Medical Forum / Diseases and Disorders / Alzheimer's / November 2006
Anesthesia & alzheimers
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Lee - 25 Nov 2006 22:28 GMT From everything I have ever read, anesthesia & alzheimers is a very very bad idea.
Heard today that my father, who has Alzheimer's (PROPERLY diagnosed only this year, but evident for several) is slated to have a hip replacement.
My stepmother and I are not close, and my opinions/input are not welcome - I haven't seen my father in a very very long time ....I am no more welcome than my opinions are, and he chose her over making any effort to stay in touch with me while he was still capable, so....
Most of what I have in terms of information is anecdotal ..... in other words, likely to be rejected as coming from me.... I'm doing the google thing to find any information that is less likely to be rejected off the top (my sister has agreed to print out and take any info I can provide) ... if anyone has any good resources or anything though, please let me know... ?
I still haven't got a copy of the 36 Hour Day that is so highly recommended... anyone that has it know if its mentioned in there? Could order a copy and ship it directly to her, maybe....
I'm not saying he SHOULDN'T have the hip replacement surgery ... I haven't seen in him in so long, have no idea how much pain he's in or anything... but certainly do want to make sure that they are fully aware to the risks to his functioning
Sometimes I wish she - the stepmother - would just disappear somewhere... feels wrong to be SO cut out of his life. If she would bugger off, I'd move him up here... not into my house, but nearby where I could see to him, make sure he's well taken care of, etc. etc. She is - at least in my experience - so very COLD ... hate to think of him at her mercy
Evelyn Ruut - 25 Nov 2006 22:45 GMT > From everything I have ever read, anesthesia & alzheimers is a very very > bad idea. [quoted text clipped - 28 lines] > him, make sure he's well taken care of, etc. etc. She is - at least in > my experience - so very COLD ... hate to think of him at her mercy Lee, I am in a similar situation, with regard to an elderly father who is somewhat in the thrall of a scheming female, but he hasn't got alzheimers, and he knows what he is doing, and she does help him out a lot, so I just leave the situation alone. All I really can do, anyway.
Anesthesia, unless it is absolutely necessary, is not a good idea for someone with alzheimers. They very often seem to get a lot worse very suddenly afterwards. Not only that, but they forget they had surgery, and why... They don't remember how to follow doctors instructions or even that they got any instructions at all, and often get into trouble as a result of all these factors.
Since it is somewhat out of your hands, and he does have a wife, regardless of the fact you and she don't get along, you may have to just sit back and let them do what they are going to do. I hope you are able to get some real documented information to them about the anesthesia issue. All I have to offer is various anecdotes that have been passed on here in this newsgroup for several years about it. For what it is worth, I do sympathize and hope you are able to get some solid information to them.
If he does have the surgery and he does get a lot worse, the stepmother might be all too willing to place him in a facility near you. You should make it known through your sister that you would be interested in looking after him somehow. Best of luck.
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
Lee - 25 Nov 2006 23:21 GMT it's frustrating, because I have experience which could be helpful to her - my MIL being several years ahead of him - and I do care.... wish she was more receptive to talking to me
I have tried to visit, but when its a 5+ hour drive and I have to get sitters for here and so on ...I'm not willing to do what my sister does and just 'show up' and take my chances that they'll be home.... its not like travelling that far is a minor deal! Calling ahead ALWAYS results in reasons why they can't possibly be home that day ... or, if she's not home, and he says sure, he'll be there ....he tells her, and she will call my sister and tell her to tell me not to go as it's "not convenient"
*sigh*
>> From everything I have ever read, anesthesia & alzheimers is a very very >> bad idea. [quoted text clipped - 54 lines] > should make it known through your sister that you would be interested in > looking after him somehow. Best of luck. SJF - 26 Nov 2006 02:40 GMT > From everything I have ever read, anesthesia & alzheimers is a very very > bad idea. [quoted text clipped - 28 lines] > him, make sure he's well taken care of, etc. etc. She is - at least in > my experience - so very COLD ... hate to think of him at her mercy Googling "Alzheimer's anesthesia" provides discussions of this question. See -
http://www.alz-nca.org/caretips/anesthesia.php
for authoritative comment.
Generally, it is indicated that recovery in early Alzheimer's may be a bit slower but concerns are somewhat greater in late stages of the disease.
SJF
Lee - 26 Nov 2006 02:57 GMT hadn't seen that one yet, thanks...
>> From everything I have ever read, anesthesia & alzheimers is a very very >> bad idea. [quoted text clipped - 40 lines] > > SJF Steve...has tiger firmly by tail - 26 Nov 2006 04:11 GMT > From everything I have ever read, anesthesia & alzheimers is a very very bad > idea. [quoted text clipped - 6 lines] > than my opinions are, and he chose her over making any effort to stay in > touch with me while he was still capable, so.... sniped
> I'm not saying he SHOULDN'T have the hip replacement surgery ... I haven't > seen in him in so long, have no idea how much pain he's in or anything... [quoted text clipped - 6 lines] > sure he's well taken care of, etc. etc. She is - at least in my > experience - so very COLD ... hate to think of him at her mercy Run, Run, Runaway! Sorry just having a horrific day
Evelyn Ruut - 26 Nov 2006 04:50 GMT > Run, Run, Runaway! Sorry just having a horrific day I hope tomorrow is a better one, Steve.....
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
Alan Meyer - 26 Nov 2006 19:22 GMT Lee,
I don't know anything about anaesthesia but, like everyone in the world, I have experience with families.
I figure that life is too short to battle with family members. You and your stepmother sound like you've been at odds for a long time. If there's anything you can do to overcome that, even if it involves humbling yourself, it will probably be to everyone's benefit.
Maybe you can talk to your sister about it and see if she can arrange some sort of rapprochement. Maybe she can convey for you a desire to forget past differences.
As far as giving advice to your stepmother about caring for your Dad, it sounds like she is on the front line of providing that care. Let her know that you want to support her and do what you can to help out. Don't be critical or bossy. Maybe she'll let you in and the two of you can work together to make things easier for him.
Best of luck.
Alan
Evelyn Ruut - 26 Nov 2006 19:53 GMT > Lee, > [quoted text clipped - 21 lines] > > Alan Yes, making peace in some manner that is acceptable to HER might work. But Lee might need to be prepared to step back and have to put her own wishes aside. Being a stepmother is difficult, having one is probably more so. But all people have their own agendas, and being ready to accommodate someone elses, lends itself more towards peacemaking. Compromising, and working with her rather than placing oneself in opposition might help a bit. Of course, I say this speaking in generalities, I don't know either party..... apologies if it doesn't seem to fit.
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
Lee - 26 Nov 2006 21:31 GMT if it were a matter of differences or past arguments or ....anything that could be defined.... perhaps.... but there is nothing in our past
my father would bring her to visit before they got married and she would either refuse to get out of the car, or if she did, would sit on my couch with her arms folded, refusing all offers of refreshment or attempts at conversations with one word answers.
When I would visit him at their house, she most often would just up and leave - once, even though my father was not home. No words spoken - not "he's _______ and will be home ______", not goodbye, I'm going out, .... just .... nothing.
she did speak to me once, when she was a ~tad~ inebriated at their wedding - all sorts of sappy stuff about trying harder, lets really talk, etc etc ... but no effort on her part to follow through in any way...and while I did try, I got tired of beating my head against that particular wall.
I continued to try to visit him... but it was always an uncomfortable experience and my father started making excuses every time I suggested visiting.
Once, my daughter had a hockey tournament within a half an hour of where they lived.... I made the mistake of mentioning it to him, hoping that perhaps we might visit - they went away that weekend. I did end up seeing him - by staying over an extra night and calling him and dragging him out for coffee during most of which he just fussed over how mad she was going to be.
Used to call him once a month .... these days I just send cards; have had quite enough rejection from him. I understand that he's dependent on her - if my calling him makes her even more bitchy than she has always been in my experience, I'm sure he prefers that I not call. God knows if he even gets my cards; I don't.
The only involvement I have is through my sister - and tis the way it shall remain, I think ...all I can really do is provide her with information that she then tries to get to them in a way that is not rejected outright.
> Lee, > [quoted text clipped - 21 lines] > > Alan Evelyn Ruut - 26 Nov 2006 21:42 GMT > if it were a matter of differences or past arguments or ....anything that > could be defined.... perhaps.... but there is nothing in our past [quoted text clipped - 36 lines] > information that she then tries to get to them in a way that is not > rejected outright. That is so sad, Lee. But you have to deal with what is, not what we want it to be. It is obviously her issue and it is sad for him and sad for you. She is obviously a mess herself, being in such pain at the very thought...... More worthy of compassion than anger, but I can certainly understand the frustration.
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
Steve...has tiger firmly by tail - 27 Nov 2006 03:59 GMT Lee, Sorry that you are in this position, your step-mother sounds like a real piece of work. Seems that your father had made a choice between you and his wife long ago, can't understand why he would allow her to split up your family. She might be so insecure that she must be the center of his world. Yes general anesthesia can wreck havoc on an Alzheimer's victim, went thru it when they put in Dad's pacemaker... am not sure if they ever fully recover but if so it is a long process. Hopefully the woman relizes this. If you are not asked for and/or feel as if your opinion is unwelcomed it might be best not to offer it. since you have not been asked to take care of your father maybe it would be best if you did not offer. Being a caregiver will turn your world upside down, insideout, and put a spin on it like no tiltaworld could. Your physical and mental health will suffer your relationship with spouse and freinds will be affected. In a capsul "if you can dodge that bullet by all means do so" some of us are duty-bound to care for our parent, from wht you have said I'm not sure that you owe your father all the sacrifices that caregiveing demands. If I could I would run run run.
Lee - 27 Nov 2006 04:26 GMT already am a caregiver... have been doing it for more than 4 years; my partner & I care for his mom at home....
wouldn't take on another one at home ... but if (or when?) she either has enough or drops dead of a heart attack (wouldn't be her first) I would consider moving him to a local facility so that I could at least monitor things.
He rejected me - not the other way around ....and if he needed me, I'd do for him to the best of my ability
> Lee, > Sorry that you are in this position, your step-mother sounds like a [quoted text clipped - 16 lines] > that you owe your father all the sacrifices that caregiveing demands. > If I could I would run run run. Evelyn Ruut - 27 Nov 2006 13:13 GMT > already am a caregiver... have been doing it for more than 4 years; my > partner & I care for his mom at home.... [quoted text clipped - 6 lines] > He rejected me - not the other way around ....and if he needed me, I'd do > for him to the best of my ability Lee, you are a nice and good hearted person to be so forgiving. Too bad your father made such a stupid choice long ago. My ex husband did that too, and missed all the growing up years of his kids. He chose his second wife, who wanted him to abandon his kids, and he actually did it for her. Now they are divorced and he is in good graces with the kids again, and though nobody has forgotten the dumb mistake he made years ago, but they apparently have forgiven him too. Steve is right. Caregiving at home can take a lot out of you, but your plan of having him in a local facility so you could look after his welfare sounds like a good aspiration to me if it could all work out.
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
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