lives easier. But most importantly — don’t forget to call your mother.