Micropreemie help out the wazoo - Dementia help crickets
Sorry to inundate with my ridiculous questions. But I need to get this off my chest.
I am the 68-year-old wife of a sweet, loving, devoted (I got lucky!) 79-year-old. Last fall, after taking a weekend trip away leaving my smart, capable, healthy husband at home I received a few texts from neighbors telling me he was struggling with starting the car, stopping the car, and losing the car after driving it a mile from home. I immediately cut my trip short, called him every hour to keep contact, and enlisted our dear neighbors to keep an eye out (which they did - again, I got really lucky.)
After medical tests and appts, he was diagnosed with moderate cognitive decline, possibly Alzheimer's, probably Parkinson's. (Take note of the language the doctor used in his report. Not at all clear to me.) We started on medication that created physical problems and had to stop immediately. One day, my incredibly fastidious husband came out of the bathroom with hands covered in feces upset that he couldn't figure out what to do. I was beyond shocked and appalled, mostly at myself for becoming nose-blind to what had been happening to him right before my eyes. Fast forward a few months, and I am now wiping his ass a couple of times a day.
Here's the point of my post. Almost 17 years ago my 25-year-old daughter died of previously unknown pulmonary hypertension, while she was 26 weeks along with her first baby. Her husband was/still is an active-duty Navy Chief Petty Officer. After she died, and the baby survived 5 months in the NICU, my lovely son-in-law asked us to help him. We immediately said yes and K has been with us since they were released from NICU. Navy Dad has until this past fall used our house as his base and is an incredibly loving dad.
After K was released we were sent help. Occupational, physical, and speech therapists. PET (Parent Education Teachers). Appts with heart, lung, developmental, kidney, and a pediatrician. Medication, apparatuses, supplies, bedding, clothing, even laundry services, and meals, came our way. This baby was held in the capable hearts and hands of the medical community, to assure the best start to life.
Today, my frustration continues to be why isn't this same support offered to those at the end of their lives? We've had to make multiple phone calls each time just to get the appropriate tests, medications, appts. We are struggling with what it means for a physically healthy adult man, who eats a regular full diet, to wear diapers, can't shower, doesn't use his phone or computer anymore, and can't operate a remote control.
I realized that my grandchild's Micropreemie-type experience is a complete 180 from my husband's dementia experience. This week we met his speech therapist to assess swallowing issues he may be having. As she was doing intake and asking lots of detailed questions, I noted she was making additional notes (typing, then writing). At the end of our hour-long intake, looking at the written notes, she listed appropriate therapies and doctor recommendations for us. She also noted my husband's gait and hand movements and strongly suggested we make an appointment with an ataxia specialist. I arrived home for the first time armed with names, phone numbers, and a promise that she would arrange all therapies since they were all in the same building. I also realized I was breathing calmly for the first time since getting this diagnosis.
I also recognize (if you got this far) that the benefit of this forum is that it is anonymous.
/rant over
Comments
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Hard to respond to this. Abandoning the elderly is not new, of course. I think it's human helplessness at the end of life, in general, while with a new life there is hope?
I hope your granddaughter is doing well. And I am so sorry about your daughter. After 17 years I know you still must feel it every day.
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"Human helplessness at the end of life".
Good context.
Thank you. I always feel as a society we ca do better. And I know there are wonderful people out there going above and beyond, much like our new speech therapist.
Thank you for your condolences. Yes. 17 years is only yesterday.
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I completely agree with you. I think the key is "best start to life."
The intensive initial needs of preemies are of shorter duration. The goal is an improved outcome, and less future care and medical cost is a driving factor. There is a lot of major feel goods to this story. At some point it is determined that the cost of intensive interventions is outweighing the return on investment, and the interventions are discontinued. No feel goods here. Parents/caregivers for children whose outcome doesn't lend itself to independent living are left holding the bag.
The intensive needs of PWD last for many years. There are many more of them. There will be no improvement. No feel goods here period. The groups that are fundraising for dementia are focused on the so far elusive medication to fix it. $$$ for medical research and much media coverage of the next "miracle". They provide comparatively minuscule $ for respite care. The part that is not said out loud in the USA is A) Caregivers are mostly older people who are not valued. and B) It's the duty of the younger caregivers to provide this care. C) If we don't look it's not happening.
Rant away. I'm on your side as is everyone here. (((Hugs)))
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Hugs back.
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Northernlady, what you posted is a common theme. You might think about writing a Letter to Your Editor, or to your doctors or your church, or frankly, anywhere. There is little to no help for people living in the dementia world. That's why this message board is so important! Even doctors don't know what is discussed here, so many mistakes are made.
Iris
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Honestly one of the reasons it is like this is our society’s theory that all adults should be self reliant, both in terms of finances and managing their lives. People complain that their taxes are going to care for people who should have managed their finances better
People who haven’t been through it just don’t understand the money, tine, and caregiving it takes to take care of our elderly, our PWD, our chronically ill, our mentally ill etc. Until it happens to someone in their family and it’s right there in front of them 24/7.
What we need is a care manager assigned( paid for by insurance or the government) to every PWD and whose job it is to provide their family with all the information and care coordinating they need - rather than every caregiver inventing the wheel.8 -
I think people feel helpless around dementia. Much like being with a friend recently mutilated in an accident. Don’t know what to say or do. It’s so apparently hopeless. Why pour water on a fire that won’t go out. Thank God there are many caring people out there who sincerely do care for the elderly.
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"What we need is a care manager assigned( paid for by insurance or the government) to every PWD and whose job it is to provide their family with all the information and care coordinating they need - rather than every caregiver inventing the wheel."
Amen. Even if it's just someone assigned at time of dx., telling us you've just heard this diagnosis, here are some things about your life that are about to change…here are some resources…here is info on planning things legally and financially. Even if they stopped short of coordinating, at least hand out a road map.
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I couldn't agree more. Having recently inquired into the costs of memory care after caring for my spouse since 2019, I was sort of shocked when my DDIL said (after hearing the cost/month), "See, this is how much your work is worth!". I had never thought of it that way. And, FWIW, it was north of $8K! No wonder government doesn't want to subsidize it except if the alternative is the streets…And what happens when I need care? I will have spent it already on DH. Maybe they just hope caregivers will pass away, too. Sorry, that came across more angry than I actually am. Just letting you know that I understand..and at least a road map would be something…
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I share your concern. We are left holding the bag after our LO passes away.
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I am saddened and embarrassed to say that I didn't give it much thought before dementia came for my husband.
While there is some help available if you can find it (and qualify or pay for it), it still takes a significant toll on the caregiver. With my husband on hospice, we have more help than ever. And unlike every other agency/office/practice we've dealt with along the way, hospice moves quickly. But I still haven't been able to get a break in more than two weeks. We have (yet another!) home health agency starting on the 9th. Until then I am the sole diaper-changer, cook, housekeeper, etc.
Once I have time again I'm going to find a way to help. I don't know if that will be through volunteering, advocacy, or fundraising, but the caregivers need help. QBC is so right about the need for a care manager!
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All of this is so true and so hard. I've been trying to get a person to come in once a week, but so far, nobody in our "rural adjacent" area is available. There is an adult day program but I have to drive 45 minutes to get to it - they offered to send him home in an Uber, which sounds like 'not a good idea?!' His PCP quit, and when I tried to get another one in a different system, was told they are no appointments until September! He has a neurologist but those appointments take 6 months, and when there are issues like agitation and anger, who is there it help? Basically, we are completely on our own! My own PCP actually told me that he needs to get a part time job at Home Depot, as no one really understands dementia and he probably just needs more stimulation. For those of you in Washington State, the system I am using/trying to use is part of the University of Washington Medical system, so it's a reputable research organization connected to a university, and still, doesn't work as it should. Just this week, I've kind of gotten to the end of my rope, realizing that there is NO help unless you give someone your life savings… sorry, it is a bit of a rant, but it is soooo frustrating.
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your former pcp is the one who should be working at Home Depot.
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@M1 I agree! Sheesh!
I’m a pediatrician and agree completely with the micropremie vs elderly adult with dementia contrast. It’s beyond awful. And @northernlady I’m so sorry for the loss of your daughter and grandchild. I am sure this isn’t much comfort to hear, but I remember patients I cared for in my training 25 years ago. I can still picture their faces, their families, and everything. So I promise you that even medical professionals you think moved on probably think of both of them, too. Sending you hugs.
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I'm so sorry to hear this! I am in Missouri, at the flagship campus of Univ of Missouri. The neurology dept here has some world-class research going on —- all on paper though, with no patient connection to the research. It's a failure of the healthcare syste
Agree with @M1 your former PCP should be the one working at Home Depot. What an arrogant stupid thing to say.
How do unattached PWD survive? Who takes care of them? Do they become homeless? Then what?
This disease affects everyone, whether in your own circles or not.
Glad we are here to safely vent. Keeping you in my heart, @LindaLouise2 -
@housefinch your reply is deeply felt. Thank you.
And your experience, affirms my point of the contrast.
I hate this disease.0 -
It's so terrible that we have to wait ages for an appointment. I, too, now live in a more rural area. We only got an appointment with a neuro resident after more than 3 months, and were told that we only got the appointment because of a cancellation. It took us 7 months and two referrals to be seen by a geriatric doctor. When we saw the neuro, they only wanted to focus on another neurological condition my DH has and when I said I'm concerned about his memory and safety they said I needed to see the geriatric doc. The neuro said he'd refer us again because , "when we do it they tend to actually believe us". This while anyone with some observational skills could see things were not right with DH, and we had two reports from neuropsych testing to back us up. What if I never spoke up? Or if DH had no spouse living with him? I guess the medical system (or at least some part of it) sees dementia care as "rearranging deck chairs on the Titanic".
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@northernlady I have often thought that dh would be homeless if we hadn't met (we're still fairly newlywed).
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I'm sorry. hugs
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Oh no. I'm so sorry for your experiences. It doesn't make sense and feels inhumane.
hugs1 -
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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