Tag Archive | caregiver

The Bubble Gum

gum

When I used to buy condoms 700 years ago, I was careful to do two things.  First, in a case of “optimism kills”, I stopped buying big boxes.  Inevitably they led to breakups or droughts.  Second, I always bought bubble gum with them.  In my earliest days of buying them, I was nervous so this made me feel less conspicuous.  Yes this was ridiculous but remember, it was 700 years ago.  Then it just became a habit.

This popped into my head the other day at CVS when I was browsing adult diapers and pads.  As a Sandwich Generation dad, I am many years removed from buying either condoms for myself or diapers for my now 12 year-olds.  (Note: for them, puberty is the more imminent and scary challenge).  Incontinence, however, is becoming a bigger problem for the other half of the sandwich.  Hence my reading labels and trying to figure out a solution.  There are many reasons that the standard adult protective underwear, if you will, will not work for my dad.

That’s a whole other post.  What I will say is that when it comes to compromising purchases, I find that I still prefer to make them alongside gum.  Some things never change.

The Four Stages of the Checkbook

checkbook

As Sandwich Generation dad, I serve many functions for my own father. Primary medication distributor. Friend and companion. Personal shopper. Dedicated email correspondent – he sends a lot of email, much of it about recently about why Fox News is right.  (I try to tell him that Megyn Kelly being attractive doesn’t mean that the network is always right, but I’m losing that battle.)  Pedicurist (not my favorite role).   Main technical support guy – only yesterday I bought him a new iPad and Zagg keyboard as his old ones are grinding to a halt.

Among these, one of the most demanding and complex is being his CFO: bookkeeper, investment advisor, compliance officer, head lawyer, and insurance manager. In particular, I manage his money. This was not a straight path from Point A to Point B. In thinking about it, I realized that like grief, it meandered at its own pace through the same 4 stages: denial, anger, depression, acceptance.

Denial

In this phase, the adult parent pretends there is no problem. My mother had managed the finances (along with most everything else) in the house, so after she passed away, my father was confronted with how to keep the bills paid. Or, rather, my brother and I were confronted with it as he had just enough interest in the problem to let us solve it for him. Which we did by (a) automating everything in sight, (b) consolidating the almost 10 bank accounts into one, and (c) trying to fix a very confusing credit card situation. We also got passwords to everything – which if you haven’t done with your parent already, you should do now BEFORE you really need to. Trust me.

We also pulled his investments from the full-service broker who, based on the floor-to-ceiling envelopes stuffed with trade confirmations suggested, somehow had turned my mother into a day-trader.  We moved them instead into nice, simple, boring index funds at Fidelity.

Anger

Next the parent says “I can do this myself – what the hell do I need these kids for?”  For us this happened about 4 or 5 months later.  He changes the online banking password so that you are locked out, pays his own bills for a while, and to prove that he is smarter than you, moves all the money to a full-service brokerage at the bank down the street.  Then he tells you “what the hell did I need you for anyway?” Then he brags to your wife and your sister-in-law about what he did. True story.

 Depression

In the next stage, the parent realizes just how much work managing everything is, and also starts to worry that he’ll run out of money because returns are terrible. Which, when you move everything back to a full-service full-fee broker at a bank who sells you the bank’s own proprietary full-load mutual funds, they are. This took us about 6 months where I just had to hope that he wasn’t making truly catastrophic mistakes.

 Acceptance

The parent realizes you had their best interests at heart and asks you gently if you’d be willing to look just once at their situation. You know, just to check it. Then they quickly give you the passwords back and accept your help in re-consolidating, simplifying and moving everything back to Fidelity. Tip: do not point that this what you tried to do in the first place.

In case I didn’t emphasize it before, for all you Sandwich Generation parents out there, get visibility as soon as you possibly can. This often is best accomplished in conjunction with a health scare of some kind as parents do not yield this information easily. Also, money is one of the great taboo subjects in our society, especially true between parents and children. This article from AgingCare.com lays out some interesting strategies; another one is from the Wall Street Journal.

Whatever you do, remember that it is not a one and done situation. It takes 4 stages. If you’re lucky.

 

The Concussion

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A 6 year-old boy at our swim club decided to jump on Sophie’s head while she was bobbing in the deep end with her friends. This turned what had been a pleasant humid Thursday evening into an impromptu meeting at the lifeguard table, complete with filling out forms, a minor interrogation on symptoms, and following that, instructions on checking whether or not her headache and nausea meant a concussion.

They did.

We had sent Sophie to camp on Friday, but by Saturday, her symptoms had progressed to the point where her headache prevented her from sleeping, eating, or doing much of anything. She needed sunglasses even to sit in the house; she’s sensitive to bright light anyway, so the added trauma only made the situation worse. She became somewhat disoriented as well. After a 3 hour afternoon nap (made necessary by her inability to sleep the night before), she woke up totally unaware of date and time. “Why are we having sausage and vegetables for breakfast?” she asked. It was 7:30pm.

But I had seen this dazed state before. When this form of discombobulation – I think this is a real word despite what spell-checker is me – used to happen to my father, it was called dementia. This is a side effect of the C Diff infection he used to have. In a child, though, it’s assumed that the symptom will pass. In the elderly, especially in hospitals, it’s expected that it’s just the permanent state of things.

This Sandwich Generation connection occurred to me when I took Sophie to the doctor that Tuesday afternoon for a follow-up. Among other tests, the pediatrician recited three words to her: green, door, and something that I’ve since forgotten. Anyway, the test reminded me of my father’s post-hospital stay during rehab in the skilled nursing area at Stonebridge at Montgomery.   He performed many exercises, among them cognitive testing and therapy to test whether or not the infection had wreaked lasting damage, and to mark his progress.  He too had to recall series of words after a few minutes of other questions.

Of course, he now curates classical music performances by searching for performances on YouTube, transferring them to a playlist on Apple TV, and then using a complex projector/speaker/microphone setup that would make Rube Goldberg proud. So, I would guess he’s fine.

Just two weeks later, Sophie’s made a nearly total physical recovery. Her doctor suggested that at some point we might want to assess any psychological impact from suddenly being forced under the water. My father has developed immunity to most psychological tolls at this point in his life. But we’ll keep the jumping 6 year-olds away from him just in case.

The Juggling

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I am the volunteer treasurer in my Temple, an amazing community where, as in many such cases, much is asked of the lay leaders.   This particular time for our institution has been one of transition and rapid growth, which are two things not often written about synagogues in a country that is less than 3% Jewish. It’s challenging, fulfilling in a way that no job could be, and an opportunity to collaborate with some brilliant and very inspiring people.

It also has been at times like a part-time job, which since I have a full-time job and the Sandwich Generation dad responsibilities, is one part-time job too many. During the school year, there is a 50/50 chance I’ll be at the Temple on a Tuesday night.

Recently I was sitting my Temple president over breakfast.  We have become close and candid with each other over 2+ years of working together closely.  This scones session was no exception. I had recently told her that I was thinking of moving on from my volunteer role after 3 years instead of the maximum 4. She found this puzzling. So specifically, she wanted to know why I wasn’t planning to stay in my role for the maximum timeframe if I found the work fulfilling.

I had to stop and think about that one.  It’s an great question.  Here’s what I came up with: it’s the juggling.

I signed up for this wonderful and demanding role in the spring of 2013, which is before my father came into my life as he is now. My job was different – I traveled more, but the hours were less intense and my commute nearly non-existent. And my kids were 9, meaning that they had many years to go before slipping into adolescence and needing a different level of emotional energy. So yes, I am busier now.

But it isn’t being busy that is the issue.

On any given day, I have the Sandwich Generation father problem of switching contexts dozens of times or holding both in my head simultaneously. I am at work in the morning heading into a meeting when the associate director in change of my father’s community head calls me and asks me to call her back quickly.   I am sitting in the evening with my daughter who is freaking about her homework and someone from the Temple calls and emails me in rapid succession about a meeting held earlier in the day that I didn’t attend because of course, it was scheduled during my workday. I am with my father on the weekend checking my watch, always checking my watch, because pretty soon I have to leave to pick up my kids’ carpool. I am in the car on the way to get them, and my company’s attorney calls to discuss an engagement letter. I am with my wife in bed late at night watching TV trying to stop my mind racing so that maybe I can sleep through the night.

I thought hard recently on when I’ve been happiest in my life, which is a great falling asleep trick that’s come in handy recently. I decided that it was not when I was laziest, although that’s wonderful too. It’s when I’ve had fewer things to handle, not more, and felt like I could invest more and focus on each.

Maybe one of my most fulfilling weeks was when I moved my father into rehab from Princeton Medical Center after he beat C-Diff the first time, and I dropped everything else except for talking to my family. Or when I went to Israel for work this past February after a juggling-filled and snowy week and had mornings to myself to swim, run, read, write, or have a cup of coffee. Or when I used to be a lifeguard in my sophomore year in college and I’d lose myself in the task of getting the floor of the pool cleaned on sunny warm April mornings. It’s the losing myself that does it.

The next few years have a unique urgency to them because my kids are almost gone and my father isn’t going to get stronger. I have found a work niche that is strangely and uniquely suited to me, and because of the Israel connection, has an emotional hook as well. I am learning more and more from watching friends that staying happily married requires investment. These things are the constants in my life, so anything else is juggling. Sandwich Generation or not, juggling is hard.

And by some small miracle, these are also the things I would want to lose myself in.

The X-Ray

xray glasses

Sometimes as a Sandwich Generation father, you find yourself in the hospital not with your parent – and right now, my father is as healthy as he’s ever been – but with your daughter. Such was my situation a few Thursdays ago. It turns out that when performing a gymnastics trick called a round-off back handspring, there is a penalty for not landing it correctly: a right hand that is swollen, black and blue, and probably broken. With that, you also win the right to visit the Newton-Wellesley Hospital radiology waiting room with your parent on a Thursday morning.   Or so Sophie found out.

After so many trips with my father, it was particularly strange to be in a hospital with my daughter. The last 2 times I’d been bathed in that very particular neon light with the corresponding low air conditioning hum, I’d been with my father at Mass General for his treatment for C-Diff and in Framingham when he had hip pain so powerful that he couldn’t stand or walk. But that more than a year ago, an eternity when your father is pushing 91.  It is a small miracle that this isn’t a more familiar experience for me. I suppose in time it might be.

Most radiology waiting rooms are filled not with parents who brought their daughters, but more often daughters who brought one of their elderly parents.  That’s just the target market. When you sign in, you fill out the “Did you just have a fall?” card that warns you of the possible problems a spill might cause. They don’t have one for round-off back handsprings. (By the way, the possible side effects are not the hospital’s fault – they want to make sure you know that).

And 11 year-olds in hospital waiting rooms behave differently than their 90 year-old grandfathers. They ask a lot of questions because to them, hospitals are new. Why do we have to register first? How long do you think we’ll have to wait in this waiting room? They bemoan events they are missing, especially on a school day. They exude restless energy and fidget. By contrast, my father does a lot of staring and sitting still.

They also require more entertaining. We ran through the pictures on the wall of every doctor in the department and decided based on their headshot whether they liked their jobs or not. I ran through a long riff on what the likelihood was that they would have to amputate her arm. She laughed and told me it was ridiculous. I responded that it might be, but how amazing would it be if I was right? She laughed again and went back to asking questions about why we were in a second waiting room.

It was in that second waiting room that I noticed the biggest consistency, which is what a difference a friendly doctor makes. Both Sophie and my dad were anxious in that situation, Sophie because she is anxious by nature and my father because he is convinced that it was the hospital that killed my mother, and his world-class survival instinct puts him in high alert. Sometimes I can disarm him, sometimes I can’t. The radiologist totally disarmed Sophie, took her x-rays almost sweetly, and then took her into the back hallway to let her see the results. Sophie had never seen an x-ray before. “That’s so cool,” she said.   My father doesn’t say that anymore. There the similarities end.

And then there’s this note for Sandwich Generation dads out there: when you take your daughter to the hospital, it is a special bonding experience in a totally different way than caring for your elderly parent. So when it happened to me, I commemorated it with a milkshake, just like my mother used to commemorate my broken bones with a slice of pizza.

The Sandwich 15

When I got to Duke in the fall of 1987 (do the math… that makes me 45 years old), I quickly discovered the combined lures of beer, pizza, unlimited snacking, and industrial quantities of industrial college food.  The result was the predictable “Freshman 15″, where I suddenly became more of a man, so to speak, than I had been before.  About 10% more.  Since I hadn’t started as a world-class athlete to begin with, this turned my 5’6” frame a little doughy.  I went through bouts of being more careful, but my roommates and I were well-stocked on Papa John’s coupons and you could go to “kegs” pretty much every night of the week.  It took me until about halfway through my sophomore year to keep the wheels on the car in this department.

Pizza-Box

Fast forward to 2014 (still 45 years old) and my latest bouts with stress eating.

I am in way better shape than I was in college.  I need to be.  A nutritionist informed me three years ago that men over 40 lose roughly 1% of their muscle mass every year if they don’t build it back up.  This could be a total lie, of course.  I didn’t ask her for proof and for all I know, she said it purely for shock value.  And it worked.  Over the next year or so, I developed a weight routine to which I stuck religiously, and which I even started to enjoy.  The alarm would blare at 5:40, I would emerge from bed, and hit the espresso maker downstairs.  I had it on a timer so that it would warmed up and ready for me to take a long pull before leaving to lift, run or swim.  I felt great.

I still visit the gym or run semi-regularly.  Unfortunately, at age 45, “semi-regularly” means not enough.  And the “semi” crept in there, I recently realized, when my father moved up here.

I think when juggling a lot of responsibilities, the easiest ones to drop are the least urgent.  Working out rarely feels urgent.  So my five times per week/every week routine dropped back to four times per week/most weeks.  Close enough, I figured.  I got a little less careful eating; I am part-owner of a burgers and fries chain, after all.  There were enough stressful afternoons and evenings that I might have added a beer that might not otherwise have been in the mix.

This got worse when I started spending a lot more time both at and commuting to work.  Now the 4 times per week/most weeks dropped to 3 times per week/some weeks.  I’ve had some weeks that are better than others, and even after these, I’ve noticed that I’m not making much progress back to the level I achieved last year.  I also notice that the more stressful days at work lead to poorer sleep, which makes exercise impossible, which in turn leads to poorer sleep.

The last piece of this newly doughy puzzle is the sound of the ticking clock of my children growing older.  Now they are 11.  Chances are that I have limited months and years left that they still want to goof around with me in the morning.  The kind of love they have for me right now is mortal.  I can feel myself fighting back against time by wanting to extract every last ounce of this time in their lives when they still think I’m funny, when they still want me to know how much they love me, when they want me around even when they are sleepy and fumbling for their school books at 6:30am.

So, I don’t want to sacrifice that time to be in a windowless gym with a bunch of fellow middle-aged men who probably had the same fatalistic nutritionist who gave them the same advice.

The result has been predictable.  It’s the Sandwich 15 and it happens when you have too much to juggle and want to savor the last moments of your kids’ childhood innocence.

I would like to be able to report in-depth statistics on Sandwich Generation dads putting on weight.  I don’t have them.  Sandwich Generation dads are less well understood than, say, freshmen in college, probably because the 18-34 demographic has decades of purchasing power ahead of them and we have… well, less than that.  But it’s too bad.  In any case, I have found my Sandwich 15 and now I am into my sophomore year, so to speak, of being Sandwich Generation.  Now I just need to find a rhythm and routine that lets me repeat the results of my last sophomore year experience, and work it back off.

 

The Diet Coke Moment

When my father first got sick last summer and ended up in the hospital, I debated even going to New Jersey to see him.  Part of this was driven by the naive belief that his condition wasn’t actually that serious — more on this later — and part of it from the memory of conversations  past that went something like this:

Me: “If you moved to Boston, it would be a lot easier for me if something went wrong.  In New Jersey there’s not much I can do since I live here.”
My father: “I know — but don’t worry, I’m doing fine right now.”
Me (considering): “That’s true until it won’t be, and then we have real problems.”

I found out he had fallen ill when we couldn’t locate him for 2 days.  We had called him on his birthday and he sounded discombobulated, distant, not all there.  Now I know that C Diff has dementia as a side effect.  That was on a Sunday.  By Tuesday, my brother was worried.  He had called an ambulance that Sunday night, it turns out, and was admitted to the hospital.  From his room’s old-school phone (Side note: why do even brand-new hospitals have terrible telecommununications?  Makes no sense.), he couldn’t figure out how to call long distance, couldn’t get help to call my brother or me, and hadn’t grabbed his cellphone on the way out of the house.

Finally he had called a neighbor, who got in touch with us.

I talked it through with my business partner, who had recently lost his father.  He kindly reminded me that although it was probably nothing, I should go see my father.  So I skipped out of work and called to let him know I was coming.  Two trains and a car ride later, I made it to Princeton Medical Center.

So I arrived to his room.  The first thing he said to me in a dry-throated hospital whisper was “what took you so long?”  I had almost forgotten how angry he could make at moments where I wanted to feel empathy, love, respect, admiration for my father, anything but anger.  And then before I could respond, he croaked out 2 more words: “Diet Coke”.

The doctors wouldn’t give him Diet Coke.  That’s odd, I thought.  Later that day when I was talking to one of the doctors, I understood why they were being so cautious.  This is when I discovered that C Diff is a deadly bacterial infection with a 50% survival rate in people that age.  My father’s intestines were so inflamed that his stomach had begun to swell.  The Vancomycin and Flagyl pumped intravenously into his system had slowed the spread of the infection, but couldn’t stop it.  It seemed, she told me, that surgery would likely be required to repair them.

There are a few moments in your life where you realize that some moments ago, everything changed, and you just didn’t know it yet.  When you find yourself unexpectedly in love with the woman who will become your wife and you flash back to the time you first met her and were oblivious to the enormity of what had just happened.  When your child repeats something about themselves you once said in anger and didn’t mean, and you don’t remember it, but they do and maybe always will.  The instant when a doctor tells you that your father is probably going to die, and even if he lives, you understand that he is now your responsibility.

That happened when he had gotten sick on Sunday.  Now it was Wednesday.

I did two things.  First, I called my brother and told him that he had to drop what he was doing and get on a plane, right now.  I didn’t know how much longer my father would be himself, and I didn’t want my brother to miss it.  And I convinced the doctor to let him have a Diet Coke.

I don’t know why I zeroed in on this, my first real act of being a caregiver.  My father is a creature of habits and Diet Coke was one that made things seem a little more normal.  I thought that could help him.  Maybe I wanted to see if I could convince the doctor as some sort of way of using my competitive nature to re-inject some normalcy into a situation that blindsided me.

It had one unintended effect, which was to convince my father that I could and would take care of him.  As signals went, I probably couldn’t have picked a more powerful one.

Since this blog is about being part of the Sandwich Generation and this happened 18 months ago, obviously he survived.  By now, Death should know better than to come for my father uninvited; he’ll probably decide when he’s ready and give Death the nod.  Within 60 days of this episode, we moved him to Massachusetts so that if something like this happened again, one of us would be nearby.

It worked.  9 months later he was back in the hospital.

I wrote an entry a few months ago called “Irony Alert”, so named because I had set up a Sandwich Generation support group only to miss the first meeting because I was with my father in the hospital.  He had awakened to find himself unable to move from bed and needed to be lifted out of the bed, wheeled in a gurney from the building, and taken by ambulance to Metrowest Medical Center.

I knew exactly what to do.  I grabbed his cellphone, his iPad, his headphones, an extra pair of pajamas.  And 3 Diet Cokes with plenty of straws.

I’ve since learned that I can’t control most of what happens with his health.  But what he drinks while he’s being poked and prodded by doctors?  There I am the master.  And he knows that.  Our relationship has never been the same since.  It was the moment, I know, that everything changed.

The 48 Hour Daydream

This past weekend, I had 48 hours in my own house without my wife and kids.  It’s true.  You’ve had this fantasy yourself, so I will let you take a minute to daydream before jumping into the next few paragraphs.

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Ready?  OK, here goes.

One facet of middle age is all the facets.  You become a part of many other things, sort of an anti-20’s.  Then you are largely on your own with limitless options for what to do with your time.  You can be spontaneous.  Should you hit multiple parties on a Saturday night?  Binge watch a TV series?  Do a short volunteer stint?  Sleep in?  Make a last-minute decision for Friday night without having to plan ahead?  Finally catch up on that stack of bills with no one tapping you on the shoulder?   Sounds like the weekend I just had.  And it was spectacular.  While never having boundaries is its own kind of prison, shedding them is a release.

It was also a couple of days where I had space to step back from my Sandwich Generation self and ponder.  Pondering is luxurious.  I considered the weekend as an opportunity to be true to my actual self, whoever he is.  The best context I could dream up was an internal monologue about which communities I really want to be part of.  This is how I ended up at my synagogue on Sunday morning to fulfill a long-overdue volunteer obligation, and crashed an elementary school class party even though I’ve been elementary schooler free for 5 months.  Halfway through it, a friend texted me and demanded that I show up.  I’d had no plans to come — but absent the usual constraints, his was an invitation I was happy to accept.  Plus, I haven’t spontaneously hit a second party on a Saturday night since the Clinton administration.

I also lingered over a leisurely lunch with my father – at Legal’s of course – without really having to watch the time.  We sat a table with me on his left so that I could get at his better ear, and then he recounted his new TV watching regimen (warning: heavy on Fox News).  Some habits die hard though; after 60 minutes I forgot to avoid getting anxious about getting home.  This is the weekend I should have spent more time asking him the name of the woman whose picture he showed me.  “She likes me,” he told me.  I hope there’s a blog post coming about that one shortly.

Finally, I spent most of Sunday afternoon standing over the stove and various cutting boards, pre-cooking a lot of dinners for the week.  I had forgotten how relaxing and centering this is for me, even when I do it without a beer in my hand.  As I did this, and the clock ticked down to Nova and the kids coming back from their dance convention — by the way, this is a real thing — I considered that this is something I could do even with the various sandwich demands on my time.

And then the brief daydream was over.  The other night I was back to helping with late night homework, feeling guilty watching Nova juggle babysitters and weekend plans while I worked through plans for my next (disruptive) work trip to Israel, and skimmed past personal email again without answering it.  For the 3rd day in a row, I didn’t follow up as new tasks piled up on top of my list.

I wish I could say that the effects linger.  Somehow they don’t.  Like you, I am back to daydreaming about it.

View from the Bread (Part II)

View from the bread, (who would liked to be called pumpernickel bread because that’s her favorite type of bread) Sophie Biro!!!

Before we even start, I have a quiz for you guys. Yes, I care about everyone THAT much. Anyways, here it goes.

What part of the sandwich generation would you be best at?

Are you…

  1. Naive

  2. Responsible

  3. Loved

If you had a free day, you would…

  1. Play outside or watch TV

  2. I would NEVER have a free day!

  3. Every day is a free day!

Do you like me (if you hate me then too bad because there’s no answer for that)

  1. Such a great friend!

  2. A really cute, awesome girl!

  3. A darling.

Mostly A’s: You would be best at the freshly baked bread (the kid)

Mostly B’s: You would be the roast beef and lettuce (like my dad is)

Mostly C’s: You are the good but slightly stale bread (the eldest of them all)

Okay. Anyways, here’s my point:

Someone, though that’s not their age, might make a better older person even though they are the sandwiched man. The younger person might make a better sandwiched person. If you’re 123, you might make a better kid!!! See my point? If you don’t, then that means a person younger than you can figure out something you can’t. Thank you.

By the way, this is what my family looks like.

We are very complicated. If you want me to explain that, I’m going to have to get 3 comments that simply say: Sophie is awesome.

Bye,

Yours truly (AKA SOPHIE!!)

Crossing the Dumbarton

A brief story (by my standards):

When I lived in California during the dot-com bubble, I had a close friend from high school who I never, ever saw.  Back in 1999, you couldn’t drive from Palo Alto to Berkeley at rush hour if your life depended on it.  The Dumbarton Bridge might as well have been closed between 3pm and 7pm on any given weekday. Or, really until 9.

The main reason I rarely saw him, however, is that my job was intense. More specifically, the hours were crazy.

Fast-forward to late 2001. For a number of reasons, I was debating whether to quit this job. The money was decent but not spectacular, and I had a sensation that I was focused on the wrong things. It should not have been a difficult deliberation, but it was. While pondering it, the thought popped into my head that something was drastically wrong that I could never see my friend who lived only 20 miles away.

So, after a lot of thought, I laid myself off – one benefit of being partially in charge of a business unit. I did not regret if for a single second. Before long, I was a regular attendee at my long-lost weekly get-togethers in Rock Ridge and cemented a friendship that I almost lost. With the benefit of hindsight (i.e., getting older) It was one of the smartest things I’ve ever done, and it was empowering to be so true to myself.

A few things that happened recently reminded of this story and what a different time it was in my life.

The first is that I have a cousin in Toronto (technically my second cousin once-removed – she is a little older than I but somehow I am at the same generational level as her kids) who I would love to visit. I thought about this for about 3 seconds. Then I realized that it’s nearly impossible with everything else she and I both have going on being in our roles as parent, child, spouse, brother/sister, friend, neighbor, provider, cousin, volunteer, and of course, ourselves.

But the second and more pressing reminder is my expanding and out-of-hand work schedule, which this time I cannot fix by quitting.

For many years, I had both flexibility and a short commute. Nothing in life or career is free, and in this case, the tradeoff was a greater level of uncertainty and occasional (sometime frequent) travel. The good news is that travel is less an issue for me now. The uncertainty has been reduced nearly to zero, or at least I think it has.

However, the other two variables have shifted, and big. On a normal day, I am out the door just after 7, arrive home just before 7, and have very little slack during the workday. This is starting to crowd things out. Gone are the early evening times with my kids. They themselves have activities many nights so even if I could get home much earlier, they wouldn’t be there anyway. Fair enough. I still see my father once a week, but that moved to Sundays from Thursdays because getting out of the office reliably on Thursdays at 5 to see him regularly and for more than an hour or so became too difficult. This is easier for me. For the Sandwich Generation, no time shift is free, so there is a cost: Sunday evenings at home with Nova and the kids.

And I had a vision of hitting the gym occasionally during the day at work, which it turns out is a fantasy. I think I knew this intellectually. I have plenty of experience knowing things intellectually but not really believing it until I experience it. I believe that this state is called “adolescence” and apparently there is a part of me stuck in it. Denial about your body works great at 25, less great at 45. I went with the fantasy anyway. Then, once I stopped exercising regularly, my mid-40’s body responded, not surprisingly, by softening and creaking and leaking energy and self-confidence. My energy level dropped off.

Then I subsequently learned that coffee can solve almost all problems – but not this one. So I went back to morning workouts The other parts are back, except the result of trudging out the door four days per week at 5:45 is that I don’t get back just before my kids head out the door in the morning for school. So, now I don’t have morning time with the kids either.

Because my daily pace at work is fast, I arrive home a little bit wrecked. I don’t often self-medicate with a beer or two, which is code for “sometimes do”. My cellphone usually goes unanswered at dinner, and yet it’s so easy to push a couple of buttons “just in case”. After all, there is always something I could respond to right away.

This is all starting to come to a head now as more things fall through the cracks.

For Columbus Day weekend, we were supposed to go up to the New Hampshire mountains and hike a waterfall, a birthday present that Lily designed for Nova and my father offered to pay for. It would have been my responsibility to plan and book this. And I just didn’t get to it. I was distracted.

In the back of mind, I knew that I should have booked and organized it before the week preceding Columbus Day weekend. Intellectually I knew that if I put it off, it would cause a problem. But I let it get away from me anyway. Again, knowing something intellectually is not that interesting if you don’t act on it.

I had lunch today with a long-time colleague and friend from my days of a less structured work schedule. Presciently, he asked, “How’s this going for your wife?” And the answer is – it probably sucks.

When your colleague you haven’t seen in 6 months picks up on something in 10 seconds that you’ve been playing around with in your head for weeks, it is time to act.

So, I’m resolving to get work back under control. In trying to balance and optimize across multiple things, I can’t let any one piece get too far ahead of the rest. The essence of being Sandwich Generation, for me, and my “cousin”, and for you, is balancing and prioritizing across multiple contexts and in multiple permutations: parent, child, spouse, brother, friend, neighbor, provider, cousin, volunteer, and self. It is also a question of adjusting among these different competing contexts, and understanding when something has to be the first thing.

Sometimes, once in a rare while, something has to be the only thing. This is what happened my father got very sick last summer; everything else had to wait.

In this case, I have bumped ‘provider’ (and partially ‘self’ – it’s about that too) too often to be the first thing, or even the only thing. Now I know this intellectually. The trick now is to channel my 2001 self, rebalance somehow, and move being father, spouse and cousin back up the list where they belong. If I could do it because of a desire to cross the Dumbarton Bridge in 1999, I can do it now.