Telling siblings
My DH was recently diagnosed with mild ALZ. We have a family reunion coming up and I feel like we should let his two siblings know. Is that something he should be a part of or should I be telling them without his knowing? So much of this journey makes me feel like I’m having to do or say things behind his back because he either wouldn’t understand or doesn’t even need to know. So hard when we’ve always shared everything.
Comments
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So sorry that you have to start this terrible journey. When my DW got diagnosed several years ago, both of us together told our family and friends. This worked for us as she was ok with her disease and accepted it. What I mean when I say she was ok is that she didn't have anosognosia which is thinking they are ok. If your DH doesn’t think he has Alzheimer’s, I would probably tell his siblings yourself.
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If your spouse is ok with it, I would tell close family, then when your LO starts progressing they will not be shocked.
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I told my wife's siblings. She was there so she knew what I was saying. I didn't make a big announcement I just told them the same way I would have about any other big thing in our lives. I didn't want her to have to tell them but I also wanted her to know what I was telling them. She was diagnosed early and so was very aware of everything said and done. Hopefully they will be supportive and helpful but don't expect that to happen.
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My husband has anosogosia and thinks he’s fine, isn’t able to recognise his physical and mental challenges. He still believes he’s going to “get better”. Because of this I told his older sister and his son. Mentioning Alzheimer’s in front of my husband only agitates him.
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I think it’s an individual decision based on the person who has the disease. If they are well aware of the diagnosis and able to discuss it, then by all means ask him if he would like to tell his siblings. If he’s more advanced and it would stress him out, tell them privately.
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I agree with others. If he has anosognosia or is sensitive about the diagnosis I would not include him. If you do include him and they start asking too many questions or questions that might be uncomfortable for your husband ( I would try to be very attuned to your husband’s reactions during the conversation), i would wrap it up quickly and get back with them later with more details if you want. I think siblings should probably be told. At a family reunion, they might pick up on things more than you would expect. We took my mil to a funeral early on and I had multiple family members come to me worried about her and asking questions. We were in the process of getting her diagnosed at the time. If you include your husband, what would you do if he says he doesn’t want them to know? Pwd don’t always think things through clearly. This would leave you in a very awkward situation if they notice things, express concerns and ask questions. I assume they would eventually need to be told, but you would be faced with when to do that and would at that point be going against his wishes (which would not feel good either).
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My DH has one sibling left- a brother who we see every few months for lunch. We drive 1.5 hrs to visit him. Brother knows DH doesnt drive anymore, has been forgetful in recent years, and searches for words when trying to participate in conversations. Brother just attributed it to aging (DH is 84 / brother is 81).
Two years ago I sent brother the neurologist diagnosis plus the DBAT chart, so he could fully understand. Brother was very resistant to the diagnosis for almost a year, trying to get me to give DH vitamins and various miracle cures he read about online, but finally now has accepted it.
The only thing that helped brother come to accept the diagnosis is that he had to take care of DH for me several times (for a few days each time) when I had to get some outpatient medical treatment for myself in another town. So it was the real life taking care of DH that helped brother understand.
Fyi: I only communicate about DH health issue with brother in emails and text messages - cuz I don’t use words “dementia” and “Alzheimer’s” in my DH presence, to not upset DH in case he might still have an understanding of what these words mean. I only say “memory issues.”2 -
@Elaine2, We had a similar situation to yours. My DW didn't want to tell anyone but I found it necessary to slowly tell people about Dx. I would do this prior to lunches with friends, girls get togethers or other events where she would have close interactions that would likely raise questions about her health. I would msg or call them in advance and give them the back story so that they were prepared. This really helped especially with coordinating events with DW not being able to drive. It also helped them to understand why communications from my DW were difficult or had simply dropped off. All I asked them to do was not to let DW know they were aware. So far so good after about 20 or so of these calls over the past year. It has been a ton of work, but really improved her relationships, with a few people unexpectedly leaning in to help.
After success with friends and neighbors, I started selectively telling family. All were very discreet with some relationships even improving once people realized why DW behavior and communication had changed. Good luck!
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Thank you so much for your input! I did ask him the other day how he felt about it, and he gave it some thought and asked me to tell them when he was not around. He was afraid of them sympathizing with him. I helped him understand that it might add clarity to their relationship because any questions they might be having about his stand offishness might provide them understanding rather than thinking he was rude.
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I would tell them together if he is willing. Better sooner than later. It was so hard my husband didn't want me to tell his parents or children! after we got the official diagnosis we went to visit his parents and told them. We also went to see his two adult children and told them , afterwards he thanked me and said if i didn't make him he had no idea how he would tell them or if he even would! he is well aware of his DX for now its so hard and heartbreaking to watch someone you love struggle with simple things everyday! we also had genetic testing and he is negative, when I asked Dr " then how did he get this?" he said its a random case!
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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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