Family, Poetry, Real life

alone: a heartbreaking poem by 89-year-old lilly who lives with dementia

September 8, 2019: “Do you want me to read you the really sad poem I wrote last week?” Lilly* asks.

“Gee Lilly, I don’t know,” I say. “Not if it’s really sad.” I’m feeling a little melancholy myself.

“I’m gonna read it to you anyway.” Lilly has a mind of her own, no doubt about that! She and I have been playing Scrabble on Sunday nights for about year. I go to her place sometime between 7 and 8 p.m. and we play for an hour and a bit. She tells me the same stories over and over as we play, and I listen like it’s the first time every time.

Lilly is a fine Scrabble player, and I lose about as often as I win. She also has a great sense of humour, and is generally pretty positive despite her many physical challenges including spinal stenosis, which keeps her hunched over, in pain and using a walker.

I’ve come to learn quite a lot about Lilly, who will turn ninety on Valentine’s Day 2020. She has six children (a seventh died a few years ago), and ten grandchildren. Great grand twins are expected in November, and Lillly is determined to live until they’re born.

Lilly’s family members call and visit often, and although I’m not there to witness it, I’m certain at least one of them is in touch each and every day. She has other regular visitors, including me, and she goes to a full day adult program (which she adores), on Mondays, Thursdays and Fridays. She has LOTS of contact with family, friends, and support workers. But sometimes, because of her dementia, Lilly forgets about the abundance of social interactions she enjoys, and she feels lonely as we all do from time to time. When that happened last week, Lilly, who is a great poet and writer, put pen to paper.

As she read me the poem she had written, tears came to my eyes, and at the end, my heart broke with despair. Lilly gave me permission to share her poem (with a few tiny tweaks by yours truly):

alone

©2019 Lilly & Susan Macaulay

alone

i haven’t had a visit
i haven’t had a call
it really seems my family
doesn’t care at all

this is a special weekend
too bad that they don’t see
i’m lonely and I feel
that no one cares for me

i’m old now and I guess
i’m a bother to them all
but oh! how I am wishing
that one of them would call

i do not like the message
their silence seems to send
it comes through loud and clear:
they wish my life would end

Please don’t forget people who live with dementia, even though they may forget you. Call often. Visit often. Hold their hands in yours. Hold their hearts in yours. Tell them you love them over and over and over again, especially when they may not remember what you have said. It means the world to every one of us, young and old, living with a disease or not, to feel we are loved. 

* Not her real name.

©2019 Lilly & Susan Macaulay. I invite you to share my poetry widely via this post, but please do not reblog or copy and paste my poems into other social media or blogs. Thank you.

30 powerful things you could say to reduce anxiety and anger, and connect with people who live with alzheimer disease

don’t mourn me long

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Death & Dying, Poetry, Real life

euthanasia

Pia Roma sitting on my VariDesk in 2017. She was an excellent catssisstant ❤

June 26, 2019: I wrote this a month or two before I had to put little Pia Roma to sleep on June 29, 2018. I was in anguish for months, hoping she would die a natural death before I had to euthanize her so she wouldn’t suffer. Pia had been Mom’s beloved companion for about eight years, and then mine for seven after Mom went to #DementiaJail.

I still miss her by my side.

euthanasia

This poem is dedicated to everyone who has had to put a beloved animal member of their family to sleep.

©2018 punkie

euthanasia

your heart beats strong
as the hours grow long
softly you do stride
through this life
with all its strife
and troubles to abide

a feline muse
clothed in silver hews
with golden eyes moon-wide
you helped me write
through days and nights
lay patient by my side

and we played with string
ran around in rings
laughed until i cried
while disease within
like original sin
consumed, then health denied

though it’s humane
to ease the pain
when everything’s been tried
that you must leave
me here to grieve
sickens me inside

friends say i’ll know
when it’s time you should go
but how shall i decide
to cause you to sleep
in the eternal deep
as if god’s hands were mine

 

©2018 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

after i put them in prison, mom’s bff became mine

one little kitty’s top dementia care tip

7-part palliative care plan works (for people AND cats)

the paws that refreshes

 

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Death & Dying, Life & Living, Poetry

eternal anguish

At some point in most dementia care partners’ experience they will find themselves on this battleground: wishing for their loved one the peace that comes with death, while feeling immense grief at the prospect of losing them. The resulting mix of emotions — compassion, guilt, longing, regret, sorrow and more — is exceedingly difficult to cope with.

This poem is about the heart-wrenching conversations one has with self and the powers that be at those times. It’s the second version of a poem i called “a daughter’s prayer to god,” which I first wrote in 2014, after Mom came “this close” to dying.

eternal anguish

©2019 punkie

eternal anguish

please take her lord,
oh no not yet!
i’m afraid
i might forget

how she smiles
and laughs and cries,
it’s not the time
to say goodbye

but I can’t bear
to see her so
perhaps today
is when she should go

is it selfish
when i wonder
how long before
she’s six feet under?

oh my god
don’t take her now
no, this can’t be
her final bow

let us play
another scene
in which she doesn’t
lay serene

a corpse upon
a broken bed
that’s not my mom
she can’t be dead

she’s the one
who gave me life
who saw me through
both joy and strife

don’t take her god
i need her here,
by my side
forever near

i promise lord
that I’ll be good
and do exactly
as I should

i won’t lie
or kill or loot
or disrespect
an older coot

i’ll love my neighbour
guaranteed
if only you will
set her free

to dance and sing
like we once did
when I was no more
than a kid

please don’t take her
oh no please don’t
i wish you would,
and that you won’t

i know deep down
it’s peace she seeks,
every day
week after week

she craves her home
amidst the stars
her life beyond
these prison bars

but when she breathes
in fits and starts
who will call
the funeral cart?

in this game
where life’s at stake
we’re helpless
to decisions make

it’s in your hands, god,
you call the shots:
undo this heart
tied up in knots

around the rosie
we will sing
lord have mercy
you are the king

 

©2019 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

a daughter’s prayer to god

don’t mourn me long

dying with my mom

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Advocacy, Life & Living, Poetry

a daughter’s rendering and remembering

November 16, 2018: I doubt I will ever get over the deep grief I feel each November 16, the day my mother was relocated to #DementiaJail in 2012. All I can do is try to process it in whatever way I can. This year, once again, it’s with poetry.

the rendering

©2018 punkie

the rendering

nothing more
could be done
all fault lay with
the setting sun

whose will it was
to force imprison
the one from whom
we’d both arisen

a deal had been struck
the year before
when no one knew
what lay in store

then came time
to pay the piper
fate took aim
fired like a sniper

shot her, then me
but not to death
left us bleeding
drained of breath

we struggled hard
for four more years
held hands amidst
the joys and tears

until the day that
she surrendered
with untold truth
for me to render

now i fight on
to right the wrong
of stolen voices
and silent songs

 

©2017 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

November 16, 2017:

when you’re put behind bars

November 16, 2016:

the day our best wasn’t good enough

November 16, 2015:

joys and tears throughout the years

November 16, 2012:

moving day

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Advocacy, Inspiration, Life & Living, Love

3 excerpts from the best article on dementia i have ever read (and a link to the full meal deal)

Sometimes you come across something that captures everything you want to say so brilliantly that it literally takes your breath away, and makes you weep in gratitude.

Sallie Tisdale’s article Out of time: the un-becoming of self, in the March 2018 issue of Harper’s Magazine, is one of those somethings. It says in five pages what I have tried to articulate in the more than 600 pages on this blog, in workshops, webinars, conversations and comments, with mixed success as best. Yet Tisdale does it beautifully, succinctly and poetically.

Here are three important excerpts from her compelling piece:

“The stark fact is that dementia is incurable, progressive, and fatal, but here is the surprise: in the company of [people who live with dementia], one finds peace and unquestioned love in at least as much measure as in the rest of the world. I watch my clients navigate each day’s puzzling details. I know their efforts may look to many observers like an embarrassment of loss. I see the riches: the brave, vulnerable, completely human work of figuring things out. People with dementia sometimes have a rare entrancement with their surroundings, a simplicity of perception, a sense of wonder. Being with a person who has dementia is not that different from being with a person who doesn’t share your language. It is a little like talking to someone who has lost her tongue and cannot speak, has lost his hands and cannot write. This is not a bad thing; it is just a different thing. It requires a different kind of attention.”

~~~~~~~~~~~~~~~~~~~~~~~~~

“The fact that my own me-ness persists is obvious, and yet a persistence of identity is one of the last things we expect with [people who live with dementia]. They seem different to us; mustn’t they be different to themselves? The spate of recent research considering how a person with dementia actually feels tells us no, not really. People know they have a memory impairment, but they feel themselves to be the same person, even in late stages of the disease: “I’m like a slow-motion version of my old self,” says someone with dementia. The possibility of pleasure, let alone contentment, for this person is barely acknowledged. A team of researchers called our current vision of dementia the tragedy discourse. Another group notes that most researchers have shown “a stark disinterest in happiness,” and their assumption of distress is because that is “the only available lexicon for experience, the only available lens through which dementia is viewed.” Surveys have found that Alzheimer’s disease, the most common form of dementia, and cancer are the diseases that people fear the most. The communal response to dementia seems to invite only existential despair.”

~~~~~~~~~~~~~~~~~~~~~~~~~~

“Yet people with Alzheimer’s consistently rate their quality of life higher than their family members do. In a large international study, people with cognitive impairments were no less happy than healthy people. When family members are upset about a relative’s decline, certain it is a terrible experience, they are not always clear on who is suffering. My friend Kate’s mother had Alzheimer’s. She had always worn careful makeup, and she was uncomfortable leaving the house without it. But her makeup became exaggerated, almost clownish, and she refused Kate’s help. Looking in the mirror, she liked what she saw. Going out to a restaurant became, for Kate, “an exercise in my own discomfort, being willing to let her be as she was.”

The full article is here. I strongly encourage you to read it.

 

https://myalzheimersstory.com/2015/08/13/my-mom-still-counts-just-like-everyone-else-and-she-deserves-better-we-all-do/

https://myalzheimersstory.com/2018/08/10/my-mom-is-a-question-mark-august-9-2016/

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Advocacy, Life & Living, Poetry

ascendants: awakening to where and whom we came from

Some days I miss my home and my mom more than others. I think about her, and my grandmothers, and my grandmothers’ mothers and grandmothers, and their grandmothers and so on.

Ascendants: those from whom a person is descended, or from whom she derives her birth, however remote they may be. Everyone has two ascendants at the first level, her mother and father; four at the second level, her maternal grandmother and grandfather, and her paternal grandmother and grandfather; eight at the third etc. Thus, as we ascend the various lines of our ancestry which fork at every generation, sixteen ascendants are found at the fourth level; thirty-two at the fifth; sixty-four at the six; one hundred and twenty-eight at the seventh; and so on. By this progressive increase, we have, at the twenty-fifth generation, 33,554,432 ascendants. 

And, ascendant:

“Thus, astrologers believe that the ascendant signifies a person’s awakening consciousness, in the same way that the sun’s appearance on the eastern horizon signifies the dawn of a new day

 

ascendants

This poem is dedicated to all those who went before us.

©2018 punkie

ascendants

the memory of you
sits by my side
like my own shadow
from which i can’t hide

you whisper in morning
sing soft through the night
everywhere, all the time,
and yet just out of sight

it’s strange how we leave
our flesh in the dust
while our essence lives on
in those whom we trust

each one of us comes
from the millions before us
ancestors who lived
on the plains, in the forests

they sailed on the seas
and travelled on trains,
to find a home in the wild
and give it a name

they carved livings from nothing
cried tears in the rain,
prayed for more sunshine,
sang life’s dark refrain

there’s no letting go
of those in the past
i’ll join them at sunrise
when i leave here at last

then we’ll be one
as we were once before
together in peace
in the vast evermore

 

©2017 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

i see you, i love you, i miss you

dying with my mom

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Life & Living, Music, Poetry

music from a tapestry of shared moments in long-term care

This piece of poetic prose called “Music” is from a collection entitled “A Tapestry of Shared Moments In Long-Term Care” by former Registered Nurse Karen Hirst.

~~~~~~~~~~~~~~~~

A sea of wheelchairs, walkers, easy chairs, an encasement of human form. Having been herded towards this place, they await their cue to rise and move towards their place at the supper table. Silence reigns within this place of mealtime ritual. Eyes stare out from emotionless faces, a spirit of uniqueness noticeably absent. Instead a sameness of scars from shared diseases they bear within. An aura of premature death hangs heavy.

Music starts. Irish fiddles, sing-a long favorites, dance band melodies of eras past and something changes.

Subtle at first….ears pulled alert, eyes that move between faces searching within the emptiness of this space for the source of a new sound. Very slightly at first, an uncontrollable drawing upwards of lips curling into a smile, a finger tapping out the beat on the arms of a walker, a toe exercising its remembered swirl on the dance floor, a hand and arm finding air beneath them as they take on the job of conducting the orchestra. Within supportive arms, each beat of music finds its expression through feeble legs as partners share their dance moves among the feet of encouraging onlookers.

The silence is broken. One is heard to speak words of praise for the dancers, one speaks directly to their neighbor of how nice it all is, one giggles, one remembers that they used to be a good dancer, played in a band, or sang in a choir. They all clap in united support for the bravery and prowess on the dance floor and unabashedly sing out the verses of remembered tunes.

Something has change within this space. No longer the collective herd but a gathering of individuals united in their love of the beat and tune. No longer spiritless forms but animated motion and activity radiating through the unique expression of their joy. No longer alone but connected through the universal language of music. No longer death but evidence of life finding its way to the surface, spreading out into this space and time.

The life giving force of music. Joy stirred by rhythm. Burdens lightened. Steps lifted higher with every beat. Memories surfacing of loved ones, of times spent together when the language spoken was understood by everyone.

Karen Hirst is a former Registered Nurse, who worked primarily in the field of geriatric nursing. She began her career as a Health Care Aide Instructor and held positions of increasing responsibility over several decades. She spent her final 16 years as a charge nurse at Fairview Manor, Almonte, Ontario. Now retired, Hirst writes on topics that interest her, and is actively involved in her community. This piece is from a collection entitled “A Tapestry of Shared Moments In Long Term Care.”

10 tips to make the most of music in dementia care

alzheimer disease helped my mom play the piano

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Advocacy, Care Partnering, Poetry

hail mary i need to pee

In March 2017, I wrote an open letter to Québec’s Minister of Health regarding the rationing of incontinence products in the province’s long-term care facilities. The letter includes a two-minute video, which demonstrates the amount of fluid required to fill an incontinence brief to overflowing, as I found my mother’s to be on numerous occasions. So far, a year later, I’ve not received a reply.

I’ve also written a short vignette on incontinence (based on my mom’s real life experience), in the voice of my fictionalized character Alzheimer’s Annie. Meanwhile, care workers in Ontario held a news conference and talked about how they had no choice but to force residents into incontinence. This poem is about that.

hail mary i need to pee

This poem is dedicated to older adults forced into incontinence. The shame belongs to someone else.

©2018 punkie

hail mary i need to pee

which way to the bathroom?
how and where should I go?
there’s no one to tell me
and no stopping the flow

I really am desperate
can’t afford to delay
“help me, please help me,”
to a young woman I say

“there’s not a minute to take you,”
she replies with a sigh
“i’ve got twenty more like you,
some near ready to die

“you’ll just have to wait
or go in your pants,
stop your complaining,
give up with your rants

“can’t you see we’re all busy
we’re run off our feet
that’s why we can’t let you
get out of your seat.”

“oh my goodness,” i say
“i’m in such a state,
to pee in my pants
is a shame that’s too great.”

“don’t worry my dear,
you’ll get used to it soon.
here the rule to obey
is you sing to our tune”

my bladder releases
it’s wet on my thighs
my cheeks turn red hot
my eyes start to cry

i want to go home
get me out this place
hail mary please save me
with your heart full of grace.”

©2018 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

understaffed nursing homes force residents into incontinence

20 questions to ask yourself about dementia-related incontinence

crazy daughter weighs mom’s wet “nappy” and writes open letter to minister of health about it

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Life & Living, Love, Poetry

i’ll be glad when christmas is over

Christmas isn’t all it’s cracked up to be for many people who, for whatever reason, find themselves alone or feeling alone. This poem is about the grief, sadness, and despair that many, including myself, may experience. If you feel like this, you may find some comfort in knowing you are not alone at this time of year or any other time of year for that matter. Difficulties are part and parcel of the human condition.

In the end, all things pass. And there’s hope in that.

P.S. I’d never heard The White Cliffs of Dover until I sang it with Mom after she moved out of the big red brick house on the hill. I thought it the perfect finish for this poem.

i’ll be glad when christmas is over

by punkie 2017

when christmas is over
i won’t have to pretend
to feel jolly and bright
when I’m empty within

i’ve no brothers or sisters
my family’s all gone
there’s nothing but darkness
where once the sun shone

what’s that you say?
be of good cheer?
how can I? who would?
i cry through my tears

my friends all have children
or parents or cousins
get-togethers to go to
sometimes by the dozen

but i’m not invited
to join in their parties
with ribbons and wrapping
and stuff hale and hearty

i wish i were happy
with all that I have
instead i feel lonely
forgotten and sad

but don’t get me wrong
please don’t be mistaken
your pity’s unneeded
as i’m not forsaken

no I’m not alone
oh no not at all!
there are millions more like me
someone’s neglected to call

those who give care
with little support
“we don’t have the time!”
their families retort

old folks in bad places
that none go to see
seems they’ve become
unwanted debris

homeless on streets
in boxes and sheds
without any blankets
or even a bed

people flee their own countries
escape in small boats
then drown by the thousands
because they don’t float

the seasonal spirit
to some is a bottle
or the comfort that’s found
in the folds of a brothel

like everything else
this too shall pass
just as happiness ends
the sadness won’t last

so don’t worry, don’t fret
it’s just the holiday blues
all will be fixed
in the year that is new

our hopes they ring out
like bells on a sleigh
the path will be found
with a will and a way

things may have changed
by this time next year
though the dearth of much promise
fills my heart with cold fear

perhaps if i write
dear santa a letter
next year he’ll deliver
a world that is better

so yes, I’ll be glad
when christmas is over
as i look forward and back
to the white cliffs of dover

 

©2017 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

https://myalzheimersstory.com/2015/12/23/an-alzheimers-dementia-christmas-story/

https://myalzheimersstory.com/2017/12/06/santa-claus-lives-with-dementia/

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Life & Living, Love, Poetry

so what if santa has dementia? he’s still the same ole claus he used to be

Unbeknownst to most of the world, Santa was diagnosed some time ago with Alzheimer’s disease. Luckily, he has a great support system at the North Pole, and Mrs. Claus knows exactly what to do to keep him engaged with life, as well as to ensure that he’s healthy and happy. We could all benefit by following Mrs. Claus’s good example.

Whatever we believe is real.

santa claus lives with dementia

by punkie 2017

Listen here:

Read here:

“alzheimer’s it is”
the doc says to the clauses
“no cure in sight,
and no clue to the causes

“write your will, take a pill,
give in to your fate
there’s nothing to do
with this disease we all hate”

but the clauses aren’t ready
to throw in the towel
they decide to live on
even if cheek by jowl

the mrs. she knows
it brings santa great joy
to distribute fun gifts
to the world’s girls and boys

she assembles the team
the deer and the elves
“we need to help Santa,
he’s not feeling himself”

“he worries dementia
may cause him to lose
the man he is now —
not to mention his shoes!”

“i want to give meaning
to the life he’s now leading
you’re his friends, ’til the end
for your help i am pleading.”

mrs. clause is no fool
she knows he will change
so she learns how to care
and avoid feeling deranged

she takes deep yoga breaths
in and out, one, two, three,
she gets him to bounce
little kids on his knee

she agrees with her husband
even when he is wrong
defuses tough times
by singing him songs

she never will argue
no, that would be stupid
instead she heaps on
stuff delivered by cupid

to go with his flow
is always her goal
‘cause deep down inside
he’s still the same soul

if he gets angry,
which sometimes he does
i’m sorry,” she says
“i must be the cause.”

these simple ways
are true magic tricks
make it easy as peasy
to engage with st. nick

and the coolest thing is
that by giving more hugs
santa’s wife keeps her husband
off all those bad drugs

it allows him to function
to not go berserk
which in turn makes his wife
want to stand up and twerk

mrs claus is so grateful
she allows me to quote
the model that keeps
the clauses afloat:

these bangs are the best
way forward to glean
skills to stop me and he
from causing a scene!”

the elves and the deer
are in on the game,
their part is designed
to stop stigma and shame

though he often forgets
and becomes more confused
life’s ups and downs
keep santa amused

he works in the shop
tiny elves by his side
it helps him feel useful
and nurtures his pride

they buoy up his spirit
give esteem a big boost
stop fear and depression
finding somewhere to roost

and then on the eve
of the christian big day
rudolph the red
is in charge of the sleigh

they fly through the sky
every year without fail
dementia or not
with the wind at their tail

if the clauses can to it
ho ho so can you
make the best of the worst
by changing your view

seek blessings not curses
in life’s wildest ride
hold a hand, still your heart
let love be your guide

be like santa: believe
you have what it takes
to make every day christmas
when despair you forsake

 

©2017 Susan Macaulay. I invite you to share my poetry widely, but please do not reblog or copy and paste my poems into other social media without my permission. Thank you.

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