Showing posts with label aging. Show all posts
Showing posts with label aging. Show all posts

September 4, 2016

Getting sick of being busy

Dear Bloggers, 
 
My thoughts are spinning through my head as I write this down tears are running down my cheeks. It is very sad how beloved persons are slipping through our fingers. The brain is a strange peace of equipment and it can do strange things. I just drove home from a night shift as my mind was running around in circles.



Thinking about the roller coaster life that I am leading. Outside there is nothing left of the summer weather as rain bashes on my screen and the smell of a died out fireplace enters the car. My wife is having trouble again with her anxiety, our kids went to new schools this week and my mother in law has been taken into care as she is suffering from Parkinson's an Dementia my father in law is not able anymore to take the full day and night care of her. It is pretty tough for both of them. But the home were she stays is giving her good care.


Dementia is often viewed as a disease of the mind, an illness that erases treasured memories but leaves the body intact.

But dementia is a physical illness, too and a progressive, terminal disease that shuts down the body as it attacks the brain. Although the early stages can last for years, the life expectancy of a patient with advanced dementia is similar to that of a patient with advanced cancer.
 

The continued focus on treatment to prolong life often means that pain relief is inadequate, and symptoms like confusion and anxiety are worsened. I think it suggests that family members would be far less likely to subject their loved ones to such treatment if they had a better understanding of dementia as progressive, debilitating illness that ultimately shuts down the body after years of mental deterioration.

When family members understand the clinical course of dementia and the poor prognosis, the patients were far less likely to undergo these distressing interventions,” I would say that: “Dementia is a terminal illness and needs to be recognized as such so these patients receive better palliative care.”
Our mother in law is suffering from Parkinson's disease and to me there are a lot of similarities to Alzheimer's. 


As a teenager, I saw a neighbour decline from Alzheimer's disease. During his final months, he was repeatedly treated for infections and put in restraints or sedated to control agitation.

Seeing my mother in law in that state is so distressing that I will eventually stop taking the grandchildren to visit,” Simply transferring a dementia patient from the nursing home to a hospital can lead to confusion, falls or a decline in eating which in turn, often leads to further treatment.


Geriatricians say a large part of the problem is that the patients are unable to make their wishes known. In the absence of a living will, family members often struggle with guilt and are afraid to stop the aggressive treatment because they do not want to be seen as abandoning a loved one in mental decline.Doctors need to spend more time explaining the prognosis for advanced dementia, making it clear that palliative care does not mean less care. 
 
When I go there on a Sunday to visit my mother in law and take her for a strawl, I enjoy the home that breathes slowly and reminds me that on the outside of this building the real crazy people are running around in circles. Driving in a full panic state with their SUV with the kids in the back to all kinds of sports. That is why I do not like the pressure were we are under nowadays.


I saw a dear friend a few days ago. I stopped by to ask her how he was doing, how his family was. He looked up, voice lowered, and just whimpered: “I’m so busy… I am so busy… have so much going on.”

Almost immediately after, I ran into another friend and asked him how he was. Again, same tone, same response: “I’m just so busy… got so much to do.”
The tone was exacerbated, tired, even overwhelmed.

How did we create a world in which we have more and more and more to do with less time for leisure, less time for reflection, less time for community, less time to just… be? Welcome to the land of Burn Outs.

This disease of being “busy” (and let’s call it what it is, the dis-ease of being busy, when we are never at ease) is spiritually destructive to our health and well being. It stops our ability to be fully present with those we love the most in our families, and keeps us from forming the kind of community that we all so desperately crave.


Since the 1950s, we have had so many new technological innovations that we thought (or were promised) would make our lives easier, faster, simpler. Yet, we have no more “free” or leisurely time today than we did decades ago.
For some of us, the “privileged” ones, the lines between work and home have become blurred. We are on our devices. (getting the bended neck syndrome) All The Freaking Time. Smart phones and laptops mean that there is no division between the office and home. When the kids are in bed, we are back online.


The reality looks very different for others. For many, working two jobs in low-paying sectors is the only way to keep the family afloat. Twenty percent of our children are living in poverty, and too many of our parents are working minimum wage jobs just to put a roof over their head and something resembling food on the table. We are so busy.

The old models, including that of a nuclear family with one parent working outside the home, have passed away for most of us. We now have a majority of families being single families, or where both parents are working outside the home. It is not working. It is modern slavery to pay all the bills from the tax office etc.



It doesn’t have to be this way.
I am not asking how many items are on your to-do list, nor asking how many items are in your inbox. I want to know how your heart is doing, at this very moment. Tell me. Tell me your heart is joyful, tell me your heart is aching, tell me your heart is sad, tell me your heart craves a human touch. Examine your own heart and explore your soul, and then tell me something about your heart and your soul.


Tell me you remember you are still a human being, not just a human doing. Tell me you’re more than just a machine, checking off items from your to-do list. Have that conversation, that glance, that touch. Be a healing conversation, one filled with grace and presence.


We need a different relationship to work, to technology. We know what we want: a meaningful life, a sense of community, a balanced existence. It’s not just about “leaning in” or faster iPhones. We want to be truly human.
How exactly are we supposed to examine the dark corners of our soul when we are so busy? How are we supposed to live the examined life?


Somehow we need a different model of organizing our lives, our societies, our families, our communities. I want my kids to be dirty, messy, even bored and learning to become human. I want us to have a kind of existence where we can pause, look each other in the eye, touch one another, and inquire together:


Let us insist on a type of human-to-human connection where when one of us responds by saying, “I am just so busy,” we can follow up by saying, “I know, love. We all are. But I want to know how your heart is doing.”

The Old Sailor,

October 14, 2014

Growing older feels like time is catching up with me

Dear Bloggers,

I was sitting down tonight and my thoughts were about life again and how lucky I should consider myself, I have a great family and the girls are growing up faster as I thought. Even though I am enjoying every moment of all the situations that occur and the things they do discuss with us and the things that keep them busy. But also the music they are listening to (some of the songs I never heard before).


Although it is a widely accepted that, "The older you get, the faster time seems to go." But why should aging have this effect? After all, there is the parallel that says, "Time flies when you are having fun." But as we age, time flies whether we are having fun or not.


Question is of course, what's going on?
I have recently been trying to understand this question, because for the past several years many of my days have been extremely long, yet the years still seem to be accelerating.



To tackle the problem, I did an Internet search to see what others were saying on the subject. Nearly all the returns had to do with parenting. "Oh, they grow up so fast. The days are long, but the years are short." This is perhaps a partial explanation; however, since the questioning started, I figured out that it occurs just as well to people who have no children, it cannot be the whole answer.


Some other comments had to do with getting religion. "I found God at the age of 30 and every day since I have been waiting to go to His kingdom. I am now in my 80s. Oh, the days have been so long, but the years have been so short." Again perhaps a partial explanation; Hmmm....the same things I hear with non believers as believers, it cannot be the whole answer either.



Many comments were also philosophical. They said simply to accept the facts and live each day to the full. Good advice I think, but again no advance in understanding.

 


I then turned to science. I typed in the search words "psychology of time". This turned up hundreds of articles, most of which were very technical, dealing with brain structure and functions, neurotransmitters and the like. To narrow the search, I typed in both "psychology of time" and "days are long". And got nothing at all!


Finally, I decided to sit down somewhere quietly and analyse the matter myself. This turned about to be a wise decision, because I think I found the solution. It's really quite simple. It all has to do with "anticipation" and "retrospection".


Whatever the nature of our individual lives, we all anticipate things that are important to us. Then after they happen, we look back at them. For example, most school children look forward to the long summer vacation, which always seems to be an eternity away. Finally, it arrives. Then, almost before they blink an eye, it's over and they are back in school again.



Progressing from primary school to secondary school is another excruciating anticipation for a youngster, especially if the move is perceived as being an important step away from childhood into adulthood.


And so it goes on and on. When anticipated, each new significant event seems to be extremely far away. However, after the event, we regularly look back and yell out: "Did it really happen that long ago?"



Our first love, our first heartbreak, driving a car, getting a job, marriage, etc. When we look forward, all these milestones seem impossibly far in the future. However once achieved, how quickly they fade away into the past.


The older we get, the more milestones we have to look back on. So the farther and faster they appear to fade away. So if sometimes the clock may seem to have stopped, the calendar always continues racing ahead.


For me, the high point of my life was joining the army and serving as a soldier for my country was teaching me that life was not always fun. And they thought me to be disciplined. I applied for a peace keeping force post early in my career and was trained for special peace tasks. Processing the application took only about three months -- perhaps the longest three months of my life. It seemed more like three years. I was accepted but not sent abroad as the Dutch government decided differently. 


After a while I realized that I should consider myself lucky as I met guys who came back from these scattered countries – I still help some of them with getting their life on track and help them with a listening ear and lend them a hand when they have to make a new start again. the easiest way of living my life, because I am having so much fun.


I of course have had many other milestones in my life, which are all rapidly hurtling away from me. Even the most recent ones already seem to be covered in dust. I am now 46. I don't feel old, but somehow I just can't get my mind around the fact that many of these things already look like ancient history.


If accumulating milestones is truly the secret of the accelerating years, what do we do about it? Basically nothing; we just have to accept it. However, this is not necessarily a negative. True, the good things are coursing away faster and faster into the past. But so are also the not-so-good things.
Whether positive or negative, nothing in life lasts forever, even if it sometimes feels as if it will. We are certain of this because we know even life itself doesn't last forever. We are all born to die. What happens after that is the subject of considerable controversy. But whatever it is, we are certain it is going to happen, and that it will almost certainly be different from whatever we know today.


Since I am now in my fourth decade (I am 46), for me this inevitability will probably occur sometime within the next 30-40 years, and almost certainly within the next 50 years. This seems like a very long time. However, the years are accelerating, so when it does occur my most probable reaction will be: "What! Already!" On the other hand I have done so many fun things in my life. If I would drop dead tomorrow I would call it bad luck for the rest of my family.


Enjoy every day you've got left, you never know what might happen.

The Old Sailor,

March 11, 2014

Before there was e-mail, Facebook or anything on the Internet



Dear Bloggers,

Due to a situation at home I did not come to writing a blog last month and I feel pretty awful about it as writing is something I normally do to get my thoughts organized. It made me think about my younger days when I still was a boy. I met the most fabulous girl at my dad’s pony stable and she straight away swept me of my feet. Due to the fact that she lived in Germany we decided to become pen pal. 


And we have been writing for many years and we became real good friends. We paid each other visits and we gave small presents Somehow I did things terribly wrong and the friendship was lost until a reconnection was there through Facebook. And I am so happy to have a little bit of contact again. Even we never had anything as in a relation she was one of the first girls in my live where I could share everything with and it developed me as a guy to do things with my heart and my mind. I am still thankful that she opened my soft side. And I am not afraid anymore to write about my feelings 


Before computers and e-mail…a lot of people actually wrote honest letters. And as in my own case sometimes from foreign countries. The newspapers had a special column for this. The Exchange Column invited readers from everywhere in the world to write a letter, expressing their interests. Generally, along with your name and address, you included your date of birth and your wedding anniversary date, the names and ages of your children, as well as your hobbies and collections.



When I began thinking about those days. I wondered – What happened to all of those Press publications? An Internet search revealed that there are still some pen pals as most of them are writing now by email and became key pals The idea of a magazine devoted primarily to pen-pals appears to have fallen by the wayside, overtaken, perhaps, by today’s computer generated email and chat rooms. (However, I was amused to discover in an Internet search on Google.com, an article written by a young woman who happened to discover an old pen pal who became a famous writer, she and some friends started up a monthly publication they call “Old Friends” which was based on their past. The author wrote, “I liked the old way sitting at home reading letters and writing back on them and I was intrigued by the way the community had different minded individuals scattered across the world who looked forward each month for new letters about what happened in their lives…” So, it seems, the memory and ideas of “The good old days” live on.



Go back with me, in time, and let me share with you how things were before email came along.
I began writing to her (My German pal she wrote in German amd I wrote in Dutch) in the mid-1980s. Specifically, I think I “discovered” myself in the summertime of 1986. I think I began finding the writer in me, as my letters were still not the best ones if it comes to grammar but I wrote to her in an honest way not knowing what to do with my feelings. So I did a lot of silly things in life to find about myself. Around that same time, I became interested in collecting and reading books. Simultaneously, a friend of mine told me about doing a cultural study at an institute and had to read a lot of classics. I that period I read classic books like Shakespeare but also lighter classics on the Second World war in Australia thanks to her I got interested in the opinion of other people that was what she was searching for.



“I bet I know where we can find it!” I told her. I wrote a letter to an Aussie friend, asking for the book Australian women at war, offering to pay cash. As an afterthought, I added that I was interested in buying/exchanging old classic books. Little did I suspect what an avalanche of mail would fill my mailbox when my letter was sent! I received over 25 books. I purchased several of the books and I began buying/trading for many other books which formed the nucleus of my book collection. And I have to tell you something that I think it was pretty spectacular. I was never “cheated” or short-changed by anyone. Even more spectacular were the friendships that I formed, as a result of that one letter, although none of them still exists to this day.



One of the first letters I received was from another book collector, a woman who lived in Brisbane. Betsy and I both young people at the time have remained pen-pals for 4 years, while we grew up, got married, and had children of our own. 

Another pen-pal acquired in the late 80s was my friend Penny (I will use Penny as a fictive name as I try not to harm any one's life.although I informed the person about this story that I wrote, if there would be any mistakes or what so ever I can correct them.) , who lives in the South of the Netherlands. I first met Penny in 1988, on my late summer vacation in Benidorm in Spain. We spent a night at Penny’s hotel room and I was sent on my way the next morning with a bagful of thoughts and a great night of special escapades during that night. What I remember most about that visit was my first reaction when I arrived home again with a feeling of being hung-over and I realized that this was just another summer love. I was so heart broken by this girl. I saw her again in the fall during the after party but there was nothing left of those feelings. 



The downside to having pen pals, if there is a downside, is that sometimes letters stop coming both of these friends had become older and had a life of their own with children or having many health issues…like me or perhaps there is nothing left to write about to their pals and to tell you what had happened to them.


Before everyone owned a computer and Internet services flooded the market we had the Local Newspapers and Popfoto a magazine for youngsters. The concept of Popfoto, at that time, was to offer bulletin boards to which you could write, asking for friends, interviews with pop artists, whatever problems you had   write them about. It was through Popfoto that I became acquainted with new people but that was soon to change. Eventually, Popfoto would be overcome by AOL, Yahoo, Juno and the dozens of other Internet services which have changed our lives so drastically. I think the one greatest thing about the Internet is that it has brought so many of our family members and friends back together again. By using Hyves, Twitter and Facebook. I find a lot of people from my past by using those media sites
Somehow the pen pals slipped slowly from my radar. But the friendships forged by these pals have remained an integral part of my life. Yours too, I hope.



And now we have the Internet…Facebook and blogs, such as this one of mine, Old Sailor 2007. But there is still much to be said for the art of writing letters, of finding letters and cards from all over the world in your mailbox. Much nicer than finding only bills and flyer's in the mailbox! And if you are someone still interested in pen pals and actual correspondence, may I suggest just talk to strangers and give it a try you never know what happens. All because of being pen pals!



For those of us who grew up with pen pals in our lives. Sometimes pen pals come into your life and stay forever while others may come and go. I am reminded of my German pen pal I had while I was living life on the wild side. She attended still in high school in Dusseldorf while I attended at jobs offered by temp’s offices. I lost contact with her after she was graduating from high school. But oh, the joy, over the years, of exchanging letters,  photographs and sometimes small gifts with a pen pal so far away email on the Internet may fill some of the void but I have to tell you, I still get a thrill finding real letters in my mailbox.



Before Email….all we had were letters – and even though I am still a fan of handwritten letters, I also became a digital writer, I have to admit computers have greatly broadened our horizons.

The Old Sailor,

May 3, 2013

When is it time to give up the keys?


Dear Bloggers,

This blogs subject is about driving and Parkinson's Disease

As baby boomers age and life expectancy rises, increasing attention is turning on how to determine when and if older people and people with severe health problems should stop driving. This topic is especially important in light of a agtng group in our country as a lot of them are on the search for injury prevention and we should get in control that our elderly people are involved by vehicle injuries. As the number one cause of injury related deaths for people aged 65 to 74, and the number two cause (after falls) of injury

related deaths for those aged 75 to 84. The issue that hits home for people with Parkinson's since both the symptoms of the disease and the medications designed to ease them can affect driving ability. If you are struggling with the decision of whether or not to stop driving, or if you are a caregiver for someone who is wrestling with this problem, this blog may help you explore your options.
 
 
How does Parkinson's disease affect driving?

People with Parkinson's disease may eventually experience a decline in both motor skills and cognition. These problems can make driving unsafe. For example, a decrease in visuospatial skill. Let me explain:This is the kind of skills that are necessary to determine distance and distinguish shapes which is not uncommon in Parkinson’s Disease. A driver with decreased visuospatial skills may be unable to gauge the distance to a stop sign or a traffic light or keep a car in the correct lane. Some people with Parkinson's also may have cognitive difficulties and at times become confused. 


Unfortunately, patients with dementia may not realize that their driving has become a problem and must rely on a physician, family members and friends to bring it to their attention. Another common symptomatic problem for people with Parkinson's is muscle tightness, which can make reacting quickly difficult. Delayed reaction time is dangerous because drivers need to be able to react swiftly, both mentally and physically, to avoid accidents and adapt to changing traffic patterns.

Additional complications come from the medications that are used to treat Parkinson’s Disease. Common medications including carbidopa/levodopa (Sinemet), amantadine, dopamine agonists and anticholinergics may produce side-effects such as sleepiness, dizziness, blurred vision and confusion. Anticholinergics are especially dangerous as they can cause confusion and sedation along with memory impairment. However, not every patient experiences these side-effects and they may be decreased with simple adjustments in dosage. You should note any changes and report these to your physician. It is your life and you decide.


 Assessment options for people with Parkinson's

It is important to remember that while not every person with Parkinson's experiences problems with driving, disease symptoms and treatments can make driving dangerous for you and others. Driving is seen as a priveliged right of independence and freedom and you may be reluctant to stop, but being responsible is also important. To help you determine your driving risk, the medical association advice is to report your Parkinson’s at CBR (the Dutch bureau for driving licences) Especially for older drivers with difficulties in traffic and they can give extensive information about diseases that may affect driving ability, such as Parkinson's. Although these guidelines were developed primarily for doctors, it will help laypersons to make their own assessment of their driving ability and determine a course of action.





The question is: “Am I a Safe Driver?” If you just take a driving lesson just to help you evaluate your driving. If you score poorly on this and you are still reluctant to stop driving, refer to the driving school to get some tips for safe drving and really consider speaking with a doctor about the issue. The doctor can run some tests on cognition, mobility, reaction time and visual ability for physicians to perform on patients to determine if a person is driving safely. Yes you might not only kill yourself but also someone else!

A less costly, although less thorough, option is to enroll in a driver safety class, such as the driving  schools are offering to elderly people. While these classes are not specifically tailored for people with Parkinson's, they can provide helpful tips for safe driving. An instructor will lead the class through various ways of enhancing driving skills and safety but often will not make individual assessments.
Finally, you can always visit the CBR and ask to take a driving test. Of course, if you were to fail the test, your license would be revoked.


What can family members and friends do to help?

Understandably, most people are reluctant to give up the opportunity to drive. Because of this, it is often up to family members and caregivers to spot a problem first. If you are a family member or caregiver for a person with Parkinson's and you think it may be time for them to stop driving, remember that this is a very sensitive issue and you must help the person see that his or her driving has become dangerous. Before bringing up the subject, look at the possibilities how to help this older driver, being prepared as they have a million excuses to keep their freedom which is extremely relevant for Parkinson's patients. This can help you determine if your concerns are valid and how you might address them.


Another way to help your loved one with this decision is by stressing that giving up driving does not mean giving up mobility. Your support is crucial in helping a person with Parkinson's admit that his or her skills have decreased without feeling stripped of power. To help people with Parkinson's with their decision to stop driving, provide them with transportation alternatives. The Getting by Without Driving tip is to highlight all other possible modes of transportation, including a partner that is still able to drive, taxis, buses, subways and getting a ride from family members. Some cities also provide travel assistance for people unable to use public transportation. (We got something that is called the Plusbus.) If you know someone with Parkinson's who has had to give up driving, provide him or her with bus routes, taxicab phone numbers, and offer to give rides. For more transportation alternatives, check on the internet for options in your region.This may help a person with Parkinson's to adjust and realize that stopping driving does not mean losing independence.


What's the bottom line?

Having Parkinson's does not necessarily result in giving up driving. However, whether you are a person with Parkinson's or a loved one, it is important to be responsible and remember the potential dangers that Parkinson's presents to driving. Ignoring the effects of the disease and its medications on driving will only create a more dangerous environment for you and other drivers. The best way to be a responsible driver is by paying attention to your driving skills and reporting any changes to your physician. If you have concerns, don't avoid voicing them out of fear of losing your license. Doctors and family members are often happy to help you exhaust rehabilitation options before asking you to give up driving. If it does come to the point where family, doctors and driving coaches ask you to give up your keys, realize that it is in your best interest to stop driving and explore other transportation options. They love you and don’t want to loose you.

The Old Sailor,
 

Talking and Writing

Dear Bloggers,   Why is it that some folks (such as myself and my daughter) talk so much? This visit, I am learning how I process throug...