So many questions...


Hello. My husband was diagnosed with Alzheimer's on August 6. The Neurologist didn't mention a stage but our GP said it's moderate to severe. His has trouble speaking, he can't find words. His short term memory is severely impacted. Normally an optimist, he's become severely depressed. He's now on Namenda, Rexulti & Donepezil. He still goes to the market and takes our very demanding husky husky to the dog park every morning which is great for socialization! We live in a very isolated town in the lower Sierras of CA which offers few services,none related to Alzheimer's. All of our doctors are over an hour from here. In other words, we're absolutely on our own with minimal family support because our kids & family are just too far away. My son sent me a link Alzheimer's Assoc. because I had no idea where to start and who to talk to. I'm very very grateful for this community and I hope to learn so much from you all! Thanks for reading.
Laurie
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Welcome. Please ask any questions you might have as everyone here is willing to help. Even just venting and pondering the unfairness of dementia is also more than welcome. We all understand. Avail yourself of the resource documents here:
https://alzconnected.org/discussion/64696/dementia-resources/
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Welcome, you’ve come to a very understanding, supportive and caring group. My husband was just diagnosed on 8/14, and while the neuros didn’t specify a stage, I believe it to be mid to later 4. We also live in the lower foothills and have about a 1.5 hour drive to his doctors.
Don’t hesitate to ask questions, I’ve learned much in the short time I’ve been here. We’re travelling this journey together.
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Welcome. I have attached a staging tool that may help you figure out where he is at. It may also help you with where things are headed. I’m also attaching a good article on dementia. Have you seen a lawyer? If something were to happen to you, your children would need to step in. A DPOA would be a good idea. When/if caring for him in your home becomes too much for you, you should consider what you would want. A plan B is important. Memory care facilities are very expensive. If Medicaid may be necessary a lawyer can also give you some advice on that. You said he still goes to the market, is he driving? Your car insurance may not cover if there is an accident and he has been diagnosed with dementia. I hope you find this information helpful.
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You are very welcome here. People have a range of experiences and will be very helpful and supportive.
The Alzheimer's Association hotline is invaluable for getting immediate support and help: 800.272.3900.
Do get legal advice from an eldercare attorney. You'll want to make sure you have the necessary legal authority to do things in your husband's name. LIkewise with healthcare proxy. Likewise with finances.
Prepare yourself for a significant change in your relationship with your husband. Over time you will go from being his partner to being a caregiver. It's important to recognize when that happens, because it can be a difficult transition. It's quite possible your DH will try to maintain his autonomy and will resist help. As his mental abilities fade, you will have to take over as his brain.
I could go on, but you should probably start with some of the resources cited. "The 36-hour Day" is a highly recommended book.
Come back often.
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Thank you so much Vitruvius. Venting would be good, my dog can only take so much 😀
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You're new to this too Chance, I'm so sorry. Wow, you have a longer drive than us. Zoom has been a big help!
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Thank you for this information! This is stuff I never even thought about! My education begins.
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More invaluable information, thank you 17! Our relationship has already changed. He was diagnosed with prostate cancer 2 years ago and thanks to his amazing Urologist he's been cancer free since. His decline began a few years ago but the surgery seemed to exacerbate his mental decline. Yes, he does drive so I really appreciate the heads up about our insurance! So much to do!!
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To echo what everyone has said, come back here often and ask or say anything. Everyone here has been or will be where you are now. It's a very hard road to travel and you don't have to do it alone.
Getting advice from a Certified Elder Law Attorney is critical. It's expensive but absolutely worth it. You need to have Power of Attorney for Healthcare and Finances, for a start. Now, while he is hopefully able to cooperate with you. I understand it can be much harder later on. Also talk to you Primary Care Provider and try to fine a Geriatric Neurologist or at least someone who specializes in Alzheimers. There are lots of different treatments, and each person responds differently. We can tell you our stories.
Wishing you the best, with hugs and comfort. Take care of yourself.
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Thank you all so much for your replies! So much to think about and act on. I hate this disease and that it takes away the people we love a piece at a time. All I can do is learn as much as I can and take whatever action(s) I can. I gotta tell y'all, I'm scared but my fear has to be minuscule compared to his. One foot in front of the other. Sleep well all. Thank you for being here.
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The two documents that H1235 included were so so so very helpful for me and I read and read and read them along with the book The 36hour day . Since you are a bit isolated , this forum will be helpful
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Welcome, MsPickles. This group is an amazing outlet for advice, understanding, venting frustrations and much more. I’ve learned so much from so many here. And if you just want to rant, there’s no judgment - just empathy from people who really understand. I don’t have any advice to add since you’ve gotten so much great advice already. Hugs!
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Welcome. I also live in a more remote area where specialists are an hour to two hours away. You found a great support system here. Also very knowledgeable people willing to listen and help each other.
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Still very new but learning every day. My husband’s ALZ diagnosis and ongoing care are managed at the VA hospital at Mather as well as the neuro specialists at the SF VA Memory Disorder Clinic. We’ve been able to meet with a neuropsychologist and neuropsychiatrist via zoom for the initial diagnosis and consultation. So far I feel he’s had excellent (and timely) care. I’m sorry we’re all here but it’s good to have new friends who understand.
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I am very sorry you and your LO are on this road with the rest of us. I will share one thing I have discovered. Seeing doctors to discuss my questions/concerns related to Alzheimer’s caregiving has been zero help to me thus far. After about two years of trying, I now find more help on this forum than anywhere else when I encounter a new problem.
Also, my DH takes Memantine and Donepezil but who knows if it does anything? It doesn’t seem do any harm, so he takes it. Every one of our LO’s will travel a unique path. As 24/7 caregivers, we are likewise traveling alone. I wish you all the strength you will need to cope.2 -
My husband and I spent two weeks at the Mayo Habit Program for mild cognitive impairment and dementia. The program is excellent. We were told that my husband should go to a facility that will certify that he is able to drive due to liability if he is in an accident. The test was 3 hours. If you fail, they take your license on the spot. You have to take this test yearly. We were told by the social worker at the VA that the VA is now offering this certification as well, but no one there has given us any further information on the program.0
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DW's PCP and neurologist kept writing referrals for a driving evaluation, and I did look into it. But the reality was that she had not driven in a couple of years and even seemed wary of doing so. One way or another she would ask me to drive her. She would have been very hurt to be told she couldn't drive, and she would be especially hurt if they took her license. As it was, I renewed her license, by mail, last October. I lied on the question about mental impairment. The license was a very important validation of her personhood.
I realize not everyone is so "lucky" to have their LO voluntarily stop driving.
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Regarding living in a remote area: even with families and medical resources close by, families living with dementia often become socially isolated. Make use of the wonderful support from the members here, which you will find nowhere else.
Also consult your local Alzheimer's Association chapter. You can receive personal advice from a Care Consultant . One is available 24 hours a day and there is no charge for this consultation.
Some chapters may offer a support group accessible by Zoom. Some caregivers have even started their own small support group, because there are probably other isolated PWDs and caregivers in your area who also believe that they are alone.
Keep reading and posting. It will help you.
Iris
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My DW voluntarily agreed to stop driving following her diagnosis from the neurologist and has made almost no mention of wanting to drive since that neurologist visit almost 4 years ago. Having read so many of the experiences of others, I feel so enormously fortunate that we got through driving without any conflict or incident.
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Hi, looks like you’re getting a lot of good advice but I’ll just put in my 2 cents. My DW of 40 years was diagnosed at Mayo Colton 2019 and is very advanced. Having said that I question your GP saying moderate to severe if he’s still driving and doing things by himself. Also, you should see a lawyer who can make you power of attorney before he gets to the point where you have to do extra steps that are difficult. The 36 hour day is a great book as others have suggested.
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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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