Medical Forum / Diseases and Disorders / Alzheimer's / November 2006
Dementia with Parkinson's Lewey-Bodies
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Eileen - 27 Nov 2006 14:44 GMT In February 2000, I had extensive back surgery to remove vertabrae, have hardware inserted, and fusion done to hold everything together. In December 2000, I went back into surgery to remove the hardware and have more fusion. In July 2001, I broke my pelvis (right side) front and back when I tried to untie a shoe lace. Due to no physical therapy (surgeon's choice) after each surgery, I bend forward at the waist which has caused other problems . . .not to mention the pain. From April 2002 - August 2004, my husband had 13 surgeries which included removal of left lung, esophagealectomy, ellowessor flap, hip/femur replacement . . . and more. In February 2006, he was diagnosed with Dementia with Parkinson's Lewey-Bodies. I have been his sole caretaker and advocate through all this. He is 77 years old now. Since his diagnosis last February, I have tried to find descriptions of the "3 stages" of these diseases. This has proven frustrating, because as I now understand, these disorders have lives of their own . . . basically. My quest to understand is becoming more of a need these days mainly because I am less able to meet the growing demands of being his caretaker. I've recently checked into nursing facilities, but am obsessively unable to let him go to one. I'm basically awake 22.5 hours out of each 24 hours a day. He falls, gets into stuff, etc. I can't imagine that a nursing facility can keep an eye on him like I can. This is not arrogance. It's a fact that it's just he and I, and the house we live in a small. We need to do something though, because I am less and less able to care for him, especially during the aftermaths of his falls. One of the big problems, is the expense of these places! My husband is on MediCARE, so he would be private pay. We do not have the monthly income to pay for a nursing facility, and I'm worried that we may lose our home, etc. because of this. I am confused about what I should do at this point. All I know for sure, is that we need help. Thank you for any/all responses.
Evelyn Ruut - 27 Nov 2006 15:32 GMT > In February 2000, I had extensive back surgery to remove vertabrae, have > hardware inserted, and fusion done to hold everything together. In [quoted text clipped - 41 lines] > is > that we need help. Thank you for any/all responses. Eileen,
Your post about your situation is quite heartbreaking, and I think it is time for a serious reality check. I say this, not unkindly, but because I deeply sympathize with your situation and feel that your desire to care for your husband at home is well meant, but on the verge of soon becoming impossible, given your own health situation, and his.
1. Get to an Elder Law specialist attorney as soon as you possibly can, to see about preserving your assets, should your husband or yourself need professional care sooner than you think. Medicaid will pick up after Medicare ends, or your husbands assets are gone, but there is process to go through in applying for it, and the legal stuff needs to be in place, so you don't end up penniless. Any old attorney won't do. It is a special area of the law. This is essential and you need to do it NOW.
2. Look into day care for your husband for right now. It might be the very thing that allows you to get some rest, do some shopping, get some legal advice, apply for medicaid, or whatever else you need to do to insure your own health and peace of mind. If there is no adult day care in your area, get some outside help. The best kind would be somewhere where you can leave him there for a while, so you get some real rest. But you can't keep on at the present pace and expect to do it for long.
3. Even if you are committed to not placing your husband in a nursing care facility, look around, get familiar with local places, and put your husbands name on the list, because if something happens in the meantime, where he needs care right away (and don't think for a minute that it can't happen) they will stick him in the first available place, and you will have no choice. At least if you have done your homework, (and you can always decide to keep him home a little longer if it is feasible) but if he suddenly ends up needing care right away, due to your limitations or his, you have some options.
4. You think nobody can watch him like you can, and that is a common misconception, but incorrect. Nursing homes are set up so they can't get into things like they can at home. They are set up deliberately that way. Your husband is not the only person who has ever gotten this way, and he isn't the only one who needs watching every minute. They all do, or almost all do. Like you, I thought nobody could care for my mother in law like I did, but I was wrong. They did a great job in the nursing home where we finally, (and very reluctantly) placed her. In fact, I hate to admit it, but I think she was actually better off there because she knew it was like a hospital type setting, and behaved herself better.
NOBODY can live on 2 hours sleep a day for very long. You are on borrowed time already without getting some legal advice, and making plans for the worst, should it occur.
Good luck! Please keep us posted on how you are doing.
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
Eileen - 27 Nov 2006 16:18 GMT Evelyn, Thank you so much for you quick reply. You are right about all that you wrote. I am exhausted. I have actually started to have a lady, with 20 years experience as a nurses aid, come in one day a week. November has average out to about $250.00 so far. She lives close . . . and drives. And, sometimes she voluntarily will fold clothes, empty the dish washer,etc. She has offered to be here whenever we need her. I have been seriously thinking of offering her a weekly 'salary' to come here more often. Seeing if, eventually, we could work it into a longer period of time (i.e. monthly) with some nighttime hours. . After receiving your reply, I did call the nursing home in our county and spoke with the admissions director. She has referred me to someone in social services that I will see this week. I will keep you up-to-date when I have some info. Again, thank you for answering. Eileen
>> In February 2000, I had extensive back surgery to remove vertabrae, have >> hardware inserted, and fusion done to hold everything together. In [quoted text clipped - 52 lines] > >Good luck! Please keep us posted on how you are doing. Evelyn Ruut - 27 Nov 2006 16:35 GMT > Evelyn, > Thank you so much for you quick reply. You are right about all that you > wrote. I am exhausted. Omigoodness, of course you are!!! Nobody could keep that pace and not be.
I have actually started to have a lady, with 20
> years experience as a nurses aid, come in one day a week. November has > average out to about $250.00 so far. She lives close . . . and drives. [quoted text clipped - 6 lines] > monthly) > with some nighttime hours. Adult Day care is a LOT cheaper, and it is probably better for him too, since they have activities to keep him busy all day and he will come home more tired and ready to sleep at night. Private care is good, but it can cost a lot, as you have already discovered.
> After receiving your reply, I did call the nursing home in our county and > spoke with the admissions director. She has referred me to someone in > social services that I will see this week. That is great! Don't forget to see that Elder Law attorney! living like this can ruin your health and run you broke too!
> I will keep you up-to-date when I have some info. > Again, thank you for answering. Eileen I am glad you saw some wisdom in what I said. We are all rooting for you here! All of us have been down this road with some loved one.
 Signature Best Regards,
Evelyn (to reply to me personally, remove 'sox')
>>> In February 2000, I had extensive back surgery to remove vertabrae, >>> have [quoted text clipped - 66 lines] >> >>Good luck! Please keep us posted on how you are doing. A R Pickett - 27 Nov 2006 16:11 GMT Eileen summarized her situation and then said
> I am confused about what I should do at this point. All I know for sure, is > that we need help. Thank you for any/all responses. Hello Eileen -
As I read Evelyn's response, each time I came to a new paragraph I thought to myself "this is the most important thing for Eileen to understand."
My point is that Evelyn presented an excellent summary of important things for you to consider. Anything I could say would only repeat her comments again.
THis group is an excellent source of advice and support, and I encourage you to check in again, keep us updated on your progress.
 Signature A R Pickett aka Woodstock
"Sometimes the facts threaten the truth" Amos Oz, prize winning Israeli author
Read my book reviews at: http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html
Now blogging! http://www.journalscape.com/woodstock/
Remove lower case "e" to respond
Eileen - 27 Nov 2006 16:33 GMT A R Pickett, By now, you've probably read my response to Evelyn. All I can say at this point is the biggest most heart felt Thank You to you both! We have lots of family . . . my husband is one of seven siblings, but since he has had difficulty with conversation only one brother really stays in touch. Also, they all live in different states than us. He has one son, who with his family also live six hours away. Fortunately, they trust me. And, I respect them. I have five children, three live 14- 16 hours away and my daughter is overseas. One son, lives here on the property in another house, and he helps as much as he can (he works 10-12 hour days). My "children" (ages 35-42 years old) stay in touch pretty well. And, I thank God for all their love and interest. But, finding this web site has been wonderful. I know you all have been through your own trials, and I feel more free to speak what's in my mind. ( Everyone knows what's in my heart.) Thank you for writing. I'll be in touch soon. Eileen
>Eileen summarized her situation and then said > [quoted text clipped - 12 lines] >THis group is an excellent source of advice and support, and I encourage you >to check in again, keep us updated on your progress.
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