The Practical Side of Caring for Aging Parents

It’s a horrible and terribly mundane title of this entry.

I once read a story of family of four who lost three members in the span of minutes. A dog ran into the surf at the beach. The young boy ran into the water to save it and was swept away by the current. The horrified father and mother, seeing their youngest child drowning ran into the water to save him. They too were pulled away by the same riptide. The oldest child, their teenage daughter watched from shore and was the only one who survived.

The dog chose to run into the surf. The young boy chose to run to save it. The parents chose to jump in to save their son. All choices that ultimately resulted in their deaths and all deaths were preventable.

I’m the daughter standing ashore seeing how there is something in the water that her family members can’t control. I’m not getting into the water and testing whether I have the wherewithal to handle a force of nature.

My mother is that current. I entered the water with the best of intentions to “save” her. I found myself sucked into the vortex that is beyond normal human control and with the last vestiges of my rational mind, suddenly find myself trying to save myself.

I give up. I can say that now. I tried. I tried really hard, not just since my mom fell but for most of my life to be there for my mom and my siblings.

And I got confused and nearly lost myself.

I’m throwing money at the problem now. I’m stepping away. My mom is better cared for by strangers, strangers who don’t have their own history of emotional and mental abuse, strangers who will feel pity and tolerance for her overbearing and manipulative ways. To best care for her is to remove myself from the position of receiving abuse at the hands of my mom and her agent. I’ve always known it. It’s why I moved away. It’s why I chose such a reliable and trustworthy partner to create my own safe space. My mom is not safe for me. Not sure if she ever was.

And my karmic debt to my mother? Paid in full.

My Filial Piety

What exactly is my perspective on filial piety? In short, I no longer believe in it. I believed in it before I understood the true nature of my mom, before I fully believed in myself.

I think it’s an archaic idea and serves only the parents. Dogma works when people mindlessly live their lives without a sense of consequence for their actions. Everyone needs a moral code to live by and some will follow what has come before them and adopt it without challenging the ideas while others, the minority, work at a model that fits them, that makes sense, that they have thoughtfully decided with conviction and intention.

When I am aging and no longer able to care for myself, perhaps there will be someone to take me in and care for me. I would hope that they do it out of love and not a sense of duty. Guilt only takes you so far before one is buried in resentment and bitterness. I would not want my loved one to live their life that way. But love, love will take you beyond what is physically capable. Love is the activity of the source, the divine energy of nature. And when you can no longer make decisions out of love, it is time to look at alternatives.

If there is no one to take me in, I hope I have the means to take care of myself, preferably in my own home enjoying my own company and those of others if I so chose. And if I no longer have the means to take care of myself, I would prefer my life end peacefully rather be a burden to others. If I forget this resolution, I hope someone would remind me to read these words of my younger self.

Intrinsic duty of a child

I recently listened to a podcast of Dr. Gabor Mate who spoke of the effects of trauma endured as a child on our adult present day lives. A child has four basic needs that need to be met as part of their normal development. One, they need to be loved unconditionally and accepted for who they are by multiple adults. Secondly, they need to be able to express all their emotions ie anger, fear, lust, envy, grief without fear of being shamed. Thirdly, they need to have rest and not have to work for the love that they are receiving. Fourthly, they need to play without having an agenda, to feel free to create and use their imaginations. These are all conditions that parents need to ensure are met for children to grow into emotionally grounded, loving adults themselves.

The duty of parents is to help guide the development of their children. But do the children then have the duty to take care of their aging parents? Is this an implicit transaction in the parental – child relationship driven by society’s norms or driven by nature? Do children owe their parents for the care they received and sacrifices parents made for their child and eventually, are these roles then reversed so that the child must reciprocate this care for their aging parents?

To a rational, modern person, the most obvious fault to this logic is the point that children don’t ask to be born. Parents have control over the decision of having children, save for people who live in restrictive, patriarchal societies or who are victims of sexual violence. If children don’t ask to be born, they never agreed to this “transaction” and parents should raise their children not expecting anything in return from them.

A child borne into an Asian family, usually immigrant or first generation, typically knows these dilemmas all too well. These questions or ideas of reciprocal obligations and burdens in parent – child relationships are based in Confucianism. And in traditional Vietnamese Buddhism tradition, in which my mother raised me and my siblings, filial piety is practiced in three ways: to repay the gratitude toward one’s parents and earn good merit; to pay karmic debt, and as a way to contribute to and sustain the order in society.

Additionally, if you perceive these questions from a Buddhist point of view, children don’t ask to be born but their spirit does choose the family they are born into, specifically the parents. A child and their parents are linked by their individual karma. Parents who are difficult to their children is considered a welcome exercise for the children towards becoming a Bodhisattva. In Buddhist teachings, it is in the struggle to be filial to their parents, that the children gain wisdom and patience just as diamonds were once coal under pressure for long periods.

In traditional Vietnamese culture, aging parents were typically cared for until death by family members. Even now in California where resides the largest Vietnamese community outside of Viet Nam, nursing facilities catering to the aging Vietnamese is a recent phenomenon. Those who choose to place their loved ones in such facilities experience a different level of guilt, one that is compounded by Vietnamese cultural expectations that family is insular and care for their own.

It behooves every generation to question why norms and cultural expectations exist, to inquire what has changed in our society, and whether we need to create a new reality that serves our current needs.

What is filial piety according to Wikipedia? “filial piety means to be good to one’s parents; to take care of one’s parents; to engage in good conduct, not just towards parents but also outside the home so as to bring a good name to one’s parents and ancestors; to show love, respect, and support; to display courtesy; to ensure male heirs; to uphold fraternity among brothers; to wisely advise one’s parents, including dissuading them from moral unrighteousness; to display sorrow for their sickness and death; and to bury them and carry out sacrifices after their death.”

It’s easy to want to take care of our aging parents if they treated us well. But what we do with aging parents who were terrible role models, abusive to their children, neglected them, caused their children trauma, and thwarted development of their children, essentially abdicating their duty as parents? One or any combination of these conditions may warrant detachment from their parents. Even as we understand generational trauma, do we have the courage to end it now with us being the one to initiate change? I understand that my mother is who she is because of what happened to her. I have compassion and love for the child who was traumatized by two wars, who was traumatized by my grandmother who was abusive and showed little love and affection, and who was raised to care for her family without knowing how to care for herself. I feel love and compassion for the deeply flawed adult who she came to be, whose strongest instinct is her own survival at the cost of her children. What do I do now as the adult child, now that she is vulnerable and requiring care for her basic needs? I’m not seeking an answer about the legal implications which is a morass in itself. But more importantly, how do I live with myself and conduct my actions with integrity being the child and having experienced my own traumas with her? What are my moral responsibilities?

I forgive her for being a mother who was often times neglectful, cruel, mean, and selfish but I also honor for what she gave me, a model for resiliency and strength of will and mind, demonstrating compassion and generosity to those less fortunate even if those virtues were usually only directed to others outside of our family.

At minimum, children can strive to ensure their parents are safe and in a secure environment. Beyond that, each adult child must make their own individual decision about how to care for their aging parents. There are the foundations of the cultures we grew up with whether it be Confucianism, Buddhism, Islamic, Christian values and virtues to help guide us towards making the rational decision but in the end, we are left with the feelings of our own heart. What does our heart tell us? What does our body tell us as we make these decisions? Are we pained or are we liberated and free? What we do out of love is our guiding light and no one and nothing can force us to do otherwise.

My own heart leads me back to myself. I choose now to strive to live a life that is my own making, choose to make decisions that propel me forward to be independent, choose to make love my guiding force, and I choose to do it according to my own timetable, even if it means I’m stumbling along at times. Ultimately, I choose to take care of myself before I can take care of my mom. It’s a choice that I only recently since the pandemic started, am comfortable to even contemplate making. It’s a choice that is absolutely necessary but so often neglected in favor of taking care of others, another dilemma that women in particular are conditioned to accept. Yet it is what good parents wish for, to nurture their children so that they can one day take care of themselves. And I suspect my mom, while she doesn’t like it when I say no to her demands, has grudging respect for me, respect she will never admit to me or even to herself. And if she doesn’t, the most important person to give me respect is me. I finally understand that now. My mother was strong once with my grandmother, leaving her family, her homeland, everything that was familiar to her to go to America for a chance at a different, better life. She’s never been back to Viet Nam even for my grandmother’s funeral. She knows what it means to make decisions that isn’t popular or meeting convention, to make decisions that are right for her, even if it meant disappointing her most beloved ones. I’m learning to be true to my essence. That’s what she raised me to be. Even if she didn’t intend it to be against her advantage one day.

Patience.Wisdom.Compassion

October 23, 2022

Those were my chosen words for the day. Virtues that I wanted to mindfully embody today.

My mom called me a Bodhisattva today while I was laying out her meal. I told her not to call me that. I just want her to be healthy and happy. I don’t want her to extol my virtues and then undercut me later nor do I need her to be obsequious and flatter me so that I will continue to help her. It just makes me uncomfortable in general. I don’t help her to make me feel better. On the contrary. The words of warning by my teacher gives me a sense of unrest but who is there to help her other than me? Why is the only child of hers who is willing to help day to day is also the person whose chemistry is supposedly detrimental to her health? Is this her karma?

I continue nevertheless to be her caregiver, albeit reluctantly. And everyday I call upon my exalted self to be patient, wise, and compassionate with my mom but I also I think I need to be so with myself. I satisfied my need for order and control when I spun off into a cleaning and organizing frenzy only to slowly come to a realization that what I was doing was impossible. I was trying to bring into order 20 years of disorder in one afternoon. This whole house is an exercise in patience and moderation. I thought I could tackle one room at a time but even that is too big of a project! I am learning to pace myself and in pacing myself, learning discipline to take small steps incrementally.

Before I exhausted myself in my frenzy, I somehow found some sense and stopped and went to the beach with mom. Even though it was much later than I planned, I was so glad I got out of my rut, my little self imposed prison of a home. We found a new Detroit style pizzeria which was so good, it made me think of SoCal in a better light.

Not sure if I exercised compassion today with my mom though. I was a bit of bull pushing her along the sidewalk and on the boardwalk in her wheelchair. She was bumping along and sometimes gasping in alarm. I wondered what her vantage point was like now that she’s essentially eye level to the cars on the road. No wonder she was anxious. She would later complain of being sore from riding on the bumpy sidewalks. Wheelchairs really need some kind of shock system. And the streets are not friendly to wheelchairs or strollers, with few ramps and the rare ramp being located out of general sight. The world is designed for the able walker and the ramps are an afterthought. I felt like wheelchair bound people are living kind of an invisible existence – it irritated me especially as the able walker who was struggling to push her. On occasion when people opened doors for me or helped push my mom’s wheelchair onto the sidewalk or they smiled to my mom, their kindness filled me with such gratitude. I realize how a smile from a stranger is not insignificant and can bring joy and reminds me to be more of the same. Even small gestures can make a positive difference in another’s life. It’s easy to forget that we all need some attention to make us feel worthy and of value or simply that someone cares enough about us to think of us and make an effort to somehow demonstrate it. We may be alone but we don’t have to isolate ourselves. That is a choice we can make for ourselves.

Evening respite

It’s 5 days before Halloween and all across the neighborhood, houses and yards are decked with ghouls, witches, frightful creatures, faux cemeteries. It seems like a holiday that adults can express their creativity and participate as adults without guilt.

Being petite in stature and imbued with a voice that is at once youthful and chirpy at times, I went trick-or-treating into my early twenties. I loved the candy and knowing which houses gave out the best ones.The adults who opened the door sometimes wondered aloud how old I was and when that happened, I felt a little guilty but that guilt immediately dissolved the moment I got home. I loved dumping my bag onto the carpet and organizing them and counting the bounty afterwards.

Life was uncomplicated then. In fact, it seemed so uncomplicated four months ago!

Nowadays, I fit my walks in at night after most households are sound asleep. The streets are quiet and cars are infrequent and I walk in the middle of the road, holding court to both sides. I have my favorite houses that I visit along the walk. I feel a bit like a rebel, being out while everyone else is responsibly in their beds in their darkened homes.

It’s a time for myself, when I can be alone and no one can call for me and no one can interrupt my thoughts. I begin my day in sitting meditation and I end my day in walking meditation. During the day, when I’m running around trying to multi-task and end up feeling like I only succeeded at failing those tasks, I look forward to my evening walks. I’m so grateful that mom’s neighborhood is safe so that I can walk in peace. I could never do this in Oakland. Taking preventative measures to ensure personal safety is one of the drawbacks of living in urban areas. It doesn’t have to be Halloween for Oakland to be a scary place.

Unable to Appreciate the Moment…

My life and mom’s life have been intertwined for most of my life. Many of my life’s troubles have been instigated by trying to mitigate the troubles in my mom’s life. Even now, I am in my mom/my house trying to establish my mom with a caregiver and settle her into a life that is as independent as can be possible. How long is my life to be like this before my life can return back to normal? Can my life return to what it once was? Should it?

If I can return to a quote from the “Lord of the Rings”,

“I wish it need not have happened in my time,” said Frodo. “So do I,” said Gandalf, “and so do all who live to see such times. But that is not for them to decide. All we have to decide is what to do with the time that is given us.”

I had a serious meltdown yesterday. I was trying to take care of the house, get my siblings to be involved, take care of our mother, mitigate conflict with our brother, go get family counseling, get my work done. I was feeling so much pressure on my chest and then to get screamed and cursed at by my younger brother, I bottled all that stress and when I started talking about it with the monk and in front my mother, I broke down and cried.

I didn’t ask for this. I didn’t want to take this on. I told my mom i wanted to live a life of freedom. I didn’t have children not to take care of my mother instead. But I can’t let my mom go into a facility being taken care of outsiders. Am I taking the responsibility? Yes, I’m taking the responsibility of helping carry out my mom’s wishes. Does there need to be someone who takes the lead responsibility? Noone wants to take the responsibility. I’m assuming that role simply because noone else wants it and mom needs to be taken care of.

This is not the life I wanted to live right now. I’m resisting it. It’s not fun. It’s about sacrifice and hard work. It’s about being strong about what I think is right despite the easier option that my other siblings are exercising of not caring, of disparaging me for being manipulated by mom. How is she manipulating me exactly? By pretending to be in desperate straits to engender sympathy from me so that I don’t put her in a home? If she was terrible to me now, maybe it would be easier for me to put her in a nursing facility. But if this is all a front because she doesn’t want to be in a nursing facility, she’s putting up a good facade to be agreeable. In the end, it doesn’t really matter if she was manipulating me into treating her well. If she was terrible to me, I would still try to do the right thing and keep her out of a facility. But since she’s treating me well, I guess my actions aren’t all that impressive. Secretly, i think they’re using that as another excuse to not be involved. While they believe they are setting boundaries, they’re also ignoring the problem, hoping someone else will take care of it. It’s the four of us, the same four who’s always been around. Some things don’t change I guess.

Accepting myself

This is me, peeling back layers of protection, of self-denial, poking myself and wondering what it is that I feel. Sometimes, I don’t know how I feel and then I feel tears rolling down my cheeks. Dissociation they call it. Sociopath is another label I’ve heard from people who like to slap on labels to make themselves self-important.

I look down and wonder why I am the way I am. I hear birds singing outside. I have no knowledge about animal behavior but do birds care when one is acting differently? Do they wonder about insecurity and question their self-esteem? I doesn’t matter really how I got to be the way I am. How do I function so that I can succeed with what I have, improve upon my strengths, and diminish my weaknesses so that they don’t get in my way?

Calling out my inner lioness

I’m number six of nine kids, the youngest of the first six and then the oldest of the next four. In a large family like ours, we tend to use numbers to identify ourselves. It reminds me of the Star Trek: the next Generation series. Hopefully, I didn’t just date myself. It doesn’t matter who I am talking to in my family, I can be both bossy and accommodating- I don’t always defer to the elder out of habit. Maybe I stopped doing that when I realized that as an older sister to the younger set, I really don’t always have more wisdom than they, nor do I have the right answer. I’ve learned that you have to discern wisdom from who ever can share it, from even the most unlikely people regardless of age. In fact, you can learn a lot from children if you can set aside your ego. Children, as contradictory as it may seem, have preternatural wisdom which they seem to lose as adulthood approaches and we become jaded and lose faith in magic and miracles.

In this past year I have found myself talking to all my siblings more frequently than ever before. It’s been both good and bad. It’s been advantageous since we realized we needed to reconnect in order to plan out our mother’s long term care which came sooner than we anticipated. We were lulled into complacency with our mother’s relative good health and independent living but as life always does, it gave us a rude awakening about how precious and delicate life can be. Lives can change in an instant and you can’t really plan for the abrupt change. Its disorienting and feels unfair but who decides fairness in life? Sometimes, you just have to push past the discomfort and see whether there is an other side. But no matter what, things keep changing and nothing lasts forever, good times or bad times.

Then there’s the bad. Maybe, “difficult” is a better word to describe it. There are a lot of latent conflicts in my family, with many iterations: sister with sister, brother against brother, mother against each kid at some point. It’s exhausting just to recount them. You would think there would be some overarching bond that would override the conflict, like maybe the power of love? But no. Instead there are just a lot of big gigantic egos at play, vying to be the victor. Come to think of it, ALL my siblings are strong willed. Even me. I’m just more outwardly quiet which throws people off. I think my stubbornness was borne out of necessity to stand up to the rest of my family, especially our mother.

Generally though, being the middle child of sorts, I am always seeking harmony in my life. I hate discordance, I shy away from rough or unkind language, I am gentle in manner, in speech, and in action. I seek to understand and wish to be understood. Being easy going, it’s also to be taken advantage of. You need to set and maintain boundaries and can’t be the nice guy all the time. You have to fight for what you have, otherwise, others will take what is rightfully yours. Needless to say, this part is what I’ve been working on. A lot.

The fighting part is hard. It feels unnatural to me. I’m soft by nature. Too soft. But the last few years, especially this year, I’ve been sparring, constantly sparring with my siblings. It started with T in 2019 and then in 2022, I’ve had confrontations with all eight of them (!) with varying degrees of tension and dissension. I’m getting pretty bloodied but I think I’m becoming tougher, more resilient.

Some think I am meek and passive and then I turn around and surprise them when I confront problems directly rather than avoid them. I prefer frank and honest conversations mainly because it’s more efficient. Why waste time when you can get straight to the point? I figure people who know me would know I would never be unkind on purpose. But sometimes, my words are too concise to the point of brusqueness and I have to remind myself to preface with some perfunctory niceties. I see the wisdom of practicing the norms of social etiquette especially with people who don’t know me – I am more socially aware than some give me credit for. I just sometimes choose the more straight path that can be perceived as being tactless.

Some see my accommodating nature and take me for granted or they try to bully me into submission. Kindness is not a weakness. Kindness is frequently underestimated and undervalued until you become the recipient of it in your darkest moments and you realize its healing power.

I do my best to be cooperative and collaborate and my patience can be legendary but I’m only human. I do have my limits. The inner lioness can come out unbidden when she’s being constantly provoked undeservedly. During the rare times I lose my temper, my sense of remorse is swift. My anger is short-lived only to be replaced with disappointment in myself for having lost my peace of mind. When there is a cause that I’m passionate about that tests my sense of justice, such as taking care of our mom, the inner lioness makes her presence known with more grace. She speaks calmly and with resonance because she is speaking her truth.

I know my inner lioness is here. If she doesn’t respect you, she doesn’t care how you think of her. She does her own thing. And please don’t go keep poking at me or take advantage, thinking I’m so sweet and passive. My inner lioness will very well just pay you a visit.

Changing in spite of myself…

Averse to change. That’s me. This characteristic aggravated my past three romantic partners who seemed to be the opposite. T was a consultant who travelled Monday through Thursday in the first few years of our relationship. During that time, his office environment changed every few months as he was assigned to a new project at different clients. R was a teacher who was teaching at an international school. The Narcissist was a Jekyll and Hyde personality so I guess that counts, changing from meek, wide-eyed to sullen, prone to inexplicable rages and silent treatments.

Then there is me. I have worked for a state program for the last 23 years, basically my first job. I hate throwing anything anyway, always thinking there will be a use for it someday. Somehow I managed to move from a 3 bedroom house or at least my half of it without downsizing any of my stuff to sharing a two bedroom apartment. Since I was a bit of pack rat and Virgo one to boot, I made every bit of space in my room functional by putting my organization skills to work. I even installed lights with a dimmer in my closet. T would have been proud.

I think I chose my opposites as my mates because I sought those qualities that I thought I lacked. I wanted to be adaptable, nimble, and flexible. I didn’t want to be attached to one place, or things. I loved to travel except I usually dreaded the actual going part and would always contemplate cancelling my trip a few days before my departure. It was as though there was almost too much effort required for me to move from being fixed to one place to actually moving. If I lived alone, I believe I would not be going out much. I needed someone to compel me to go out, to push me. T was good at that, perpetually planning trips for us until we moved to our San Francisco house. R was a teacher overseas for whom I considered quitting and relocating. I wanted to but couldn’t in the end, however much I loved him. It was too out of character, it was too far of a reach for me at the time. Besides there were other factors involved that made me question his commitment to us as well.

Yet in the last few years, nothing has stayed the same for very long. I’ve spent the last three summers in Vermont, South Korea, and Southern California. I’ve become a nomad not by design and not because I chose to move but because of the changing circumstances in my life. My relationship with R meant I had to travel to be with him. My sense of responsibility to my mom and my siblings brought me to southern California. I was even forced to clean out my apartment because of a beetle infestation.

I’ve needed change but I’ve resisted it for so many years. Especially, now while my work is remote, which I would like to be permanent, I can be anywhere except international at least until my company’s policy changes. Unexpectedly, I like it. I like not knowing what my life is going to look like in few months. I like that I’m free to choose. I’ve always had the freedom. I think all of us do to a certain degree. Because my point of view has been so narrow and because I’ve been so afraid or unmotivated to take steps away from my comfort zone, I just didn’t know there were so many options and that I could exercise them. I realize now that you can’t do anything simply by waiting it out. There may never be a good or convenient time to make necessary changes to your life. Every change is a disruption to the status quo that will be uncomfortable. Yet it forces you to adapt, to flex some unused muscle you never even knew you had. You just need to make the first step and with each step, you gain a little more confidence to take the next step and the next step after that. Fortunately, I’ve had a lot of unexpected changes these past few years and being open to what it brings, has started a spiritual transformation that is still ongoing. If I don’t think about it too much, I would have to say it’s pretty exciting!