Yesterday I took my elderly father to his neurologist, not a simple maneuver. His Parkinson's Disease has made him wheelchair-bound and his dementia makes him paranoid and fearful. I arranged for a wheelchair accessible van to take us to the appointment. Once in the doctor's office, Dad was asked a battery of questions to gage the inevitable progression of his dementia. In the past, he's been able to answer at least a few of the questions - "Where are you?" "What season are we in?" "What day of the week is it?"
Adding to the challenge yesterday, Dad was quizzed not by his regular doctor, but a young woman with a thick Indian accent who is in training to be a neurologist. When Dad didn't answer each question almost immediately, she rushed on to the next. Had she waited patiently, he might have dredged the answers out of his damaged memory bank. But no, the closest he came to a correct answer was "table," one out of three words she asked him to remember and repeat and few minutes later. When his regular doctor came in to complete the examination, he explained to the doc-in-training that my father has difficulty initiating speech and might have answered a few more questions if given more time.
Later, back at the nursing home, when I was preparing to leave, not to return for another four months, Dad told me, "I'm making good progress." This must be my life lesson for the day, I thought - what a blessing hope is! My dear, sweet father, with all his physical and mental impairments, dependent on others for all his activities of daily living, still has a reservoir of hope that life will improve. Though I am resigned to the inevitability of his slow decline, I affirmed his hope. Yes, you can help your nurse move you from chair to chair. Yes, you can feed yourself (sometimes). Yes, you can sing along with the music in group activities. Yes, you can still charm people with your smile.
As life gets tougher and tougher, joys get simpler and simpler. May I always find joy in the simple things I can do!