16
July 26, 2044
I smiled as I buckled Ava into her new booster seat, something she was quite proud of. It’d been a gift from my uncle Johnny and his wife, and I didn’t realize how over-due she was for a seat upgrade. The buckles actually fit her now and she doesn’t grunt and squirm as I try to work the buckles for her. I have accidentally pinched her leg before and I know how much that hurts.
“Are we going to see my grandpas?” she asked excitedly. Dad and Jacoby were still here, of course, and would be until the week after grandma’s one year anniversary. I guess you get better PTO as you obtain more years at Creighton or something; that, or Sean gets it and let’s them have it.
“We are. Great grandpa wants to take us all out for ice cream today, how does that sound?” I asked, waving to the daycare teacher. Normally, I’d be at work until seven, but I picked up an extra shift today and agreed to work eight hours, just to have a little break. The extra money is nice, of course, but so is the control over my shifts. “Then, we’ll head back to great grandpa’s house so you can play on the beach and the adults can talk, okay?”
She nodded, her green eyes catching mine for a moment before a small pout formed. As I got into the driver’s seat, I was reminded how smart she really was.
“Is this a serious talk?” she asked, and I confirmed that it was. “Oh. I’ll play quietly, then.”
Note to self: suggest the beach more strongly. Dad recently spoke to his doctor back in Iowa, got the order to see a memory specialist down here (his memory problems had been getting worse since before grandma died, but Jacoby failed to mention that), and now we’re going to hear the results of the appointment. If he’s on medication, that should ease the possible problems he’s got, but medication is no cure.
“Grandpa’s calling!” Ava announced excitedly as my phone rang. I hit answer on my hands-free device (now standard in all cars) and greeted Jacoby. “Hi grandpa!”
“Hi Ava! Are you ready to go get ice cream?” he asked and I smiled, letting her have the conversation for a while.
“I am! And then you guys are going to have a serious talk and I have to play quietly and by myself,” she told him and my smile faltered a bit. It’s a bit sad that she knows what she has to do in these situations.
“That’s right. But it won’t take long and then we’ll play together, deal?”
“Deal!”
“Hey Cilla, are you guys close? Your dad heard about ice cream and he’s waiting at the door for you.”
I had to laugh, because that’s so typical of the man, really; he’s worse than his grandkids, I swear. “We’re just turning onto grandpa’s block right now, actually. I’m ready for ice cream, too. We haven’t been out in a while, since we’ve been so busy with work and stuff. And I know Miss Ava is ready for ice cream.”
“YUM!” she exclaimed from the back, as I pulled in. “Grandpa!”
Jimmy hopped as fast as he could as Jacoby hung up, he and my grandpa following at a more sedate pace. Once he was settled into the front (Grandpa Sullivan wouldn’t let him sit in back), I laughed at him. He had a goofy smile on his face, his blue eyes bright today, and he seemed more like my dad.
“How’s that leg?” I asked, glancing at his new cast. He was a month out now and in good spirits. “That’s certainly a bright cast.”
He’d gotten the new cast last week, and instead of black, he’d gone with bright purple. No, I’m not kidding, if purple were neon, this would be the exact shade of it.
“It’s doing well. I should be on track for four months of healing,” he told me, as everyone else settled into the car. Ava’s booster was in the center of the back seat (we have a van, but Randi has it today to help a friend move some stuff), so Jacoby and Grandpa Sullivan settled on either side. “And yes, it’s bright, but they had brighter wrap. So, what kind of ice cream do you want?”
“I don’t know yet, I’ll have to see the menu. I like them all, so it’ll be hard to pick,” I admitted, listening as Ava animatedly told Jacoby and grandpa about her time in daycare today. “How about you?”
He tapped his lips with his finger, making a ‘hmmm’ sound as he did so. “I don’t know. I think I’ll have to see the menu as well.”
I laughed, as I made my way downtown. We’re not going to Ruby’s for once (it’s kind of the family hang out, if you haven’t noticed), but to another amazing eatery in town. Matilda’s has been open since Eliza went to college out here and it’s amazing. It’s all homemade and you can watch them make it, which really makes it tasty stuff.
Pulling into a closer spot for dad’s sake, I got out and waited while Jacoby got Ava unbuckled. I had some news for them and I was eager to get it out, before we heard about dad. Ava already knows, but she’s keeping the secret very well and I’m proud of her.
“Good afternoon, welcome to Matilda’s, what can I get for you?” a young girl behind the counter asked, smiling.
“That’s a tough question to answer,” Grandpa Sullivan said, and we all laughed, looking over the menu. “I’m glad you guys are so patient.”
The counter girl nodded, smiling. “We understand the dangers of having so many flavor choices. Take your time.”
Ten minutes later, we were all seated at a table with our ice cream treats. I’d gone with the peanut butter and Oreo sundae, a favorite treat of mine. I allowed Ava to indulge this time, and her vanilla ice cream was buried beneath sprinkles, cookie crumbles, whipped cream, and chocolate/caramel drizzle. Needless to say, I’m letting Randi put her to bed tonight.
“Randi is getting off at four today, with low census, so she’s going to meet us back at the house,” I told my family, figuring I could sit on our news a bit longer. It really would be better to have Randi along anyway, since she loves my parents so much. We told her mom on the phone yesterday and she went nuts.
“Sounds good,” Grandpa Sullivan said, smiling. “It will be good to see her again. How’s work for you guys?”
I shrugged, taking another bite of my ice cream. “It’s been a rollercoaster, really. One day it’s so busy we can’t remember up from down. I’m on the chopper most of one day and the next day it’s so quiet we end up cleaning things that are already clean. Summer is always a tough time for us, even with the increase in tourists. So far, it’s been the usual up and down, though lately it’s more down. That’s why Randi can join us today; they over-scheduled ER, so she said she’d take the early off.”
“That’s life in the hospital, sadly,” Jimmy said, scooping the last of his ice cream into his mouth. “Trust me we’ve been at it for many, many years. Sean’s actually trying to get some of us to retire because so many young kids are coming in out of college and there aren’t as many jobs. Our ER staff, while advanced in age, are also stubborn and able to work, so we keep working just to piss him off.”
I burst out laughing at that, almost choking on my ice cream. Jacoby helpfully pounded my back and our waitress rushed me a glass of water. When I had things under control, I wiped my eyes and shook my head.
“Being advanced in age just makes you smarter,” I told him, causing Jimmy to sputter into laughter as well. After a coughing fit and a few more giggles, he flipped me off. Jacoby had quickly covered Ava’s eyes until the finger was lowered and I laughed. “Meanie.”
We both shared a laugh and for a moment, I caught a glimpse of my dad, the old Jimmy, before illness and past addictions started to chisel away at him. This was my dad, a happy-go-lucky guy who loved to laugh and pick on his girls. Never a mean bone in his body, yet he wasn’t afraid to stand up for himself, either.
“Well, are we ready to head to the house?” grandpa asked and we all nodded, our ice cream gone. Now, it was time to get down to business. “Should we get Randi an ice cream?”
“We should, she’d like that,” I agreed, stopping by the counter. Grandpa insisted on paying and I couldn’t really say no, as I got her favorite shake for her. With that in hand, we headed out, arm in arm, as I sighed. “Are things going to be okay, grandpa?”
He looked over at me as we walked, Ava safe with her grandparents. I watched as they swung her in the air (how dad did that on crutches is beyond me), and then resumed walking. Grandpa hugged me tight, then sighed.
“I think so, in time. But it’s going to be a hard road to get there. We have to get your dad’s leg healed up first, of course, and then his memory, but I think in time, things will be okay. We just have to be patient.”
Those words would have an impact on me later, I’m sure. For now, it felt like an empty reassurance more than anything, though I put my faith in grandpa’s words. He’d know, after all, but I still had my doubts. Finally reaching the car, I watched as Jimmy worked his broken leg into the car, cursing a bit because his knee couldn’t bend. Jacoby had Ava strapped into her seat securely, and I settled into the driver’s seat. When we were all in, I started back for the house, wondering if the sudden change in mood that was palpable would be permanent. Something was amiss and we were about to hear all about it.
***
When Randi had finished her ice cream and Ava was playing on the swing set a safe distance away but so we could still see her, Jacoby cleared his throat. We all had bottles of water in front of us and I watched him nervously twirling his bottle. Something was up and it was making him nervous.
“Well, as I’m sure you all know, Jimmy spoke with Dr. Magnus recently. Afterward, he saw Dr. Segren, a memory specialist at Cedar Sinai. Many tests were conducted and we finally got the results of those today. We met with Dr. Segren this morning in Los Angeles and that’s why we decided to call you all together today.” He paused, as Eliza and Clayton hurried onto the porch, apologizing for being late. “No worries, we were just starting. So, we spoke with the doctor today and as suspected, Jimmy’s past substance abuse has caused an increase in his memory problems. The initial brain damage happened the night of the overdose, as you know. But through the years, until he was clean, his continued use caused further damage. When he last overdosed, it caused a lot of permanent damage to his long term memory but primarily to his short term memory. Now, this isn’t all because of substance abuse, of course. Your dad has been in his share of fights and suffered trauma to his head because of that. And, of course, six years ago, he was in that ambulance crash, where he suffered a very severe concussion. All of this had lead up to the results of the testing: your dad is suffering from dementia. Now, he’s in the very earliest stages of it, which is good. There are many treatments available to him these days and we’ve chosen to begin with a pill.
“The purpose of this pill is to help slow the progression of the dementia. Now, it can’t fix the existing damage, but it can slow the progression of the disease. This means that, over the course of the next two to three weeks, you’ll notice that Jimmy is becoming less confused and more like himself. The pill will assist him in helping with his short term memory problems. That means, that, as the pill begins to work, he’ll have less problems with forgetting things said to him, etc. This pill is also designed to help with long term memory problems, meaning that the current problems of forgetting people or where he is will also begin to diminish. It’s going to take time, but this pill should be the help he needs. It’s only been studied at the ten year mark, but at the ten year mark, patients were still doing well and no signs of dementia were recorded. So, hopefully, this will keep your dad from ever developing the later stages of dementia as he ages.”
That was a lot to take in, but it made sense to me, at least. Randi had my hand in hers as she watched Ava for a few seconds, ensuring that she was safe. Corey, Rhiannon, and Marianna were here as well, and the older kids would keep an eye on her for us. I looked at Jimmy and was surprised to see that he was smiling.
“I know that was a lot of information,” he began and I nodded. “But you’ll have to believe us that this is the right path for us to take. We didn’t just jump at a pill that would help, we got a lot of information before the meeting from the doctor himself and did other research and decided this was the pill for me. If it works, it will keep me from forgetting things which is important. But it also helps with the mood swings that are a problem for most dementia patients as well. You all never really saw it, but according to Jack, I can get mean when I’m having what we’ve termed an ‘episode’; I even apparently lashed out at him when he tried to help me. So, this medication allows me to continue functioning as a normal person, allows me to continue working, and keeps your dad from getting beat up.”
Despite the seriousness of the situation, we all had to laugh at that. It felt good to know that we had a potential solution, even if it wasn’t for sure. We all knew that the new medication might fail or might not be right for dad, but it was a good start. I know from school and general research that these pills either work or they don’t; they’re not guaranteed. Of course, my parents would know that, and I trusted them to make the right decision.
“Let’s hope it works,” I said aloud and my parents nodded. “Just keep us updated, okay?”
“We will,” Jimmy promised, smiling as he looked at us. “Now, I can tell you two have news, so out with it!”
Grinning, I kissed my wife, then turned to my parents. “Well, it’s been quite a process and we kept quiet until given permission to speak by our lawyer,” I began and saw my parent’s faces light up with hope. “Our adoption lawyer has arranged for us to adopt a newborn, who is due to make its entrance in about four months. The mother is a fourteen year old girl who can’t keep the baby, so we’re going to adopt it.”
“Congrats!” Eliza said, getting up to hug us. Clayton had Marianna and handed her over with a grin.
“Better get used to this,” he joked as the infant squirmed in my arms. She was nearing ten months old now and I laughed, helping her stand on wobbly legs. “But congrats! It will be nice having a baby around again.”
I couldn’t disagree, as Mari toddled over to Randi and then Eliza. Her journey ended when grandpa scooped her up, tickling her sides. Her giggles rang over the patio and I smiled; it was time for another baby and I was looking forward to our latest addition.