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

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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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