Transcript
WEBVTT
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Welcome back to Real Talk with Tina and Ann.
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I am Tina.
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And I am Anne.
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Well, today we are joined by Marilyn Raikel.
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She is author of Don't Walk Away, A Care Partners Journey, a deeply personal and powerful reflection on love, identity, and connection in the face of Alzheimer's.
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Marilyn's life shifted when she became a caregiver for both of her parents as they developed dementia.
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Inspired by her mother's unexpected artistic expression after her diagnosis, she founded the Art of Alzheimer's, celebrating the creativity and dignity of people living with dementia.
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She now serves as executive director of Maud's Awards for Innovation in Alzheimer's Care, supporting practices that enhance the lives of those living with Alzheimer's and their care partners.
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Now, through her writing and advocacy, Marilyn reminds us even when memory changes, a person we love is still very much there.
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And Marilyn, thanks so much for joining us today.
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We very much appreciate you and your story and putting it on paper for everybody to read and being here for our listeners.
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We are excited to jump into this book and life experiences that you have gone through.
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And I want to paraphrase in part something that you wrote in your book because it touched my heart so much.
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You said this about your mom.
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Her paintings opened up my eyes, heart and soul, to a woman who still had so much to say through her art.
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I moved past the fear and everything I thought I understood about Alzheimer's.
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I saw not an empty shell lost in a fog, but a joyful, creative mind still alive with possibility.
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I learned to let go of who I believed she used to be and embraced the woman present with me in every moment, not suffering from dementia, but living with it in that space, without hurry, without regret.
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Our visits became essential, rather than dutiful, filled with laughter, discovery, and what she called just delightful.
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This book tells a story of building a life together in those fleeting moments, learning to navigate late-stage dementia side by side.
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It has been the most rewarding journey of my life.
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Thank you, mom.
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So thank you for letting me read that.
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And I really think it gives the people who have Alzheimer's the humanity that they deserve.
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And for those who are caring for them as well, as our beautiful Tina is doing with her mom.
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What I hear in your words is something so important that people living with Alzheimer's are still here.
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And that connection doesn't disappear.
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It changes.
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So today is just not an interview, it's a shared space.
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And Marilyn, as beautiful as your experience is, I know that is not what a lot of caretakers experience.
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And I appreciate your experience and our listeners will too, along with our co-host, Tina, as she has gone through experiencing this disease with her mom.
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Well, Marilyn, one of the things that touched me the most, and I don't even think I can get through the question, is you called this the most rewarding journey of your life.
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I'm not there.
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I'm not there on that journey with my mom.
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And so it means so much to me to get to talk to you today because this is not going to be easy for me.
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I am very much walking the caregiver path right now and have been for six years with my own mom.
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She was diagnosed with early onset Alzheimer's at the very young age of 59, and it crushed me.
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She has progressed to the late stage so fast.
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I am her secondary caretaker.
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My dad is the real hero here.
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And so when I say I appreciate you writing this book and coming here today, I really mean it.
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The topic of Alzheimer's and dementia, it is so layered.
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And I want to step into your personal experience a little more, Marilyn.
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You have spoken so beautifully.
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Like I said, about this being a rewarding journey.
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I'm a little jealous, to be quite honest.
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If I have to be in this place, I wish I could say the same thing and I can't, but I love that you can.
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And my hope is that you'll be able to give perspective.
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So wanted to talk about that and want to talk about you've spoken so beautifully about your mom's paintings through this disease and how they became a doorway to connection instead of loss.
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So I'm curious if you can talk about these things and also maybe how long it took you.
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And I know that's it's a different time for everyone, but how long did it take you to look beyond the fear, the dread of this disease when it comes to this diagnosis to get to that place of peace?
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Well, first of all, thank you.
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Thank you very much.
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Thank you both, but thank you, Tina.
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I know you've had a completely different journey than I.
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And I would like to just say at the outside that while my family considered me the home caregiver, I was not a home caregiver.
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Mom was living in a really good continuing care facility.
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That those of you who are home caregivers, juggling wives with jobs and children and your loved one, it's really possibly the hardest job on the planet.
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And you're operating without a net.
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And so I am exceedingly interested in hearing your story and your story about your mom.
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And what's her name?
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Cindy.
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Cindy, thanks.
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Um, and so with me, mother, there was Alzheimer's on in dad's side of the family a lot.
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Um, some in mom's.
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Um, mom told us when we were kids, or five of us kids in the family, she said, When we get Alzheimer's, I want you to walk away.
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There's not going to be anything you can do.
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We're going to be in a safe place.
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Don't sacrifice your lives for us and walk away.
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And we all thought, okay, that makes sense.
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Sure.
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And dad, who was developing Parkinson's, um, was pretty much her dealing with her daily care.
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Um, and we pretty much, to our my great chagrin, disgrace, sadness, pretty much left him alone.
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When I came back from graduate school in 2006, there were no jobs because it was the depression or recession.
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And my family said, okay, we're gonna pool our resources, we're gonna keep you afloat, you're gonna be the family caregiver.
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Well, and I didn't really have a choice.
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That was my new job.
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I had no interest in doing it.
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I knew nothing.
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Um and it was but there I was, um stuck.
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And my resistance was really strong when I was I was there, I would make sure they went to doctor's appointments.
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I did my best to keep them engaged.
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Um, but the word walk away was always in the back of my mind.
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Um and this it this went on for about two years.
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Um, I finally slowed down and I came to the realization that mom, who considered herself dad's caregiver, um wanted the best for dad.
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Dad wanted the best for mom, and I wanted the best for both of them.
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So what we had in common were shared needs.
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Um, so I slowed down, started to listen, started to do a better job, but still not a great job.
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Dad died at 89, and mom and dad had been best friends for 72 years.
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And when he died, we were all in the room with him.
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Mom was asleep.
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Um, we thought should we wake her up?
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Uh, because there was a rule in the family never cry.
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Never cry.
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Um, and we woke her up, and I've never seen tears like that, ever.
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Um, she just sobbed.
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And we finally got her back to sleep.
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And the next morning she remembered dad was there.
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Dad was her best friend, and she talked about their life together.
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And that second day I got there early and she remembered.
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And the third day I got there and she said, I just want to be with your father.
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And I, without thinking, I summoned the mother of my youth and I said, Well, mom, you should have thought of that before you started taking such good care of yourself.
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And she laughed and she said, Well, that's life.
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And from then on, she put it in this little box.
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She thought about him all the time.
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She would say, Oh, mom, 40 times a day.
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But she started to re-enter the world and and and all make friends.
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And I took her to a painting class because she was so boring.
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And she didn't expect anything because she thought painting was stupid.
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And um, even though she played the piano and everyone played instruments and but art, no.
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So I took her to this painting class and her painting was amazing.
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It was just beautiful, and I was stunned.
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Mother said she didn't do it, it wasn't hers, but I was stunned.
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So I kept taking her to this painting class.
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And every time I would show the painting to someone, her mom's paintings, the the reaction was always the same.
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It was always, I had no idea.
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That the art just I used to say to people, Alzheimer's is scary, art isn't.
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So if you start with something joyous and happy, then then people can start to relax and then they can actually talk to you.
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But but if you just start with Alzheimer's, it's just too scary.
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So that's when I started doing the art of Alzheimer's and sharing her art with as many people as possible.
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Um and then one day her art to me looked like it was deteriorating.
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All these same scratchy lines, same colors.
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And I thought, hmm.
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So I got there early on painting day.
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And because I this point was only going really once a week.
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And I got there early on painting day, and we did everything she liked to do.
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We played Scrabble, which we did every day until she died.
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Um, we looked at the view, we took a walk, and then I took her to the class, and her paintings completely changed.
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All these warm animal images started to appear in different colors, and that's when I went, oh, I see.
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I have a role to play in this.
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We're partners, and that's when we became care partners, and and together we were building a better life for both of us.
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And for me, because I had the luxury of making this decision, the best decision I've ever made.
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It made me a better person, made me a happier person.
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I learned mother was still teaching me, and I learned from long, she gave me a blueprint for how to live a life.
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And that so I lived with her for nine years in that respect.
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And and visiting her was no longer something I had to do.
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It was something I needed to do.
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It was important, it was part of my life.
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And and I am very, very lucky because I completely, and one reason I'm really interested in hearing your story is that people who are home caregivers need our support.
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And I think it's important for all of us to know how we can help make your lives better, their lives better.
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Yeah, thank you for for noticing that.
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Um, you know, one of the sad parts about our story is that mom is so young, which means dad is also so young, and they are the same age.
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So there isn't, there wasn't, still isn't, uh, much help available to them because of their young age.
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My dad still has to work, and my mom is such a late stage that she can barely say a few words.
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She cannot walk on her own.
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You know, we have to feed her, we have to do all of the all of the things that you do really for a baby.
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I think last year when it really got under my skin, we needed a wheelchair from my mom, and we couldn't get it covered by insurance.
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And I sobbed and I thought, why is this?
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We couldn't even get a wheelchair from my mom to get her out of her door, down the sidewalk, or even the grass, I should say, and into her vehicle, and then to transport her from the car into her doctor appointments wasn't even covered.
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And a neighbor was over and I was just venting to her about that.
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And do you know the next day what showed up on my front porch?
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A wheelchair, a brand new wheelchair.
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We couldn't get a shower chair for my mom covered either.
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So to say we've gotten zero help is not a lie.
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I was told that from our uh family liaison, if you will, that best thing we could do is we could just set up cameras in the home and then wait for something to happen.
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And that was the advice because, quote, it would bankrupt the system if they were to help everyone who was suffering in this way.
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And I also balled my eyes out and maybe got angry on the phone.
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And I thought this is all the help that we have here.
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It's interesting for me because I'm raising three young boys and I have two jobs.
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I have a husband.
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I have a wonderful, caring husband, and I feel like I am experiencing all of my last firsts with my children, or my youngest, I should say.
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And I'm also going through all of my last lasts with my mom.
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And I'm trying so hard to take it all in, but it's a lot.
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And I'm a big feeler.
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So you couple that with my self that's that's just this big feeler.
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I'm all or I'm nothing.
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And I'm clearly all in in this case.
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And so that has been one of the most challenging things is still working and my dad too, still working.
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He's a small business owner, he has to pay their mortgage, still working and still trying to find care for my mom because again, it's paid for out of pocket.
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She's so young.
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And it that part has been quite a challenge.
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And I know later on in our interview, you know, I wanted to kind of talk about how it's also been a challenge for me because I'm so young that I don't have any friends who can relate.
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You know, I feel like not only am I alone in what's happening with my mom, but I feel like I've lost my dad too.
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And I, you know, friends don't know, it doesn't make them bad people.
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They just don't know what to do.
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So they do nothing, which is not the right answer.
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And so I just find myself in this place trying to just show my boys how to love and love well.
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And so it's been such an emotional ride for me.
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I'm wondering what it's been like, you know, what if you can talk about maybe, you know, you were daughter first and then care partner next.
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And did you kind of feel similarly at times, like alone or maybe not understood or or anything like that?
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Well, you have to understand I came from a family of Scottish Calvinists.
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Emotions were an emotional indulgence.
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We were trained, I was certainly trained not to feel much.
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Um, my whole purpose in life was to win.
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I basically ignored anything that was unpleasant and pretended that it wasn't there.
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You sound much healthier tonight.
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Um But yeah, you still found joy.
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Joy is an emotion.
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Yeah, it's true.
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It's true.
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And it was with mom, it was it, it's only when her the paintings opened up a different image of mom.
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It was interesting when I so I have a question for you that I'll get to.
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Um when I met this man once and he was telling me about his wife who was in a nursing home.
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And he said, When I see her, she kisses and she tells me she loves me.
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And when I look in her eyes, there's nothing there.
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And I leave in tears.
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And I was I thought, why couldn't he see what I mostly agree would have, which is a woman with something to say.
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All he could see was sadness and loss.
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And he wasn't experiencing it on a daily visceral basis the way you are.
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What changed for me and why the painting was so important and so powerful is that we were sharing joy.
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When mother was doing something so and enjoying herself so much, when she would start to paint, she would dig into home.
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And she was enjoying something so much.
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And when you see somebody enjoying something, you see a side of that person emerge that you thought was gone because they're having fun.
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And if you allow yourself to share joy with someone, then you can share that joy.
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So that's what changed me.
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This I was able to share joy with mom.
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One person said to me, Well, how can I do that?
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I don't have a lot of time.
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And I said, Well, just try to give yourself five minutes.
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Do one thing that both of you like to do and do that, and then you'll see that person being happy and you might want to do it again.
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And I know it's all so I I come at this from a privileged point of view where I had that time.
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When I made that leap into being able to see mom for who she was, and being able to see all of her companions in assisted living for who they were, then my attitude towards dementia was no longer, because I was raised to think it was like a death, actually worse than death, but that changed.
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Now I was seeing them as people, as people enjoying themselves, and that I played a role in helping them to do that.
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I had that great luxury of being able to do that.
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But I think, and the question I have for you is why do you think there was so much resistance to helping, to giving you a wheelchair, to giving you um the things you needed?
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Why do you think there's so much resistance?
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I think it's because if we don't think these are people worth caring about, we don't think these are people whose lives are worth living, then why should we bother?
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I think that's probably true.
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Uh, and like the lady on the phone told me, it would bankrupt the system.
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And so it all comes down, uh most things in life might come down to money.
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And um I think you've hit the nail on the head.
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And I think the cost to care for these people um who are not at any fault of their own who got this disease, it I think you're exactly right.
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Why?
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And and it's like, but we don't know how much time we have left with them.
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And so why wouldn't we want to make it the best for them?
00:19:29.680 --> 00:19:36.160
I mean, I I it's it's a it's a great question because I've wrestled with that.
00:19:36.880 --> 00:19:43.359
And I think the most simple answer is money, but I think what you said is spot on.
00:19:43.839 --> 00:19:53.200
I mean, one reason I wrote the book was basically to ask people to take a walk with me and mom and to experience a life with dementia that was happy.
00:19:53.440 --> 00:20:00.720
And I have a friend who is in a situation similar to yours, not quite as extreme, who was taking care of her husband.
00:20:01.039 --> 00:20:05.839
And she said when she read the book, she said, I like the word hope.
00:20:06.079 --> 00:20:10.799
I have a harder time with joy because I wasn't experiencing joy.
00:20:10.960 --> 00:20:21.680
But it's the image of a hopeful future of dementia care that I care about, and that I want people to understand what that means and how they can help.
00:20:21.839 --> 00:20:31.039
I was talking to someone, you know, once, and and I said, you know, number one, we have abandoned everybody who's living with dementia, care partners, and those who are living with it.
00:20:31.279 --> 00:20:37.200
Getting into assisted living is exceedingly in expensive, even for the not so good ones.
00:20:37.680 --> 00:20:51.920
And that we should be paying home caregivers a wage that will enable them to have respite and enable them to get the things you need to bring joy and peace into your loved ones' life.
00:20:52.480 --> 00:20:58.480
That is absolutely all my dad and I want that we have been unable to get.
00:20:58.960 --> 00:21:06.960
And the the fact of the matter is for us, we're not gonna trust just anyone with my mom, you know, or with you know, my dad's wife.
00:21:07.119 --> 00:21:11.200
And that becomes hard to to pick and choose because you do hear the horror stories.
00:21:11.279 --> 00:21:17.119
And, you know, as long as we can, we don't uh honestly, we couldn't afford to have mom in a facility.