Sustaining Elder Care – November 2024

I have two book/puzzle sorting days at my community library before I go off to Dallas again…I am hoping to find some more 300-piece puzzles to take for my Dad. I think he is probably running a bit low and maybe my sister is bringing some older ones back that he hasn’t done recently. We don’t have as many 300-piece as we do 500…and those 500-piece ones are getting too hard for him.

The past month has been more stressful in terms of elder care than I anticipated. There is a disagreement between us daughters about whether he is having pain when he eats and he needs his food ground up. Observations of him eating are not consistent. We have asked the dentist he saw last to make an assessment….since to make the change in mealtime routine for the assisted living staff will require a doctor’s order.  On the plus side – I don’t think my dad is aware of the turmoil. Most of the interaction among my sisters and I is via text; I’ve stopped looking at the messages about an hour before bedtime to try to reduce the impact on my sleep. It’s also caused me to start thinking more about what I want my relationship with my sisters to be separate from our shared interest in our father’s well-being.

Sustaining Elder Care – June 2024

A lot had happened over the past month.

A resident of the assisted living home came down with a respiratory infection but was getting better; then another one became sick and spent a few days in the hospital before returning. My dad didn’t get sick at all. The episode caused an uptick in anxiety for my sisters and I for a few days.  

One of my sisters was going to cut his toenails and discovered two small wounds on his leg. He didn’t remember how he’d gotten them and there was no incident reported by the staff. Fortunately, they were not infected and appeared to be healing.

With the staff turnover, we have realized that his medications are not being given as consistently as we assumed. One of my sisters reviewed the meds with a staff member and discovered that the supply of some supplements had be depleted and no one had told us more needed to be purchased! Most of what he takes are supplements, but now we are concerned about whether he has been getting his few prescription drugs reliably since his ophthalmologist discovered he had a small stroke near one of his optic nerves and can only see light and colors in that eye now; we will always wonder whether the assisted living staffers were giving him the eye drops prescribed to lower the pressure in his eyes.  

My dad complained of his front teeth hurting; we have known for some time that his lower teeth were loose and that there was not enough bone or other teeth to do any kind of restoration. The decision had been made to cut up his food and train him to avoid using those front teeth. But that was before they started hurting. My sister that handles most of his medical appointments contacted the doctor that comes to the assisted living home for most of his medical needs and discovered that they there is a dentist in their practice! Within a few days, the dentist came, got updated x-rays, and pulled two lower teeth! Both were not in much bone and were relatively easy to pull. Now the staff really will have to pay more attention and cut up his food consistently; even though the requirement has been in their document for him since January, they seem to lapse into serving him food that he can’t eat with the teeth he has (or rather doesn’t have).

The only doctor he leaves the assisted living home to see is a dermatologist; a small skin cancer was removed this month. The visits are quite tiring for him…being in the car, waiting for the doctor…the procedure itself is very short. My sisters and I anticipate a time when he won’t be able to withstand that kind of medical appointment.

He is still doing puzzles – enjoying the shared project with anyone visiting him. He is joyous every time one is finished.

The flower beds at the assisted living home contain some of the plants from his previous home…planted by one of my sisters. They are doing well however, she is frustrated that one of the beds that she hasn’t work on, is full of Virginia Creeper; she is too allergic to do anything that bed.

The weather in Dallas has gotten hot enough that walking in the afternoon with Dad might not be a good idea. We all try to take him for neighborhood walks whenever the weather is cool enough. The walks will probably be more and more skewed to the mornings.

Dad seems to be adjusting to the upheavals well enough. He is more resilient that any of us anticipated.

Previous Elder Care posts

Gleanings of the Week Ending July 16, 2022

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Tallgrass Prairie National Preserve: A windo into the past – A prompt for an early fall road trip? It is about 4 hours from where we live now.

Psoriasis: Study lays foundation for new treatment strategy – Hope more targeted treatment can be developed….avoiding the drugs used currently that suppress the immune system overall.

Winners of the 2022 Audubon Photography Awards Celebrate the Beauty of Our Feathered Friends – Images of birds in action.

The silent danger of gum disease – More reasons to sustain regular dental checkups….and for dentists to be vigilant.

The Milkweed Gang – Milkweed attracts quite a few insects…even if it is an island surrounded by invasive plants!

New species of giant waterlily is the largest in the world – It has been growing in Kew Gardens in 177 years and in a herbarium in Bolivia for 34 years….always assumed to be the well-known species of giant waterlily named after Queen Victoria. The leaves can grow up to 10 feet wide…and support at least 176 pounds!

Toads surprise scientists by climbing trees in UK woodlands – Even when we think we know a species well…there are still surprises!

This New Species of Carnivorous Pitcher Plant Traps Its Prey Underground – In the rainforest of Borneo at elevations of 3,600 – 4,265 feet.

Ozone Hole — New, Large, Constant Ozone Hole — Appears Over Tropics – 7x larger than then Antarctic ozone hole!

Unlocking the secrets of the ancient coastal Maya – More than a decade of interdisciplinary work increasing the understanding of how these people lived and responded to rising sea levels and changing political/economic systems. And still more to be learned.

Ten Little Celebrations – May 2022

May was a month of preparation to move…but there were plenty of little celebrations along the way.

12 boxes packed in one day. In April I had a few days that I got to 20 boxes…but that included some that all I had to do was tape (i.e. they were already packed). Doing a good job packing a box takes some thought…and gets harder after there are fewer items left to go in boxes. I celebrated that I managed a 12-box day!

Another load to the landfill/recycle center. Every time we take a load, I celebrate that we have a little less to move!

Getting the pile out for curbside pickup. It was a significant effort – requiring the wheelbarrow to get the heavier items up the hill. But we did it – more easily than I anticipated!

Getting the pile out for curbside pickup. It was a significant effort – requiring the wheelbarrow to get the heavier items up the hill. But we did it – more easily than I anticipated!

Finding boxes to pack larger items. I am packing larger items now…that are generally light weight too. I like the Home Depot’s ‘large’ boxes and celebrate how many odd items they hold gracefully.

Drawing down refrigerator items. I’ve been trying to eat things from the freezer/refrig so that I don’t have to move them. So far so good. The refrigerator is not entirely empty, but we’ll have less to move in an ice chest when we move. Celebrating that my strategy is working!

Reservations made for the trip to close on the house in Missouri. I’m celebrating that the further along we get…the more we do toward moving…the more ‘real’ it becomes. There will be a big celebration once we close but the steps leading to that milestone are worth celebrating too!

Birth of my niece’s child…the first of the next generation of our family. Celebrating the birth of child…mixed with relief that all is well with the mother and child.

A phoebe in the backyard in the morning (on almost every morning). The bird has become a normal early morning sound for me…not loud enough to be an alarm clock…but reminds me to celebrate the new day.

A timely appointment to get a crown on a broken molar. I was worried that my mouth would become painful before I could get an appointment with my dentist…but it happened quickly…and 2 hours later I went home with a temporary crown! I’m also celebrating that it is (so far) my best experience ever getting a crown.

A fox in the backyard…passing through. I happened to look out my office window to see a fox stop by the base of our feeder in the back yard….and then continue its way into the forest. It was transitioning from winter to summer coat. Celebrating that there is wildlife in our forest…and sometimes we get to see it in our backyard.

Unique Aspects of Days – May 2022

The majority of unique aspects of May involved our move….but I also treasured the ones that could have happened independently.

Paper or bubble wrap. After a few days of packing, I discovered I like paper better than bubble wrap most of the time. I thought when I starting packing that I would use both --- whatever I had --- and was surprised that the paper ‘won.’ As an added bonus – I bought paper made from recycled materials and it can also be recycled after our move!

Finding the top to my cake container. I had lost it several years ago and thought maybe it had somehow been discarded….but I found it again as I unloaded the old China cabinet. I’d already packed the other part so I’ll endeavor to get then back together in my new kitchen.

Last macro series of the Maryland yard. As I walked around with my macro lens…I realized that next month I’ll be doing it in a whole new place!

Selecting a real estate agent/starting the process to sell our house. While not totally unique since we have sold 3 houses previous…it was the first time in almost 28 years!

Arranging for our house to be re-carpeted. It is the first time we’ve ever replaced all the carpeting in a house.

1st box packed from the garage. I was surprised at how much of the garage fit into just a few boxes.

Getting the karate kick bag out of the basement. It was quite an effort with sand in the base…much easier to move once the sand was out.

Finding an iris that was getting ready to bloom in the chaos garden. Usually I forget they are there and the garden is not in my normal line of sight.

Male goldfinch at the feeder. I haven’t been watching the feeder as closely since we started preparing to move…so I was thrilled to glance out at the perfect time to see the bright yellow bird. I’ve seen them occasionally in previous years but this is probably my only sighting for this year.

Broken molar. It was my first broken tooth since my dentist has generally anticipated problems. I discovered when I went to the dentist that it was actually a large filling that had cracked. The solution was the same….the molar got a crown!

26 Months in COVID-19 Pandemic

COVID-19 cases in Maryland are increasing but all the counties in the state are still green in the CDC’s COVID-19 Community Level map. Most of Missouri is too. Still - the positivity is 5-8% in Maryland and 8-10% in Missouri…not low enough for me to be comfortable in crowds or in indoor spaces without a mask. How does that translate into our increased level of activity?

Buying a house. Both my husband and I wore masks when we walked through the house we had bid on and then the next day when we talked to the inspector. There was a meeting in the realtor’s office where we wore a mask as well. During our travel, we masked at rest stops and in registration/hallways of our hotel. We brought an air purifier into our hotel room and got takeout for meals.

Birding. We masked at the Harriet Tubman Byway visitor center and the registration/hallways of our hotel. Otherwise - the activity was outdoors, and we didn’t mask. All our meals were picked up from drive through windows.

House maintenance. We’ve had more people in our house for maintenance purposes in Maryland…preparing the house to be sold. We mask while they are here, and they do too.

Broken tooth. I have an appointment with the dentist because a molar cracked…needs repair. Hopefully the precautions the dental office has in place are effective. This seems like the highest risk situation of all the things I’ve done recently.

And we are moving over the next month! I am realizing that the precautions I have in place (following guidance re boosters, masking when I am indoors other than at home, avoiding crowds, keeping hand sanitizer in the car, taking an air purifier with me on road trips) are probably going to be my strategy for the foreseeable future unless the infection rate drops dramatically. So – this is the last of the monthly posts even though the pandemic is continuing. I’m not getting complacent…I’ve simply accepted that this is the prudent way to be…nothing new to post about every month.

Gleanings of the Week Ending October 9, 2021

The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Earth is dimming due to climate change – Decades of measurements of earthshine indicate that the Earth is becoming less reflective with warmer oceans (and fewer bright clouds).

Kilauea Resumes Eruptions At Hawai'i Volcanoes National Park – Exciting times on the big island…

In UK, Interest in EVs Spikes Amid Fuel Shortages – There have been stories about Ford and GM strategy recently too….lots of indicators that many people will be buying EVs sooner rather than later if enough are produced.

NASA lander records the largest ‘Marsquakes’ ever detected – The lander has been on the surface since 2018!

Dental care: The best, worst and unproven tools to care for your teeth – Hmm….I wonder how much this research will change what dentists advise?

Baby Poo Has Ten Times More Microplastics Than Adult Feces – A scary result…and no ideas on how to reduce exposure (and we don’t know exactly what harms it might cause)….just more research needed. Very frustrating.

Coastal Northeastern US is a global warming hotspot; 2 degrees Celsius of summer warming has already occurred – From Maine to Delaware…the area is warming faster because of climate change linked alterations in the ocean and atmospheric conditions of the North Atlantic.

2021 Nature Conservancy Photo Contest Winners Highlight Global Wildlife and Nature – Beautiful…and thought provoking. My favorite was the artsy one at the end…a high key image.

Paradigm shift in treatment of type 2 diabetes to focus on weight loss – There are probably other chronic ‘diseases’ that have become more prevalent over the past few decades that could be improved with weight loss….but it is hard to lose weight…and keep it off. It requires permanent lifestyle changes.

A Leisurely Trip to Kansas – Another post that includes pictures of a rough green snake. I’ve been on the lookout for them since my son-in-law sent a photo he took with his phone!

Ten Little Celebrations – June 2021

After being away from home in May…being in Maryland again rippled with little celebrations associated with home. Here are my top 10 little celebrations from June 2021:

Scenic drive from Lexington KY to home. Light traffic, good highway, beautiful scenery….I took a picture to celebrate being back in Maryland.

Farmers Market. I’ve been going every week and it’s a celebration every time. The piles of produce fresh from the local farms (and artisan bread) make it a happy errand…and then I enjoy the bounty in meals all during the week. It’s a great substitute for belonging to a CSA (which is not practical for me this year because of my traveling).

A good watermelon. There was a sign in the produce section of Wegmans for seeded watermelons. I always remember them from my childhood….sweeter than the ones without seeds that we find more frequently in stores today. I bought one – hoping it would live up my expectations. And it did. Celebrating a watermelon as good as I remembered!

Yard work. An hour of work (several of them on mornings when it is still cool enough to be pleasant)…2 wheelbarrow loads to the brush pile or compost bin….celebrating a neater yard and satisfaction of encouraging native species.

Apple crisp. While I was away, my husband did curbside pickup for his groceries. He somehow got a huge bag of apples. Some of the excess apples made a great apple crisp…celebrating bounty (and not wasting food).

Howard County Conservancy Mt Pleasant. Every time I hike there, there is something new to celebrate – most recently dragonflies and a black-crowned night heron.

Maryland sunrise and partial solar eclipse. Celebrating being in the right place at the right time to see it.

New crowns. I had anticipated that getting 3 new crowns was going to be uncomfortable but was pleasantly surprised that my expectation was way over the top; there was almost no discomfort during the drilling or sensitive areas afterward…. celebrated that it happened that way.

New computer glasses. Hurray for seeing better…and the red frames.

The Institutions of Extraterrestrial Liberty talks. There were 4 days of webinars….and I found many of them very thought provoking. I celebrated the content…and that they were made available by the sponsors of the virtual conference. (Day 1: https://tinyurl.com/4t7zjv72 Day 2: https://tinyurl.com/2f9n4b72 Day 3: https://tinyurl.com/48rbba2k Day 4: https://tinyurl.com/5bbey7pr)

Filling a Day of Social Distance – 3/16/2020

Continuing the blog post series prompted by COVID-19….

Here are the unique activities for yesterday:

Discovered some to go peanut butter in my pantry that are ‘best if used by’ April 2020 which prompted a snack of peanut butter and celery….and taking everything out of the pantry to see if there was more items that needed to be used promptly. There was some cocoa that should have been used by 2014 and some coconut flour by 2017…into the trash they went. The before and after shot of the pantry is below….it was a good ‘cleanup and out’ project for the day.

Continued “Life in the Universe Pandemic Series” videos from Dr. Charles Cockell – Is there life on Mars? And Will Samples from Mars cause a Pandemic?

Cooked pinto beans. I soaked them for a full 24 hours (part on the counter…then in the refrig) then cooked them in the morning and ate a small portion with some leftover stir fry chicken for lunch. Yum!

Learned about Anna Atkins’ Photographs of British Algae Cyanotype Impressions in a Europeana Blog post (one of my news feeds) and then searched to find an online copy. I was frustrated that the Internet Archive only had one print! It turns out that The New York Public Library Digital Collections has a digitized copy of the volumes once owned by Sir John Herschel. I enjoyed the first volume and added the others to my reading list for subsequent days.

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Watched the first Cincinnati Zoo & Botanical Garden Home Safari…daily at 3PM EDT…for children but interesting for adults as well…the first video is about their young hippo Fiona. From their Facebook Page.

Went to dentist to get permanent crowns. I was worried about the temporary ones that I had for over 3 weeks coming loose/off at a bad time….having a painful dental problem when the office might be closed. So - I had a very short breach of social distance…but I decided it was worth the (slight) risk.

Overall, this is my 8th day of adhering to the low density, 6 feet rule (except for the dentist which was low density but could not always achieve the 6 feet separation)…stay at home as much as possible…hand washing with soap/not touching face. The last time I was at a place with more than 25 people in a room was 19 days ago. I’m beginning to realize that some of what I am doing now (like the more frequent hand washing with soap) might be on the way to becoming habits.

Previous “filling a day of social distance” posts: 3/15