Where do you seek happiness?

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I came across a quote the other day from Marie Mountain Clark, one of an elite group of women who completed U.S. Air Force pilot training in the 1930’s.  Ms. Clark died in 2008 at the age of 93.

“It is natural for a person to seek happiness in life; however, I believe that this desirable aim is never achieved if one attempts to find it directly.  Instead, happiness is found indirectly as a by-product from devoted service to the lives of others.”

Thank you, Marie, for words by which to live. 

Whether you’re in your 20’s, 50’s, or 80’s, life is too short.   We absolutely have no guarantee of the next minute, month, or year.  Why occupy what time we have, regardless of how long it might end up being, with tasks that provide no assistive value to others?  Does this mean that we all quit our jobs and start a life that rivals Mother Teresa of Calcutta?  Not by any means.  What it does mean, however, is that in the hours that we’ve been given, let’s make as many of those count.  A very wise man once said, “Do all that you can, in all the places you can, in all the ways that you can, at all the times you can, to all the people you can, for as long as you can.” – John Wesley

Define your passion; follow your heart; and make a difference in someone’s life.  If your eyes and ears are open, you’ll know what that is.

$656M Mega Million lottery woes.

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Woe is me.

Woe is you.

Our lotto tickets failed to win.

So now it’s time for a joke or two.

Talented talking dog.  An agent arranged an audition with a TV producer for his client, a talking dog that told jokes and sang songs.  The amazed producer was about to sign a contract when suddenly a much larger dog burst into the room, grabbed the talking pooch by the neck and bounded back out.

“What happened?” demanded the producer.  “That’s his mother,” said the agent.  “She wanted him to be a doctor.”

Expensive cat exam.  Mrs. Klapisch brought her cat to the veterinarian.  The doctor had her hold the animal on the examining table as he touched and gently squeezed it.  He then walked slowly around the table, all the while looking back and forth, back and forth.  When he was done, he gave out some medication and presented Mrs. Klapisch with the bill.

“What?” she cried.  “One hundred fifty dollars for two pills?”  “Not just for pills,” said the vet.  “I gave her a cat scan too.”

Literary dog.  A man went to the movies and was surprised to find a woman with a big collie sitting in front of him.  Even more amazing was the fact that the dog always laughed in the right places through the comedy.

“Excuse me,” the man said to the woman, “but I think it’s astounding that your dog enjoys the movie so much.”  “I’m surprised myself, “she replied.  “He hated the book.”

Randy cat.  Kerry the tomcat was scampering all over the neighborhood – down alleys, up fire escapes, into cellars.  A disturbed neighbor knocked on the owner’s door and said, “Your cat is rushing about like mad!”

“I know,” the man conceded.  “Kerry’s just been neutered, and he’s running around canceling engagements.”

Creating the next chapter of your life.

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Do you seek new direction in your life?

Are you in the process of recreating yourself?

Well I’ve learned that it’s easier to know which direction you should go if you’re already in motion.

Painting Pasaulio sutvėrimas IV (Creation of t...
(Photo credit: Wikipedia)

The world may have been created in a week, or zillions of weeks; either way, a lot of energy went into that creation and the world-in-process was not a stagnant one.

Trial and error.  I constantly look for ways to improve myself and increase my effect upon the community around me.  If I’m not contributing to a cause – regardless of how big or small – I figure, “Why bother?”  But if I wait around for some sort of change to occur, I’m going about it in the wrong way and believe me, I’ve experienced enough trial and error to write a book on the subject.  The trial and error approach works, however, if a person becomes well-informed and doesn’t take financial or personal risks that they can’t afford.  After all, sometimes we need to discover what doesn’t work for us in order to find out what does work for us.

Living or playing to your strengths.  My Baby Boomer direction was greatly influenced by Marcus Buckingham, one of the world’s authorities on employee productivity.  (By the way, his DVD series Trombone Player Wanted, is worth looking into.)  He suggests that to make your greatest contribution, it’s best to play to your strengths most of the time.  I have taken to heart Mr. Buckingham’s strong caution against veering off ones strengths path.  After all, when I’m creating a new me, why would I choose to do the lame-o, same-o with all its inherent dissatisfaction?  That’s like doing the same thing over and over again and expecting different results.  That sure hasn’t worked for me.  In addition to playing to my strengths, I also play to my passions.  As a Baby Boomer creating my life’s next chapter, it makes sense to deliberately avoid activities that drag me down and weaken me and run to those activities for which I am most impassioned and inspired.

Find your niche and go for it.  I know what I like to do and what I’m good at so I try to consciously remain open to opportunities that directly relate to those strengths.   I thoroughly enjoy working with an older population of adults but I know what part of that experience I’m able to do, and what I’m not able to do.  For example, I know my limits on “clinical atmosphere” so any involvement with older adults excludes my participation in a nursing home or hospital environment.  But throw me in the midst of adults living in assisted living or dementia residential settings and I will make new friends of everyone with whom I come in contact.  Add to that my enjoyment and effectiveness as a public speaker, I look for every opportunity in which to use those abilities.  As a Certified Long-Term Care (LTC) Ombudsman, I have the privilege of meeting with and advocating for residents in LTC settings.  Additionally, I provide resident rights presentations at those facilities and at non-facility venues such as senior centers and city forums.  It’s the best of both worlds for me – interaction with my target audience and feeding my passion for public speaking.

hallway with doors to monks' cells at the form...
(Photo credit: Wikipedia)

Recognizing an open door when you see one.  On a recent Oprah’s Next Chapter episode, Oprah Winfrey interviewed Lady Gaga and at one point asked the singer how she came up with new song or album ideas.  This is the gist of what Lady Gaga said: she imagines herself in a hallway, there are doors all along the hallway but she knows there’s another door coming up further down the hallway that is more appropriate but it’s not readily visible.  Through trial and error she eventually finds the correct door/song inspiration.  How does she know that’s the door through which she is to walk?  When the door finally opens, the light floods in, she is able to block out all distracting noises, and her wishes and thoughts rise to the surface as a basis for her next song/album creation.  I’ve opened some wrong doors in my life as a result of incorrectly thinking that just because a door opens, that means I’m supposed to walk through it.  Again, trial and error comes into play and discernment takes a front row seat.

Not every door that opens is going to be the correct one.  When I’m in exploratory mode, I have to be very careful not to walk through the first door of opportunity that comes my way – regardless of how enticing.  When I make this mistake,  I quickly discover that I’ve committed myself to the wrong project and have had to withdraw myself shortly thereafter.  I didn’t look before I leaped – not a safe, or advisable practice to be sure.   It’s worth me taking the time to weigh my options; write a list of Pros and Cons; ask trusted individuals for their input; and then make an informed decision.  If it’s right for me, it’ll wait for me.  If this new opportunity allows me to play to my strengths and my passions, everyone benefits and there are few, if any, casualties along the way.

What does the next chapter of your life look like?  How are you going about writing that chapter?  I’d love to hear from you because I’m pretty sure I have quite a few more chapters of my own to write.

Dotty Colors, On Her Own!

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Dotty Colors, On Her Own!.

This article from the Alzheimer’s Reading Room brings hope and promise surrounding a disease that usually holds nothing but heartache.  As an Alzheimer’s caregiver support group facilitator, I have heard a similar story about one of the support group member’s sister who, seemingly lost in her cognitive decline, is able to paint and do so beautifully – “drawing” on her pre-dementia passion for the Arts.

What are YOUR Lack-Of-Customer-Service Pet Peeves?

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Here are just a couple of mine.

Today I experienced the inevitable straw that broke the camel’s back regarding poor customer service that inspired me to write this article which, I warn you, will be full of complaints and negative energy.

I’ll start off with the incident that inspired the diatribe you’re about to read:

The original Piggly Wiggly Store, Memphis, Ten...
The original Piggly Wiggly Store, Memphis, Tennessee. (Photo credit: Wikipedia)

Grocery check-out lines.  Purchased my weekly dose of grocery items today – a mere $225 worth.  From the start of the transaction to its bitter end, the checker didn’t utter one word.  No baggers were in sight so I started to bag my own groceries, even though there were two employees standing five feet from me at the self-checkout area with nothing to do other than to watch this Baby Boomer bag her own groceries.  (Bagging groceries by employees is still a common practice at most supermarkets in Washington State, including this one.)  The transaction ended with the checker putting a couple remaining items into a bag, handing the receipt to me, logging off his register, and walking away.  Mind you, all my grocery bags still remained on the checkstand counter, leaving me no option but to personally place them in my grocery cart.  I feel a letter to the manager forming in my brain – not the first letter I’ve written to grocery store managers.

A patient having his blood pressure taken by a...
I don't know why THIS guy is so happy! (Photo credit: Wikipedia)

Assembly line doctor visits.  I’m convinced that doctors are required to meet a certain patient quota per day – at least my doctor is.  The last few times I’ve visited her, she’s rushed me through the visit, even going so far as to do the following: 1) using a hand gesture to hurry me up – picture her hand going in horizontal circles in front of her while I’m trying to explain my reason for the visit; and 2) two weeks after major spine surgery this same doctor expressing her impatience by saying, “Hurry Irene, this appointment needs to end!”  Sorry to have messed up your day, doc! How callous of me for talking to you about my horrific and painful surgery experience!

A surgeon’s god-complex.  I just have to mention the aforementioned surgery experience.  A neurosurgeon operated on me a year ago to perform an anterior cervical spine disc replacement and vertebral fusion: a four hour surgery, one night in ICU, a full year of recovery.  At my two-month post-surgery appointment with this god-surgeon, I explained how difficult it had been going through such a drastic surgical experience.  His comment, and I quote, “It wasn’t that drastic of a surgery.”  Ahem.  My comment, and I quote, “It may have been the 5000th cervical spine surgery you’ve attended but it was my first!”  Imagine him minimizing my surgery, thereby dismissing my discomfort and recovery experience?!  Grrrrrr.

Before my blood pressure rises to unsafe levels – which would take a lot because my normal BP is 96/65 – I’ll stop right here to let you vent about YOUR frustrating lack-of-customer-service experiences.


Start your retirement – start your job as a family caregiver.

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You’ve worked your entire life; you’ve lined up your retirement leisure activities; you’re ready to start the first day of the rest of your life, but instead you start a new job: caregiver to your sibling, spouse, parent, or other family member.

Or perhaps you retired early to take on your caregiver job because there was no way you could do it all: continue your full-time job while moonlighting as your loved one’s caregiver.  It doesn’t work or it only works until the caregiver runs out of steam.  One way or another, your retirement years sure don’t resemble what you envisioned.

The CNN article, As baby boomers retire, a focus on caregivers, paints a frightening picture but one that is painfully accurate.  The highlighted caregiver, Felicia Hudson, said she takes comfort in the following sentiment:

Circumstances do not cause anger, nervousness, worry or depression; it is how we handle situations that allow these adverse moods.

I agree with the above sentiment to a very small degree because let’s face it, the nitty-gritty of a caregiver’s life is filled with anger-inducing depressive circumstances about which I don’t think caregivers should beat themselves up trying to handle with a happy face and a positive attitude.  It just doesn’t work that well in the long-term.  It’s a well-known fact, and one that is always talked about by the Alzheimer’s Association, that caregivers don’t take care of themselves because they don’t know how, or don’t have the support, to stop trying to do all of their life’s jobs by themselves.

“I’m obligated because my parents took great care of me, and now it’s time for me to take care of them.” 

or

“For better or worse means taking care of my spouse, even though she’s getting the better of me, and I’m getting worse and worse.”

The problem with the above sentiments is that oftentimes the adult child or spouse start to resent the person for whom they are providing care.  It’s like going to a job you hate but being held to an unbreakable employment contract; your employer is a loved one with a life-altering or terminal illness; and you’re not getting paid.  “Taking care of a loved one in need is reward enough.”  No, it’s not.

I’m not bitter, I’m simply realistic.  Caregiving is one of the most difficult jobs any of us will hold and we can’t do it all by ourselves.  My blog article, Caregiving: The Ultimate Team Sport, encourages each person in a family caregiving situation to create a team of co-caregivers to more effectively get the job done.  And please take a look at the other articles found in that same category of Caregiving.   I hope you will find encouragement in those articles – some based on my own experience, and some from other caregivers’ shared experiences – especially when a positive attitude and a happy face just isn’t working for you.

Watching each other’s backs.

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I found myself walking with horse blinders on my head at a grocery store the other day.  I was on a mission – picking up a few items and moving on to the next errand on my list.

Huell's image on a milk bottle
Image via Wikipedia

As I passed a woman in a wheelchair, I thought I might have heard her say something but I moved on a couple steps until she repeated herself: “Excuse me, could you help me?”  I then turned around to find that she couldn’t reach the half gallon of milk that she needed because it was on a shelf 8 feet off the ground.  Unless someone helped her she would have to cross milk off her shopping list.  My 6 feet of deaf human self easily grabbed the milk off the shelf.  I only wish I had been tuned in to someone other than ME so I had responded immediately instead of being asked twice.

Was I a BAD person for not responding quicker?  No – but I sure wasn’t watching my neighbor’s back.

Seattle actor, Brian Sutherland was watching his neighbor’s back as told in the Seattle Times article, “A bad guy on the screen becomes a real-life hero.”    This 27-year old man saw a suspected purse snatcher steal a 69-year old woman’s purse and chased him down – managing to retrieve part of her purse’s contents and return them to her.  But that’s not all!  Once he returned the items to the woman he decided to go after the thief!!!  Read the linked article I’ve provided and you’ll think Brian was doing some stunts in a movie in which he might have acted: leaping over fences, darting through alleyways – he was amazing!!!

I’m not saying that the average Joe, or Jill, should attempt what he did but what I am saying is that we should have the same commitment to others as Brian has.  Brian is quoted as saying, “We need to be watching each other’s backs and standing up for each other.  There’s no good reason why somebody who’s lived to 60 or 70 should be jacked on the street in broad daylight.  Our society should just not work that way.”

I agree Brian.  And there’s no good reason why someone in a wheelchair should have to ask for help twice.  I blew it the other day because my selfishness initially made me deaf and blind to a woman who simply needed a half gallon of milk.

I’ll do better next time.

Caregivers: learning from our mistakes.

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“Once bitten, twice shy.”  The Chinese and Japanese proverb has a variant:  “One year bitten by a snake, for three years afraid of a grass rope.”

Perhaps Champagne is the answer?
Perhaps Champagne is the answer?

How does one who is as imperfect as myself apply this Proverb without writing an article that goes on and on into perpetuity?  All of us can think of circumstances in which we fail to learn by experience and continue doing the same stupid/inadvisable thing over and over again expecting different results.  As I said, my life is rife with examples, but this article centers around caregiving – especially as it applies to caring for someone with Alzheimer’s or other dementia.  CAVEAT: I would never write on something about which I had not experienced.  I’ve been there.  I’ve done that.  I’ve paid for my mistakes.

I’m so tired of my spouse/father/mother asking me the same question over and over again and supplying her with the same answer over and over again!

Anyone with a loved one who has any type of dementia has lived in this unending vicious cycle.  We think that if we just answer the question one more time she’ll remember and not ask the question again.  Or we think that if we just spoke louder – or slower – she would certainly remember and life would be infinitely improved.  Not happening.  Answer the question once, and then move on to another topic.  Change the subject; redirect your loved one by doing something that will distract her; or simply don’t respond at all.  What ever you do, don’t aggravate the situation by reminding her that you’ve already answered that question numerous times so why don’t you stop already!!!???  Take a deep breath and remember: your spouse isn’t the one asking questions over and over again and frustrating you beyond all measure – the disease is asking the questions.  I know – intellectually you understand that concept, but your eyes see and hear your spouse pestering you for an answer over, and over again, so it’s very difficult to get beyond the emotion of the situation. Read the rest of this entry »

Long Term Care Insurance scares me.

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insurance, n. A thing providing protection against a possible eventuality.  Concise Oxford English Dictionary, 11th Edition; 2004.

Result of a serious automobile accident
Image via Wikipedia

Auto insurance, home or renters insurance, and health insurance – we understand these policies and know that more likely than not the need for the aforementioned insurance policies will rear its ugly head in the near or distant future so we pay the premium for said policies, hoping we won’t need it, but sleeping better at night because we have it.

Why is purchasing long-term care insurance such a difficult step to take for me and my husband?

  1. Unquestionably, it’s expensive;
  2. Fearfully, companies who offer this product are going out of business left and right and may leave us holding an empty bag;
  3. Definitely, it’s a real difficult type of policy to understand; but
  4. Undeniably, the financial need for it can outweigh the cost of purchasing it.
New Orleans, 1942. Doctor at Marine Hospital p...
Image via Wikipedia

My husband and I have still not made an effort to look into it further.  Here are my two reasons based on family experience – both of which tend to contradict each other:

My father’s long-term care insurance policy.  My father had a long-term care insurance policy for which he paid premiums for at least 20 years – no small amount of money to be sure.  He was diagnosed with Alzheimer’s at the age of 84 and died five years later.  His care needs at the retirement facility in which he had lived for 13 years didn’t meet the insurance reimbursement threshold until his final month of life.  As with most policies, the insurance holder’s care needs must meet a defined level of care before the insurance company kicks in their assisted living care reimbursement payments.  When that happens, the insurance holder no longer pays any more premiums.  Twenty years of paying premiums for one month of reimbursement benefit.

My sister-in-law’s long-term care policy.  My brother and sister-in-law purchased their long-term care insurance policies when they were in their late fifties.  Less than a year later my sister-in-law was diagnosed with early-onset dementia and approximately two years later drew benefits from her policy.  A couple of years of paying premiums for what will be years of reimbursement benefit.  If that isn’t the good news/bad news of long-term care insurance I don’t know what is!

I have no excuse. I know the devastating costs of long-term care because in my past professional life I worked for a senior housing provider and they represented the Champagne & Chandelier variety of assisted living.  But even the generic assisted living providers charge high rental rates and as ones’ care needs increase, so do the care fees.  This isn’t avoidance behavior on my part and I’m not squeamish about the subject of health and ones’ eventual death.  I’m just finding it hard to take this leap into signing up for insurance, even though it holds the assurance of fending off the potential of total personal financial collapse without it.

How are you Baby Boomers dealing with this subject?  If you finally bit the bullet and purchased a policy – how did you finally take that leap of faith?

I AM NOT LOOKING TO BE BOMBARDED BY SELLERS OF INSURANCE AS A RESULT OF THIS BLOG ARTICLE SO PLEASE DON’T GO THERE.  But I welcome other constructive feedback for those of us on the brink of making this difficult decision.

Light bulb moments.

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U.S. Patent by Thomas Edison for an improved e...
Image via Wikipedia

Q:  How many car salesmen does it take to change a light bulb?

A: I’m just going to work this out on my calculator, and I think you’re going to be pleasantly surprised.

Q: How many bureaucrats does it take to change a light bulb?

A:  Two; one to assure us that everything possible is being done while the other screws the bulb into a water faucet.

Thomas Edison built the world's first large-sc...

AND FINALLY – FROM THE INVENTOR HIMSELF:

Thomas Edison spent years trying to invent the electric light, testing and retesting.  Finally, late one night, he got the bulb to glow.  He ran out of his laboratory, through the house, up the stairs to his bedroom.

“Honey,” Edison called to his wife, “I’ve done it!”

She rolled over and said, “Will you turn off that light and come to bed!”

Sufficient caregiver training: vulnerable adults deserve nothing less.

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Local and Federal governments have more red on their accounting ledgers than black.  Citizens balk against any raise in taxes, regardless of how infinitesimal the increase.  The same citizens demand more services from their government.  How does one get what they need without paying for it?

THEY DON’T.

I’m not a politician – and never will be.  I’m not a brilliant person nor do I fully understand all the nuances inherent in government bureaucracies.  About this one thing, however, I am absolutely certain: many valuable services that were initially set in place for those considered vulnerable in our society are still desperately needed for even a modicum of dignity and quality of life.  Did the needs suddenly disappear?  NO.  Did the vulnerable in our society somehow experience a miracle and are now fully capable of managing their lives on their own?  NO.  The needs are still there and the vulnerable in our society are being pushed to the wayside and are slipping through the cracks.  Do I like paying taxes?  NO.  I guess I’m wondering how to generate funds for needed programs without “robbing Peter to pay Paul.”  Taking from one program and sliding it over to a different program robs other needed services.  If ever there was a Catch-22, this is it.

Let’s look at caregiver training.  In Washington State, in the year 1996, caregivers were only required to pass First Aid training, CPR and HIV training, the Fundamentals of Caregiving training (22 hours), and had to successfully pass the State’s criminal background check.

In a Seattle Times article printed January 23, 2000, Push on for more caregiver training, the following statement begins the article:

With a first-aid card and some training about CPR and HIV, you can find yourself a challenging new job caring for the elderly and infirm, bathing them, feeding them, and fielding punches from them.  For this you can make about $7.50 an hour.  At McDonald’s, you can make more slinging burgers and fries.  It’s a wonder anyone cares for the elderly and infirm at all.

The year 2000.  For the third time in four years, the Washington State’s long-term-care ombudsman (who is independent of any government agency) pushed for more training for caregivers.  “The Legislature and the industry both need to step up and say this is an important key profession…People who take care of human beings are important people.”  State bill I-1029 passed which would increase the number of required training hours and implement specialty training for residents with special needs such as dementia, mental health, and developmental disabilities.    Implementation of this Bill’s provisions was delayed and set to go into effect March 1st, 2002.

Fast forward to February 2002.  Let’s look at another Seattle Times article, Caregiver-training issue causes split in state’s long-term-care community.  After the Bill from the year 2000 passed, the Department of Social and Health Services didn’t get the training curriculum revised in time for the March 1st, 2002 implementation so the State Legislature delayed the start-up of the new training requirements to September 1, 2002.  Private providers of long-term care – those not accepting Medicaid – would have to foot the bill to provide employee training, most certainly passing the costs along to their residents.  Long-term care facilities that accept Medicaid payments would rely on the State Medicaid program to provide the mandatory additional training and the State contended that the budget does not exist to provide the mandated training voted into law from initiative I-1029.  Time to go back to the drawing board.

Bear with me.  Fast forward to November 2008.  Let’s look again at another Seattle Times article, Voters back more caregiver training.  In 2008 a revised caregiver training Bill was passed requiring a training increase from 34 to 75 hours for new long-term care workers and required caregivers to undergo a Federal criminal background check.  This bill passed overwhelmingly.  It’s great that the citizens of my fair State decided that anyone taking care of the vulnerable should be held to a high standard.  Oops – in the same voting cycle, initiatives that would have imposed taxes on candy, soda pop, and other piecemeal purchases failed big time.  These miniscule, microscopic taxes would have saved vital services for the vulnerable and would have helped the State pay for the “mandated” new training.  No money – no increased training – no Federal background checks.

One more time.  Fast forward to November 2011.  Washington voters asked to boost caregiver training again, Seattle Times.  The Legislature delayed the implementation of the 2008 Bill because of budget cuts.  And during the voting cycle of 2011, a re-worked caregiver training initiative made it to the ballot once again as Initiative I-1163, right in the middle of an ever-increasing budget crisis, and the Washington State voters overwhelming approved it.  Implementation of the new training and background check requirements are set to start in 2012.  Lawmakers pushed implementation to 2014 but the good news is that the Legislature won’t be able to delay implementation of the new requirements without a two-thirds majority.  As of March 1, 2012 – the Washington State legislature has yet to finalize any enactment of the Bill protecting vulnerable adults; those that the voters of my state approved – and voted for – numerous times since the early 1990’s…stay tuned…

WHAT’S HAPPENING IN YOUR STATE?

HOW IS YOUR STATE PROTECTING YOUR VULNERABLE ADULT POPULATION?

Examining our gratitude levels

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By the time you read this article, I hope you’ve already read the reblogged article I posted entitled “Up Your Gratitude,” published in a Parade Magazine article earlier this year.  That article was part of the inspiration for this article and can be found in this same Blog category.

I recently watched an Oprah Network special wherein Oprah visits families of Hasidic Jews.  One of the families had NEVER seen a television show in their lives and didn’t even know who Oprah was until her staff approached the family about this project of interviewing a Hasidic Jewish family.  This family consisted of the husband and wife and 9 children, the oldest of which was 17 years old and the youngest, 18 months.  If you can believe what the 17 year old son said – and I think I do – he has absolutely never watched TV and is an extremely happy teenager.  The couple’s 15 year old daughter loves not having the normal pressures associated with young teen girls.  “There’s no pressure” she explained.

Hasidic schoolchildren in Łódź, circa 1910s.
Image via Wikipedia

None of the children had ever heard of the names that Oprah tossed into their conversation: from cartoon characters such as Micky Mouse and Sponge Bob Squarepants, to Beyonce and other well-known entertainers.  Nope, they had no idea what or who she was talking about.  Considering they had never heard of Oprah, that’s not at all surprising.

And yet they were extremely happy and grateful people.

THIS ARTICLE IS NOT ABOUT RELIGION – it’s about the lack of wanting more,wanting better, and wanting bigger as it relates to consumerism.  Each person Oprah interviewed talked about the lack of pressure in their life to want, want, and want even more.  As a matter of fact, the wife in this family of 9 children, who is pregnant with her 10th child, said the only time she had a feeling of wanting more was when she was able to upgrade to a better wig when her earnings increased.  (At a certain age, Hasidic women must cover their hair as a gesture of modesty, be it a scarf or a wig.)  So when this woman was able to get a better wig she experienced an “Aha” moment – getting a better, more natural looking wig satisfied a want for something more that she hadn’t ever experienced.  Gratitude abounded in this household that most definitely doesn’t resemble our idea of a “normal” frantic-ridden, electronic guided, household.

Time to check my own gratitude level – and level of personal satisfaction.  When you receive not-so-good service at an establishment, do you trash its character to others so that they are aware of the establishment’s failings and will curtail their support of its business?  It’s easy to complain about something isn’t it?  It’s harder – but better – to compliment someone who does a great job:

  • Writing a note to the manager of a salon you frequent, complimenting the stylist who always does such a great job on your haircut and/or color.  It’s not enough that you tell the stylist how satisfied you are.  Tell the one who signs his paychecks and sets his schedule – that’s where the thank you also needs to go so that your favorite stylist receives something for his/her efforts.
  • Going out of your way to thank someone in person, or by thank you note, for their volunteerism at church or other community venue;
  • Calling or writing a note, not texting, not e-mailing, when you’re grateful for something you received as a gift;
  • When your coworker does a great job, or your child does something in the home without being asked, or when you are simply grateful for the commitment your spouse has to his or her job that assures constant financial support in the home – acknowledge their efforts instead of simply appreciating them in your own mind.

Who benefits from appreciative thoughts if they are not expressed to the person who inspired them?  Gratitude expressed provides more benefit than you can imagine.  Don’t you want to start a ripple effect of gratitude in your small corner of the universe?  Get that ripple going – you’ll be better off as a result, and everyone to whom that ripple touches will benefit as well.

Alzheimer’s and other dementia: Advance Directives

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Most people don’t want to talk about end-of-life issues but all of us know it’s a topic requiring early discussion and appropriate timing to be of any use when emotional, and sometimes emergent, decisions must be made.

Auguste Deter. Alois Alzheimer's patient in No...
Image via Wikipedia of a patient for whom Dr. Alzheimer provided care. This patient became the model for diagnosing Alzheimer's dementia.

My siblings and I benefited from my parents’ end-of-life documents that dictated their wishes should we need to become involved.  My mother died in her sleep in 1994 so no active involvement was necessary but my father, suffering with Alzheimer’s for five years by the time he died in 2007, gave us a gift by spelling out in detail his end-of-life wishes set in place at least a decade before he died.  Think of an Advanced Directive or Living Will as a gift to your loved ones.  It certainly was a gift to my siblings and me.

An organization in Washington state, Compassion & Choices, worked with Seattle University Clinical Law Professor, Lisa Brodoff, to create a new advance directive for people with Alzheimer’s and other dementia.  This same law professor was instrumental in the passage of legislation in Washington State creating the Mental Health Advance Directive for people with mental illness.  This statute is considered to be model legislation for other states wanting to expand the rights and planning options for people with mental illness.  Bravo Washington State!!!

Although not yet available, the new Alzheimer’s/Dementia Advance Directive will be based on one created by Professor Brodoff for a 2009 Elder Law Journal article titled (excerpt attached): Planning for Alzheimer’s Disease with Mental Health Directives.  The new Alzheimer’s/Dementia advance directive is not intended to replace existing end-of-life documents such as a Living Will and/or Durable Power of Attorney for Health Care, but is designed to work in concert with those documents to ensure that any issues important to the patient with dementia that are not addressed in standard advance directives are honored as much as possible.

What additional issues are addressed in the new advance directive for those with Alzheimer’s or other dementia?

Potential issues that might be addressed are preferences regarding:

  • care in and outside of the home;
  • financing of said care;
  • caregiver choices;
  • involuntary commitment;
  • consent to participation in drug trials;
  • suspension of driving privileges; and
  • any future intimate relationships.

To get on the mailing list in Washington state to receive a copy of the new advance directive contact Compassion Washington: by email, info@CompassionWA.org or by calling their office at: 206.256.1636 or Toll free: 1-877-222-2816.  At the very least, regardless of where you live, using their model as a guide when creating your own Advance Directive may be helpful when such Directive affects the life of a loved one with dementia.  Being prepared for the unexpected, or even what you indeed suspect might be a future health issue, provide peace of mind for the patient and for his or her caregiver. 

That’s a priceless gift to be sure.

Final vacation jokes: A man walked into a diner…

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A truck driver stopped at a roadside diner.  His waitress brought him a hamburger, a cup of coffee, and a piece of pie.

As the trucker was about to start eating, three men in leather jackets pulled up on motorcycles and came inside.  One grabbed the man’s hamburger, the second one drank his coffee and the other one took his piece of pie.

The truck driver didn’t say a word.  He got up, put on his jacket, paid the cashier and left.

One of the bikers said to the cashier, “Not much of a man, is he?”

“He’s not much of a driver either,” she replied.  “He just ran his truck over three motorcycles.”

Final vacation jokes: At St. Peter’s gate…

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Three men died and went to heaven.  Upon their arrival, St. Peter asked the first guy if he had been faithful to his wife.  The man admitted to two affairs during his marriage.  St. Peter told him that he could receive only a compact car to drive in heaven.

Then St. Peter asked the second man if he had been faithful to his wife, and the man admitted to one affair.  St. Peter told him he would be given a midsize car to drive.

The third man was asked about his faithfulness, and he told St. Peter he had been true to his wife until the day he died.  St. Peter praised him and gave him a luxury car to drive in heaven.

A week later, the three men were driving around, and they all stopped at a red light.  The men in the compact and midsize car turned to see the man in the luxury car crying.  They asked him what could possibly be the matter – after all, he was driving a luxury car!

“I just passed my wife,” he told them.  “She was on a skateboard!”

A mixed bag of jokes while on vacation: No.1

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In a panic, a traveler called down to the hotel’s front desk soon after checking in.

“Help!” he yelled.  “I’m trapped inside my room!”

“What do you mean, trapped?”

“Well, I see three doors,” the man explained.  “The first opens to a closet, and the second to a bathroom.  And the third door has a ‘Do Not Disturb’ sign hanging on it.”

What’s a person to do when their common sense has taken a hike?