Guilty

When I first laid eyes on Joseph Zupnik three and a half years ago, he was late for the Family Council meeting at my mother’s nursing home, Focus Otsego.

“LATE!” I jotted into my little notebook. Not a good first impression.

He walked in the door and I barely noticed him. I thought he was a late-arriving family member, but he walked right over to the seat next to the administrator.

Joseph Zupnik was tall and thin, the kind of person who folds when he sits down and unfolds when he stands again. His pants were about an inch too short at the ankles and an inch too high at the waist. The muted tones of his plaid shirt were understated and unassuming, like he was. Quiet, mild, articulate. And young.

Almost immediately people started demanding answers from him about staff shortages and retention of the remaining staff. The rumor was that Focus cut salaries by 15% across the board when they took over. The fact was that staff had left in droves.

Joseph sat, calmly folded in his chair, legs folded as he crossed them at the knee, manicured hands folded across his knee, body folded somewhere between slouched and erect. He seemed so relaxed.

And he calmly fielded the questions and spoke of industry standards and union negotiations.

I wanted to say that no one cares about industry standards. These are our parents, not statistics.

Others spoke up though, and talked of how much better this place was than other ones.

And I wanted to say to them that I don’t want relatively good care for my mother. I want the best care.

He stayed with us for an hour and a half. Listening, responding, listening some more.

He knew his stuff. He fully understood the business end of this industry.

He was clinical and dispassionate — a walking statistics book.

Yesterday, Joseph Zupnik pleaded guilty to endangering the welfare of an incompetent or physically disabled person.

Seven other charges against him were dismissed.

His slap on the wrist includes community service. I’d like him to work as an aide in a nursing home for the same number of years he owned nursing homes.

And I’d like him to live on the same pay as the aides who had worked under him.

To me, that would be justice.

And mercy.

He would be a better man for it.


A little background and a final thought.

In the early 1970’s a new building combining the Otsego County Home and the Otsego County Infirmary was built down the road from where I grew up. It was renamed The Meadows, and I remember visiting there with my father when I was young. I believe he was the Medical Director.

When I took a year off from college in 1979, I worked as a nurse’s aide there. Everyone should work in a nursing home at some point to learn compassion (if that can be learned) and to experience how hard and thankless the work is.

Both of my grandmothers and one grandfather were residents at The Meadows.

My father-in-law was a resident of The Meadows when the new building, The Manor, was built. He was among the first crop of residents at The Manor.

My mother lived at The Manor. She was there when it changed hands.

When the county decided to sell, my father had been on the task force charged with finding a buyer.

We had ties to the Otsego County nursing home no matter what its name was.

In the end, the legislators voted to sell to the highest bidder instead of the most qualified purchaser. It was more of an “unloading” than understanding what an important part of this rural area that county facility served. They simply wanted to be rid of it. In my mind those legislators who voted to sell The Manor to Focus Corporation (and Joseph Zupnik) also bear some culpability.

 

Buried Gold

It’s been a rough few days… make that weeks.

My father has been struggling with anxiety. Anxiety and dementia go hand-in-hand. The world doesn’t make sense. Memories jumble around. People telescope in and out. Switchbacks define the landscape.

“DON’T GO THROUGH THAT DOOR!” he cries whenever I leave him alone in his room. Waylaying me with his hand on my arm, he looks over his glasses and says in a confidential tone, “There’s nothing out there. Nothing. You can’t go there.”

But I must and I do. His world may be confined to one room. Mine is not.

If I coax him out to the sun porch, I struggle to coax him back in.

He’s leery of entering the dining room. He forgets that he sits at the head of the table and takes my seat.

Which, of course, is fine. Just odd.

“When I was in World War II, I was stationed by the Red Sea. I buried a lot of gold there. We need to go back and get it,” he told me the other day. Except he was in high school during WWII and was never stationed by the Red Sea. He went there on holiday when he was stationed in Ethiopia in the early 60s, but not WWII.

He told someone today that gold was buried in the back yard. Here.

The only gold we have here are little bits of dental gold that the dentist gave me after she removed some of his teeth. It’s gross, probably not worth much, and certainly not buried. That sounds like a good idea though because I don’t know what else to do with it.

I’ve been so tired because I’m up multiple times during the night with him. He can’t sleep. He’s so anxious.

Last night I made a to-do list so I could make sure I got done what needed doing today. Phone calls, shopping, and mail.

Mary added the part about rainbow sprinkles. Rainbow sprinkles make things better.

Karl added the great mom part. The pat on the back meant a lot.

Sometimes life gives more gut punches than pats on the back.

My father didn’t get to sleep last night until 11 PM — which meant that I didn’t either. He woke me at 5:05 AM.

Through the monitor I heard, “Sally! SALLY!”

I ran downstairs, my heart pounding.

“I’m having terrible chest pain,” he said. I called the ambulance.

The paramedic asked him about the pain.

“10,” my father replied. “Crushing chest pain,” he added.

By the time he got to the Emergency Room, he was fine.

“He has dementia,” I told the ER doctor.

“I got that,” she said, smiling.

“Can I get you something to drink?” she asked my father.

“I like beer,” he said. It was 6:15 AM.

He hasn’t had a beer since he ordered a flight a couple of months ago at his favorite restaurant. He was baffled by the four little beers served on a board. “What do I do with this?” he asked.

“You taste them,” I said.

He gave them to Karl.

We were home from the ER shortly after 7 AM. God bless the ER doctor who didn’t do a full cardiac workup.

Sometimes gold is in rainbow sprinkles and kind words.

Sometimes it’s in the not following protocol and using common sense.

Sometimes it’s buried in the backyard but I’m not going to count on that today.

Y is for Young

In March 2011, I wrote the following post.  It’s a sweet story — and a reminder. I took it out of storage and dusted it off for today.

A number of years ago, I was able to accompany my father on his trip to his hometown.  He was meeting with his siblings and their spouses to inter my grandparents’ remains.  My mother was planning to go with him, but got sick just before they were supposed to leave.  I filled in for her.

I had no idea what a special trip that would turn out to be.  We went to the cemetery and sat on a little knoll while my father and his brother and sister reminisced about their parents.  They each shared memories of how their parents had made their house a home.  They talked about my grandmother making elaborate Halloween costumes for them, her competitive side coming out, so that they could win the town’s contest.  They talked about their cousins and their pets and their school and their growing up years.  Then my uncle said something which I will never forget.

He said, “They were young once.  They fell in love.  They had dreams and passions just like we do.”

I don’t know why that was so profound, but it hit me squarely in the heart.

My grandparents were old the whole time I knew them.  My grandmother had Alzheimer’s.  She smoked and drank martinis.  I have seen her wedding picture and she was once beautiful.

My grandfather had Guillain-Barre syndrome in the late 70’s or early 80’s, I think. (Perhaps one of my siblings has a better memory for these details.)  It transformed him from the robust, fun Grampa that I loved to go see, to a weak man confined to a wheelchair.  I have wonderful earlier memories of him throwing the Hollywood brick (it was made of foam) at us, and tricking us every time with it.  In fact, I think we all (the grandchildren) wanted that brick when they were emptying out the apartment, but no one seems to know where it went.

Unfortunately, my mind doesn’t always go back to happy memories.  I remember my grandfather weeping in a wheelchair when I came to visit when I was pregnant with Philip.  I remember my grandmother smoking and sniping.

“They were young once.  They fell in love…”  I chose, then and there, to replace my memories with happier ones.

Yesterday, I caught a little glimpse of that with my mother.  We were sitting at the table, with a full plate of marmalade sandwiches.  She had made ten or so before I got there — for the others.  She looked up at a window ledge, and asked my father, “What’s in that vase?”

Now, you need to know that my mother has always a way with plants.  Her home was filled with them.  She had the most beautiful Christmas cactus I have ever seen.  She would take little pieces of the Christmas cactus, stick them in a cup of water, wait for them to send out little roots and then move them to pots.  She started so many plants that way.  And the house is still littered with pieces of Christmas cactus stuck in water.  That’s what was in the vase.

My father looked up at the milk-glass vase with the sad little piece of Christmas cactus drooping over the edge. “Well, that’s a genie in a bottle,” he said.  “If you rub it, he’ll come out and grant your wish.”

My mother giggled like a schoolgirl.  She looked at him and smiled.

When he left the room, she said, “I’m so lucky I found him.”

Oh, Mom, you have no idea.

“They were young once.  They fell in love…”  She was back to that point in her life.  I want to remember her that way.

Shouting

Laurel said the other day, “We should all learn another language. As a family, you know?”

“Why?” I asked.

“Well, then if we’re someplace all together and we want to say to something to someone in the family but we don’t really want everyone else to know, we can just say it in that other language,” she said.

I think she was thinking along the lines of a let’s-get-out-of-here signal.

“Like Swedish,” she said. “We could all learn Swedish and nobody would know what we’re saying.”

“Ummm… you’d be surprised,” I told her. “I’m pretty sure Amy knows Swedish.”

Amy — former pastor, dear friend.

“Oh, well…” Laurel said. “You know what I mean.”

Personally, I think we should all learn sign language. Not as a secret language — because there are a lot of people in the world who know sign — but as a quieter way of communicating.

I can always tell when my father’s hearing aids aren’t working.

“What?” he’ll ask.

Frequently.

“I’m having trouble hearing you,” he’ll say.

I’ll check to see if his hearing aids are in, and, if they are, if he has turned them on. Often these days he forgets the latter.

The other day Mary had a dentist appointment. As she and I headed out the door, I stopped to check my father’s hearing aids — and turned them both on. He was on his way to sit in the living room with the Daily Jumble.

An hour later when we got home, he was standing at the kitchen table.

“What’s going on, Dad?” I asked.

“I need to put this in my…” and his voice trailed off as he searched for the word. He was holding a hearing battery in his hand.

“You need to put a new battery in your hearing aid?” I asked.

“Yes,” he said, and he pointed to his right ear — where there was no hearing aid.

“Okay, I can help with that,”I said. “Where’s the hearing aid?”

“That’s the problem,” he said.

“Did you set it on the table here?” I asked, and began moving papers and looking.

“I don’t know,” he replied — and that became his reply to every question.

“Where were you when you took it out?”

“I don’t know.”

“Were you sitting in your chair in the living room?”

“I don’t know.”

“Did you go in your bedroom?”

“I don’t know.”

I began looking everywhere — the bedroom, the bathroom, the living room, the dining room, the kitchen, the sun porch. I crawled around on the floor, looking under furniture, putting my cheek to the floor because that made it easier to see the incongruity of the hearing aid.

“Is it in your pocket?” I asked.

“I don’t think so,” he replied, but he dutifully emptied his pockets for me.

All this conversation was taking place at a high volume — because of the missing hearing aid. That, alone, is exhausting.

Twenty minutes into the search and I was ready to give it a rest. My neck hurt from sleeping in a bad position the night before and this cheek-to-the-floor business wasn’t helping. I sat down.

“We’ve got to find it!” my father said when he saw me sitting. He was looking through some papers that hadn’t been moved in a year. The hearing aid would surely not be among them.

“Criminy,” I muttered under my breath. My neck ache was quickly becoming a headache.

“Keep looking,” he said urgently. “We can’t stop looking!”

I got back to my feet and went back over the same places I had been looking. Finally, in his bedroom, I spotted it poking out from the back edge of a chair cushion.

I could see the relief on his face when I brought it to him.

“Where did you find it?” he asked.

“On the chair in your room,” I replied, while trying to put the new battery in.

“Where?” he asked again.

“On the chair in your room,” I replied, while trying to put the hearing aid in his ear.

“That’s better,” he said, once it was in place. “Where did you find it?”

Something in me snapped. “ON THE CHAIR IN YOUR ROOM,” I shouted — not in a nice way.

I left in search of Advil.

Frederick Buechner, in his new book The Remarkable Ordinary, talks about his mother’s hearing loss and the difficulty of shouting conversations.

from “The Remarkable Ordinary” by Frederick Buechner

I thought about my deaf friends who read lips so well — and appreciated that I don’t have to shout at all with them.

When Laurel said she wanted to learn Swedish, all I could think is that I’d rather learn sign language.

That way maybe I could communicate better with my friends who use it.

And when I’m old and hard-of-hearing, my family can converse with me without shouting.

At the Corner

At the corner of Grove and Spring Streets, I paused. Maggie dropped her fish and panted while I stepped back to survey the building from a different angle.

It’s a lovely setting surrounded by trees. Porches and patios invite the residents to enjoy the fresh air and sunshine. Quiet and serene, the building stands removed just far enough from the hubbub of busy our tourist town. Expanses of lawn buffer it even more.

When I’m inside, I’m all yes.

When I leave, I wonder.

Maggie picked up her fish and we continued walking past the building.

I looked at the porch with its flower box. To the left was the dining room. I had eaten there a couple of weeks ago with my father.  We were just visiting, but I was impressed. Tables for six or eight, set with white linen table cloths and real china. Real food, not institutional. Servers who were both pleasant and competent. A little jazz played in the background.

“They take turns choosing what kind of music to play,” the administrator told me. “Also, people sit at the same table for about two months, but then we rearrange the seating plan so cliques don’t form and they all get to know each other.”

Every resident’s room is unique in configuration. Some have window seats. All have walk-in closets, high ceilings, and private bathrooms that include showers with seats and grab-bars. The rooms are spacious and cheerful.

I just never wanted to see my father leave his home.

But this isn’t an institution. It’s almost more like a sanctuary.

“We have lots of activities for the residents,” the administrator said. “We get tickets to the Hall of Fame Classic baseball game and sit in the grandstand so they are shaded from the sun.”

Dad would really enjoy that.

“Next week we’re going on a boat ride on the lake and maybe having a picnic on one of the beaches.”

I would like that.

I reached the end of the block with Maggie and looked back at the building.

From this corner, it still looked lovely.

I guess it’s time to finish the application for him.

Barefoot Girl

“Oh, I see you’re a barefoot girl this morning,” my father said, looking at my feet.

I was indeed barefoot, as is often the case when I’m still in my pajamas.

“A barefoot girl with shoes on,” he continued, smiling as he said it.

My daughters are often barefoot in the summer — and he says the same thing to them.

A barefoot girl

“What’s he talking about?” one of them asked once.

“It’s a poem he memorized,” I told them.

I asked him about it — and he dutifully recited two verses:

‘Twas midnight on the ocean,
Not a streetcar was in sight,
The sun was shining brightly
For it had rained all night.

‘Twas a summer’s day in winter
The rain was snowing fast,
As a barefoot girl with shoes on,
Stood sitting on the grass.

More verses are available on the internet, all unattributed, but those are the two he remembers.

Poetry and music get stored in a different part of the brain, I think — one that survives longer unscathed by dementia. It’s fascinating to think about.

Yesterday, he said something about Laurel going to the skating rink when I was taking her to the pool. He pulls up the wrong word often.

I also had a tough time convincing him that R2D2 wasn’t a radar unit. He was working on a crossword puzzle. R2D2 was the clue and he needed a 5-letter word beginning with R.

“R2D2 is a robot, Dad,” I told him.

“Why doesn’t radar work?” he asked, in all seriousness.

“Because it’s a robot. Robot will work there,” I said.

He made his if-you-say-so face and went back to the crossword.

Maybe if I made up a poem about it and had him memorize it, he would remember.

Sights and Sounds

Yesterday my father told me that he was have vision problems.

“Everything is blurry,” he said, “and I feel like I’m seeing double.”

My heart sank. A stroke — the word ran through my mind, a leering devil of a word that filled me with fear.

He looked fine. He was standing, leaning gently on his walker. His speech was fine. He had walked from the porch to the kitchen with his walker and stood in the doorway talking to me.

“Let me wash your glasses for you,” I said, gently lifting them off his face. “Maybe that’s the problem.”

I carried them to the sink and ran water over the lenses, carefully washing first one lens and then the… oh my goodness — a lens was missing.

“You’re missing a lens, Dad,” I told him, and  showed him by poking my finger through the frame. We both laughed because this was a much better explanation for the double vision than some of the alternatives.

I began searching and quickly found it where it had fallen on the floor. It’s not hard to pop back in. I’ve done it many times. Within a few minutes, everything looked normal again.

This morning, when he came out, he said, “I’m having a devil of a time.”

“What’s going on, Dad?” I asked.

“WHAT?! I can’t hear you! I can’t find this hearing aid,” he said, pointing to his right ear.

“I’ll find it for you,” I told him, and went to his bedroom where I usually could locate things like missing hearing aids in pretty short order.

I looked.

And looked.

And looked.

I knew he was waiting for breakfast so I left the looking and went back to the kitchen.

“I can’t find it, Dad, but I’m sure we will,” I told him.

“What did you say?” he asked.

Later, when the home health aide came, we searched and searched. We stripped the bed, looked under every piece of furniture in his room, the garbage, pockets of clothes in the laundry, everywhere.

“My mother used to say, ‘It’s always the last place you look,'” I told the home health aide.

She laughed. My kids just get annoyed when I say that these days.

Finally, we gave up. “I guess I’ll have to call audiology,” I told her.

“Don’t call yet. It’s got to be here somewhere,” she said.

“I’ll wait until next week,” I said, hoping it would appear magically over the weekend.

We shouted the not-good news to my father while he sat reading the paper with his solitary hearing aid. Then I left to pick up Laurel at the pool.

No sooner was Laurel in the car than my phone rang. I handed it to her, asking to answer and put it on speaker phone.

“Sally?” crackled the voice of the home health aide. “Sally? You’re not going to believe this, but I found it. It was on the floor of the side deck right by that purple chair he sits in. It got rained on, but it still works.”

Hallelujah!

The real mystery is how it got there.

I had walked my father into his bedroom at 10:00 the night before, and I’m 95% sure he had it in his ear then. Some time during the night, it mysteriously made its way outside.

I don’t want to think about it.