Milestones

First baby tooth. First baby tooth to fall out. First words. First reads. Riding a bike. Learning to drive. Cooking. Living independently. Choosing a partner. Having children. Milestones mark the journey of life, reminding us of befores and afters so that our time on earth doesn’t just pass by in a monotonous blur.

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Angels in Our Midst

P1080563Today’s post isn’t about France. It’s about angels. Down-to-earth, in-the-flesh angels.

The French novelist Proust famously had his madeleine, a cookie that, when dipped in tea, brought back memories for his protagonist. Taste and smell are such powerful triggers for memories. But music also can transport us to another place and time.P1080538The death of Glen Campbell last week, and the snippets of songs played along with the news and tributes, took me on a memory rollercoaster. Songs like “Wichita Lineman,” “Gentle on my Mind” and “Galveston” had me back in the house where I grew up, happily playing with my siblings and not having many cares beyond whether it really was my turn to do dishes.

But the songs also take me to the hospice where my father spent his last months.

P1080548
The photos in this post were taken at Cathédrale Saint-Michel de Carcassonne, which dates to the 13th century.

It actually was just a nursing home, and the hospice part related to the kind of care my dad received. But it was a very special place. It was staffed by angels, who, however well paid, were not paid well enough, considering the bodily fluids and solids that they cleaned up, over and over, gently and efficiently. Angels who never lost their patience with the many disoriented residents in the throes of age-related dementia. Angels who, I fear, receive less than a warm welcome outside the nursing home, because they come from a veritable United Nations of farflung homelands. When the wider public sees see them, do they realize they are encountering angels—heroes? Do they realize these angels are making America great? Or do they just see dark skin and hear an accent?

The home was the opposite of an institution. It looked like the other white-siding-and-round-stone supersized “farmhouses” in the suburbs, with a big porch overlooking an impeccable lawn on a cul-de-sac. You’d need a keen eye and experience pushing wheelchairs to notice that the front door was extra wide, that the sidewalks and curb cuts were extra smooth and that there were no steps anywhere. P1080560After entering the code in the vestibule, one arrived in a “great room” that looked a lot like a set for a morning talk show. A large stone fireplace dominated the center, with a clutch of armchairs (some with electric lift assist) facing a big-screen TV on one side, and a few dining tables on the other side. And open to it all was a big kitchen, where somebody was always cooking.

Two of the cooks were Dixie and Donna, both with white hair and irrepressible smiles. They greeted everybody who arrived, often with hugs, and seemed to truly enjoy cooking. They were clever about finding ways to turn familiar flavors into forms the residents could chew or swallow (often involving heavy cream; people in a nursing home don’t count calories any more). They told me that it was important for people to enjoy their food, even if it looked like mush. I tasted some purée, and it was delicious.P1080553They also baked. The entire building smelled like cake and cookies 24/7. It was on purpose—to make it feel like home and not like “a home,” as in “a nursing home.” The baked goods were out for anybody—residents or visitors. A little sugar therapy.

While Dixie and Donna bustled in the kitchen, like a pair of comedic cooking show hostesses exchanging witty repartee, the greatest easy listening hits of the ‘60s and ‘70s played on a tape recorder on the counter. Yes, cassette tapes.P1080550Glen Campbell was a staple, along with Neil Diamond and Andy Williams. (I always had a crush on Andy Williams. That Christmas special!)

Dixie and Donna weren’t unusual there—the entire staff was caring. Loving, even. When my dad first moved in there, the “elder aide,” Sylvester, came into his room to welcome him. Sylvester was built like a professional football player, with a million-watt smile and boundless cheer. His infectious laugh would ring through the cottage. He took my dad’s hand and told him that in his native Cameroon elders are revered and that he was honored to have a career taking care of elders. He called my dad Mr. John and my mom Mrs. John—a charming mix of honorifics and family-style familiarity.  My dad loved Sylvester. P1080543My dad also loved Koko, a nurse at the rehab facility where he was discharged after the hospital and while waiting for a place to open at the nursing home cottages. Koko’s family was from Togo, though he had grown up in the U.S.

He treated my dad with as much tenderness as one would give a newborn baby. I have never seen anyone as gentle. He was a big, strong guy, too, and could single-handedly move my dad without causing him too much discomfort, whereas the young nurses, while adorable and cheerful, had a hard time shifting my 200+-pound father, even when there were two of them.P1080552Koko also was an extraordinarily conscientious worker, or at least the best-organized. I would sit with my dad for 5-6 hours at a time, even all night, when I was in town (lest anybody think that was special, please know that my siblings were there all the time, all year, for years, whereas I would just fly in for a couple of weeks; they were real heroes). I knew his orders were to be moved every three hours, because he had a very large bedsore. Sometimes it took a long time for anybody to come. But Koko always came in right on time, as if he had set a timer.

When it was time for my dad to move to hospice, he held Koko’s hand and thanked him, and asked him to consider transferring to the hospice with him.P1080559He loved Kelly, the hospice nurse. I think my dad was something of a treat for the staff. So many of the nursing home residents—and even the residents at the assisted living residents where he and my mom had been for about a year—were losing or had completely lost their mental faculties. But my dad was sharp as a tack. He loved to joke. He paid attention to the news. As my dad’s condition worsened, Kelly would do her paperwork in his room, to keep him company.

I can’t name all the heroes who treated my parents with love, care and dignity. There were so many, from the specialist doctors (some from countries on travel ban lists) to the housekeepers who spoke little English but who managed to coddle my parents despite the language gap.P1080567Glen Campbell is just one of many triggers lately that bring back those months. I’m a podcast junkie and keep stumbling on podcasts about the elderly, dying and related cheerful subjects. On the Fresh Air podcast, Terry Gross (world’s best interviewer) talked to the author of a book about palliative care. I am not so sure about palliative care. When my dad was in the hospital, the palliative doctor pushed hard for all treatment to end. My dad didn’t want treatment to end. He had great confidence in modern medicine, and figured something would give him some more time. When people talk about quality of life, I am leery. Who is to say which life has quality and which doesn’t? Most of us don’t want extreme measures to prolong life in the end stages of a terminal illness, especially if we’re suffering every minute. But if the person isn’t suffering? My dad was told he needed a feeding tube, and he was OK with that. The palliative doctor strenuously argued against it. It gave him a few more months, during which I think he came to grips with the situation. I also think he truly enjoyed every minute of every visit by family, and every conversation and joke with staff. Isn’t that quality of life?

There was an interesting podcast (on Reply All) about the design of nursing homes, including some like the one where my dad was in hospice. There also was a concept called a “Minka,” which is like a little cottage you’d put in your yard, so your aging parent could be nearby and cared for by family. I think it’s a great idea, but at some point, people need 24-hour care and things like medical cranes. It’s an awful lot to put on family (who might not be so young themselves) both physically and emotionally.P1080558On Point had a report about the fight over the right to sue nursing homes. It seems that one of the main roles of government is to protect the weak. But that seems to be flipped on its head daily. Not everybody is lucky enough to be in a facility like the one my dad was in.

When my parents needed to move out of their house and into assisted living, one of the main worries was “how are they/we going to pay for this.” Different facilities required different minimums—24 to 36 months—for paying privately, before applying for Medicaid. Medicaid is available only if you’ve exhausted your own money (as it should be). I wonder what will become of nursing home residents if Medicaid is cut. Will families face a choice of taking care of grandma or paying for their kid’s college education? In some ancient cultures, the elderly were banished to the wilderness when they became a burden and would have to wait alone to be attacked and killed by animals. Are we going forward or back?

The moral test of government is how it treats those who are in the dawn of life, the children; those who are in the twilight of life, the aged; and those in the shadows of life, the sick, the needy and the handicapped.

Hubert HumphreyP1080561

Purple, With a Red Hat

P1070396It can be stressful to land in a new place, all your possessions on your back, trying to figure out directions in a strange language. So I am not making fun of the strapping young things who parade about town, jaws slack in amazement and arms tight around their backpacks, which they wear in the front.

At the same time, to take measure of a place, look at the locals. In New York, I learned to keep my bag tucked tightly under my arm, with no loose strap that could be yanked away. I learned not to make eye contact. (Though once I did, by accident. It was years ago. I reading the paper and enjoying a coffee at a sidewalk table of a small café in New York’s Soho. I sensed somebody standing in front of me so I lowered the newspaper and looked up, expecting to see the waiter. Instead, I saw a disheveled man, probably crazy and homeless. “You have to help me save Nadine from the Communist Party!” he exhorted. I was sunk–I had made eye contact and he had spoken directly to me. I flashed him a big, friendly smile and answered, “Si fahamu.”  He repeated his plea for Nadine, and I repeated, in Swahili, that I didn’t understand. He made a face that said, “this chick is crazy,” shrugged his shoulders, and sauntered off down the street.)

In Carcassonne, I see little kids, 7 or 8 years old, walking home from school unaccompanied. They aren’t everywhere, to be sure. Most kids get picked up by parents in cars, in the same horrible, car-choked scene you find in the U.S. Those who walk generally are accompanied by an adult. But I still see kids running around, including in the center of town, on errands (up the street and a few minutes later back down but carrying a baguette), riding skateboards or bikes. I like it. It feels alive and normal.

Did I let my own kid walk alone to school? Yes and no. My kid spared no words in French or English about the injustice of the forced march, PLUS from the EDGE of the village, whereas ALL THE OTHER KIDS got dropped off by their parents in CARS. We even would pass a woman (grandmother? nanny?) who would battle to get a squirmy little girl into the car for half a block. Yes. She drove half a block to school, and spent more time fighting to get the girl into the car than she did driving. Also, as I recall, it was far enough to go by car but not far enough to put the kid into a car seat with a seatbelt.

The walks to school required, at age 3, half an hour (for six blocks) in order to examine every rock, leaf and bug along the way, without stress and with time for maximum wonder. By fourth grade, the commute took three minutes, max. One day, my kid declared the end of our hand-in-hand promenades to and from school. The end of waiting by the exit with the other parents at noon and the end of the day. The declaration of independence. I was in a quandary. I wanted my kid to be independent, like the older boys who tore past us on their bikes and whom I regularly spied down in the river, fishing or exploring or whatever. Normal kids. I wanted that.

At the same time, I wanted to know without a doubt that my kid had entered the school. I couldn’t go back to work without 100% assurance. Knowing that the school probably would call after a while was no solace. In that time, where would my kid be? So, I did what any mother would do: espionage.

My kid would set off, meeting up with a pair from across the street, and off they would head to school, about six blocks away. I had insisted on a route that involved medieval streets too small for cars. Still, I waited until they had advanced down the main street, before stealing out, leaning into hedges to hide, peeking around corners. P1070393In our village, the little old ladies walk, and the little old men sit. Specifically, they sit under the plane trees in the center of the village, a vantage point that keeps them on top of what a large percentage of the population is up to. The people who live farther out, the newcomers in the lotissements, or subdivisions, are of no interest anyway.

I would glide up alongside a wall, where, crouching, I could peer unseen through the windows of parked cars all the way to the school. This was highly amusing to the old geezers, perched on a bench like so many swallows. They would nod and gesture and indicate that I could go home, that all was well. And I knew it was. Little villages are full of protectors.

In town, I see lots of little old ladies out for their commissions–their purchases of whatever they need to make the day’s meals. I deem them “old” if they use a cane or a walker; some who may have more years but who are still in good shape get categorized as just “older,” as in older than most of the folks around but not yet “old.” A teenager also is “older” than grade school kids. Everything is relative.

These little old ladies seem quite at ease, in sharp contrast with the young backpackers. They hold their canes in one hand while their boxy handbags dangle loosely from the other. I admire them for negotiating the curbs, the uneven sidewalks, the steps that are inevitable in a place that was designed in 1260. In my opinion, they always have right of way in the crush of human traffic of the market. From what I have observed, I am not alone in my thinking, although there are always some people who seem outraged to find that there are OTHER PEOPLE shopping at the market. As if!

I think of my mom, who from age 60 or so only left her house by car. Not that there were any shops in walking distance in her neighborhood. For that, Carcassonne is walkable like New York, but a lot cheaper, without the lines for everything and with much better weather.

When we were looking at properties to buy, I walked around one neighborhood in hopes of spotting details that would connect houses with places I had seen in real estate ads online. And it always was possible that I would stumble on a hand-written sign offering sale by owner. Plus, I never need much of an excuse to go walking around town.P1070386It was a sunny day, but in winter there were few people out. I spied a tiny woman working her way down the sidewalk using two canes. I figured she lived close by and probably knew everything about the quartier, so I sidled alongside her and started to chat.

She was charming. She had lived there all her life. She had fallen in her home and had just gotten out of rehab; she was out walking to get back in shape. She was 98. We ambled down the sidewalk and she told me about life. I didn’t get any real estate tips, but I had a wonderful time.

I wish I had listened more to the stories from my own mother, who died a couple of years ago at age 90. She sometimes would start to tell me about something, and I would get annoyed, because I had heard a lot of the stories many times before. Too late, I also realized she felt, tasted, smelled the memories as vividly as if they were yesterday. I was recently discussing something with my kid, and later, thinking about it and about my own experiences, I was back in the school gymnasium and could practically smell its special (hated) smell. Surely my mom wanted to connect me to such memories of her own, to share them, relive them but not alone. A Proustian journey, proffering a taste of the madeleine.

I think of my grandmothers. One was an enigma, stiff and proper. The other was completely the opposite–emotional, fierce, proud, unconditionally loving. But although I often prodded her to tell me about her childhood in Europe, she never talked about it much. Nor about anything else. What was it like to immigrate? What was school like? How did she meet my grandfather? (At a dance; he was a good dancer.) How did she, someone who loved loved loved children, have only two, and a decade apart? I suspect problems, miscarriages, maybe even illness, whether of a baby lost and never spoken of again, or herself. Although to my knowledge she was always as strong as an ox. When she was 85 and still living alone in her house, I spied big buckets of ice in her “back room”–a room with windows on two sides where she and her brood of grandchildren would sleep in summer, to get good cross-breezes, and where all those windows’ sills were lined with plants. She carried the buckets up a steep flight of stairs from the drainpipe where she caught rain or melting snow–what her flowers preferred. And one day, sitting at her kitchen table, she complained that it was going to rain because she hurt there, and she raised her leg as effortlessly as a ballerina, knee straight, as high as her head, and pointed to her ankle. I told her she had nothing to worry about. Until she was nearly 100 and rarely recognized us anymore, her hair was dyed black and she put rouge on her cheeks.

A few weeks ago, I stopped to photograph a handsomely renovated building just off the central square, Place Carnot. A passing woman looked at me, looked at the building, then stepped out of the brilliant sunshine to better admire the façade herself.P1070374“If you hadn’t been taking a picture, I wouldn’t have noticed,” she told me. “It’s beautiful.”

“Lots of buildings are getting new façades these days,” I answered, and pointed to a few other examples.

That led to nearly an hour of chatting on the street corner about everything under the sun.

I finally asked her how old she was.

“84, but that’s according to my birthday. Sometimes I feel like I’m 70; sometimes like I’m 90. Today, I feel 70,” she said.

I assured her that I had her pegged at 70. It was true. She was wearing a fluttery green top, very appropriate for the warm day, with dressy pants. Her jewelry quotient was typically française–neither too much nor too timid. She wore makeup, expertly applied, again neither too much nor timid. Her hair was dyed a slightly unnatural Lucille Ball red,  and was cut in layers, neither completely straight nor curly. Did she style it or set it? Maybe. That’s typically française–maybe they made an effort or maybe not. Basically she was an older version of Jeanne Damas. No cane, no walker.

Then, she pointed to her shoes. Cork-soled high-heeled platform sandals! I am far, far younger than 84 and do Pilates and run, and I would not dare to walk on the crooked, slippery sidewalks of Carcassonne in platform shoes. I would be in the emergency room so fast.

I wanted to give her a high five, but instead, I told her I wanted to be just like her and we hugged. She said, “Today, I felt like I was 90, but I told myself I needed to get out. I said to myself that if I didn’t make an effort, soon I wouldn’t be able to make an effort.”

She added: “Il faut lutter.” You have to fight.

This is what I love about where I live: little kids run out to buy baguettes, 84-year-olds strut their stuff in platform heels, and even older ones push their walkers, with their handbags swinging and they will be all right.P1070866The title refers to the poem by the British poet Jenny Joseph (born in 1932; I hope she is rocking some purple these days, but maybe she is just “older” and not yet “old”).

Warning

When I am an old woman I shall wear purple
With a red hat that doesn’t go, and doesn’t suit me,
And I shall spend my pension
on brandy and summer gloves
And satin sandals,
and say we’ve no money for butter.
I shall sit down on the pavement when I am tired,
And gobble up samples in shops and press alarm bells,
And run my stick along the public railings,
And make up for the sobriety of my youth.
I shall go out in my slippers in the rain
And pick the flowers in other people’s gardens,
And learn to spit.
You can wear terrible shirts and grow more fat,
And eat three pounds of sausages at a go,
Or only bread and pickle for a week,
And hoard pens and pencils and beer mats
and things in boxes.
But now we must have clothes that keep us dry,
And pay our rent and not swear in the street,
And set a good example for the children.
We will have friends to dinner and read the papers.
But maybe I ought to practise a little now?
So people who know me
are not too shocked and surprised,
When suddenly I am old
and start to wear purple!

Also, check out this wonderful book about people finding love late in life. In French, but an easy read. Written with great sensitivity: “Le Coeur n’as pas de rides” by Marina Rozenman. (This is not sponsored!)