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Medical Forum / Diseases and Disorders / Alzheimer's / March 2006

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Care-giving ALONE

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Westy - 27 Mar 2006 19:17 GMT
Is, or has anyone here been a multi-year full-time caregiver for an alz
family member in a small southern town where you have no "kinfolk" or
life long friends.  I am referring here to the inland south and not the
Atlantic Coast states.  I moved here to Kinfolkville, Southernstate
from outside of the south in my early 40's.  I tried very hard to make
friends here during my early years here but found that I had little in
common with men my age here.  I am now 55.  There is a huge language
barrier and they are very close to their brothers, cousins, brothers in
law, and life long friends and they are not open to new friendships
with men who speak proper english that are not from the south.  Until
my mother came down with alz, it was merely an enormous problem.  After
I had been caring for her full time, ALONE, (except for my wife) for
two years, it became an extremely suicidal problem.  We are planning to
move to the west coast very very soon.  I am getting old to be doing
this.  It frightens me, but I have nothing but contempt for the people
here who wouldnt lift a finger to help us.  Has anyone else experienced
anything like this?  Was it in a small southern town?  There is a huge
farce about the south being a friendly and mannerly place.  Jesus said,
"above all things, love they NEIGHBOR as thyself."  Southerners (from
the western part of the Old South) seem to interpret that to mean "love
thy KINFOLK as thyself".  I plan to expose all of this in a book.

Scared to death in Kinfolkville
Gwen Love - 28 Mar 2006 00:05 GMT
Westy, I hate to say this, but you sound as if you feel superior to all the
folks in Kinfolkville.  If you do, I'm sure they realize that and no wonder
you haven't made friends.  If I am wrong I apologize.  I am from the south
and have lived in small towns in the south.  I made friends at church first,
and then met other folks.  Sorry about your experience.
Gwen

> Is, or has anyone here been a multi-year full-time caregiver for an alz
> family member in a small southern town where you have no "kinfolk" or
[quoted text clipped - 19 lines]
>
> Scared to death in Kinfolkville
Westy - 28 Mar 2006 08:53 GMT
Gwen, I appreciate the responses I got from you and Evelyn.  It is
interesting to note that you are both women.  The problem in the south
seems to be more a problem with the 50 year old men than with the 50
year old women.  Women of 50 have an easier time making friends in
general, regardless of what state they are in because they are more
open.  But southern men, particularly in semi rural TX LA MS AR TN,
take that lesser degree of male openness to an extreme.  I have
speculated about what the reasons are but I can only guess.  You almost
have to be a male to understand this.  It has to do with what is known
here as a good old boys network, accompanied by a thing I refer to as
"southern male group-think" (which substitutes for individual thought),
and a set of southern male ego problems that boggle the imagination.
Anyway, I am almost out of here - just a few months to go.  But I am
sure that in my new location I wont have friends instantly.  It will
probably take a number of months to build some friendships.  I dont
know that I will go about it much differently.  I joined lots of clubs
here and attended lots of churches here.  I used the Dale Carnegie
approach.  I eventually gave up on that here after a number of years.
Its time to dust off "How to Win Friends and Influence People" and go
over those chapter summary listings again.
Evelyn Ruut - 28 Mar 2006 13:10 GMT
> Gwen, I appreciate the responses I got from you and Evelyn.  It is
> interesting to note that you are both women.  The problem in the south
[quoted text clipped - 16 lines]
> Its time to dust off "How to Win Friends and Influence People" and go
> over those chapter summary listings again.

Hi Westy,

You may be correct, but there is another aspect of the situation that we
haven't touched upon.   When I was taking care of my mother in law, I had
just moved to a new area.   It was VERY hard to make new friends and get
"connected" even though I continued in club membership and membership in my
religious organization too.    You may be blaming the people in the area and
not the situation.

Caregiving has KNOWN effects.... notably depression.   Depressed people are
usually angry, frazzled, and not exactly a ball of fire in social
situations.    All these are deep down emotions that people sort of intuit
when you meet them.    You don't end up giving off the kind of emotional
energy that people want to get to know better when you feel like this.

Once my mother in law went into a nursing home, the effects still lingered
for a long time.  Right after that I fell and broke my shoulder, a horrible
situation that required two painful surgeries and months and months of
gruelingly painful physical therapy.    Right after that, my mother in law
died.   ONLY THEN after she passed on, and I was healed of my injury, did I
begin to make more friends, get involved more in social situations.   We
became more active in club work, both my husband and me.... and our friends
began to come out of the woodwork again.

Caregiver depression is REAL.   Do not underestimate it for a minute.   That
is why we need support groups both in real life and here on the internet.
It does NOT lend itself to social interaction, or really anything where you
have to relate to others.

This is just another area you may need to look into and consider.

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

DJ - 29 Mar 2006 04:57 GMT
Evelyn,

My mother has recently been diagnosed with Alzheimers and my father is
doing the majority of the caregiving.  I think I can understand what
you are saying when you talk about the Caregiver and how it wears them
down.  I see my father and how it has effected him recently and what a
difference.  I think he is doing a great job, but to have to do two
jobs of being a caregiver and also be a teacher is wearing on him.  In
a case like Alzheimers, my mother understand what she has because she
had to deal with it, with her own mom, but she is quite positive in how
she tackles this problem.  I know she is frustrated by it, but my dad
is the one that takes on more responsiblities around the house and
becomes a little more stressed out.  The one positive thing that my
father has going for him is that they live in a relatively small town.
Everyone knows about my mother's situation and are more than willing to
help out with her.  This becomes a blessing in my fathers life because
he can take a brief break while members of the community help him out.
Anyways, i agree with you when you talk about support groups.  People
need to be able to talk to others and get their feelings out in the
open.  They need to know that they are not the only one going through
these situaions.  Talk to ya later

Darryl
Evelyn Ruut - 28 Mar 2006 01:33 GMT
> Is, or has anyone here been a multi-year full-time caregiver for an alz
> family member in a small southern town where you have no "kinfolk" or
[quoted text clipped - 19 lines]
>
> Scared to death in Kinfolkville

Hi Westy,

My uncle moved to the South after a whole lifetime in the North.   He will
go into ecstasies about how nice, how friendly, how kind the people are.
Same with my cousin and her family, and also a girlfriend of 30 years and
her husband who moved south.   All rave about the kindness, openness,
friendliness of southerners.

For the record, I live in NY state, so I am only reporting what others have
told me.

Maybe I can relate to you a famous Zen story.

There was a Zen monk sitting by a crossroads which led to a large city.   A
family came by with a cart, carrying all their belongings, obviously moving
to that city.   They asked him what the people were like in the nearby city.
He replied with a question... asking them what the people were like where
they came from?  The family said the people where they came from were
horrible.  They weren't friendly, they gossiped and they hated it there.
The monk seemed saddened, and he told them "I am sorry to tell you but the
people here are exactly the same way."    The family then said goodbye and
moved on their way to their new home.

A couple of hours later another family came along the road and asked the
exact same question of the same monk, and he asked them the same question he
had asked before, "what were the people like where you came from?"  They all
began to speak at once.... The people were wonderful, so kind, so nice, we
hated to leave them....."   The monk replied with a smile "You are going to
love it here, the people are the same way"....

Same city.

Now I will grant you that caregiving does not always put one in the most
friendly or outgoing of moods, and especially since you have been doing this
alone.   But moving will not solve the dilemma.   If you want friends you
have to be a friend.   You have to join a club, a church, a political group,
anything....and relate to people with an open heart.   Be giving and you
will discover that people will give to you.

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

tvengineering - 28 Mar 2006 12:10 GMT
I am from THE SOUTH.  Raised in Alabama, lived in Atlanta and more rural
areas of Georgia, lived in Very rural South Carolina, now in Florida.  And
to top it all off, I am a white male.
As do most southerners, male or female / black or white / or whatever, each
person I meet is considered my friend just as soon as I meet them.  They
have to prove otherwise.

I have a great many friends from other parts of the country and the world,
but I generally find that people that come from up north to the south find
southerners to be slow,  in their opionion, so naturally we all must be
stupid, and inferior.  This is what I get out of you.  Maybe you should
first try to be a friend rather than judge people on locale.  Throw away
your old vhs copies of Dukes of Hazard and the movie Deliverance, and TRY to
be social.

good luck
TvEngineering

> Is, or has anyone here been a multi-year full-time caregiver for an alz
> family member in a small southern town where you have no "kinfolk" or
[quoted text clipped - 19 lines]
>
> Scared to death in Kinfolkville
carolinasongbird@gmail.com - 28 Mar 2006 15:07 GMT
I'm a Southerner, born and bred, albeit from the Atlantic states you
give a "pass" to. I am not going to leap to defend out honor, but to
agree with you. There are many small Southern towns that it would take
a crowbar to insert yourself into the intimate social circles. As some
describe it, there are "benyeahs" and "comyeahs." (been heres and come
heres). To qualify as a benyeah, your PARENTS must have been born
there. Comyeahs may be tolerated and included as probationary members
if their lineage is appropriate, but they will never totally belong.
(As a kneejerk reaction, I start extolling my family lineage which has
a Confederate luminary in it as soon as I meet one of these people. And
then I berate myself later -- why are you trying to prove yourself to
THEM?!? And what does it matter what great-great-great-grandaddy did
ANYWAY!!!)

I have moved out of several of these places and shaken the dust from my
feet as I went. Not all Southern towns are like this, but there are
enough that you should know your experience is not unique. I suspect
there are places in New England that are the same.

In a larger city, I would suggest turning to Alz support groups, but I
know how hard they can be to find in the rural South. I hope your
impending move puts you in a better environment where you can find the
community bonds you seek.

Songbird
Westy - 28 Mar 2006 16:15 GMT
I know what you mean.  We actually changed towns a year ago (moved 25
miles) and the new town was just as bad as the old town.  Both towns
are "benyeahs" and "comyeahs" towns (with a slightly different accent).
In the new town, people talk more about how far they can trace their
ancestry back in this town.  In the old town, the details didnt seem to
matter as much - if you weren't related to a guy, he didnt know you by
1975, and you dont 'taolk the taolk", he just didnt want to know you,
period.

Since you had the problem in several southern towns and moved on, did
you ever try a non-southern town?  If not, why not?  Do you have
relatives in the south that you dont want to be thousands of miles away
from?  The urban west coast is the part of the country that is the
least "benyeahs" and "comyeahs".  That is where I am headed.
Hopefully, by the end of the spring, I will never return to the south.
Bud - 28 Mar 2006 17:20 GMT
>  Both towns
> are "benyeahs" and "comyeahs" towns (with a slightly different accent).
> It has to do with what is known
> here as a good old boys network, accompanied by a thing I refer to as
> "southern male group-think" (which substitutes for individual thought),
> and a set of southern male ego problems that boggle the imagination.

Pretty sums up in my mind why you cannot get friends in these 'southern'
towns. You have a mind set that your Northern urban people are
inherently superior to the ' po' white trash'. Believe me I've lived in
both and have been a care-giver for many years to my wife with advanced
Alzheimer's and I have always found the people of the South to be
responsive to the needs of others. I think your trouble stems from your
attitude toward these people and the stress that care-giving has placed
on you. Your moving to another place may or may not be a relief to you
but I bet it'll be a relief to them thar southin' folk which cain't
speak plain. Just MHO, of course.
Evelyn Ruut - 28 Mar 2006 17:39 GMT
>>  Both towns
>> are "benyeahs" and "comyeahs" towns (with a slightly different accent).
[quoted text clipped - 13 lines]
> relief to them thar southin' folk which cain't speak plain. Just MHO, of
> course.

I have an uncle in North Carolina (near the coast) who raves about southern
kindness.  He says that wherever he goes people say "Hello" even if they
never met him, unlike New Jersey where he lived his whole life.

I have a friend who lives in South Carolina (also nearer the coast) and she
says the same thing.  She has connected with a whole group of good friends
.... a much larger circle of friends in two short years than she had in New
Jersey where she lived for about 28 years.

These are real people who moved south after a lifetime in the north.

I would tend to believe Songbird, since she has lived in the south a long
time, that maybe there are some areas that are standoffish and mistrustful
of newcomers.

I am the type I would do my darndest to try and make friends out of the
strangers, or else I would simply decide to live without friends.   I'd go
the extra mile to do it if I had to.

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

Westy - 28 Mar 2006 18:32 GMT
Bud,
You seem to be trying to put the cart before the horse.  I discovered
those things AFTER having spent years trying to make friends here.  You
try to make it look like I came here with those views in hand.  I was
under the impression, prior to moving here, that the south was a
mannerly, friendly, Christian place.  It is interesting that EVERY
specific exception mentioned here has been of an Atlantic coast state,
even tho in my opening post I excluded those states.  Bud, you are part
of the problem.  You, and your kind, are the reason I am leaving.

50 year old men here commonly spit in public and cough without covering
their mouths.  Not ONE of the 30 students I attending first grade with
was as unmannered as that at 6.  What are these southern MANNERS I keep
hearing about?

Sure these guys will say "hi yall, hows yalls family doin, yalls family
doin alright?" if they see a stranger on the street.  But just try
inviting one of them to do something with you that would allow you to
further explore the possibility of friendship (I certainly did many
times)  He will proceed to tell you all about his relatives that he
spends so much time with that he doesnt have any extra time.  What is
FRIENDLY about that.

Jesus said "above all things, love thy neighbor as thyself".  He didnt
say "love thy KINFOLK" as thyself.  Southern men of 50 seem to put a
very high premium on the importance of their kinfolk as opposed to a
"neighbor" who is not related to them.  The south also has the highest
rates of divorce, crime, traffic fatalities, obesity, smoking, suicide,
bankruptcy, etc. of any region of the country:

South has highest crime rates:
http://www.fbi.gov/ucr/cius_02/html/web/offreported/02-nviolent02.html
http://www.forbes.com/2004/05/12/cz_kb_04bestplacesworstcrimerateintro_print.html
http://www.bestplaces.net/docs/studies/crime3.aspx

South has highest traffic fatality rates: (see page 2, Fatalities per
100,000 column)
http://www-nrd.nhtsa.dot.gov/pdf/nrd-30/NCSA/TSF2001/2001statedata.pdf

South has highest respiratory infection rates:
http://www.bestplaces.net/docs/studies/respiratory.aspx

South has highest divorce rates:
http://www.infoplease.com/ipa/A0923080.html

South has highest bankruptcy rate: (see "Deadbeat District)
http://www.findarticles.com/p/articles/mi_qa3678/is_199810/ai_n8826091

South has high suicide rate (higher rate than Midwest and Northeast)
http://www.findarticles.com/p/articles/mi_qa3678/is_199810/ai_n8826091

South has high percentage of smokers:
http://www.health.org/govpubs/mmwr/vol53/mm5344a2.aspx

What is so CHRISTIAN about that?
Evelyn Ruut - 28 Mar 2006 19:33 GMT
> Bud,
> You seem to be trying to put the cart before the horse.  I discovered
[quoted text clipped - 51 lines]
>
> What is so CHRISTIAN about that?

Considering that you are talking about the "Bible Belt" probably everything.

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

Bud - 29 Mar 2006 00:42 GMT
> Bud,
> You seem to be trying to put the cart before the horse.

No. I think I am spot on. The fact that you denigrate people for having
close family ties and cast aspersions on their accent indicates to me
that you had certain prejudices before you ever found yourself in the
'south'. The very fact of your quoting those statistics of crime etc.
would be considered impolite and ungentlemanly in the southern society
as I know it. If you want to shift the onus of your situation to another
group then please do it in private and not come whining to a group that
is interested in helping and supporting those inflicted with and caring
for this horrible disease. That's my take and say.
Karen - 29 Mar 2006 04:13 GMT
Westy, yes, there are places in the south where everyone is so insular (and
usually also ignorant) but there are those places everywhere.  But frankly,
to have friends one must show himself friendly and you sound like the
bitter, angry sort of person I would want to avoid simply because of the
amount of mental energy it takes to listen to the list of woes and
complaints.  Caregiving can wear you down.  Some people aren't exactly sunny
types to begin with.  Only you (or an honest relative that's known you for
awhile) can tell you which is the case here.

I asked my hubby for his opinion since he's lived in several small southern
towns -- "Have you ever seen a place where the guys couldn't make friends no
matter what?"  He said he hasn't seen such either.  However, I will offer
one notion related to the "graying of America" in general.  If someone is an
able-bodied male in his 50s that is involved with a large extended family,
they might keep him hopping with chores and "honey-dos".  Hubby and I are in
our mid-40s and even though we have a limited amount of family, we're
running into this.  And I couldn't tell you when the last time was that we
had time to just go out and shoot the breeze with friends or enjoy leisure
activity.  We're not anti-social, just very busy.

BTW, Southern manners that I've heard people talking about involve children
saying yes, ma'am, please and thank you.  Spitting on the sidewalk may show
you didn't go to finishing school, but it doesn't say a thing about how
friendly you are or aren't.  When I was growing up, it usually said the
spitter dipped snuff or chewed tobacco.  Sorry, but in this day of "wardrobe
malfunctions" you have to go a lot farther to shock or surprise me.

Karen

> Bud,
> You seem to be trying to put the cart before the horse.  I discovered
[quoted text clipped - 5 lines]
> even tho in my opening post I excluded those states.  Bud, you are part
> of the problem.  You, and your kind, are the reason I am leaving.

-----snip-----
Evelyn Ruut - 28 Mar 2006 17:32 GMT
>I know what you mean.  We actually changed towns a year ago (moved 25
> miles) and the new town was just as bad as the old town.  Both towns
[quoted text clipped - 11 lines]
> least "benyeahs" and "comyeahs".  That is where I am headed.
> Hopefully, by the end of the spring, I will never return to the south.

Westy, I hope that you find the friendship you seek wherever you end up.

Signature

Best Regards,

Evelyn
(to reply to me personally, remove 'sox')

carolinasongbird@gmail.com - 28 Mar 2006 20:47 GMT
I haven't moved on because it is not true everywhere, and I love the
climate and geography. My business is here, but it is one I could
relocate. I do have relatives here, but that is not a particularly
anchoring factor. I travel a good deal and have friends all over the
country -- and I hear echoes of this everywhere. I haven't liked what I
saw of California or the North (deep aversion to snow), though I like
the Southwest. Basically, I realize there are jerks everywhere, and I
make my own circle of friends -- male and female -- from those who are
not.

Songbird
 
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