Latest / The Christian Reeve Podcast / Navigating the Complexities of Caregiving With Sarah Vosburgh | The Christian Reeve Podcast #352
Transcript
- 0:00Hello and welcome to another episode of the Christian Reef
- 0:03Podcast. Today's guest is a psychologist
- 0:05and author and a caregiver. Her name is Sarah Vosberg.
- 0:09Welcome to the show. How you doing?
- 0:10Good. Morning.
- 0:10Thank you for having me. It's a pleasure.
- 0:14I was pretty. What's the word I would use?
- 0:17Every now and again I get like an episode that comes through or
- 0:19a guest or something where it's like it tackles quite a like a
- 0:23tough subject or a deep subject, something like that.
- 0:26So I kind of have to approach it a little bit differently, but I
- 0:29always look at it as like a big honour because it kind of, I
- 0:33feel like those shows tend to give you more of an like a
- 0:38what's the word I'm looking for? I'm running out of words.
- 0:42Somebody talks all the time. Give it gives you an opportunity
- 0:46to kind of deep dive into something, think about things,
- 0:49reflect on life, you know, which I feel is always kind of the
- 0:52most important thing. I think certainly with this show
- 0:55over the years has been the thing I've always been proudest
- 0:58of is, is just getting people to talk about their lives and
- 1:01experiences and everything in between.
- 1:05So, yeah, just starting off by saying just, yeah, thanks for
- 1:08being on the show. Really, really appreciate it.
- 1:10Let's just jump jump into some some good stuff.
- 1:13So your book, who will name the bees?
- 1:17I love that title. I know my partner loves bees, so
- 1:22I know it's it's more of a metaphor.
- 1:23But anyway, it explores themes of memory, loss, faith, and the
- 1:28quiet moments that shape a life. So if I'm right in understanding
- 1:32this, because I was when I was doing my research, I was trying
- 1:34to kind of build a picture of what your writing is.
- 1:36So it's a memoir that discusses your journey going into
- 1:41caregiving as you made the commitment to provide care for
- 1:45your mother. So I guess my first question is,
- 1:50you know, why did you decide to write and publish this memoir?
- 1:53What was the, I guess the motivation to do so?
- 1:57Didn't I never intended to be an author and I never intended to
- 2:03write about this. And it wasn't until after my
- 2:07mother died that just stories about her kept coming out.
- 2:13And they were stories. Some of them were stories that I
- 2:16had told many, many times to my family about, oh, when I was
- 2:20little, my mom did this or, you know, grandma did that or
- 2:25whatever. But then they started to, they
- 2:30woke me up at night and I, I kept saying in the middle of the
- 2:35night that I needed a pencil and paper.
- 2:38And my husband got me a glass top for my night table and
- 2:42handed me a Sharpie and said, when you wake up in the night,
- 2:46write stuff down and then you'll have it.
- 2:49And I did, and it sort of came out in bits and pieces, but I
- 2:55didn't do anything with it. And then I got involved.
- 3:00As I was looking at retirement, I was looking at some of the
- 3:02things I wanted to do in retirement.
- 3:05And I got involved with San Diego Writers, Inc and I took a
- 3:10class there about memoir just because I was curious and
- 3:15interested in a lot of the stuff that I was writing was memoir
- 3:20ask. And we got assignments every
- 3:25week and five pages at a time, I wrote bits and pieces off that
- 3:31stuff that was written in Sharpie on the night table.
- 3:36And all of a sudden I realized I had a huge volume of information
- 3:41and did some real thinking about what I wanted to do with it.
- 3:45Before you went to publish it, was there anything throughout
- 3:50the course of writing it that surprised you when you were
- 3:52looking back through these notes?
- 3:54Because obviously whenever you hear about people writing a
- 3:57book, you always hear them talking about the process, how
- 4:00long it can take. I mean, I saw a post the other
- 4:02day where someone was saying it took her up to like 3 years to
- 4:05write a book, you know, because it's this big process.
- 4:07And it depends what your goal is ultimately.
- 4:10And as you said, like it wasn't the initial plan.
- 4:12But then it becomes clearer like, oh, OK, this is this is
- 4:15going to be this, this is going to be a memoir.
- 4:19So was there anything that surprised you in that journey,
- 4:23or maybe even just like when you were writing these stories down
- 4:26that you kind of felt was a surprise?
- 4:29Surprised me that it ended up being a memoir and that I had
- 4:33enough information and it all was so thematic.
- 4:40And I thought a lot about memory and legacy and passing that
- 4:45stuff on. But I also thought a lot about
- 4:49how alone I was when this was happening, how alone I felt.
- 4:54And I had the support, total support of my husband and my
- 4:58bestie. But I'm an only child.
- 5:02And it was it was just I. I would hear friends talk about
- 5:08doing the same with their families, needing to do
- 5:12something with grandma or needing to do something with
- 5:14mom, and the fights they would have with siblings about that,
- 5:20who was going to take care of her and who rushed in as the
- 5:22hero who lived, you know, 5 states away and those kinds of
- 5:26things. And you know, they would say to
- 5:27me, oh, you're so lucky you got to make all these decisions
- 5:30yourself. Yes, I guess I was lucky that I
- 5:34got to make them on myself. But it was very, very lonely.
- 5:37So I wanted it. Another aspect of writing it
- 5:42down and publishing it was that I wanted people to not feel so
- 5:47alone. Whether they were part of a
- 5:50larger sibling group or and only like me or the only one left, I
- 5:58just wanted them to know that they're I.
- 6:01I know my experiences aren't unique.
- 6:06Maybe my stories about my mother are unique, but I know that the
- 6:09experience itself isn't unique. I just wanted to people to know
- 6:13that they weren't alone and yeah, and that that became a
- 6:17driving force. Won't be through the process of
- 6:20of like writing the memoirs when when it became a full memoir
- 6:26like how did you structure that exactly?
- 6:30I didn't. So I got the assignments from
- 6:35the classes I was taking and we were only to bring 5 pages at a
- 6:40time to class. And I'm a do things at the last
- 6:43minute kind of person. So I would, classes were on
- 6:46Saturday and I would get up on Saturday.
- 6:48I'd, I'd think about it all week, but I'd get up on Saturday
- 6:51morning and I would write it and then I would go to class and I,
- 6:54I only had to write 5 pages and I knew I could get 5 pages down.
- 6:58And then we would read them to each other and give feedback and
- 7:03so on and so forth. And then when I realized that I
- 7:08had volume and then it kind of had some order to it.
- 7:12It kind of had a, a vessel, if you will, of the time that my
- 7:18mother was, I call it incarcerated because she would
- 7:23have, had she been in her right mind.
- 7:28I, I realized I sat, I, I was sitting on my living room floor.
- 7:34My husband can attest to this, was sitting on my living room
- 7:37floor putting out papers along the essays along the floor of
- 7:44things that had happened. And they were in a chronological
- 7:48order. And it was then that I had the
- 7:51idea to do the flashbacks. So the first part of each
- 7:58chapter is what is happening with my mother at the time in
- 8:03memory care. And then the second-half of it
- 8:07is something that happened or something that happened at that
- 8:12time of year in my younger or not so younger life.
- 8:18And in between is a poem. I poetry grabs me the same way
- 8:25other things do. And so a lot of those got
- 8:28written with Sharpie on the glass too.
- 8:32And I picked the ones that went with the months that they were
- 8:36in. And I felt like they were that
- 8:42that they gave more depth to the understanding of my relationship
- 8:47with my mother without my having to write lengthy prose to
- 8:51explain it. So they, I feel like they're the
- 8:55book is in black and white and I feel like the poetry is a color
- 9:00snapshot. When you started reading these
- 9:02stories to people, that must have been pretty daunting.
- 9:05Like, how did it feel sharing those stories with, you know,
- 9:10strangers? I'm sure you read it to like
- 9:11your husband and people around you and stuff.
- 9:13But like, that's different because it's, it's your, it's
- 9:16your close, close knits, you know what I mean?
- 9:18But it's when it's strangers, that's like, you know, it's a
- 9:22part of you. It's a personal thing, a very
- 9:24personal thing, deeply emotional thing.
- 9:27What was that like for you? You're absolutely right.
- 9:30Sharing it with close friends and family, it was always like,
- 9:34this is so good, you did such a good job.
- 9:37This really captures her. And I was like, no, no, this is
- 9:41the first that I, the first foray that I've taken into
- 9:44writing and I need some criticism.
- 9:46What's wrong with it? And the only person who gave me
- 9:49criticism really was my husband. And he didn't give a lot.
- 9:53He more added details that I might have forgotten from things
- 9:57that he had been around for also.
- 10:01So I was desperate, really. I was really, really looking for
- 10:06criticism and I was happy to get it when I got it.
- 10:10The thing that surprised me is when I wrote it, I just wrote
- 10:14it. It came.
- 10:15It just came out and I did it. Sometimes it was really angry
- 10:19and required editing, and that was fine.
- 10:23But when I read it out loud in class, more often than not there
- 10:28were tears, and I did not realize how much of AA catharsis
- 10:33and a healing and a mourning that it was because it had all
- 10:37been put off while I was making decisions about how to keep my
- 10:42mother safe. You often hear people talk about
- 10:46this like when they're going, because obviously every human
- 10:49being has a completely different emotional makeup.
- 10:51You know, some of us, it completely paralyses us.
- 10:55We can't do anything for others. It's, you know, I think I'm a
- 10:58bit like yourself, like Doer like focus on the thing.
- 11:02But then the problem with that is the emotions get put to a
- 11:06side and ideally they get addressed later or in private or
- 11:10whatever, or sometimes they just don't and then it comes out
- 11:14later and it's it's a dangerous one.
- 11:15I wondered on on that theme, when you were going through and
- 11:20rereading everything and looking through it, was that in any way
- 11:24traumatic for you? Or was that like, how did you
- 11:28manage your emotions that kind of essentially reliving it?
- 11:31You know what I mean? Because you're, you're thinking
- 11:33about these things as you're reading them, as you're sharing
- 11:36them, etcetera. Like, walk me through that a
- 11:38little bit. You kind of hit the nail on the
- 11:40head with the doer thing. I realized something needed to
- 11:43be done. I did a lot of research.
- 11:48I visited a lot of memory care units that were near me so that
- 11:53she could be near me and so on. But it was all very mechanical.
- 12:01I, I did it because I knew I needed to do it, but it was all
- 12:06in my head and in my heart in the sense that I wanted to keep
- 12:11her safe and have her be content, which was a very
- 12:16romanticized view, I might add. There was no contentness for
- 12:19hers, for her in this process. It was not, not content at all.
- 12:25And there wasn't looking back on it.
- 12:27There's not much I could have changed about that.
- 12:31But I really didn't feel it until afterwards.
- 12:35And I think that's probably part of the reason that the writing
- 12:39came, you know, came before I took the classes and so on, is
- 12:43that I was doing the work that I couldn't do because it would
- 12:48have derailed me. I would have been dysfunctional
- 12:52if I realized what was happening.
- 12:55And my mother was second generation, potentially third
- 13:00generation Alzheimer's. From the stories that I hear
- 13:03about my great grandfather, it's likely that he also had it.
- 13:07My grandmother had it. I was old enough when she really
- 13:12started to deteriorate that I was aware of what was going on.
- 13:17I was aware of how my mother handled it and so I had a bit of
- 13:23a road map relative to my mother's opinions about how that
- 13:27should be handled and how long independence should be fostered
- 13:30and and so on. So I just followed the manual
- 13:36and didn't think emotionally. So she actually gave you some
- 13:41advice then, or she, at least based on her experiences, gave
- 13:45you an idea of what might be to come.
- 13:49Yeah, not so much what might be to come, but well, yes, I guess
- 13:57she, she was absolutely committed to helping my
- 14:03grandmother who was a BSNA bachelor's in nursing, one of
- 14:11the first ever from her school that actually got ABS in the
- 14:17process. She was really proud of that.
- 14:19She was really, really proud of her education.
- 14:22She was born in the early 1900s. Actually she was born in the
- 14:25late 1800s and, you know, came to her own in, in the early
- 14:311900s and went to nursing school then.
- 14:34So, and education was a, was a, a fiercely important thing in my
- 14:41family. So she was fiercely proud of
- 14:44that. My mother was fiercely proud of
- 14:46her. And she wanted to help.
- 14:50She, she thought that she could help my grandmother
- 14:56intellectualize herself through it.
- 14:58Like if you're just, you're really smart, you can do this,
- 15:02you can get past this because you're so smart.
- 15:06And so she treated my grandmother like she was able to
- 15:09be independent and she wasn't. And my dad and I would argue
- 15:15with her and say, you know, this has to stop.
- 15:18She didn't live far from our house.
- 15:20My mother would go over twice a day, have her take her meds,
- 15:23bring her meals, stuff like that.
- 15:24But she would leave meals on the table and forget to eat them.
- 15:28She'd leave the water running in the bathroom sink.
- 15:31She'd forget that there was a toilet if she needed to use it,
- 15:35it she not remembered to put on clothes or take off clothes or
- 15:41change clothes and so on and so forth.
- 15:44And that all shouldn't have been happening.
- 15:48I mean, it was an assault on her dignity, but my mother was
- 15:52trying. So I felt like I needed to do
- 15:56the same for her. Now it was a little bit
- 15:58different context for my grandmother.
- 16:00My grandfather was dead when this was happening, so it was
- 16:04just my mom and my dad and me who were caring for her.
- 16:09My mom, my dad died when I was younger and my mom remarried and
- 16:16it it had been, I guess my assumption, not necessarily
- 16:24correct, that he would be caring for her.
- 16:28He was her husband and later on I found out that they had had
- 16:33discussions about that and she was very emphatic with him that
- 16:36she did not want to become a burden to me and that part of
- 16:41her responsive, his responsibility was to care for
- 16:44her. But she also never expected to
- 16:49be in the condition that she was because she expected to know
- 16:53that it was happening and to, if there was a book that came out,
- 16:59I don't remember when, it was long before this happened with
- 17:02her, but it was called The Final Exit.
- 17:05And it was about ending your own life if you were ill or, you
- 17:13know, deteriorating or whatever. And she made it clear to me that
- 17:18she was going to do that if that were the case, which was
- 17:22something that we argued about over and over and over again.
- 17:25And I would say to her mom, it would be a privilege for me to
- 17:29care for you at the end of your life, no matter what your
- 17:33condition isn't. She would have none of it.
- 17:36So it was all about the independence and being able to
- 17:39use her intellect and so on and so forth with the way she
- 17:44behaved with my grandmother, the arguments that we had about it
- 17:49and how she talked about what might happen with her if that
- 17:54were the case. When all was said and done, she
- 17:57didn't remember. Thank the Lord, because I don't,
- 18:01I, I, I think that would have been almost harder to deal with.
- 18:07So, yeah. So that was her road map.
- 18:11Her road map was her, her behavior, her example, family
- 18:15history, all of that. That kind of guided where I was
- 18:22going with what I was doing with her and not having any help from
- 18:26him. And I think, you know, I try to
- 18:30be kind to him in that situation.
- 18:34I think that there was a lot of denial.
- 18:37He wanted a partner and he wanted her to be able to do the
- 18:43things that he wanted to do with her.
- 18:45And he didn't want to have to face any of this.
- 18:50And I don't think he had the skills to do it.
- 18:55So I was inserting myself into something that I should never
- 19:00have inserted myself into. It should have been a back and
- 19:04forth conversation about this is what's going to happen and and
- 19:08it wasn't. It was or what should happen.
- 19:12And it ended up being a This is what's going to happen because I
- 19:16can't get you to discuss this with me.
- 19:19What do you think it you know, when it comes to deciding to
- 19:21become a caregiver? What sort of thing should a
- 19:23person be considering before making that kind of commitment?
- 19:27Well. I did a lot of little test
- 19:29trials. We had her come to the house to
- 19:31stay a weekend, to stay a week, to do stuff with the kids.
- 19:36That kind of thing I was raising, I was the classic
- 19:40sandwich generation. I had a mom who was failing and
- 19:44kids I was raising who, you know, weren't driving, aged,
- 19:47needed to get them everywhere, all of that sort of thing.
- 19:50So how it fits into your life and what you're able to do.
- 19:54I was not able to quit my job in order to care for her.
- 20:01So those financial concerns need to be there and I hate that that
- 20:06needs to be a part of it. And also your ability to care.
- 20:13When my mother was in my home, she was completely confused
- 20:18because it wasn't her space. She didn't know.
- 20:22She couldn't remember where anything was.
- 20:23She'd been to my home many, many, many times, obviously, but
- 20:29could not remember where the bathroom was or the kitchen or,
- 20:34you know, where to sit down in a comfy chair.
- 20:38It she she couldn't do that. So then it and then there were,
- 20:44you know, Mama's time to get dressed, you know, let's pick up
- 20:48something to wear sort of thing. And she couldn't do it.
- 20:52And there ended up being arguments over those things.
- 20:55And would I handle it differently now?
- 20:58Yes. Would it have made a whole lot
- 21:02of difference? I don't think so because of the
- 21:04place she was in the process of her, her mind, you know, failing
- 21:11on her. So those are things that need to
- 21:14be considered too, because her her dignity became a huge part
- 21:19of this. Was her dignity protected in
- 21:23this process? And she had breast cancer for
- 21:25the second time while all of this was going on.
- 21:29It was early, but she had it and she was adamant that she would
- 21:35be. She was much older at the time
- 21:38and she was adamant that she would be treated like any 30
- 21:44year old and that's not the protocol for someone who was her
- 21:46age. And she argued with the doctor
- 21:49about it and I think they just didn't want to argue with her
- 21:52anymore. So they did do that.
- 21:55It took a lot out of her, but she couldn't care for herself
- 21:58and he didn't care for her. So her wounds got infected.
- 22:03She had, they took skin from her back to make way for implants in
- 22:09the front. And the wound in the back got
- 22:12infected because she couldn't reach it and he wouldn't care
- 22:15for it. And that's a dignity and safety
- 22:19issue for me. And I was, I was adamant that
- 22:23dignity and safety needed to be at the top of the list.
- 22:27And I think I wanted to make for all of that.
- 22:32I wanted to care for her, but I had to recognize my limitations
- 22:36and the limitations of our relationship at that point.
- 22:40And I think those are things to consider.
- 22:43Can you do that? Can, you know, does it become a
- 22:48constant argument? Is she going to try and escape
- 22:51the house? I can't lock her into my house.
- 22:54She took a walk down the secondary Rd., a secondary
- 22:57highway, trying to get to my dad from her own home because there
- 23:05was a strange man in her house because she didn't recognize her
- 23:08second husband. So that dignity and the safety,
- 23:12I think are things that really need to be to be considered in
- 23:18the process and it's going to be different for every family and
- 23:22every circumstance. I think a lot of the time in
- 23:25these instances, people I will for, you know, like doing like,
- 23:30of course I want to be there. I want to take care of my loved
- 23:32ones. I don't want to send them to a
- 23:34home. And it's like, I think you have
- 23:37to always consider the practical side of things.
- 23:40I mean, you mentioned having a job.
- 23:42This is a big one. Not everyone can afford to like
- 23:45to quit their job and do it full time.
- 23:47So that's number one. Number two, when I say the
- 23:50practicality, I mean like, OK, maybe getting a stair lift,
- 23:55getting a special type of bathroom, toilet facilities and
- 24:00stuff, all these different considerations.
- 24:04I've, I've seen some of it first hand.
- 24:07I'm not by any means an expert, but like I've I've seen it, I've
- 24:10seen how it plays out. And what I've kind of concluded
- 24:13is, is you have to probably get like some sort of a consultant
- 24:20to help you with it and then kind of decide, right, these are
- 24:22the elements of care that need to be done.
- 24:25This is kind of what the schedule look like etcetera.
- 24:28Now earlier you did mention that you'd, you'd consulted a bunch
- 24:31of people like, but how did you I guess settle on like, OK, I
- 24:37can do this, this is what I need to do.
- 24:40Like how did you decide on all of that?
- 24:42First of all, I would have loved to have had a consultant and I
- 24:46don't think that ever occurred to us.
- 24:48And I'm not sure that there were that many who were out there at
- 24:52the time. And I, I learned very quickly
- 24:57that I was not going to be able to be my mother's full time
- 25:00caregiver, that I wasn't going to be able to wrestle, wrestle
- 25:03her into the shower or whatever. And we would have been happy to
- 25:09do visiting nurses and so on. She would not tolerate anyone.
- 25:17So again, dignity, safety, she wouldn't have wanted anyone to
- 25:22help her take a shower 'cause she wouldn't have wanted anyone
- 25:24to see her naked. I never saw my mother naked
- 25:27until the day she died. And you know, when I talk about
- 25:34people, not, I want people not to feel so alone about this
- 25:38whole process. I, I had a professor back in the
- 25:42day in grad school who said parenting is an amateur sport.
- 25:48And it absolutely is. It's an amateur sport with the
- 25:50first one and then you think what you know what you're
- 25:52supposed to do and the second one comes out completely
- 25:55differently and on and on. And I would say that parenting
- 26:00your parent, which is what we end up doing in this situation,
- 26:04is also an amateur sport. And you make the very best
- 26:10decisions that you can with the information that you have at the
- 26:14time that you have it and at the time that it's happening.
- 26:18And I do, I have regrets, not truly regrets.
- 26:27It's more, gosh, I wish I had that information back then.
- 26:32And maybe I tried to do too much alone by myself because that's
- 26:37what I did. Because yeah, I'm an only child
- 26:41and that's what you do. But yeah, it's you don't.
- 26:46You don't get a blueprint or a road map for it any more than
- 26:49you do when you have the kid. And every dementia patient is
- 26:57different. If you've met one, you've met
- 26:58one. My mom became very angry and
- 27:03combative and she was only 411 and was probably 100 lbs
- 27:08dripping wet. But the adrenaline flows and
- 27:13that becomes difficult to deal with.
- 27:15And yeah, and I, I didn't want my children either to have
- 27:22memories of her being so combative and difficult.
- 27:27They had good memories from their time with her and when she
- 27:33wasn't failing. And I, I didn't want those later
- 27:38memories to be about the combativeness and the resistance
- 27:43and having to, you know, fight with her to get her to do simple
- 27:47things. So did you just sort of say,
- 27:48like, for the time being, maybe it's best not to visit her?
- 27:53Was that kind of how you kept them away, at least just during
- 27:57the harder times or? You know, she sang with, she
- 28:01sang with us 3 generations in our church choir.
- 28:05So they saw her at least once a week, but more often twice a
- 28:10week, once for rehearsal and then for church.
- 28:13And then we would sometimes go out afterwards for church.
- 28:17And for whatever reason, she was usually in a decent mood at
- 28:21those times. So they got that in those waning
- 28:27years. Yeah.
- 28:31And I would I would say that my mother's nosedive was quicker
- 28:35than many. Sometimes it takes a long time,
- 28:38sometimes it doesn't. Yeah, then this is interesting.
- 28:42Yeah, trauma also hastens all of that.
- 28:46And chemotherapy did nothing to help her.
- 28:49Not, no, no reflection on the medical community, but it did
- 28:54nothing to help her as far as as her deterioration was concerned.
- 28:59You mentioned before that you said the doctor like wouldn't
- 29:03help with that. Do you mean that they refused?
- 29:05Like you were kind of trying to lay out like what, hey, this
- 29:07person is suffering from dementia and this is how we're
- 29:11trying to help her, etcetera. I understand you have your
- 29:14responsibilities, but like I need support.
- 29:17And was it like they just said no?
- 29:19Like I don't quite understand that.
- 29:21They didn't they, I don't think they quite believed me.
- 29:24And my mother would go in and she would.
- 29:27I don't know how much experience you have with dementia patients,
- 29:30but they learn to speak in generalities.
- 29:35So hi, Christian, it's nice to see you.
- 29:38What a beautiful day it is today.
- 29:41You know, how are how are the kids?
- 29:43How are your neighbors? What's going on with your dog?
- 29:46You know, things like that very, very generalized conversation.
- 29:51And it sounds so competent. And it was not.
- 29:56So she would, I would go to the doctor with her.
- 29:58She'd be in the doctor's office and the doctor would say, your
- 30:00mother is a lovely woman. She forgets things every once in
- 30:04a while. It's it's not a big deal, Don't
- 30:06worry about it. And I would say, but the driving
- 30:09she drives left. We're in the United States.
- 30:12She drives left. It's not OK.
- 30:15And they said we'll bring her to motor vehicles and have her
- 30:17tested. My mother wouldn't give up her
- 30:19keys. My mother wasn't going to give
- 30:22up driving. That meant giving up her
- 30:23independence. So when I talk about the the
- 30:26indignity and and so on, it was prevalent everywhere and she
- 30:34became a danger to herself and others, certainly with things
- 30:38like that. It always kind of angers me when
- 30:41you hear physicians, doctors that gaslight their patients or
- 30:47or try to tell you like how it. It reminds me of a guest I had
- 30:51about a year or two ago. Shout out to Gemma, she was
- 30:56talking about Women's Health in the UK and how you'd often go
- 30:59and get a check up on for something and then they would
- 31:02tell you no, no, no, no, no. Actually it's this.
- 31:04And it's a tricky one because obviously with a doctor it's
- 31:07like they've got this training and like, yes, we're not the
- 31:11experts, but it's like, well, I'm with this person every
- 31:13single day. Like I'm taking care of this
- 31:16person every single day. Like I would know, I'm not like
- 31:20there's always the small shred of doubt, of course, in every
- 31:23situation, but it's like, as you said, general reality,
- 31:27generalities like it. What I'm kind of getting from
- 31:31this picture is that your mother's decline was, as you
- 31:35said, like fast towards the end. But like over time, there was
- 31:42still like think things like the singing is interesting because
- 31:46it's like, is that muscle memory?
- 31:48Is that just good long term memory?
- 31:52You know what I mean? Like, and, and the fact that
- 31:55your short term versus long term memory is, is there's kind of
- 31:57the battle. I mean, even in just everyday
- 32:01life we have that, don't we? You know, my long term recalls
- 32:03great, but I couldn't tell you what I had for lunch yesterday.
- 32:05You know what does that mean? That's pretty normal.
- 32:09Right. I know.
- 32:09But I just say like it's, it's interested in that, you know
- 32:12what I mean? Well, and we are talking about
- 32:15the arts now here. So it's 2026 and this was
- 32:19happening in the arts and care has changed, people's
- 32:23understanding has changed. I probably had reasonably good
- 32:30resources, but again, because I was navigating this on my own,
- 32:36may have not had all the things that I needed.
- 32:40Music. Interestingly that you bring
- 32:43that up, music is the last to go.
- 32:47So people with dementia can often sing or play instruments
- 32:54the way they've done for their whole lifetime without
- 32:58difficulty. The last time I sang with my
- 33:00mother, she sang with her music completely upside down and very
- 33:04correctly. What?
- 33:07That means I don't know. I don't know.
- 33:10But my I would say that that's a bookend.
- 33:13Like my very earliest memory is around my mother with music, her
- 33:18singing to me, and one of my latest memories is her singing
- 33:22with me. You mentioned earlier that, you
- 33:24know, a big way that you were able to kind of get through all
- 33:27of this was, you know, staying focused and, and just kind of
- 33:32working on things, working through things, you know,
- 33:34focusing on the care, focusing on what had to be done.
- 33:38But how did you, and I can't really think of a better way to
- 33:42say ask this, but like, how did you keep it together?
- 33:45How did you stay strong? My husband and my bestie, I
- 33:49guess there were, there were some tears a lot.
- 33:52There were a lot of tears along the way, but they were about the
- 33:54very obvious things, not the real heart wrenching stuff that
- 34:00I didn't deal with until later. But I had the two of them, so I,
- 34:04you know, they stood on either shoulder and helped me through
- 34:09it. And yeah, I without them.
- 34:15What do you think your mother would have, would have thought
- 34:17of? Just everything Like how things
- 34:20went, like how you were able to take care of her.
- 34:22Like what do you think she would have thought about that?
- 34:25She would have been furious, absolutely furious.
- 34:29And she would be furious about the book because it what she
- 34:33would say airs dirty laundry. She would be absolutely incensed
- 34:41by the whole idea. Proud.
- 34:44Proud of, you know, I think I'd be proud.
- 34:48I don't know. Well, thank you very much for
- 34:51that. I appreciate it.
- 34:55Maybe with her mind back, right. Yeah.
- 34:59You know, where she whole maybe some understanding, just like I
- 35:05came on to. I came late to my understanding
- 35:08of my mother and her love for me.
- 35:11It was a very specific brand. She was an odd duck and she
- 35:17Yeah, but in the end she was a a terrific parents.
- 35:21Certainly when I was a very young child.
- 35:25We fought a lot through my, my teen years and my 20s.
- 35:31We were very, very, very different people.
- 35:34Safe topics, the garden and music, sometimes art and
- 35:39literature after that, politics, forget it.
- 35:43I hadn't grown up. I wasn't, you know, I didn't
- 35:46think right. You know, I taught you to think
- 35:48better than that. Just there came a point where I
- 35:52just didn't talk to her about any of those things anymore and
- 35:55stuck to the, yeah, music and the arts.
- 35:59I mean gardening and the arts. It's the trickier thing as well
- 36:02because like once you get to adult age, you know, now it's
- 36:07like these people never stop being your parents, but you will
- 36:10inevitably clash. Disagree, speaking from
- 36:14experience here. And it's, it's frustrating, but
- 36:17at the same time it's, I think it's kind of inevitable because
- 36:20you are different people. You're not going to see things
- 36:22the same way and it's different. You know, you don't live like
- 36:27when you're at home. When you're living at home, you
- 36:29know you're under their house, you're under their rules and
- 36:32there are certain expectations and everything.
- 36:34And then once you leave, you're an adult.
- 36:37Now, sure, you're naive, sure you're grown up, you don't know.
- 36:40But like we've every, your parent was in that situation at
- 36:44one point. Now you are.
- 36:45And as you move throughout your life, you know, you become an
- 36:49adult by your own right. You know, like you, you make
- 36:53your own decisions. You, you come to your own
- 36:55understandings, you frame your reference for the world and
- 36:59everything. And then it's like trying to
- 37:02figure out or what does our relationship look like now?
- 37:05Because it's like we're equal, but of course we're not at the
- 37:08same time because we'll always have this dynamic.
- 37:12So it's like trying to find the happy medium.
- 37:15And I don't know, I think it's, it's, it's always a challenge.
- 37:21She didn't know me in the end. She knew I was familiar.
- 37:24She definitely knew I was familiar and she was always
- 37:27happy to see me. She didn't know my name or my
- 37:30children's names or my husband's name.
- 37:34Again, just knew that she was happy to see me.
- 37:38There wasn't any real way. So we went from not having a
- 37:42great relationship to not being able to have a relationship
- 37:46because she wasn't able to, to cogitate on relationship.
- 37:54Do you know what I mean? And I, you know, I hope, I hope
- 37:57my readers take away some, some piece about the decisions they
- 38:05make and the relationships that they have with their parents and
- 38:12how they, how they helped manage these difficult times because
- 38:17it's, it is truly difficult. Even even slight dementia
- 38:22situations are hard to deal with.
- 38:27Yeah. So, but she wasn't for at least
- 38:31the last 10 years of her life, she was not capable of having a
- 38:35relationship. The relationship is going to be
- 38:38very one sided. And it wasn't even really a
- 38:40power dynamic. It, I mean, obviously a parent
- 38:44child relationship is a power dynamic, but it wasn't even
- 38:48really a power dynamic dynamic. It was just a care dynamic.
- 38:52It was a protection dynamic. I have to protect this being
- 38:59that's important to me, but they are not who they were.
- 39:02Is that, I mean, I think we, I already kind of have the answer,
- 39:06but was that ultimately why you decided to take care of yourself
- 39:11versus say arranging for care elsewhere?
- 39:14Because I I do hear a lot of time people say, oh, well, I
- 39:16want them close to me, I want them with me, you know, I don't
- 39:20trust other caregivers, etcetera.
- 39:24Yeah. How did you come to that
- 39:26decision? What?
- 39:27What was the? I I did not.
- 39:29I cared for her for a time and in bits and pieces and expected
- 39:34and talked to her husband about how to care for her.
- 39:38But ultimately the the book is about the incarceration time.
- 39:44It's about the time that I said we can't do this anymore, We are
- 39:49unable to and made the decision to put her in memory care.
- 39:54And then she ended up in an If you think a psych ward is I
- 39:59shouldn't say that. If you think a psych unit is a
- 40:01difficult place to be, and it is, an Alzheimer's psych unit is
- 40:08devastatingly. Awful.
- 40:11And that's where she ended up because she was angry and
- 40:15agitated and wouldn't let anyone help her.
- 40:18I wouldn't have been able to care for her at home under those
- 40:21circumstances, either in her home or my home.
- 40:24You said a lot throughout the conversation that you felt you
- 40:28had regrets and I think you've got a healthy relationship with
- 40:32it because you, you see, you do say afterwards, well, you know,
- 40:37it's kind of the benefit of hindsight really isn't.
- 40:39It's like, well, I did my best in that time.
- 40:40I did what I could do with the resources I had and did my best.
- 40:45But you you've mentioned a few times you have regrets.
- 40:48So like, what would you have done differently?
- 40:51I. Think I would have told her what
- 40:52to do a little bit more. There's an example in the book
- 40:55about after she had her second breast surgery.
- 41:02I was very worried about her. Her husband was working.
- 41:05She wasn't getting any help at home.
- 41:07She was sleeping a lot. She wasn't waking to take her
- 41:12medication. She was already very fuzzy at
- 41:16that point. The dementia had already taken
- 41:18some hold. And I said to my husband, I want
- 41:22to bring her home for a while and care for her here at our
- 41:27house where I can do that and care for my young children at
- 41:29the same time. And he said, well then go get
- 41:33her. And I said, I can't do that.
- 41:35I'm going to tell her and she's going to say no.
- 41:38And he said, so I said she's going to get mad at me.
- 41:41I didn't want her to be mad at me.
- 41:45He said it better she should be mad here and safe than home and
- 41:49not go get her. So he was the one who helped me
- 41:56understand that there were things that I just needed to
- 41:59tell her to do. And I kept giving her choices.
- 42:03So I called her the following morning after he and I spoke
- 42:06about that. And I said, Mom, I'm coming to
- 42:10get you, 'cause I think you could use a little R&R at my
- 42:15house while you're while you're feeling better and the kids and
- 42:18I will will take care of you. And this little voice on the end
- 42:21of the phone was, and she just said, OK, and that was that.
- 42:29And then and I said, OK, so pack up a few things and I'll be
- 42:31there. Pack up your meds and all that
- 42:33and I'll be there. She couldn't even do that.
- 42:35She was just sitting by the chair by the back door when I
- 42:38got there. And she said I was too tired
- 42:40wearing the same things that she had been wearing when I left her
- 42:43the day she came home from the hospital.
- 42:47So do things earlier for your for your folks that you're
- 42:52caring for. Don't wait to get them more
- 42:55care. Find out what the resources are.
- 42:59Town social workers can be helpful.
- 43:02Your church or synagogue or mosque can be helpful.
- 43:07There are all kinds of places to go to for help and people are
- 43:12much more aware now. And if they can't help you,
- 43:16they're likely to be able to give you some guidance about
- 43:20where you can go to get help. So it was the I should have told
- 43:25her, I should have directed her. I should have, you know, done
- 43:31the done the puppetry thing and told her what to do because she
- 43:37would have done a little bit more, but we still would have
- 43:41ended up where we were. Sounds to me like you did your
- 43:43very best. I tried.
- 43:47I thought I'd I'd include this because I told my girlfriend
- 43:52that I was going to be doing this show because I'm sure she
- 43:55won't mind me saying this. But basically she and her family
- 43:58took care of her great grandfather for a few years and
- 44:03he also experienced dementia and everything.
- 44:06And she said to say to tell me to tell you to say to tell you
- 44:16that you're incredible. It's often a thankless job and
- 44:20you've made the world of difference.
- 44:22So I thought I'd share that. Tell her thank you.
- 44:25Tell her thank you so very much for that.
- 44:28I got, I got a fair amount of criticism from some of my mom's
- 44:31friends who thought things weren't that bad.
- 44:35So that was kind of tough. And I really, I really
- 44:38appreciate that. Please, please give her a hug
- 44:41and a thank you for me. Oh, I will moving to forward.
- 44:46Just a final couple of questions for you just to kind of see
- 44:49things through for today. What has caregiving taught you
- 44:52about life? Important memory and stories are
- 44:57to all of us. And possessions, yeah, they are
- 45:04what they are. Memories and stories are really
- 45:08our legacies going forward, and they're important.
- 45:13OK, I've I've only I should add I've started including this
- 45:17particular question because I always ask my guests best
- 45:20advice, biggest live lessons. I decided to add this because I
- 45:23thought it's interesting and you also end up getting good advice
- 45:26from it. So we'll start with what's the
- 45:28worst advice you've ever received?
- 45:35Wow, that's a tough one. Probably that I didn't have what
- 45:38it took. I didn't have the the direction
- 45:43and the focus that it took to succeed in life and not to
- 45:47bother with college. That's.
- 45:48Crazy when people say stuff like that, isn't it?
- 45:50Like it's whenever you think about that, Like I've, I've had
- 45:54a lot of people over the years tell me you're doing this wrong.
- 45:58You know, you're not doing this right.
- 46:01And I've always just kind of pushed it to the side, pushed it
- 46:03to the side, pushed it to the side because I think unless
- 46:05someone's living your life, they don't know what's right for you
- 46:07or what your capabilities are, and they never will.
- 46:12And you know, everyone is happy to criticize and judge and then,
- 46:18you know, so it's like this saying you're crazy until you're
- 46:20a genius, you know, until it all works out.
- 46:23And then suddenly. Right.
- 46:26It doesn't work until it does, yeah.
- 46:28OK, what's the best advice you've ever received?
- 46:31I had a it kind of came via way of a compliment.
- 46:36I had the same professor that said raising children is an
- 46:41amateur business made a comment. Sarah can teach anyone anything.
- 46:48And it changed my whole attitude about relationships and being
- 46:57able to impart wisdom where you have it.
- 47:01And I haven't always had it, but it made me think differently
- 47:07about doing that. And you cannot do any of that
- 47:14without love. And so it gets all wrapped
- 47:19together and he shored me up at a time when I didn't think I
- 47:25could get from where I was to where I wanted to go.
- 47:29So. What's the biggest life lesson
- 47:31you've learned so far? That you have to let people be
- 47:35who they are and love them anyway.
- 47:38Couldn't agree more. Final question for you.
- 47:40Do you have any upcoming projects or final thoughts that
- 47:43you'd like to share with our listeners?
- 47:44I projects, yeah, I'm working on my father who's a different
- 47:51beasts all together. Learned a lot about how very
- 47:57much alike I am with my mom in so many ways and him also.
- 48:07I'm going to be doing a book tour, an 8 city book tour.
- 48:09My book launch is April 22nd and I'm back into writing poetry,
- 48:15which really kind of was a first love.
- 48:18My first poem is in the book. I think it's in November but
- 48:23November chapter and it's about snow and it was in 4th grade.
- 48:28Oh wow. OK.
- 48:30So, yeah. And if readers are interested,
- 48:34they can go to mywebsite@sarahvosberg.com.
- 48:37There we go. Yeah.
- 48:40To the listeners of the show, I hope that you'll go out of your
- 48:43way to check out Sarah's work. sarahvosberg.com Thank you so
- 48:47much for for being on the show, for sharing your story, amazing
- 48:51stuff. I'm very grateful.
- 48:54You're pretty amazing yourself. You made it very comfortable to
- 48:56be here. You've been a gracious host and
- 49:00it's been an honour. Thank you for your time and for
- 49:02your listeners time. The honour is mine.
- 49:04Thank you so much to all the listeners of the Christian Reef
- 49:07Podcast. Hope you enjoyed this show and
- 49:09got something out of it as much as I did.
- 49:12As always, be safe, be well, and I'll see you all in the next
- 49:16one.