Sunday, November 6, 2022

My mom was released from the hospital while her sister JuMing (举铭)died at home.

My mom turned 91 this past March and she has been free from taking any pills since her dementia. Her blood pressure was fine since she didn’t have to worry about anything. I chat with her every week and she just looks at me most of the time, and sometimes she would make comments that I do not understand.
    One of her routines is to read newspapers, her generation gets their information from newspapers. She could not read any words now, but an old habit is to hold a newspaper, sometimes even upside down.

    She forgot about my father's aide that she used to hate; she accepted her as someone familiar, rather than a stranger. They shares the same bedroom. Her aide takes her out everyday to meet other coworkers downstairs since they worked and lived together all their life. Most residents of the building are seniors with or without their adult children, a lot of  aides also get a chance to gather, to chat with each other, and sometimes even play Mahjong on the garden table, while all of the seniors in their care sit in a circle in their wheelchairs. Some seniors can talk to each other, while others like my mom just watch. She could not make conversation anymore. But she knows them and fears strangers. 

    My mom has swallowing problems due to her dementia. Feeding her has been a problem. She does not open her mouth. My brother turns his head every time he hears my mom choking on her food. He said that when the aide went back home, he would be the one to take care of my mom. It takes him over 40 minutes to feed her, but the aide was always in a hurry because she wants to take my mom outside so the aide could meet the other aides in the garden.  My brother is still working 24-hour or 48-hour shifts at the airport so he does not have to work daily. I worry about his health; he said he could sleep there since the airport was not busy. When he is not working, he stays at home to watch over my mom. I tried to tell him to go out somewhere and take a vacation, since the aide is there 24/7.   I said our mom is 91 and she could leave us any time, so you have to prepare for it, but he did not say a word, but was in tears.  He is the only one there taking care about my mom since my sister and I could not travel to China since the Pandemic started in 1999.  



    This year, my mom was in the hospital twice already due to aspiration pneumonia. Her aide had to feed her slowly with thicker liquid food.   My mom held the food in her mouth and forgot how to swallow.  The day before Chengdu locked down on September 1st, she was choking on her food and threw up most of it. She had a seizure at 3 AM and my brother and her aide took her to the hospital.  She was having another aspiration pneumonia. Due to COVID testing, they waited four hours for the result.  

 The capital of Sichuan province, Chengdu, locked down its 21 million residents to contain the Covid outbreak. Chengdu is the biggest city to shut down since Shanghai’s awful two-month lockdown earlier this year. The move upset the lives of millions of people and businesses, affecting China’s economy and beyond. The Wuhan Institute Of Virology thought they were studying coronavirus with the USA by collecting thousands of bats from caves all over China over the past decade, resulting in a big outbreak and they had no clue about how to make effective vaccines. They also refused to buy effective vaccines for the country's 1.4 billion people; instead, they chose to lockdown the whole country, whole cities one by one and test millions each day; they pulled out every positive case to isolation by force.  27 individuals died when a bus transporting them to a COVID-19 quarantine facility crashed in southwest Guizhou.

    My brother could not go to the hospital to see my mom; her infection was under control after 10 days hospital stay. We were talking about how to change her feeding tube at home. 
    Then she was infected again, this time worse than before. Three other patients sharing her room passed away, and then she was the only one left. Her low grade fever kept coming back. All of the antibiotics on the list had been used except one, Colistin, also known as polymyxin E. The hospital did not have it in stock; my brother had to apply and go through obtaining layers of leaders approvals. All of the other antibiotics were cheap, a couple hundred yuan but this one was over 8000/day for 3 doses. She ended up using 4 doses per day for 10 days. The aide is with her 24/7, tube feeding her through her nose, changing her diapers and cleaning her, reporting to her nurses and doctors. My brother pays her 300/day plus food in the hospital. Normally she gets 150/day, 300 on weekends and holidays. Since my brother is single, he does work on weekends and holidays a lot. My mom's monthly pension is only 4000. Her insurance had an app setup on my brother's phone, since my brother could not get inside of the hospial, he had to give his phone to the nurse to videotape my mom. My brother had to pay all of the expenses first, then get reimbursed by the insurance company. I asked him if my sister and I could send money over, he said NO. We do not know how much he paid for my dad's expenses, but we know our mom does not qualify for a lot of benefits compared to my dad. My dad could stay in a 2-person room, my mom could not even go there even though there are vacant rooms. My mom stayed in a room for four patients, plus an aide at each patient's bedside. That is 8 persons, without any private bathroom inside; they all had to go out of the room to use public bathrooms. The other three patients died soon after.  
    My sister was ready to request her favorite Buddhist Tzu Chi (慈濟) to ask them to help my mom reach a pure land Sukhavati.  We have been praying for my mom in our Catholic church and requested prayers from Carmelite communities worldwide.  Jonathan and Richard get regular updates from me, I use Free video WeChat with my brother daily, except when he is working. I caught him smoking, he used to hide from me by putting down his phone and sometimes I saw smoke. I asked him, "smoking again?" He picked up the phone and smiled and said he smokes much less now. Now he was smoking while talking to me, and did not even care any more. I really worry about him. I told him to stop smoking. I asked him to come to US so no one would give him cigarettes, since there is no cigarette-sharing culture in US. My father quit when he came to our home; he brought 2 cartoons but did not even smoke 2 packs. He had to go outside to smoke alone. He quit 'cold turkey' at age 70s. He then told every one of his smoking colleagues to quit, since he stopped coughing in the morning, and had much more strength. My brother could hop on Air China to come to US for free but he has never visited here, not even once. I worry about him.  I could feel my mom has tried her best to keep my brother company. Not being able to see my brother, not being able to video WeChat with my sister and me must have been very hard on her. My mom was making great progress while my oldest uncle's wife turned 93, she moved to Shenzhen, the southern coastal city of Fujian. Her son bought a separate condo for her, her retired daughter and son took turns to stay with her, so she has someone with her 24/7. She loves playing MaJong and she has been playing it since she retired at age 55. She tried to join the local senior Majong club but the club refused her because she was too old. So her son and daughter play Majong with her at home, but Majong needs four persons per table, just two is really difficult. So she gradually lost interest. Since she has a pinched nerve, sitting down a long time is really not good for her. Her children took her downstairs to walk for one hour every day. Shenzhen's summer is no fun walking, especially when walking an hour. Her son and daughter were so hot and sweating, but she was not hot! Not hot at all! She sometimes needs to take a sleeping pill, although most prescription drugs do not need a prescription to buy in any drug store, sleeping pills are a controlled medicine. Her son could only get them for seven days at a time, plus he did not think it was good for her so he switched the sleeping pills with vitamins. Afer a while, her mom started to complain, "what kind of sleeping pill was this? it does not work. Can you ask the doctor to prescribe a different kind of sleeping pill"? We think she should be able to take sleeping pills at her age, since she does not really take any other pills.
My mom's sister died in her sleep at home a few days ago, while my mom was ready to be released from the hospital. She was the number 7 sister in the big Guan family and my mom is number 6. She was a few days short of 88. She graduated from China's University of Geosiences in Beijing, the same university from which the 6th Premier Wen Jiabao graduated. She spent all her life working in the Sichuan Institute of Geology & Mineral Resources. Compared to my parents working for the oil company, she was really poor since they do research, then turn over whatever they found to the industries. Premier Wen Jiabao made the change to the Sichuan Bureau of Geology & Mineral Resources, they were then better than our parents' oil company. Since Sichuan produces most natural gas, but Russian gas took a big piece away from them, and they were the only one in town before. My aunt received a good retirement but she felt cheated for her life. She wasted a lot of her life in politics, she also lost her husband from cancer. When she was introduced to Falun Gong, she completely dove into it. She did not care about anything else except Falun Gong. She was no long shopping or cooking for her working kids. All she talked about was to ask people to join Falun Gong, my mom was interested in the beginning, but lost interest after a while. She was upset with her and her brother, starting her complaints to the Communist Party. My uncle said to her that she benefited from the Communist party, her education, job, housing, pension, free health care, plus she was a lifelong member of Communist party, why she turned her back against it. She was on her own for a few years, practiced Falun Gong meditations all day long, refused her high blood presure, cholesterol medicine till she collapsed one day. She almost died, she was really weak, restricted at home after. She gradually got into Buddhist meditation and gave up Falun Gong. She had a stroke last year which made her even worse. The last gathering right before my oldest uncle died in 2000. She was in blue in photo.
My brother who has a car helped her daughter and son, just the three of them, since none of them were married, and had no children either, and since China was still locked down, and gatherings were not encouraged. My brother helping them for two days at the crematorium. Then my brother went to the hospital to take my mom home. My mom was pleased to come home and she was talking to my brother. My brother was in a much better mood as well. He bought an oxygen machine for my mom too. Hoping my mom could recover soon and start walking again. She was in the hosptial for over one month, from August 31st to October 9th. My mom is the only survivor of her five siblings.
The total cost of my mom's hospital stay was 190,000 yuan. The Chinese need to pay the hospital cash and then get reimbursed by their insurance, the many different levels that hospitals do not undertake. My mom paid out of her pocket 12000 yuan, paid her aide 13000 yuan who was with her 24/7. Admittedly, most was from my brother since my mom only gets 4000/month, not even enough for her aide. Now my mom has to live with the feeding tube through her nose from now on. Her tube needs to be changed every 3 weeks. Her aide and my brother cook the normal food and blend it first, then use a big syringe to force them in, washing the tube with clean water afterward. Her maide loves the color red, like most farmers in China. She even changed my dad's white underwear to red color. My mom loves clapping her hands whenever you ask and she plays with her toys too. Thanks to the free WeChat, I could have a videochat with her at night, which is her morning. I play a video speaking Zigong dialect by a Chinese person in France and using French. The best and closest to her which I could find for her, and even the girl looks like one of our cousins. My mom loves it, she stares at it and I play it over and over again. Sometimes I also play the songs she used to love. We all had changed our dialect to the Chengdu dialect. Each place has their own dialect, so even when we speak Mandarin, one can tell where you from by your accent. We all understand our own dialect, might not be able to speak anymore. I used to be able to speak Zigong dalect, and changed to Nanchong dialect when I joined my mom's workplace there, and then changed to Chengdu dialect. Living overseas most of my life now, my accent changed again, so it is mixed, and some even think I have a Taiwan accent. Maybe influenced by my sister's family from Taiwan.
My mom is getting stronger again, my brother could hold her hands walking now, she loves to follow my brother clapping her hands, and of course reading the newspaper. She could stare at the paper for half an hour.

Monday, July 5, 2021

Reborn - Chongxi, or Jianxi (冲喜, 见喜)

"Chongxi', or "Jianxi" is a kind of folk belief behavior in Asian countries such as China and India. Let marriage chase the bad luck and diseases away, reborn. Under the pandemic a year ago, my father, my oldest uncle, and my husband's great aunt Rose passed away. All 3 died a month before their birthday, 87,94, and 105, respectively. We did not have any family gatherings, everything was online through Zoom, Faceboook, or WeChat.
During the lockdown for the Pandemic, I started working from home every other day to my office. After becoming fully vaccinated, I went back to work in my office full-time this past May. My oldest son Jonathan was a second-year resident in a hospital in New York State, and he was working in the emergency room at the time.
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Richard was still a medical student doing his rotations, so he was well protected and was not exposed to Covid-19. He was having fun learning.
Joe was working in a local pharmacy while studying online; he and his girlfriend were very busy providing COVID vaccine shots in their respective pharmacies, an appointment every 15 minutes.
A wedding is a sign of hope and rebirth. My father's side of the family celebrated the first wedding during the pandemic this past May. My father's generation poem: 子宗国景方,原文肇自唐, 嘉庆创继业, 树德建朝纲, 长龙传家远, 学耕互商联. My father is 文, I am 肇,this one is 自。韩自强(means Self-improvement) The same generation with my children.
Richard and Paola's wedding was celebrated on June 26th. They both graduated from Middleberry College, met while voluteering at the Open Door Clinic, a free health clinic for uninsured and under-insured adults in Addison County, Vermont. Paola continued working for the clinic after graduation and Richard volunteered when he was free. At the same time, she recruited her own sister, a junior at Harvard University, to volunteer for the Clinic too. They brought vaccines to remote farms and set up vaccination sites. Together, they contributed to Vermont having the highest vaccination rate in the country and the lowest Covid infections as well. It was the first time our family of five gathered in one place since the Pandemic, Jonathan almost did not make it since he had a graduatation to attend on Friday, and had to be in the hospital at 6 AM on Monday. He was able to travel on Friday and give his speach on Zoom for the graduation online and flew back on Sunday morning. I was so pleased to see my favorite flower Magnolia × alba. the pleasantly fragrant flower used and arranged together to be worn by brides during the traditional wedding ceremony. I bought all of the shopkeeper's supply for the day.
The 3rd marriage this year was a surprise; my sister called and told me that her brother-in-law just got married again. She was very proud to tell me that she made this happen without any effort. One of her co-workers was asking if there was any suitable man for her. She just mentioned that her brother-in-law was single again after a divorce many years ago. The next thing was that her coworker wanted to visit her home. So while my sister prepared a dinner for her, she was wandering around the house looking at photos. My sister was not aware of her intention until she asked who was your brother-in-law in the photo. My sister pointed to him in the photo. Her coworker said, "he looks good". My sister was surprised that she wanted to see her brother-in-law James in person. They met and things took off from there; the next thing was that they got married. James' mother was so happy that her son was happy again and lost 7lbs in a very short time. The whole family had a celebration in a restaurant to welcome the new bride. The bride is the oldest in her family, she has 2 younger brothers, one got the family orchard and the other got the family business. She had earlier married into her husband's family, eventually divorcing without any children. James and his first wife tried to have a child in his first marriage but failed, then she tried artificial insemination and got pregnant with a boy. It was a natural birth at full term but the doctor told them the boy died the second day. It was a big blow for them and her mom since her mom had already moved into their home and was ready to take care of her grandson. Then James and his wife divorced. If they had sold the house, none of them could afford to buy another one just like this one. So her mom suggested that they keep the house, living their own way of life, James vs his ex-wife and mother-in-law under the same roof. It looked as if his first wife wanted to prove herself, so she went out and got herself pregnant again. This time with a poor Spanish-speaking young man, but her mom would not accept the poor man as her husband. Very soon, she brought her son home and the father never showed up, not even once. James accepted the boy as his own, the family of four lived happily for many years. Two years ago, her mom passed away from cancer. Her mom wanted to see her daughter married. She did manage to find another Chinese man who accepted her son and with her dying mom's approval. James kept good relationships with them since they all love this boy. When James told them he got married, his ex-wife told him that she wanted half of his house even though she did not make a single payment. James took out a loan and paid his ex-wife for her half. Together with his new wife, they will pay the loan back together.

Saturday, December 5, 2020

My Oldest Uncle Guan, Ju -Jin Passed Away at age 93

My oldest uncle Guan, Ju Jin (官举晶, #10 in boys) was born on January 16th, 1927, passed away on November 19th at 3:58 PM 2020, two months short from his 94th birthday. The last time I was able to talk to him was in August when his youngest son from Shenzhen was visiting. His son give him his cell phone to see me through WeChat. He woke up from his nap on the couch, and he repeatedly called my name "Ying, Ying, is that you?". He was really clear compared to my mom. I took a sreen shot of him.

His son told me that he was planning to take his parents to Chengdu to visit my mom and aunt in September. I was not sure it was a good idia since we were still under the Pandemic, his dad was 93 and his mom was 91, 3.5 hours drive to my city. He insisted to let them gather before the winter, since there was no COVID-19 in SW part of China except for a few imported ones back in February. All life had been back to normal for more than 6 months. The reunion was very emotional, my aunt was the youngest of 4, she cried the most. My uncle did not recognize my mom in the restaurant, but he was able to recognize my mom after they came back home. He started to cry and asked why my mom lost so much weight. Her face used to be very full, my 89 years old mom was scared from that many strangers around. She did not recognize her older brother. They drove home after dinner the same day.

I talk to my mom every week via WeChat, she holds my brother's cell phone and stares at me most of the time. She does not talk, but refuses to let the phone go until she closes her eyes napping. If my brother takes the phone away from her, she wakes up and looks at me again. I just kept talking to her, usually for an hour without her saying anything. Since she just saw her older brother and his wife, and my mom's and uncles' younger sister, I started to ask her about them. I mentioned her brother's wife, the best cook in the family. I asked my mom if she could go shopping so her brother's wife could cook. She did not say anthing, so I said maybe it is best to let her shop since she was the one who was going to cook, just tell her what dishes she likes to eat. Spicy chicken or rabbit were my mom's favorite dishes. All of a sudden, my mom started to talk, she asked my brother to give my aunt money so she could go shopping. She and my brother started a conversation. That was amazing, since she had not talked in full sentences for a long time. She remembered her oldest brother, who gave up his college education to work to support the whole family. He gave every penny he earned to my grandmother, to take care of her 5 kids and disabled bedridden husband. He refused to get married so he could support all of his 3 sisters and his brother in college.

His son said his dad could still eat more than he could at age of 93. Every time he came home, he loved to take his parents out to enjoy their favorite food. He did not show any sickness at all. He took a shower the night before, his wife found him unresponsive in the morning. My uncle was survived by his wife, a daughter and two sons, 3 granddaughers and 1 grandson. His oldest son, a professor at the University of Liverpool, 2 granddaughters and great granddaughter would not be able to go back since UK was still in full lockdown. I did not go to say goodbye to my father in March, now I lost my loving uncle who was my acting father for my first 9 years. I do not remember him ever raising his voice to his children or me. He used to walk an hour each way to work, he thought it was a very good way to excercise. I used to be very picky about food; he used to tell me eat the same amount of food no matter I liked it or not. It is good for my health. Most people eat more for something they like, less or none if not liked.

None of his children live nearby, he and his wife have a woman in her 60s to help them out. They are just so content to live their simple life. I was there 2 years ago, I was sorry that I did not make it there last year since my father was so sick in the hospital. I was planning to visit them this year. I guess it is good that he did not suffer much or at least not suffer long before his death. He had such a good life and forever remains an example for us.

Sunday, March 8, 2020

My Father Passed Away from Melanoma at age 87

Wen-Jian Han's obituary    

This past summer, my father’s nose kept bleeding. The doctors were afraid of doing a biopsy since he was over 86 years old with other problems, so nothing was done except for stopping the bleeding and using an antibacterial drug.  My brother was able to find a younger doctor a few months later who was brave enough to do a biopsy to figure out if it was cancer.  The result was cancer but we could not tell my father. We told him it was a polyp. Now at the end of the year, the tumor extended beyond his nose and was still bleeding, sometimes more, mostly a slow drip.  His doctor said surgery is very risky. He might not be able to wake up from surgery. They tried to organize a group of specialists to meet and discuss his situation, and then give us their recommendations.
    I flew to China on Monday November 18th, and did not get to my parents' home until the 20th.  I brought our Catholic Prayer cards, which I added into the crowded family altar, which included a long Tibetan Buddhist prayer and a few Han Buddhist statues, and a Taoism symbol.  My sister said all prayers are welcome here.  
     We all went to the hospital to visit my father right away. He was in bed, and I went over and hugged him. He held me really hard and started to cry.  My 88-year old mom was sitting on a wheelchair, and my brother, sister, and I all gathered around my father. 
     My father started to talk. First, he said his aide was so wonderful and he felt bad that she had to get up so many times during the night to help him. She had to help the nurse during the day and go out of the hospital to buy meals. The aide didn’t lose the opportunity to talk; she said she had to carry my dad to use the bathroom 7 or 8 times each night. Later, I found out that was a lie. She massaged my dad’s legs 3 hours a day so her hands hurt. Later, the physical therapist said the massaging was wrong due to my father’s high risk of blood clots. My dad used to go downstairs to exercise every morning at 6 AM until she came into his life a little over two years ago. He became more and more dependent on her, now his back failed so that he could not even stand up and needed her to carry him to the wheelchair. He could not walk anymore. Her pay started at 2700/month; my brother gave her 8000/month plus whatever my dad gave her for take-out meals...  
     Then he said he was sorry to burden my brother, so that my brother could not even find any social time to find a mate to get married. He was at work and home only. He is going to die alone since he was not married and didn’t have any kids. I said we, my sister and I, would take care of him. 

     Then, he talked about my mom so I pushed my mom over to him so he could reach her hand. My mom stared at him trying to figure out who he is.  My father did not look at her but held her hand saying sorry that he had to leave her behind. My mom didn’t say anything but tears ran down her cheek. When she looked at the aide, she stared at her with anger and she didn’t say a word. 

     My sister and I went back to the hospital and my brother was home with my mom. The first concern was why the aide was going out of the hospital to buy meals from the restaurant. The board above my father’s bed stated “Special Diet” since he has diabetes. The aide said the hospital food was no good and my dad could not eat it. I said the meals from the restaurant are not suitable to him, because they are high in salt, fat, and sugar. You could eat out but my dad needs to eat the hospital food. She said your dad tried but could not eat it, the rice was too dry and the noodles mush and they were tasteless. I said he needed the special diet. Did you ask what were his options? She said you could go ask the doctor. I went to the nurses station since it was right outside of the door. The nurse said all of the food was designed for senior patients. All our patients are seniors, but for your dad’s special diet, you should go ask his doctor. The nurse said, “by the way, where was your dad’s aide trained?" I said, “I assumed at your hospital since my father took her home from here. I went to the doctors office; there were about two dozen persons at their desks and computers, all facing the wall, with a large table in the middle so they just needed to turn around to have a meeting. My father has two assigned doctors, but all the doctors plus invited specialists sat around the table regularly discuss my father’s situation. Since there are new lab and the whole body CT scan results, they’re going to have another meeting next week to discuss what is best for my father.  Each time, the best is still do nothing.
     I walked into the office, a half dozen doctors were there and I didn’t know who was my father’s doctor. I said Hello, please tell me who is Wen-jian Han’s doctor? One of the young female doctors turned around and said she was one of them. I asked if I could talk to her, she said sure. I said my dad needed a special diet, could you tell me what it is? She said the nutritionist should have told my dad and his aide. I said, “ the aide has been feeding my father take-out food. She said that is not good to have daily, maybe once in awhile. He needs low salt, sugar, and fat, but needs high quality protein, vegetables and fruits. I said, “I know but they didn’t listen to me, can you write it down so I could go show them?" The doctor said she and the nurses did feel resistance from my father and the aide. Not sure why? She wrote it down and I took it to my dad and the aide. The aide said the dinner would come soon, why don’t you go see how special the food is and see if you could eat it. I waited outside of the meal room until all the orders had been picked up. Two didn’t show up so she delivered the food. Then I got a chance to talk to her, she said there’s a meal plan for my father but we decided not to order. The special meal was for diabetes patients. I said that I would ask my father to try the food. Do you have any extra meal I could buy? She said she always brought a few extras just in case. She and I went to my father’s room, I asked my father to try the rice to see if it was too dry and he said it was good. I asked him to try the special food tomorrow and he agreed. 
     The next day was raining, I went to Carrefour to buy a small food processor just in case my father could not chew the vegetables. Then I went back to the hospital to check how was the special food. My dad was happy and the doctor said she added two more vegetables after reviewing his case. Then the aide walked in and said the food was not impressive, she showed me some leftover vegetables. I said it looks good and healthy. She didn’t say anything. I also made some salmon chives, mushrooms, and tofu-stuffed pancakes for my dad, but he said to save them for the aide since she loves them. I said that I brought four to share with her as well.  My pancakes were spoiled and the maid returned them to me to throw away.  To make sure he continued his special food and repeat two more times because the aide repeated two times the special food was not good. My dad could not eat outside take-out food.  My father was upset and asking me if he needed to give me a medal award since I kept talking about the special meal. He tried a week and stopped. He told me he was not going to live that long, why bother, eat whatever he wanted to eat.  I gave it up too.
     The aide didn’t have any training to care for the patient, plus we all had trouble to understand her dialect; only my father could understand her. My brother said she went grocery shopping and refused to give my brother a receipt. Her cooking was high in salt and fat, she just could not change so my brother took over shopping and cooking for my parents. The aide just keeps my dad company, she wheels him out at 9 AM, and back at 11:30 for lunch. After lunch, she and my father went to the master bedroom to take a nap until 2:30. She wheels him out again if it is sunny. Every time, I called my dad, he said how much he was relying on his aide and how tired she was, sometimes she would sleep all day due to headaches. Her teeth hurt, my father paid her to go to a dentist, and paid her to see a doctor if she was sick. Her 80-year old mom is sick, my father gave her 1000 yuan to mail back home. She could also get prescription drugs in my father's company hospital, my brother said sometimes over 6000/month, all covered under my dad's insurance. Funny my mom could not since she has her own policy and her policy was not as good as my father.
     I kept reminding my dad that his favorite son is working night shifts and caring for them at the same time, I cannot say he was doing the aide’s job which would make my father angry. I just said he is older than his aide and he still smokes from his stress. He needs to care his son! 
     My sister came back a week earlier than me, I could not believe that my father asked her to clean the master bedroom’s bathroom since only the aide was using it. My father was using a potty. My sister didn’t complain and went to clean her bathroom and the other bathroom, and the kitchen, before my dad was admitted to the hospital. 
     I asked the physical therapist to see my father since he refused before. He was not friendly in the beginning, but the therapist was very patient. She explained why and how he lost his muscles and strength to the point he could not even get out of bed. She showed him how to exercise on his own with the aide's help, how to doing things on his own turn, since one of his back disks moved. She explained why he could not have the aide give him a massage. He needed to try to move around on his own, not lay in bed, or sit on the wheelchair all the time. She helped him left his legs and asked his aide how to help my father correctly since his aide had no training. 
     My sister and I tried to let the aide go, and find a trained one for my father, my brother did not think my father would let go and he was right. When I came back from the doctor's office, I saw my sister was kneeling at the end of my father's bed saying sorry to my father, my father said her sorry was not sincere.  The aide was facing the window crying, away from my sister, standing in front of my sister, next to my father's bed.  I asked my sister to get up, in my mind really wanted to drag the aide down to kneel in front of my dad. I said to my father, “you forgot your favorite baby girl (么妹)?  She just wanted to talk to you alone and get your attention.” My father said, “She and all of you tried to kick out my aide. You have no right.” I said, “dad you misunderstood, since the aide was so tired and could not sleep well, we wanted to help her and find another one to help her and give her a break. She has been with you 24/7 and she has her own husband, children, grandchildren, and a great grandchild to see.  Later on in my father's better mood, he said I should not go directly talking to his aide offering another aide. He said, "She was lying about getting up 7 or 8 times a night,  she was complaining how tired she was just hoping you could give her a "red envelope" with some American dollars."  I said, " I will not give her a penny, she is lucky that she is still here." My father said I am too Americanized and did not know how everything works in China.  Everyone around him wants money. 
     When the nurse came in to take his blood pressure, my father started to complain to the nurse. When the nurse asked his name, he showed her the name tag on his wrist. The nurse insisted that he answer the question but he refused. They are lazy and tried to have his aide do their job... I ended up following the nurse out apologizing and brought some chocolate to the nurses station the next day.
     My father expressed anger to me since I came home the least. He said, “ I praise you for bringing up 3 excellent sons including one resident doctor, one medical student, and one pharmacy student, but I am sorry that I cannot live long enough to see them again. Since you are here for only a very short visit, I imagine that you have to go to visit your uncles and aunt, so you would be hardly spending any time with me. I said, “ Dad, I am sorry that I can’t quit my job like my sister did and I can’t afford it. This trip, I am not going to Zigong to see my uncles and aunt, and I plan to visit you every day for my three weeks here. Then he said, “you should go to see your uncles and aunt and give them some money, we owe them too."  The truth was my grandmother, aunts, and uncles cared for me until I was almost 10 years old, and I did not have to do anything, not even know how to bread my long hair, which my grandma was doing it every morning before I went to school.  I went back to my parents and had to learn helping them watch my younger brother and sister, doing most house chores. I cried a lot and I wanted to go back to my grandma.  My grandma missed me as well and finally came to live with us and I did my best caring for her, she died a month before my College National Entry Exams.  I was with my parents less than 7 years before I went to college.  I finally understood my parents when I entered the work force, still swear to myself that I will care for my own kids. I do not have much emotional attachment to my parents like my sister who stayed with my parents until she was 26 years old when she got married. 
     The next day, I went to the hospital by myself, my dad, and the aide were complaining about my brother and my sister, how bad they took care of my mom. My mom lacked protein because they didn’t feed her meat. They both cooked terrible food. Only his aide could care for my mom the best!  My dad was trying to persuade me to keep his aide for my mom after him.  I did not object but also looked around myself. I found one in the hospital who came from my mom's hometown Neijing. I also introduced him to my brother. He said his younger sister would be the best choice for my mom.
     When I was visiting my dad in the hospital, my dad wanted to give his aide a break and have me to taste what his aide was doing.  He never asked once if I slept at night since the time difference between China and America. I could not sleep at night since it was daytime in America, it was my sleep time everyday when I visited him.  When the lunch was ready, my dad wanted me to help him move from the bed to the wheelchair, I was a little nervous so I asked the aide to help me. Especially in the bathroom, I don’t want to drop him.  I have to remind my dad that I was close to 60 years old, I had never done any of the aide's work before just like him. He never cared anyone in his life.  He said he just wanted me to feel what his aide was doing, respect her!
     My dad wanted me to share the food with them, he said he could not finish his meal anyway. The aide was feeding my dad; my dad wanted me to feed him so the aide could eat. The aide was trying to stop my dad but my dad insisted.  The doctor told me my father can eat on his own when she saw me feeding him.  I told her it was OK, he missed me.  After the lunch, my dad wanted the aide to take a nap, and asked me to wheel him out for a walk and he was nice to me. He showed me the hallway where "dead  people wheel down from here."  Since he talked about death, I asked him if he was really sure not to keep his ashes.  My mom already bought their place in Wenshu Yuan Monastery (文殊院) to store their ashes.  He said "your mom wanted to stay there."  I asked him if he wanted to join our family in the future since we have not buy our plots yet.  He said it would be too expensive for me, I said it would not be expensive to ship ashes.  My mom and my brother could join us too in the future, do not worry about money, you have 3 grandsons and they will have money to pay back your care to them in America. After talking to my dad, he did not say anything about his hometown where his parents and sister are buried; he did not want to go back, not even his ashes.  It really made me think that my father was really fighting for his own battles, all he believed was his aide cared for him. I later apologized to the aide and told her experience was better than trained certification.  She then told me another lie, she had helped over 20 patients, she told my bother 8. There is no way to check but we knew at least one patient for sure.
     I left before dinner, I took the new subway back home as I came in the morning, it came every 2 minutes for less than $1. My brother said my dad’s nose was bleeding again, he was going to deliver the special self-absorbent cotton pads. The doctor was waiting for these special cotton pads. It required storage in the cooler. Cost over 500 yuan a piece and my dad’s insurance does not cover them. I said that I would go with him so he could drop me off and I could deliver it faster while he parks his car in the underground parking garage. It is an hour each way. 

     When I got there, I could see the aide was helping my dad, no doctor or nurse, the doctor waited for a half hour and left. I went to the doctor’s office, one of the doctors called and told me to go back to my dad. I came back and started to hold my dad’s nose to stop the bleeding and the bleeding slowed down a lot. The doctor finally came and forced the special cotton into his nose and made his nose bigger. My brother and I went back late and my sister and my mom waited for us for dinner. I went to bed right after. 
     The next morning I went back to the hospital, my dad said his nose was bleeding again but he and his aide managed. He coughed up a big black piece. The aide was poking it and it was really hard. I said, “did you save it for the doctor?.” No, they didn’t think the doctor was interested. My dad was dizzy in the morning, I noticed his little package of pills from last night still sitting there, the aide said my father refused to take them. But she already gave my father pills from home for dizziness. I was upset since she said that she knew my dad better than the doctor. Also, I don’t think she measured how my father’s water intake and urine output; she reported to the nurse the same numbers every day. The nurse just comes in to scan my dad’s code on time, put the old-fashioned thermometer under my dad’s arm, often doesn’t come back for an hour until he forgot and lost the thermometer and ended up looking all over for it. Sometimes even the blood pressure was checked by the aide. The scale is outside in the hallway, the nurse came in asking what is his weight.  My father could not stand up on the scale so he could not weigh himself.  To get my father's weight, the aide had to push my dad's wheelchair upstairs by elevator, there was a weight station there, put the wheelchair and my father on it, then minus the wheelchair weight.  The aide did not want to do it often so she was given the same number to the nurse.  The cleaner was cutting corners and I had to chase him down to ask him to come back to finish his job. No wonder my dad is complaining!
     My dad told me that his next door neighbor Muslim Ma passed away, his wife sold their home and moved away. He missed them, both good times and bad times, they worked together all their life. He was always above my dad, since he was a communist party secretary, this position is always higher than directors.  He made sure my dad never passed him except he died first.
     When my dad just finished college working under him in the field, my dad often introduced him to the local agencies. They respect the leader, after initial handshake, the leader was left alone. My father was very popular and blended in anywhere he goes. Life was hard back then, not much meat to eat, once a month was lucky in the field. As a Muslim, he and his family received special coupons for beef and lamb, so they ate more meat in general so they got more from the government. His wife was Han so she got pork coupons too.  We as majority Han didn’t get any beef or lamb.  The pork coupons we received were fewer.  In the field, there were not many places to have beef or lamb. The cow is the farmer's family member. Most Han does not like lamb, which means he would not have any meat at all. It could be months at a time doing fieldwork. So my dad was thinking to do him a favor. He told the kitchen staff to hide the pork and vegetables under his rice, topped with more vegetables. Ma ate all of his meal, my dad was very happy to see that he ate the whole thing and asked him if everything was good. He said very good. Then my father said, “let me wash your dishes.” Ma said “no no, I wash my own dishes. I don’t want the locals thinking I am abusing my power.” My father smiled and thought about the real reason. The pork dish was very greasy, while a vegetable dish is not. He didn’t want anyone to see he ate pork. He didn’t know my father was the one who arranged the whole thing. My dad didn’t stop there, he switched the beef and pork on the cutting boards for one of the holiday meals. That put him in very very hot water! Ma was so upset, my father watched him clean the cutting board over and over again with boiling water. Even today, my father didn’t think it was a big deal. The way he washed the board showed his disrespect for the pork eaters. He felt offended. Ma gave my father trouble ever since as if my father never grew up, always a naughty boy. Since they were our neighbors, my father asked his children if they ate pork. His children said yes, of course, we eat pork.  
     Two weeks went by very fast, we were still waiting for my father's options.  The ear, nose, and throat department finally were going to discuss my father's case, I confirmed with my father's doctor that I would join them and I had to be there around 7:30 AM the next day.  I took a taxi there since the subway does not start till 6 AM and I needed 1 hour to get there.  When my father's doctor took me to the ear, nose, and throat department at 8 AM, I was told to wait outside with other family members in the hallway. No chairs were out there for a hour.  I did not see anyone except my father's doctor who came out, she said "we will have to wait for the anesthesiologist to see if it is safe to do the surgery."  Later on that day, a young anesthesiologist came to ask some questions to my father and left.  The next day, the same results came out just like August before the biopsy was done, high risk, let the patient and his family decide.  Back in August, my father was stronger, the cancer was too small to see, now the cancer grew out of his nose.  Of course, we decided not to go through the surgery and signed a paper.
     We were hoping the Oncology could step in earlier, but it had to be after we rejected the surgery first. My brother went ahead and spent over 300 yuan to book a first-class Oncologist in the International section of the hospital to see my father on December 3.  Since the doctor did not want to see my father in person, we did not wheel my father there, just brought the biopsy result and CT scan films to see him. When we went inside, the old Oncologist had two younger assistants with him, he looked at the film and said we needed two more tests, BRAF V600E and C-KIT Exon 17, about 2 minutes.  Results will come in two weeks.
     The next day, my father's doctor told us that the Oncologists would discuss my father's case the next morning and get my father ready at 7:30 AM.  I asked again to make sure they were going to see my father, she said she also asked the same question and they told her yes.  My brother drove me there the next day and the aide already put my father on a wheelchair ready to go, from 14th floor, down to the 6th floor. It was breakfast time there, so the hallway was crowded with people passing by to get their food. Again, we waited outside for a hour. When our doctor came out, she said we needed to do a PET scan.  The next day, I went to the hospital, my father's doctor ordered three more tests BRAF V600K, CKIT 9,11 and NRAS.  The results came back that there were no mutations so the target treatment was not suitable for my dad.  We also rejected the radiation for melanoma due to the risks.
     I came back to the USA already before my dad found a suitable treatment. Immunotherapy was considered last and my dad went through more tests, but he got another lung infection, so everything stopped after that. The doctors recommended palliative care since my dad was too weak and he did not have much time left.
     My sister cancelled her return ticket and she decided to stay there to keep my dad company.  She and my brother also were looking for an aide for my mom. The interviews were set up after the Chinese New Year, but the Coronavirus stopped the whole thing, Wuhan locked down first, the whole country locked down as well. Stay home unless you have to go out.
     My father was not doing well, his blood pressure was dropping, so his high blood pressure drug stopped. His nose was still bleeding regularly so he was having anemia. His vital signs were not good. He also started to experience pain, he closed his eyes since they were hurting, he could not eat solid food anymore. He slept most at daytime, not at night. he was calling my mom. The doctor agreed that my sister could also stay by my father's bedside along with the aide at night, so she did not have to come and go daily in fear of bringing Coronavius inside of the inpatient hospital. 
     My brother was able to bring my mom over to see my dad on the day before my dad died, my mom was not able to understand what was going on, my dad's eyes moved a little bit. The next morning around 4 AM, my dad stopped breathing. It was March 1st there, still 4 PM Feb 29th here, when my brother called me. I was able to video chat with him while he was cleaning my dad's room since my dad had been there since last November and accumulated a lot in the closet.
     My sister already took my dad away to a private memorial place, she did not want anyone to touch my father, not even change his clothes. She said it has to be after 36 hours. She wanted to stay with my father and pray for 3 days and 3 nights, helping my father get to Heaven.  Since the Coronavirus shut down, no gathering was allowed so she could not invite Buddhists over.  My brother tried to ask her to go home with him but failed. I was very concerned since the place locked down at 9 PM, no one would be there, not even a security guard.   There are other bodies in the other rooms next to my father's room. She turned off her phone as well.
     
     It was more surreal to me that my father was gone since I was not there. I dreamed about him before he died -- he was in bed holding a baby and playing with the baby happily.  My mom threw a blue towel over to my sister.  I was not interacting with them, only like a bystander watching over them.  I was very emotional at noon on my walk, I was alone walking, I looked up at the sky and I felt for my dad, I really felt him above me.  I started to cry while I was walking.  I did not dream about my dad, but dreamed that I went back to the old apartment building when I was still in high school.  I saw my mom was cleaning and organizing. I went over and saw they actually kept some of my things, which was shocking to me.  Then I drove my mom because my mom wanted to give away my dad's clothes, I did not know the people, but saw two more nice pants so I walked out of the car and added them to the pile. I then dreamed that I was climbing a hill, on the top, it was flat and a lot of kids were playing soccer, or just fooling around.  I walked around waiting for my sons, I also noticed some pretty mushrooms on the cliff.  I started to worry about my sons so I walked back looking downhill, I saw a group of kids fooling around while climbing, one girl fell off backward.  I was trying to call my son, but I forgot my cell phone at home, so I was able to borrow one from another mom, but I did not remember my son's number.  I had to give up -- all a dream.
     I was considering booking a flight back to visit, but no flights were available until the end of March.  It will also depend on how the Coronvirus spreads in the US.  My father was cremated the 3rd day and he wanted his ashes scattered. My brother was suggesting to keep part but scatter some of the ashes. My sister wants to keep him and my mom together in the Wenshu Monastery.  My mom's younger sister's husband's ashes are already there. They bought the places a long time ago. But only keep the ashes for 70 years like the rest of the properties in China and expires in 70 years.  My brother stored my dad's ashes next to the crematory right now before we make any decision.
Wenshu Monastery (文殊院) - Chengdu, Sichuan, China.
     My brother said he would let the aide stay to take care of my mom, she agreed to a pay cut to one-half since my mom could still walk and eat by herself.  She could also help with some simple tasks such as cleaning vegetables, remove peas from peapods.  My mom is going to be 89 this March and she is like a little kid again. Although my mom did not like her, tried her best to kick her out, she was not a stranger to her or us. We do not know how she was going to react to a new stranger. Not to mention it was my dad's dying wish that we keep her for my mom. My dad wanted us to keep her employed. My brother did install surveillance cameras just in case.

     I went back to my blog to read My Father's Roots.  I enjoyed listening to the songs my father use to sing, sadly I have never stepped into my father's hometown Yahozhou (耀县) or his birth place Shanyang (山阳县).  Not sure when since I only have 3 weeks vacation and I need to spend the time with my mom, my 93 year old uncle and 91 year aunt.  They do not have much time left.  I am also grateful to my husband's understanding my situation that I could not be with him or his aging parents. Fortunately, my oldest son Jonathan chose to stay close to his grandparents for his 3-year residency after he finished his medical school.  He could go visit them on the weekends and holidays.


Saturday, December 8, 2018

My Mom Has Dementia

"Even slightly elevated blood pressure increases dementia risk. The link between dementia risk and hypertension is well established." My mom's blood pressure was never fully controlled, because she did not believe the one little pill could control her high blood pressure.  Instead, she was spending all her monthly pension and life savings (over 300,000 yuan) on those direct scams, the ones who treated her like a queen but emptied her bank account. Not only we noticed her memory slowed down, the neighbors also noticed her odd movements.  They saw her wandering in the yard or outside for hours, not sure what she was doing. However, she managed to get to her younger sister's place last year.  Her nephew was surprised and eventually sent her home.  It was the last time she was able to travel that far by herself. 
     She failed to kick out my father's favorite aide.  She tried to leave home but had no place to go. She refused to go to see a doctor to confirm that she has dementia. If it was true, she would lose control of her own pension. She cashed her pension monthly and she hid her money in her room and refused anyone to get into her room.
     Her world soon crashed when she broke her hip early this year; she ended up having surgery and stayed in the hospital.  She was completely lost there.  My father went to the hospital to see her.  He told me that she did not look or talk to him and it really broke his heart.  But she had tears in her eyes. That was the turning point for her; she gave up on my father and her dementia took over her. This was actually good news; her blood pressure returned to normal and she finally was able to sleep at night. 
     My father on the other hand found a new hope from this young aide who stayed with him 24/7, so his pension ended up paying her. Her last name is Shen (神姓) , which literally means "god." He told me that he was lucky to have her. At age 52, she has 3 children and a few grandchildren already; all her kids are gone from their hometown. They bought their own homes in Chengdu. The migrant workers are the fresh blood of the city; only her husband stayed behind at the farm. The One Child policy never applied to them in the far away mountain region of Guangyuan, bordering Sichuan and my father's hometown Shaanxi. Historically, Guangyuan belonged to Shaanxi due to the strategic location, the Jianmen Pass(剑门关) . Today, the Chinese government offers the remote regional people 30,000 yuan to have an extra child; however, the new generation refuses just like the city people. The kids are too expensive too them.  
Jianmen Pass      
     Every time, I talked with my father on the phone, he cared more about this aide.  He complained about my mom who still could not accept the aide and hit her every time she was trying to help her. The oil company covered free annual physical checkups for aides.  My father paid all her other medical and dental expenses; he also gave her money when her son got married, and when her grandson was born, etc. 
     My brother has been working the night shift in order to get 2 days off, so he could stay home one half month each month to care for my mom. My mom now only listens to my brother.  My brother seems very happy to take care of my mom, who is like a little kid now. My brother talks more at home and talks about my mom's silly things.
    When my sister and I decided to go visit home in November, my dad's first thought was to give the aide a break so that she could go home. But she refused, she wanted to go back home for the Chinese New Year. I was hoping that we could give my brother a break.  My brother has been shopping, cooking, and caring my mother ever since he came back home in February this year.  The aide only cooks when he is not home, which is half a month each month. I have to remind my father that my brother is much older than the aide, that he has a full time job, and that he still smokes.  My biggest fear is about my brother who has no life of his own. He works, then he is home with my parents. 
     When my brother came to pick me up at the airport, it was 2 AM, and then a week later, he picked up my sister around the same time. He dropped her off and went back to work.  He talked about taking my mom out to get new glasses. No matter how hard they tried, my mom was not able to cooperate. I laughed and did not believe he actually tried. He tricks my mom and plays with her, whatever makes my mom smile. He also has to fight with my mom when she does not listen to him, my mom would hit him instead.  The aide said when my mom hit her son, she was very gentle, but hit her very hard. I could see my brother lost weight since the last time I saw him. The aide told me that he even smoked at home with windows open, that shocked me since I never saw him smoke at home.
     I was afraid that my mom would not recognize me and wanted to kick me out, as she did to my sister's two kids in the summer. To my surprise, she was very nice to me. She wanted me to eat her breakfast, she kept getting up from her sofa, walking wobbly to get different kinds of fruits and snacks to me.  Shen then took off her bracelet and insisted to put on my hand. I said no, you keep it, she showed me her other hand, and yes, she had another one. So I put it on. 


     My father told me that she refused to eat vegetables and easily became constipated, so I brought some fiber gummy bears and Dulcolax pills just in case. Since she has a sweet tooth now, I also bought probiotic gummy bears, chocolate calcium chews, and some chocolates. Also a big box of Ensure.  She took all the sweets and I spoon fed her a half bottle of Ensure, she loved them all. 
     After her nap, I decided to take her outside to get some sunshine; my brother said she could only walk to the front gate. When we reach the gate, she kept walking so I let her.  There was a fruit vendor outside; she was checking her pockets try to find money but failed. So she turned to me, "they took all my money away, do you have any?".  I told her that I did not bring any money. We kept walking; a vegetable vendor was very patient and I told him that we did not have any money.  He said "no worry, you could just scan this barcode." That really made me feel very bad, since I do not have a cell phone account to just scan and pay. Talking about how much behind I am, even behind a farmer.
     We kept walking and stopped at the gate of the Hospital. There was a dozen stairs up to the front door, she decided to go up, I held one of her arms. After we reached the front door, we sat on the bench to rest. A few people passing by recognized my mom and stopped to say hi and asked how everyone was doing.  At the same time, I did notice an aide pushing a noisy man in a wheelchair going upstairs.  After that, my mom said "you could just sit here and wait for me; I am going upstairs to see one of my colleagues". I insisted to go with her,  she let me, so we took the elevator up to the 5th floor. She seemed to know where to go, we walked towards the old man who was noisy downstairs. The aide was washing his feet, seeing us approach, she said to him, "sing the songs now, sing." He listened, he started to sing slowly and tried to catch his breath at the same time. One was a Red song for Chairman Mao, and the other was Tian Xian Pei ( 天仙配). We walked by him and looked into the kitchen at the end of the hall, no one was inside. We then walked back towards the man, and now I knew she was looking for the man's wife.  They used to buy nutritional supplements from direct sales together. I asked the aide when his wife was coming back and she said not till 9 PM. We stood in front of the 90 years old man; I asked my mom if she recognized the man, the powerful Communist party secretary Ma, a Chinese Muslim. She looked at him and said no, he was not the man. The man did not really looked at us, he was in his own world. We then walked towards the elevator.  When we got close, my mom said, "do you want to use the bathroom?, there is one at the end of the hall and turn left."   I didn't really want to go but wanted to see whether she was right or not.  I asked her to sit at the bench across from the elevator and wait for me. She was right, there was a bathroom there. 
     When we finally got downstairs and walked to the front door again, I pointed to the left ramp for cars, and said, "let's walk down that way, it is easier".  She refused, she wanted to walk down the stairs. I was nervously holding one of her arms and let her other hand hold the railing and slowly go down the stairs. She did it so we started walking back to the gate. When we arrived at the gate, my brother was waiting there with her wheelchair, "where have you been? it is dinner time."  "Do you want to sit down on the wheelchair?," I asked.  She did not reply but kept walking. My brother was shocked that she walked that far and actually talked with sentences.  He was asking if it was the Ensure - for Strength & Energy on the box,  later on I found out we had Ensure powder at home, only my father was drinking it and my mom refused to drink it prepared by the aide.
     The next thing, my brother and the aide wanted my help to let my mom take a shower. She would not let anyone take off her clothes. She had a shower when my sister was home back in August. So the three of us tried to take off her clothes first, and she started to fight back, scratching the aide really hard so my brother asked the aide to leave her alone and go away. Finally my brother and I were able to take off most of her clothes, I walked her into the shower with her underwear. When I turned the shower on and the water got on her body, she became very happy and started washing herself.  I put shampoo on her head, she was washing her hair, putting soap on her body, and she was washing like a normal adult. Then she noticed that I was wet, she said "you are wet, why do you take a shower too". I said "after you."  She must have taken this shower for over an hour, then finally she was done.  I started to dress her up with her all red clothes, her face glowed with rosy cheeks. I told her that she looked like a pretty bride, and who did she want to marry?  She smiled and was really happy.
     The aide showed me her new gold wedding ring; she spent over 300 more to make it bigger and brighter. She also bought another red stone ring and suggested me to get one since it was a promotion sale, really cheap. I decided to take my mom with me, pushing her in her wheelchair. The aide led the way as we walked into the French Carrefour Mall. My mom's eyes were sparkling, looking all around like a little princess. When we finally reach the store, I decided to buy two, one for my mom and one for me. My mom was so happy to see this red stone ring, the Chinese called it pomegranate red stone. When we got back home, my mom was playing with the ring, sometimes putting the ring on different fingers, sometimes using her magnifying glass to look at the stone.
     I was sleeping with her on her double bed at night; she closed her bedroom door and kept her nightstand light on.  Every now and then in the middle of the night, she got up and turned on the 5 petal ceiling lights, she stared at the lights and told me the same story that someone broke the lights, the repairman came and did not do a good job.  She pointed out the imperfections. She gets up 2 times at night to use her potty. I jumped out of bed to make sure she pulled down her pants low enough so she did not wet her pants. Sometimes she opened the door and looked out, and she said, "it is still dark." She then came back to bed to sleep. Other times, she walked out of her room to the living room in the dark, she knew exactly where the light switch was and turned the lights on.  Then she sat down on her spot on the sofa, read and snacked as if it was daytime. We had to get her back to bed by turning off the lights. Sometimes it worked, and other times, it did not. In the day time, if we give her something to do, such as cleaning the vegetables, the less likely she would fall asleep on the sofa. If she sleeps less in the daytime, she will sleep better at night.

     I was thinking about taking my mom to Zigong to see her 92 years old brother.  She said that she did not think anyone was left in Zigong.  I showed her older brother's photos, she was still not convinced. She does remember her parents. So I ended up going there by myself, something I need to do every time I go back to visit China. After all, I spent my first 9 years with them, 7 years with my parents. My aunt is turning 90 next year and she does not want to celebrate.  Just like my mom, she broke her hip when she was 87 years old. Only her mind is very sharp and she walks much better than my mom. She said "Playing Mahjong daily keeps my mind sharp so I do not lose too much money".  If she lost too much, she will stop playing for a while. I gave her 2000 yuan so she has extra money to lose. My uncle slowed down a lot, his mind is better than my mom's. 
My mom still remembered her dad who died in 1968
My mom remembered her mom who died in 1978
     When I came back from Zigong, my sister was sleeping next to my mom, I slept in on the sofa in the living room. One night, my mom came out and turned on the light.  She noticed me and I got up trying to send her back to her room. She looked at my sister in her bed, said to me "there is someone here already, you could sleep outside then. Do you have a potty outside?".  I said "yes."  She said "make sure pull your pants down really low so you do not wet your pants."  I said "OK." She forgot that she always fights when we were trying to change her wet pants.  I had to let her hand feel the wetness in order to help her change. Now she had a clear mind for the moment. 
     One night when the aide was out, my father gathered all of us.  He was telling us that he wants to donate his body to Huaxi Medical since he had 11 kinds of problems. It might be helpful to medical students and researchers to study and figure it out.  He said that if any of us object, his wish could not come true.  I said that I respected his decision but wanted to know more details, including what happens after they finish. He checked into Huaxi Medical again for a short stay. The aide stayed with him in the hospital. 
     The night before I came back to America, my brother took all of us out for dinner.  When the first dish came, my mom was using her chopsticks and picking out the food on her own.  That was a big surprise, she had been using a spoon and a lot of times, I had to help feed her. She was really enjoying eating out.  She kept taking more food into her dish and she ate a good amount. My sister said that she had to take her out to eat more since she enjoyed it so much.
     I was taking the first flight out to Beijing, I planned to leave at 5 AM.  My mom got up at 4 AM this morning, as if she knew I was leaving. She sat on her sofa with a unhappy face.  I told her that I would come back next year to see her again, to be good and listen to my brother. She was silent.