How Do You Eat An Elephant?

We all know the answer to this one.

You eat an elephant one bite at a time.

Have you ever thought about the different techniques that are used to eat some of the more common foods that we consume without knife, fork, or spoon?

I need you to get your mind's eye in focus here. One at a time, I want you to picture how you hold and then eat these common food items below. Think about your fingers/ hand(s) position, how you grasp it, and your "attack angle" to take a bite.

• A hard shell taco (although a true Mexican taco is always soft, flour tortilla)
• A hot dog with chili and slaw
• A large slice of NY style pizza
• A big, juicy, gourmet hamburger
• A double scoop ice cream cone
• Buffalo wings
• Ribs
• Corn on the cob

I recently saw a graphic that illustrated the correct way to eat a taco... grasp from the top, holding at the center of gravity of the taco, taco in alignment with mouth, head angled 45 degrees, and go for it. Sounds about right to me. Oh, and pray the corn tortilla doesn't shatter into a dozen pieces.

My experience eating a hot dog (especially one with many toppings) is an underneath grip (two hands initially,) hot dog/bun perpendicular to your face and level with the ground.... mouth wide open, straight in.

Now, the NY style (let's call it "floppy") pizza has a couple of variations when eating. There is the fold-in-half-method, folding from the mid-line of the crust to the point, thus eliminating the floppiness and even allowing it to be eaten one-handed. And there is also the two-handed non-folded method; crust held by the fingers of one hand, and pointed end supported by the fingers of the other hand (or even the back of the fingers of the other hand.)

The bigger the hamburger and the greater the toppings, the more challenging it is to eat without making a complete mess. But, it clearly is a two-handed method with solid grips with thumbs and fingers at 3:30 and 8:30.

Ice cream-in-a-cone eating includes the straight-up lick method, the more sideways lick while twirling method, and the psycho biting method. This is not an exhaustive list of methods by any means.

The ones I've listed above that have a similar holding technique are the chicken wing, rib, and corn on the cob. On the other hand, I've seen an entire chicken wing (flat or drum) placed in the mouth and pulled back out while the teeth scrape everything off leaving only bone/ joint. Never saw anyone do that with a baby back rib or corn on the cobb.

I was having lunch the other day with a friend and we were talking about how infrequently Carol and I go out to eat these days. With her dementia, she has started to lose the ability to navigate the eating process. She still does fairly well at home with a fork and spoon provided I've pre-cut things into bite-size pieces. And while introducing more finger type foods is generally the migration for folks with dementia that can still feed themselves, not all finger foods are truly "finger" foods. Chicken nuggets, French fries, cut up raw vegetable/ fruit or other food items that are easy to hold and are one or two-bite items are what I now consider finger foods. (Some of the finger foods aren't things you want to eat too frequently though.)

Sandwiches that can easily fall apart (i.e. a Jersey Mike's sub or a BLT, etc.) are too difficult and frustrating for her. So now I prepare sandwiches with "sticky" ingredients that can hold the sandwich together like peanut butter, pimiento cheese, grilled cheese, chicken salad, etc.

The other day we had chili slaw dogs. Mine were prepared the normal way. Hers I "deconstructed" and cut the bun and hot dog into bite-size pieces. Then I layered on some mustard, chili, and slaw and she was able to eat it fairly successfully with a fork. It looked like a mess on her plate but, she loved it and ate it all. Where there's a will, there's a way.

Those of you that have raised kids and helped them learn how to eat have an understanding of what I'm talking about. It's just that, in many ways, we are moving in reverse.

Navigating Dementialand and all that comes with it is sorta like eating an elephant.

We're just taking it one bite at a time.

*I'm sure some of you reading this have experience taking care of a loved one with Alzheimer's disease or other form of dementia and what I've shared is familiar to you. For others, I share this for no other reason than to give you a better understanding. You can better appreciate why we and others in our situation no longer participate in most social events.

I'm no expert on dementia but, to the extent I can be helpful to others that are new to this, please feel free to reach out if I can provide some guidance or encouragement.

Remember... one bite at a time.