October 18, 2019 is day I will never forget. On that morning, one of my worst fears was realized when I found my grandmother on floor of her bedroom after she had a stroke. I have no idea how long she had been on the ground, as I hadn’t heard anything from my bedroom upstairs. This doesn’t surprise me when just a few days before a big tree fell mere inches from my front door and I didn’t hear a thing.
When my grandmother, my Wela, came to live with Elio and I, I was a bit nervous. She is one feisty little lady and had some type of conflict everywhere she lived. I wasn’t sure how having her in our home would impact our lives. Needless to say, it was a huge impact. All of a sudden, I had to answer to someone who needed constant attention. It was also obvious that she was becoming more forgetful. The more she forgot, the more aggressive she became. We constantly fought and I always felt I wasn’t doing enough. She was never happy with anything I did. I could never win, no matter how hard I tried.
We had her tested and she was diagnosed with Alzheimer’s and vascular dementia. It was official, she was diagnosed with a condition that would only get worse. There would be no magic pill or treatment to cure her. Once again, I was at a loss as to how this was going to impact our relationship. Thankfully, it was progressing slowly and I assumed we had time. You know what they say when you assume. Not only did the stroke affect her ability to speak clearly but it also seemed to progress the dementia.
When she was discharged from the hospital, she was sent for a short term stay at a nursing home. Everyday she would complain about being there and just wanted to come home. I knew she would be in the home for at least two weeks because she needed PT and ST. We would have weekly care meetings and the nurse and therapeutic staff would discuss how she was progressing. After each meeting, it came back to the same thing, she would need 24 hour care in order to be discharged. 24 hour care?!?! How would I be able to provide that for her? I didnt ever hear when she fell. How could I ensure that she was safely taken care of?
We applied to various agencies for assistance but it didnt seem that we would be approved for in care home assistance. Without financial assistance, we wouldn’t be able to hire someone for her. Even with all this, I figured I had to suck it up and figure out a way to bring her home. What kind of grand daughter would I be not to?? This lady had done so much for so many and here I was giving up on her. Was I scared? YES! I was terrified but I figured I’d find a way.
My opinion changed when I went to see my primary doctor and she asked me about how I was doing. I explained Wela’s situation to her and how I was trying to figure out to bring her home. Empathetically, she questioned if that was the right call. She explained that to bring her home would be to give up my life for my Wela. I wouldn’t be able to do basic things such as run errands because Wela couldn’t be left alone. I thought, well I could always ask someone to stay with her. But then I had to really think about it. Before the stroke, I always felt like if I had a child that couldn’t be left alone for too long. Now she would need even more care. Would I be able to mentally and physically handle that toll?
After careful consideration, I realized that I couldn’t. The best place for her would be long term care at the home. I discussed it at length with Brenda, my sister, and she was there when I informed Abuela. She seemed resigned to the news and eventually, she was moved to the long term unit. Having her in the home long term was no easy task. For one, she doesn’t speak English and the little she understood was destroyed by the stroke. She also refuses to eat the food at the home. For the last two years, her daughter has prepared her meals for the week and brings them up to her every week. Initially, I tried to compensate for my decision by visiting her every night. Yes, every night, after a long day at work, I would go spend 1 -2 hours with her. This was exhausting but I felt I had to.
Eventually, I started cutting back my visits from daily to 3 - 4 times a week. When the world first shut down due to COVID, I am slightly ashamed to say I was relieved. I could take a break from that task and it wasn’t my fault or doing. However, after a few days, I was overcomes with guilt. Talking to Wela on the phone was painful, as she would tell me she missed me and our nightly routine. There was nothing I could really do to comfort her. I tried calling her often but as the dementia creeped in, phone calls were increasingly harder to get through. I was racked with guilt by this point. I made the painful decision to leave her there and now she was completely isolated from everyone.
If my own guilt wasn’t enough, she also blamed me. She has decided that I told the doctor she was “crazy” in order to get rid of her because I didnt want her in my home. At times she would also promise that she wouldn’t fight so much with me, as if that would change my mind and I would bring her home. The first day we were finally able to see her, after almost 3 long months, the first words out of her mouth was that she dying to leave the home. This broke my heart because no matter what I said, I couldn’t get her to see that she was in the home because of her medical needs and not as a punishment. People often tell me how I’m such a good grand daughter or she is lucky to have me. While I smile and thank them, I cant say that I agree. I don’t feel like I deserve any praise or kudos. After all, aren’t I the one who put her in there?
It has been almost 2 years that she has been in that home. Her daughter has continued to cook for her weekly and I visit her at least once a week to take her out for the day. Usually on Sunday mornings, I pick her up and take her out of the home. Sometimes we go shopping or drive her to the Bronx. I know she enjoys getting out of the home and just being out and about. She is slowly declining and struggles to speak a little more every day. Because of this, we don’t talk a lot when we’re together but I’ve come to really enjoy that time. I put Pandora on a “tropical radio” station and hope that she enjoys it as well.
Spending these days with her makes me look back at the months she lived with me with a little regret, Why couldn’t we get a long like this? Why did I lose my patience so easily? Why didn’t I realize that her condition was affecting her more than I originally thought and try to be more patient? Logically, I know that she is in the best place due to all of her medical needs. Emotionally, I still struggle with the guilt. Mainly, I struggle because I know that she still thinks that I just dont want her in my home and there is no way for me to convince her other wise. Hopefully, somewhere deep down she knows how much I love her and how I would bring her home if it were possible.
What is possible, is for me to take her out every week. We spend the day together and when I drop off, just before I leave, I take a selfie with her. Brenda recently joked that they’re all starting to look the same but for me, its a way to remember our time. They also serve as reminder that while I’ve made mistakes, I am doing the best I can.
As always, thank you for reading and take care!!