Spirit take flight

Death from memory loss is a mixed bag for families.

In the past, the average time to death from Alzheimer’s was 8 years. I don’t find a number on the CDC website, CDC Alzheimer’s. I find these statistics:

  • Alzheimer’s disease is one of the top 10 leading causes of death in the United States.2
  • The 6th leading cause of death among US adults.
  • The 5th leading cause of death among adults aged 65 years or older.3

The site also says that the number of people with Alzheimer’s doubles every five years after age 65. Sigh. Those numbers are the same ones that they taught me years ago, in a different format. 6% at age 60, then 2% more every year. By 70, 26%, by 80, 46%, by 90 66%. Like hypertension, if you live long enough, you may well get it. And yet, I have had patients over 100 years old with intact memories.

The death of a family member with memory loss can have complicated grief. On the one hand, loss and grief. On the other, a burden is lifted. If the person is in memory care, the cost may be very heavy. In our town, the memory care facility costs $7000 per month. That is a heavy burden to carry when the person no longer recognizes the family or speaks. The family may feel hugely relieved when their person passes and at the same time, feel guilty. This is someone that they love and loved. And yet, they are relieved by death. I think of it as a patient of mine described it: “The grief group at the hospital said that my husband isn’t gone. I said, yes he is, he just left his body.” It is very very hard for a family to watch their loved one deteriorate, lose skills, become confused and/or frightened and/or paranoid and the process can happen for years. With an average death at 8 years, some people live beyond 8. Maybe 12 years. It is very hard.

Blessings on those who care for the memory loss people and the families who do their best for them. Alzheimer’s is one sort of dementia, but we now have many. Pick’s disease, frontotemporal dementia, Parkinson’s dementia, multi stroke dementia, alcohol induced dementia, illegal drug dementia, primary progressive supranuclear palsy, and others.

The spirit has already taken wing and let the body follow.

For the Ragtag Daily Prompt: wing.

My son took the photograph while he was visiting.

Here is the top ten causes of death in 2022: https://www.cdc.gov/nchs/data/databriefs/db492.pdf.

lost wings

every time a bell rings an angel gets its wings

what sound is the opposite of a bell?

a bell that has lost its tongue? its voice?

a silence when shaken?

a bell rung that doesn’t speak

an angel’s wings are lost

what have they done?

how have they failed?

and why

_____________

the ineffable silence

remains

Wings

I try out
for a solo
singing

my director
is pleased
I am growing

she says
I am beautiful

she says
I look like a different person

she knows
a little of what I have weathered


my patient
is 86

and her husband died
in December

she misses him so

as she comes into the room
one day

she says
you look as if you have wings
and are ready to take off

and I freeze
for a moment

in surprise

that she can see
my wings.

eagle angle 9

For the Ragtag Daily Prompt: flight.

This photograph delights me. The young eagle is so ruffled and scruffy compared to the parent. Feathers all every which way, like a gangly teenager. And looks a bit sullen and grumpy, too. My teens were certainly hungry all the time and I suspect that the eagles were out because they are hungry too, so early in the spring.

Thank you, eagles!

As we walk away from the tree, here is a shot back. Both are still present but you do have to look for them. I look for the shape from a distance.

Adult and juvenile eagles high in a tree.
Adult and juvenile eagles high in a tree.

bottle joy

For photrablogger’s Mundane Monday: Bottles.

Here is a fabulous use for a bottle, to feed Tictoc and our other hummingbirds. We read and found that the Anna’s hummingbird winters in our area, so she is an Anna’s and we are not messing up migration.

The plastic bit at the top broke in high winds, so I improvised a hanger cage with picture wire. I can gently fold it back to refill the feeder when it is empty.

“Look, mom, no wings!” or maybe: “Hey, your camera cannot keep up with me!”

I am sorry about the wings

I am sorry about the wings

During the massage today
my poor back aches so
where my wings should be

Guilt

If the Beloved gives me wings
I should fly

but I would rather be in the water
I feel so much safer here

and then I think
maybe I should stop
jumping off of cliffs…..

I should stop jumping off of cliffs….

I follow that thought
I should stay in the water
keep my tail and scales

I have come out so many times

lately only for you

you will not come in the water

you don’t want to hear me sing

you want me to be silent and listen

you want me to agree about the past

and collapse

I say here

here is the future

I can see it
and you don’t answer

you don’t listen
when I return to the sea

you call me
and you come to the edge of the sea
to call me
but you won’t come in

I have come out to you
on those painful legs
for which I sacrifice my voice

you would have scales and a tail
if you came to me
come to the future with me

we will meet at the edge of the sea
me in the sea
you on the beach
and talk

but this is goodbye
I won’t come out again

and I say to the Beloved
I am sorry about the wings
I will use the wings

my back was so sore
where the wings were

the wings are back

I still have my scales and tail

I rise to the surface of the sea
I spread my wings
scales, tail and wings

I begin

now I will fly

8/3/16

Another fog photograph from last Saturday. Why don’t we spell it phog?

I miss your skin

I miss your skin

the planes of shoulder blades
layers of muscle overlying them
the trapezius sweeping up to the base of the skull
and down to the tenth vertebrae
like a wing pointed inwards
on your back
and attached to bones

more and more in clinic
I pull out Netter’s beautiful drawings
and show people the bones
and that the bones are not just floating
in a sea of muscle and organs
every bone is attached to muscles
to tendons to ligaments
together in an elaborate
beautiful
working system
and if one muscle is torn too loose
or tightens to protect itself
and heals scarred calcified
too short
it pulls on the other muscles
and tendons and bones

I miss your skin
your muscle
your tendons
your ligaments
your bones

and all the rest

 

I took the photograph in the boatyard in 2016. Sometimes I dream I have feathers….