Monday, October 16, 2017

League of Black Collegians Workday

A figure of speech is a word or phrase that has a meaning other than the literal meaning. It can be a metaphor or simile. “My heart is beating.” is literal, an observable fact: 60 beats per minute.
A word or phrase used in a non-literal sense for rhetorical or vivid effect. “My heart is beating for you.” Is an expression of affection or support that does not have to have any knowledge of beats per minute. It sounds nice and can have a variety of effects related to real and imaginary situations. Metaphors are tricky.
Saturday our building manager volunteered to spike the 50 holes for milkweed with a large iron bar. I said, “If you hit a large rock, just move over a ways from the flag placed by the city conservationist. The flag does not represent the exact location for the hole.”
But the ground now has a number of large rocks on the surface. He did move over a ways. He put the bar at the edge of each offending rock and rolled it out rather than find a spot without a large rock. The rocks add something to the otherwise monotonous landscape. We thought we understood one another, but we did not. “Move over a ways” (1) to dig the hole and (2) to dig through rock, produce different results when accomplishing the same task.
Sunday I had this in mind when 30 members of the League of Black Collegians (LBC), MU, where here to plant the 50 milkweeds on the Provision Living Monarch Butterfly Sanctuary. I never labeled a team member with a shovel as the digger.
Several members had their music playing. I asked one, “Is that from the Internet or stored on your phone?” “On my phone.”
There is then more to metaphor than a term or phrase that changes meaning over time within a culture. Meaning also is related to who is the speaker and who is the listener, and the immediate situation, along with what is known of the history of usage (Jaynes, 1990). We both heard the same words.
Time and knowledge are constantly evolving new cultures (and leaving others behind). Without a common language being taught in schools (a fad, not too distant in the past, was for some schools to teach with the jargon used in the community) and common experiences growing up, a nation can only hope for the best, that people will strive to optimize their perceived needs in the short term, that promote the long term general welfare (LBC).
The Multicultural Mizzou Timeline from creation of the University in 1839 until now points out that new people from different cultures do not disappear into one look-alike and act-alike group. These students cannot be exactly like me nor can I be exactly like them. We speak different (English) languages and use different metaphors or the same metaphors with different meanings stretched out over 60 years.
We can learn to be friends and help each to succeed. The volunteer workday was a success in several ways. I was shocked to finally realize that the first black student to enter MU was the year I enlisted in the air force in 1950.
That GI Bill got me a PhD. The CBL is also promoting education, as the way out of poverty, and the ability to control one’s own affairs.
CBL October 15 photos.

Jaynes, Julian, 1990. The Origin of Consciousness in the Break Down of the Bicameral Mind, 2nd Ed. 491 pages. Houghton Mifflin Harcourt, New York.

Friday, September 8, 2017

Margaret's Rash

Yesterday I met a pair headed to an in-service training program. They were concerned about anything that might be of interest to the Provision Living staff from the resident’s family point of view.
Yesterday Margaret and I had our 6-month doctor checkup. We both felt about as good as it gets now, except for the reoccurring rash under her tummy fold and now also further down.
Dr. Hayes point of view was that the rash was not “reoccurring” but “ineffectively treated”; that has not been eradicated. I mentioned that Gold Bond medicated body powder and calmoseptine ointment seemed helpful. Her reply was Nystatin was needed and applied on an uninterrupted schedule twice a day until the skin Is fully recovered. (The one time prescription should do the job within one month.)
Our caregivers recently changed their schedule in putting Margaret to bed. Instead of waiting for her bedtime, about 9:00 pm, they are starting about 7:00 pm. They are then starting a 15-minute cycle to start the process two hours earlier.
Seated on the daybed; “Time for bed.”; holding a night gown. With any negative response, continue talking to her and teasing for an effective command.
If she leans fully back on the daybed and raises her feet, then remove her shoes, along with the usual request or description of what is being done.
A new person jumped aside, “She is kicking at me1” The new caregiver misread body language.
Once the process begins, accompanied with the usual banner (similar to an auctioneer’s chant except attention is now controlled by soft, short, well spaced speech) and motions; Margaret may well just sit there and undress and put on the nightgown herself.
On the other hand, at the first time a frown appears or a hand is raised; it is time to stop and just visit a bit and then start again. A couple of minutes visiting with me (letting Margaret continue with whatever has her attention) works too.
If the jaw drops, a fist is formed, or a hand points out the door, it is time to recycle back in about 15 minutes. Don’t push to the point she batters you with a fist.
When this works, the rash is treated properly. The sleep number bed even reports that I am getting a good night’s sleep: over a quality sore of 80%.
But this morning I found Margaret in her nightgown but still in her day cloths. The rash had not been treated? (I marvel at the way two or three caregivers can enter our apartment and care for Margaret and not wake me up.)
[6:50 am. Fire drill!!!  Margaret and I, and the guy across the hall walk to the gathering area.]
{Next day!! Between caring for Margaret, herding caterpillars and milkweed plants, yoga, my daily hour trimming seed stalks from Sericea lespedeza on the sanctuary, and a surprise 59th wedding anniversary party it was 9:00 pm by the time we turned in.]
The rash looked good yesterday morning, but not so good at bedtime. During the day I questioned if the Nystatin prescription had been delivered. I then called the doctor’s office. (I had a feeling that something was not right when we left the office. I forgot to check on the order.) The order had not been sent! It was sent. It arrived in a few hours, ready for yesterday night.
Now for a new plan. I stay in the apartment until Margaret is up the first time in the morning. Pull call string. Caretaker applies the Nystatin. (For months, I have been able to eat at 7:15 and get back to the apartment before Margaret is up.)
Execution of new plan. Margaret wakes up and looks ready to go to the bathroom. I pull the call string. Caregiver appears. Margaret is not ready to get up. Caregiver carries on with other duties until I call again.
I call. Caregiver appears without Nystatin. Returns from nurses station with the two old ointments. We search apartment. Find and apply Nystatin.
New plan: Lock Nystatin and Calmoseptine in my file cabinet. Call when Margaret is in the mood to shower, go to bed, or get up in the morning.
Margaret is not only becoming more distant, but a third Margaret is becoming more clearly evident, to me. I now believe the caregivers have been fully aware of the third Margaret from day one. This is a speechless compliant Margaret. It is different from a defiant, “worries”, sun downing and, in general, verbal Margaret.
It surprised me when we went to the doctor the other day. I told her we were going to the doctor after she was fully awake. There was no response. I told her she needed to get her cloths on, that I was holding, about an hour before we needed to leave. All went well. She had 30 minutes to play with her keepsakes.
I then told her it was time to go to the doctor. She marched out the door!! She did not have to check on a dozen things requiring numerous trips back into the apartment, including checking the bathroom several times.
She was in a state that she often appears when caregivers talk to her for up to several minutes terminating with a “yes” head nod. She then does as directed or what she needs to do, often, without direction.
This morning I handed the caregiver the Nystatin from our lockable filing cabinet. She said she also had a tube in the medicine cabinet in the nurse office.  Two tubes!!
We checked on the directions: “Apply twice daily”. The computer said “Apply as needed”. The computer was updated.
My error was I should have given the nurse a copy of the order to get it into the system correctly. Or when a prescription shows up, the caregiver checks the directions as was done this morning on the arrival of the second tube.
It is things like this and Margaret’s mood swings, when they disrupt scheduled events, that still set my back into spasms. The fitness classes, meditation, standing up properly, and not missing my exercises before getting up in the morning; that are what still keep me away from physical therapy or a chiropractor.
[A couple of days later after no successful application of a “new plan.”]
[Friday night “Apply twice daily to the affected area.” As I came back to the apartment from working on the Butterfly Sanctuary, I saw ointment being applied to Margaret’s face. I questioned this.
Last night about ½ of the tube, that I have, has been used in a few applications to her tummy fold area.]
The computer instruction was to apply ointment to the affected area. The ointment for Margaret’s face was no longer in the medicine cabinet, so the switch to Nystatin. Both prescriptions were to be applied “to the affected area”; by well trained caregivers, who know Margaret well, on three different shifts. It appears that the affected area must be identified and the rate of application also given.
Today we got to 9:00 am Margaret’s time at 3:00 pm our time; according to plan. Margaret is in general in good spirits. Were we in skilled-nursing, as we were in South Hampton Place, she would be highly sedated (calmed). Her caregiver time is increasing in getting up and going to bed.
Since this “two day” episode has now spanned 10 days, I am stopping here. It gives you a glimpse of the world we live in. We are tagging the next 25 monarch butterflies we raise fed on milkweed leaves from my older brother’s farm. Trimming invasive plants from the butterfly sanctuary an hour a day is a good distraction for me.
Relatives need to be very patient and not afraid to question everything. The simplest event can turn into a 30 minute ordeal if you are not flexible.

9:00 pm "Here comes the calvary!"  I asked Margaret if she was ready for bed. "Yes" Pulled call. Three familiar caregivers marched in to a cooperative Margaret. Ten minutes later they were on there way. With that woman power, they could work with Margaret as if a little doll: clothes off, ointment, nightgown on, and fully into bed (no foot on floor).  New plan worked.

Next morning after post. It occurred to me that the almost empty tube of ointment had been used for 10 days rather than just a few days. Time only passes with the caterpillars getting bigger, pupating, and emerging as adults butterflies. 

Wednesday, August 16, 2017

My Fitness Program

My Fitness Program
Fitness is not an absence of illness. Fitness in residential care is not “pumping iron” to your maximum performance (no pain; no gain). Fitness in residential care is gain without pain.
Fitness, I have learned over a year of attending weight training, stretching, better balance, yoga, tai chi, and meditation classes, requires an awareness of self and of well being. This involves mind memory and muscle memory.
There is no single fixed standard of performance for everyone. Each person follows the instructor to complete an exercise as presented, or limits the range of motion, or drops out at the first sign of pain. As a consequence the classes are for everyone.
If in a weight training class, ask for a lighter weight, or just continue without a weight. All other activities can be performed at a slower pace or with a reduced range of motion when doing them for the first times.
Our yoga instructor was bitten by a little brown recluse spider. Her substitute complemented the class on our ability to perform as she was directing. New class members remind us of how we performed at first. All the instructors spend some time putting them at ease; there is no need to be embarrassed. “What happens in fitness class stays in fitness class.”
In time we have been lead through approaching 100 exercises plus homework; that I remember no more than the exercises. The rapidly changing exercises each blot out the previous one. Some make a profound difference in how my back feels.
These I ask about at the end of class. I get checked to see that I am doing them correctly. They are exercises I am building my fitness program on.
Often the instructor will ask if there are any issues that need attention at the start of a class. Exercises that address these issues are then included in the class. This is the second source of exercises for my own fitness program.
[Two weeks have past since I started this post. After a week of feeling better each day, that prompted me to start writing, I had this feeling once again that the basic problem was creeping in again. Others also noticed the change in my posture.
My time was easily used up working on weed control on a mound with 45-degree sides. Here we will plant milkweeds this fall that are in containers this summer. I am also designing a caterpillar nursery for the residents. These distractions take my mind off back pain. Sudoku also makes a good distraction while I wait for the spasms to go away.]
My first source of exercises for my own fitness program is a collection of “exercises you can do in bed” before you get up in the morning. I collected these several years before moving to residential care. BUT I did them with “no pain/no gain”. Now I have the awareness of self so I can respond correctly to instruction AND to freelancing effectively. Sitting up straight is automatic with the start of class. I walk differently. These all help with the back pain.
I walked almost normally to breakfast and the rest of the day. I also arrived at a new level of exercise before getting out of bed. Repetition of the exact same sequence of exercises seems to become ineffective in solving the back pain problem.
PAIN. There is “stop in your tracks” pain. There is it hurts from 1 to 10. There is an awareness of pain and a dread of it coming back. There is “it just feels good”. And something new to me: a gentle tingling awareness in THE SPOT. A sharp jab hurts. Don’t do that. Follow the “painting” instructions below.
Up to now I was planning to describe the set of exercises I have been doing. You can find dozens of good sets on the Internet: back pain exercises. It is how you do them that is important and if they are of any help. Also when a stretching exercise becomes very easy to do and seems ineffective, it is time to switch in another one.
For example: After doing some basic stretching exercises that just feel good. I then return to exploring a spot on my right lower back. The same exercise that has no pain on my left side, does have pain on my right side. At this point my back does not hurt at all.
For me, drawing a circle with my right knee HITS the SPOT. So back off. SLOWLY repeat in a SMALL circle no more that three times. Do another exercise on another part of the body or a few of them. Now return to the SPOT. Slowly paint out the pain. No more that three times.
[To do this effectively, you must concentrate on that ONE SPOT. We have been taught to concentrate on the one muscle or set of muscles at a time in class.]
BUT, that helped, but did not get rid of the back pain when walking. I then worked with a number of stretches of my own design to find the next SPOT. Using my leg muscles to lift my hips as high as possible. Breath. Lower down at the shoulder blades, the waist, and then the hips until my feet rise from the bed. This sends a ripple from the shoulder blades to the tailbone. It should feel good.
Now I can also sense the beginning of pain or the tingling at new SPOTS in my back away from the backbone. This morning I moved my back in a curricular rolling motion with my heals near my bottom.
On a sleep number bed, a classy air mattress, this produces a fair back massage. I then stretched, twisted, and turned, slowly, until I painted out the most prominent SPOT (visualized moving a pressure point slowly around the SPOT until it numbed or failed to be recognized).
I am now looking forward to painting out a number of SPOTS. Our fitness classes are good for general fitness. Working on new SPOTS maintains fitness and hopefully gets to the real cause of my back pain (beyond caregiver stress, etc.).
I still have a concern about what is taking place. I do not want this to be another case of self-hypnosis that prevents a true diagnosis and healing.
In general, I am feeling good. I can keep up with the city conservationist working on the Provision Living at Columbia Monarch Butterfly Sanctuary on 45-degree slopes. And the sleep number bed is rating my sleep quality at or near 90%.
What I cannot do is get in a hurry when walking or spend too much time getting my wife out the door of our apartment without a back muscle spasm. The spasms do affect my legs, unsteadiness, but are now more of an ache than a pain. A few minutes of sitting down, Sudoku, or conversation are easy distracters and “cures”.
[3:00. “Mr. Richard, we need your help. Margaret is loose in the hall.”  She had resisted having her second sock removed by the toe nurse in assisted living. I walked her back to the office and had no problem getting things set for doing the second foot.]
My back did not bother as I jogged about a city block. It did not bother while attending her needs during work on the last foot (I did sit in a chair most of the time). My back is not bothering now.
During the last week, I explored the sleep number bed settings. Lowering the pressure made things worse. Returning to normal and lowering my head made things better.
The question remains: bed, posture, stress, exercise or a bit of each in a never to be found one fixed setting for each. We are dealing with a dynamic system (what hurts one day may not on another and visa versa):
1.    Learn enough exercises to populate a 20 to 30 minute wake up program.
2.    Learn to recognize pain indicators and tingles (before things hurt).
3.    Cruse the Internet or invent your own stretches to search for SPOTS.
4.    Direct full attention to painting out one SPOT at a time.
5.    Inter mix stretches and painting as time permits.

6.    Maintain the classroom tradition: “Have fun. Feel good.”

Sunday, July 30, 2017

Feeling Good

A few times a year I wake up just feeling good. It often happens after a family reunion. This morning I will attribute it to the monarch butterfly egg search yesterday.
About a dozen people gathered at the 3M Flat Branch-Hinkson Creek Wetlands shelter. I took a 6 qt plastic box with caterpillars of various sizes, related to the temperature they were held, and another box where a caterpillar had fastened itself to the lid in preparation for its next stage in life.
We spent an hour finding eggs and caterpillars of various sizes. And visiting. It was just fun to share each find, and why each person had come, and how they found the shelter. I was among people of all ages with a common interest. I have new email friends. For an hour my back did not bother.
Then it did. I rested as soon as the spasm started. That took two stops in ½ mile. One of my new friends asked which of three ways people used to find the shelter I had used. “I will help you take stuff up to your car if you will give me a ride to my car, over a mile away.” Kimberly had left me her milkweed display to feed my caterpillars. Deal.
Feeling good must also be related to my new fitness program that builds on the Provision Living fitness program. It takes me 15-20 minutes to repeat the  “before you get out of bed” movements I learned before leaving our house. Only now I do them in the slow, graceful, non-straining, style of yoga and tai chi, including an awareness shared from meditation. I just bought a wall clock with a second hand. I am learning to count breathing when my eyes are closed (no clocks when yoga was invented).
Each stretching movement is only repeated three times (or if it just feels good maybe five). The idea is to awaken the body one muscle at a time. This makes it possible to figure out which muscle is a problem. Then assume stretches that work that muscle without hurting, no more than three times.
Feeling good is also related to the care my wife receives. Her persistent-tummy fold rash during hot weather has been a real botheration. It takes less than five minutes to clean, dry, and powder, when she will permit doing it. What has bothered me is my need to keep track of this and call again after each failure to get the job done. This is not a problem with long term caregivers to whom my wife has bonded. That now leaves getting her teeth brushed and pills daily.
I no longer worry about my wife receiving good care if I am not here to referee. Even the smallest experienced caregiver seems resilient to my wife’s responses when her dementia personality takes over. There is an increasing need for patience and split second timing. The good timing in getting my wife to bed for the past 3-4 days has resulted in my sleep number bed, sleep quality score, increasing from below 70 to above 80.
The August 7, 2017, issue of Time was on the stand where I pick up the newspaper this morning. It reviews drug free treatments for depression. They include exercise (move), cognitive behavioral therapy (identify the problem), behavioral activation therapy (active group participation), and mindfulness training (awareness of self). All of these are presented in a different mix in the fitness classes at Provision Living at Columbia. Everyone participates within their limitations in memory care. Assisted living residents select participation.
11:11 am. I just learned that my wife was up, happy, and talking, yesterday when I was gone for two hours. This morning is the exact opposite. She refuses to dress, is scowling, and has not said a word. Her attention is only on her keepsakes. Is this the typical bad day following a real good day? Or does my presence make the difference? Is this a problem or not?
12:10 pm. Our lunch delivered to our room! Margaret’s napkin and silverware are missing in the picture. In the time everything was transferred from the cart to our table, it snuggled in under stuff in the lowest bookcase shelf. 
The Crossing at Columbia, MO, is playing on my computer (Christians are happier, healthier and live longer lives than atheist; I can replay what I missed from the Internet). The Time article is on my desk and the monarch caterpillars are happily feeding in the 6 qt boxes.
12:25 pm. The fifth attempt to give her morning medications. Her first speech today! Very clear. It startled both the caregiver and me. It may be a good day after all.
1:15 pm. My older brother and his wife come each Sunday. We Facetime with my youngest brother and Margaret’s youngest sister in Indiana. “Oh, I am sorry, you are having company.” I motion for the caregiver to come on in. She picks up on using our company as a distraction. “Here Maggie is your medicine.” Down it goes. Maggie is a happy camper. I am too.

Tuesday, July 11, 2017

Certificate of Need

The setup is simple. A facility has a hundred rooms or units. Ten have two bedrooms. That can count as 110 beds.

Rent a two-bed unit to one person and you have one extra bed. Rent a one-bed unit to a couple and you loose a one-bed unit to rent.

No one, it seems, foresaw the increase in the need for couples. Three companies were at the Missouri Health Facilities Review Committee (MHFRC) hearing yesterday to request additional rooms to adjust to the changing market with no additional cost or change in rooms or units.

Provision Living at Columbia was tenth in line. The company before us asked for 30 additional beds. The presentation seemed to be a perfect introduction for Provision Living’s request. Couples moving into memory care was far more common than I was aware of. My wife and I were not very unique in doing this. Then, something when wrong.

Asking for so many beds made it suspect of “dirty tricks” that I will discuss later. The issue was decided by granting half the requested number of beds.

Kim made a clear short presentation, building on what had already be presented.

A short discussion followed Kim’s presentation among the committee about having set a precedent of granting half of such requests for correcting bed counts for couples. We were in trouble.

The committee was about to vote when the attorney reported they had one more person: me. Most presenters, like me, had been cut off at a three-minute time limit.

I replaced my one-page discussion with the suggested talking points by the attorney plus my wife’s request:

1.    Married 59 years, in another month.
2.    Cared for wife at home, with health care for one year.
3.    “Don’t put me in an institution.” We stay together.
4.    Residential Care for Two blog on our struggles to find care.
5.    A reasonable second person fee makes this possible.
“You are out of time.”

Immediately the person who makes the motion for the committee to second and vote on, did so. "Second." Vote: All yeas. The five-hour wait was over. The attorney knew what we needed to do.

The Certificate of Need was created in 1974 when hospitals were building far more rooms than needed. To remain profitable, they had to divide the cost of the empty beds among those that were used.

So; simple; control the number of hospital beds and lower the cost to patients. The federal law was repealed in 1987. Several states then dropped their CON law too. In general, normal business competition will determine what companies will thrive or go bankrupt. The rest retained the Certificate of Need.

The Certificate of Need, in Missouri, adds another layer of competition and politics. The committee is composed of state representatives and senators and a few other people who seemed to be well versed in the law. They seemed to work very well with one another. Their humor livened up a long meeting.

In general, each company was able to find lawyers and expert consultants to verify the validity of their requests. One attorney even took a position for one company and against the same position for another company!

One case took about two-hours with many people presenting. They had everything in order to start building except for the Certificate of Need. Their manipulation of the facts and non-facts was highly creative.

This left them open to the only presentations we heard that were against granting a Certificate of Need. Their ten million dollar investment was deigned a certificate.  

Those speaking against the request, provided a fascinating insight into the residential care industry in St. Louis. The labor market is in trouble. There are not enough people to staff new assisted-living facilities. (Assisted Living here includes Memory Care.)

This results in new facilities hiring away from existing facilities. Wages rise. Worker satisfaction increases. Overtime increases. And turnover goes from 100% to as high as 125% a year. They like the work and the money but not the hours.

This has an effect on residents in assisted living but is crucial for residents in memory care. You need to ask a facility, “What amount of overtime is needed in memory care?” and “What is the turnover rate in memory care?”

I ran into the entire set of our caretakers this morning on my way to breakfast. They were visiting at the change of shifts. I was concerned if my wife’s weight was a problem when she got up from a bed. How much had she gained? Two ounces in the last month. They each commented on their observations. They were way ahead of me. This could not be possible with a high turnover rate.

If the facility with 100 rooms with 10 with two beds (110 total beds) has 80% rented (88 beds) is granted 20 more beds (130 total beds) it then changes rank from 80% occupancy to 68% occupancy.

Dirty tricks is to request a large number of beds to prevent other companies from building in competition, or adjusting beds, to meet the need for couples. The committee seemed to make projections on need based on the fixed average of past years rather than on the every increasing rate of need for couples.

One must wait two years before another request can be made. This forces one to request the most beds the committee will possibly accept. Dirty tricks thus contains two games.

One of the committee members brought up a third game that may be being played but which they question the legality: Rent a bed in a room that falls under their jurisdiction and then rent the same room (and possibly the same bed) to a spouse as a second person, independent care; that does not fall under their jurisdiction.

We learned at the Residents Council meeting this afternoon that the additional beds Provision Living at Columbia were granted will allow several waiting couples to move in over the next few months. An equilibrium in bed use between couples and singles may not exceed the new bed assignment limit during the next two years or it may.

Saturday, June 17, 2017

Mythos and Logos

I just finished reading “The Battle for God, A History of Fundamentalism” by Karen Armstrong. The book was mentioned in the Columbia Tribune last week. Karen Armstrong was the recipient of a high award in Spain for her books on religion.

Living and working in an academic environment, I have experienced part of the events she reviews. It is like having lived the past 70 years looking out at the world through a square inch hole. The book presents the entire view in a perspective that I was not at all aware of. I knew of events, but had no idea of how they may fit together.

My response to students from the monastery near Maryville, who did well in the General Biology course until the word evolution came came in to view, was to say, “Don’t limit your God. Because we now know something about how creation works, that does not take anything away from God. Actually it makes creation more marvelous as we can now appreciate how it works. AND is still working. The creation is not finished.”

I got a surprise this morning from the little robot that lives with us. I carry it in my pocket. It evolved just a decade ago.

Last night I clicked the alarm for 6:00 am. This was about the fourth day. I wanted to get to breakfast when it opened. Since about six of us eat about the same thing each morning, the server greets us with “special” or “the usual”. We do not have to wait to be waited on as is the case later on with the dining hall filling up.

Click. A menu popped up requesting me to respond to a bedtime application. My iPhone was smart enough to know what I was doing. I filled in the need information and went to sleep.

This morning I was partially awakened by someone’s music. It varied from soft to louder, with each cycle getting a bit louder. This went on for six minutes before it occurred to me what was happening: this was my wakeup call. The genie in the sleep number bed reported that I actually woke up at 6:00 and then waited six minutes (restless time) to get out of bed.

We need myth and logic: religion and reason; God and science. Our relatives in San Antonio introduced us to the Saturday afternoon non-denominational community mega-church. Provision Living at Columbia streams the Crossroads community church here in Columbia into the theater. Members of the church, who now view the service with us in the theater, report that the theater overstuffed chairs are a great improvement over pews for the elderly.

Myth looks back in time. Logic looks forward in time. Each has it place in human existence. Some people believe in myth, some in logic, and others in both. There is nothing wrong in believing in both. In fact, what I get from the book, is believing in both is healthier than in just one.
The book makes a good case that modern man has great difficulty in thinking like the pre-modern myth thinkers. More than one event in the Middle East was pulled of with the expectation that the end result would spontaneously develop as expected with the actors only starting the event. Applying myth were logic is needed can get yourself killed (and a lot of other people too).

During the time I have been reading, I have also been attending a meditation class three times a week.

God spoke to the Jews in dreams. The Moslem tradition is based on meditation.

I have reacted the point where time is lost. It is also difficult to tell when I am asleep or just suspended inside an empty shell of my body. The number bed reports that I am asleep for say 30 minutes when I judge the time to be less than five minutes. I really need to get something to replace the BASIC body monitor that includes heartbeat, sweat, and skin temperature.

Also my inward directed experience is still pretty much a swirl of grey clouds. I have yet to get a clear color picture of the things mentioned in the guided medication.

The most puzzling thing is that before, I would go directly back to sleep if I got up in the night. Now that I am interested in defining sleep, it may take several minutes. It seems that wanting to got back to sleep quickly may produce the opposite effect. I think I am having that same problem with meditation. "Relax."

The sleep number bed can sense heartbeat, motion, and breath rate. This produces restful, restless, and out of bed. This is logical. The leap to sleep is myth.

The report states that it took me 45 minutes to fall asleep. It also shows that the first hour in bed was 49 minutes restful followed by eight minutes restless. This means being restful does not require me being asleep.

The three red out of bed bars are of uniform size but represent different times of being out of bed and restless: 1 minute out of bed/3 minutes restless; 3 minutes out of bed/3 minutes restless, and 2 minutes out of bed with 1 minute before and 6 minutes after restless. [The blue shaded one-hour slider provides these details.] That means it takes 45 minutes to define sleep the first time and 3 to 6 minutes later on. The software "learns" based on averages, to my knowledge.

The facts are interesting but they do not define the time I am asleep. It took 45 minutes for the sleep number bed to figure out that I may be asleep at the start of the night. It then calls sleep after just a few minutes after being up at night. My experience with meditation doubts this call. To say that I went to sleep AT 45 minutes is a myth. Marketing often includes easy to accept myths.

I am truly asleep when I am unconscious. When a weight falls from my hand at night, I figure I must be asleep. I will give it a try. I will also see what happens during meditation in the same way.

Thursday, June 1, 2017

Maggie's Milkweed Mystery

This is one of the most difficult posts I have written. It has taken a week. Up to now I could play the part of independent observer as my wife and I traveled this tangled path from health to passing. Even after being on this journey over three years, it was not really real.

It was scary.  The heart fibrillation in December was real scary. The line between life and death was razor thin (three to five minutes). But it was not really real as she recovered. She still continues to talk in the morning, to laugh, to tease, to be pretty much herself until the “worries” catch her. Her drift from her world, in and out of our world, in the activity area is now “normal” for both of us.

Her world is most characterized by the random collection and distribution of anything she can put in her pocket, or at times, pick up and move anywhere in memory care. She shares with a few others the need to be given notice, and time, before having something of interest removed from her or her table space. A violation can bring a quick punch. “May I take this? May I wash this? May I . . . “, yields a safe way to proceed. [A few other similar residents express themselves by a loud yell or a strong grip.]

Part of 300 Milkweed Plants
Then I became active on the monarch butterfly sanctuary (see previous post). We needed milkweeds to feed monarch caterpillars. It took three years for my wife to create the milkweed garden in our backyard from seed. It produced over 300 plants each year. We needed a faster way to do that here.

I found two packets of seed at Wal-Mart for butterfly weed. One with just seed and the other with coated seeds (experiment!). I also got a 36-cell seed starter kit.       

Milkweed Seeds
I put a few seeds of each kind on a shallow dish of water. The coated seeds sank to the bottom. The uncoated seeds floated until I touched them. The floating seeds germinated in three days on the south window ledge (17 April).

I added a piece of white paper towel to the dish with all the seeds on top. Now all had maximum access to oxygen in the air. The remaining seeds then germinated over a period of more than a week. They also endured several trips to various parts of our apartment; some times more than one trip a day.

Two Expanded Disks
The seed starter kit was watered. The little disks of compressed peat expanded into little brown haycocks. I transferred the very new seedlings and added enough uncoated seeds to fill all 36 expanded disks. 

Another Missing
A few days later two of the disks were missing. I found them in her bathroom toiletry tray (23 April).

A week later another went missing. I did not find it. There was fiber on the bathroom sink drain (2 May).

Crumbs on Daybed

Then one of the best three plants, that was first to germinate, went missing. Crumbs were on the daybed sheet (7 May).

Third Best Missing
The third best plant is missing (9 May). Why did she pick the three best plants; about an inch taller than the rest?

A caregiver was in the apartment as Maggie turned from the window behind the daybed. She had an expanded disk in hand with part of it in her mouth. I was shocked (The caregiver was amused. This was nothing new to her). Maggie could not tell the difference between a chocolate candy haycock (?) and the expanded disks?

Yet another plant is gone (19 May). I found it under the heat exchanger behind the daybed (20 May). [It is still there.]

The next day the entire tray traveled to the dining room table during the night (20 May). She has not bothered the remaining plants, since part were transplanted outdoors (29 May).

We have removed everything in the apartment that she can eat that could be harmful or it is locked in the file cabinet. Newly purchased garden tools are all in the car trunk that is parked by our apartment and milkweed patch.

She fell as I was writing on this, this morning. Her legs were badly twisted. Once again she seems unharmed. We will know in a couple of days. Time to go to lunch (dinner in the old days).

We will never know if Maggie ate one of the disks including a milkweed. We may still find one on our next through search of the apartment.

Last night, Maggie said, “I don’t know what I want to do”, when we went on a walk after supper. She really is now a creature of the moment. We need to clear out the apartment down to things she still likes and that can be seen on the shelving. The things in the sorting boxes have served their purpose and are now extra baggage.

[Back in from watering the milkweeds. The nurse said the flower decorations from the Monarch Butterfly Sanctuary on the memory care tables were removed because Maggie was eating them.]

I must now accept that all of this is real. Happiness is now dependent upon the environment skilled caregivers create in this building, fully restored (and improved) from the flood. I still have a role to play here in, “I need your help, getting these pills down and getting . . .’ when there is not another caregiver to hand Maggie off to when things do not go as expected for the present caregiver.

From time to time during the day, she still misses me. I seem to love her more each day. For now our bond grows stronger as I spend several hours a day staging getting dressed and other daily activities (including all hours of the night). [I get in lots of naps.]