Tuesday, October 3, 2023

Walter’s Way


When Life Becomes Complicated; Living With Asperger’s Syndrome.

The photograph that sits on a shelf in his little room in the assisted living community care facility is of a much younger man.  He sits alone on a huge rock looking off at something in the distance.

He is/was my big (and only) brother.  I’m the youngest of five children and nine and a half years separate us.

As a little girl I watched him and wondered about his ‘aloneness’.  He had a few close friends but no girlfriend (to my knowledge).  Once he brought a girl home; Kathleen was her name.  It was to be a onetime only event. (The closeness of an intimate relationship is not tolerable or fathomable for a person with Aspergers.)

I felt sorry for him back then with four sisters who hogged the airtime and were paired up to share bedrooms.  He had a room of his own. During thunder and lightning storms I would tip toe into his room, not only to give him some company, but to listen to his stories of what caused thunder and lightning.  I thought he was brilliant.

He didn’t do well in school.  He struggled through the grades.  He was a loner even then so I expect he got picked on and bullied a lot.  One of my sisters punched a boy out in grade school for teasing Walter.  He was a pacifist so didn’t have the instinct, desire, nor did he possess the social cues to defend himself.

My Mom told me stories of Walter as a little boy.  He was curious beyond measure and active.  Today they’d probably label him as having ADHD.  If there was anything with gears, a motor or moving parts of any description he had to take it apart to see how it worked. It was so surprise, when later as an adult learner he became a brilliant mechanic.  He dropped out of school in junior high.  The social setting was too much for him. 

My Dad operated a small mixed farm but Walter wanted no part of that.  I do remember he had little time or patience for the farm animals.  My father was disappointed in him for his lack of interest and wasn’t shy about voicing it.

Walter’s passion for anything mechanical won over.  He enrolled in a correspondence course for mechanics.  He later went to a vocational school to earn his credentials.  He was a proud man the night he graduated.  We were all proud of him.

Socially, Walter was timid and reserved.  He’d literally melt into the walls in large gatherings.  He eventually avoided them entirely, coming up with reasons usually health related why he couldn’t attend. I believed him as his anxiety level would ratchet up and he had to spend hours in the bathroom with his ulcerative colitis (a condition that continued to plague him) and which over time morphed into Crohn’s disease. At which point he entered a Manor for palliative care. He remained there in his final days.

We didn’t understand him in our younger years or why he was different.  “We” …being our family and others brave enough to inquire about his self-imposed seclusion from society. It was many years later and Walter was already nearing his senior years when my daughter, who during a University Master’s course in psychology determined what Walter’s personality resembled.  We were discussing another relative and researching ‘Asperger’s Syndrome’. My shock in the realization they could have been describing my brother was astounding. The more I read, the more it became clear. Walter ‘got by’ and functioned somewhat in his younger years, but fell through the cracks. They didn’t have a name for it then. Without the Internet at my parent’s fingertips, research was non-existent. A psychiatrist diagnosed him in the early years with schizophrenia - and Walter was medicated for same.

Walter could fix a diesel engine, but couldn’t watch a movie without getting lost in the plot. He would rapidly lose interest when everyday nuances escaped his understanding.  So he watched cartoons or hockey and he listened to music on the radio (or on the music channel on the TV I gave him).

Walter traveled throughout Canada working in the mines in Lab City, Sudbury and Flin Flon. He had no problem getting these jobs. His problem was living alone ‘and away’ from the only support network he knew; his parents.

When my Mom passed away, Walter was at her bedside with the rest of the family. This was huge. It had a profound effect on him. At the time he was living with her in the family home and I was never sure whom was looking after whom. He returned to an empty house that night. And thus began Walter’s downward spiral. He was in debt to his ears and it was glaringly obvious he could no longer live in the home and take care of it or the finances.  It was a tough-love decision to make but he had to move out. Before a month elapsed we moved him to a senior’s apartment.  Six years later, living alone without the family support network, the isolation took its toll.  Walter was not functioning well and once again the difficult decision was made to move him into an ‘assisted living’ community.  It worked well...until it didn't.

(It’s in the later years when Asperger affected people eventually come apart. Life becomes complicated and unpredictable and functioning in society becomes too much for them to handle).

Walter was a kind and gentle soul. Only under the influence of anti-depressant drugs or during detox of same did he ever show signs of a completely different personality.  Research notes that Aspergers symptoms and schizophrenia often overlap.

http://www.ncbi.nlm.nih.gov/pubmed/23065028

He had a fascination (more like an obsession) for clocks. He owned dozens of all different shapes, sizes and makes. If they weren’t perfectly synchronized, he’d take the offending culprit apart and work his magic. He worked quietly and methodically, tinkering with all the moving pieces. If said clock still didn’t work perfectly after such surgical intervention, then it was discarded. 

If Walter couldn’t fix it…then it couldn’t be fixed!

He *stims. I noticed it only after reading about it.  I started taking note of when he did this. His thumb, forefinger and middle finger work frantically together like he was/is trying to rid his fingers of dirt. He ‘stims’ when he is feeling insecure, nervous, upset or anxious.

His final days were ordinary and routine filled. His only responsibility was to look after his own personal care.  Everything else was provided. His small room gave him comfort and privacy. Most times I found the door closed and he is sheltered from prying eyes. It was his life and even if I can’t imagine existing like that, I do understand it. Walter was finally happy and content in his little insular world.

I once heard someone describe him as a ‘dreamer’. Maybe so. Maybe he did/does dream of a life that would be somewhat normal in everyone’s eyes. His ‘normal’ however was to be alone, physically and mentally.

He dreamed of winning the lottery and buying a new car. The likelihood of either was far-fetched and I didn’t have the heart to tell him that with either one comes responsibility.

I listened to his dreams, smile and nod.

After 30 years give or take; trying my best during that time to give him the love and support he desperately needed, I find myself at a loss to describe how I felt when he passed away while I was out of the country. It was a mixture of loss, guilt, frustration and now I have to come to grips with moving on without those thoughts stealing my sleep. He would not want that. He was always so appreciative of everything I did for him – sometimes he wasn’t happy about situations I got him out of, but he was always happy to see me and told me he loved me on more than one occasion. For that I am grateful…grateful I was there for him when it mattered the most…to assist him in navigating life that was so confusing and scary for him. In the end I have to move on and accept the fact I wasn’t supposed to be with him in his final moments…I’m still not convinced. 

Such is life.

Footnote:

Some signs and symptoms Walter presented over the years (but not limited to):

  • ·       Difficulty comprehending implied meanings. (aspennj.org)
  • ·       Preoccupied with only one or few interests which he may be very knowledgeable about. (webmd.com).
  • ·       Consuming interest in arcane subjects (obsession with clocks).
  • ·       Stimming*– self stimulation when the body is in sensory overload.
  • ·       Difficulty reading or interpreting social clues.
  • ·       Sensitivity to environment – loud noises, clothing and/or food textures and strong odors (i.e. perfumed products).

Background:

Asperger’s syndrome: https://en.wikipedia.org/wiki/Asperger_syndrome

Named after the Austrian pediatrician Hans Asperger in 1944 who studied and described children in his practice who lacked nonverbal communication skills….

The exact cause of Aspergers is unknown…

The mainstay of management is behavorial therapy focusing on specific deficits such as poor communication skills, obsessive or repetitive routines…

Globally Aspergers is estimated to affect 31 million people as of 2013.

Monday, October 7, 2019

Words Unspoken





Recently I remarked to her it must have been hard being the middle child. I expected her to readily agree but she surprised me with her answer. [She was good at surprises. If I ever anticipated her answers, I was usually wrong]. 


Her reply went something like this. “I always thought I had it easy.  I was the youngest for 6 years before the two youngest arrived. W and M had a lot expected of them. And then when the two little ones were born I disappeared into the middle.”  She didn’t consider that a negative (like some would). I wanted her to explain further ... but I didn’t. I was afraid to hear the answer. Now I feel I didn’t give her the opportunity to vent or find closure. I regret I didn’t have the courage. And she didn’t elaborate - leading me to believe she wanted the conversation to be over. 


Margie was very hard on herself and sometimes on those around her. She held herself to the highest standards and expected the same of others. I usually knew very quickly when she thought I didn’t measure up. Even though there were expectations beyond what I could deliver - I still tried ... and for most of my life tried to gain her approval and friendship. Both of those didn’t come easy.
She was unpredictable. Just when I thought I had it aced - she’d change the rules. 


For the most part - Margie existed on a much higher plane then most. The problem was she didn’t believe it. She was forever humble (too much so), and would scoff at compliments paid to her. She devoted most of her life to the care of others - never asking or expecting anything in return. If there was ever a handbook describing ‘how to be a perfect nurse’ - Margie would be the model.  She was perfect in every way. So much so I often commented she should/could have been a doctor. God knows she knew as much as they did. But then there was the humility thing. 


I miss her. She was my sounding board. She was a good listener. We spent hours on the beach lying side by side with the sun beating down on us. I’d talk and she would listen, often offering a comment or two. Then we would just enjoy some comfortable silence. It was like we had a 'cone of silence'. The conversation would flow from one topic to another with only the sea crashing on the beach and the occasional screech of a seagull to interrupt. I cherish these memories now. She and I were both in our ‘happy place’ - in that we could agree. 


In the end she was still being the big sister. Little did she know I was all grown up and was quite prepared for whatever was to come. She apparently didn’t agree.
She told me not to stay. 
I didn’t listen. 
I wanted to support her in any way I could even if it was just to be there to give her family hugs. I know she gave strict instructions for me not to be at her bedside in her final moments. I appreciated her thoughtfulness - but I still feel I let her down somehow. 
I need to work on that. 


I sat and looked around her cottage space. Books still stacked begging to be read; towels she had neatly folded in her bathroom; sea glass drying on the counter after being collected off her beach and thoroughly washed; her pretty wine glasses lined up on the open shelves; memories, memories, everywhere threatening to crumble my resolve. If she’s walking through these rooms I’m sure she is smiling. Margie is everywhere. 


He asked me if I’d been to her grave site. I don’t need to. I dream of her often and talk to her just as much. I whisper her name every morning as I make my bed and put ‘her pillow’ on my bed. It was to be hers on her birthday. It’s pretty. It has all her favorite colors with birds embroidered on it. And that’s another story. 


Grief is a strange emotion. When I least expect, my heart is ripped to pieces. I always thought as I got older it would be different - easier maybe. No such thing. I guess that’s what makes me human. 


Thank you, Margie for all you've taught me even though you may have thought I wasn’t listening.


I found this entry after Margie's passing.  It was as if someone wrote it for me:



I had my own notion of grief.
I thought it was the sad time
That followed the death of someone you love.
And you had to push through it
To get to the other side.
But I’m learning there is no other side.
There is no pushing through.
But rather,
There is absorption.
Adjustment.
Acceptance.
And grief is not something you complete,
But rather, you endure.
Grief is not a task to finish
And move on,
But an element of yourself-
An alteration of your being.
A new way of seeing.
A new definition of self.

author unknown.