Medical Forum / Diseases and Disorders / Alzheimer's / February 2007
update re: ma-in-law
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llee - 07 Feb 2007 00:33 GMT No more newsreader... subscription ran out and haven't renewed it as they made it way too hard! And I've been so busy with school and all that fun stuff, really not much time for anything that doesn't have marks associated with it. Taking 5 literature courses and teaching 5 computer courses - each considered to be full time.
Thought I'd stop by with an update though - ma came down with an infection of some sort a few days ago - deteriorated extremely quickly and is now in hospice care (at home) .... basic comfort care only - doctor is supposed to come see her "sometime before Friday" but don't expect that he's going to have much to offer... we have nursing care in for a couple of hours a day (and on call for phone support), and still our 3 hours/day of home care ... but basically it's just a matter of time - and no one expects her to have much of that left.
She had a good day yesterday, and I was somewhat hopeful that she was going to rally and surprise everyone ... she was awake, eating & drinking, even! .... no such luck though.... today she's slept all day ... fever is back and not having any luck at all getting fluids into her. Did manage a teaspoon of applesauce with a crushed aspirin in it, about 2 ounces of juice, and a dose of codeine syrup several hours ago ... but haven't been able to do it again *sigh*
It is so hard to sit here and do so little - but there is so little of ~her~ left - I'm sure she would have opted out a whole lot earlier if she could have. She always said she'd stop taking her meds if she ever "got like that"
Anyway - we're coping... not having any fun, but coping.
llee - 09 Feb 2007 23:25 GMT Gee, guys... thanks for all the support!
Lee
Bud - 10 Feb 2007 01:05 GMT > Gee, guys... thanks for all the support! > > Lee What is there to say except we're sorry you are facing the end stage of this monstrosity? My wife likewise had sudden changes about a month ago and the hospice people suggested that her medicines were now useless. She was given whatever was necessary to insure she had no discomfort and we buried her just before Christmas. As you said, there is little we can do and not much we can say.
Evelyn Ruut - 10 Feb 2007 13:01 GMT > Gee, guys... thanks for all the support! > > Lee Lee I read your message, and felt for you, but just didn't know what to say. It is a rotten illness, no doubt. I had many emotions, none of which I thought would be helpful to say here. But trust that you are in my thoughts and I pray that if she is getting close to the time to pass, that it happen quickly and with no suffering. I know that you have been through a lot with this situation.
(((((((( Lee ))))))))))
Even if we don't say anything, I know all the regulars still come here to read, and yes, we do care.
 Signature
Best Regards,
Evelyn Ruut
wieken@gmail.com - 10 Feb 2007 14:18 GMT > > Gee, guys... thanks for all the support! > [quoted text clipped - 16 lines] > > Evelyn Ruut I understand how much your mom mean to you. I am going through the same thing, but have a different view about letting her go. She has told me a number of times, that death would be the final blessing. I will let her go when the time is ready.
Tom
llee - 11 Feb 2007 03:54 GMT On Feb 10, 9:18 am, "wie...@gmail.com" <wie...@gmail.com> wrote:
> > "llee" <sleeplessinwhere...@hotmail.com> wrote in message > [quoted text clipped - 29 lines] > > - Show quoted text - and that's different how?
Never mind... don't answer that - I don't see how you can without further insulting me
Perhaps my tolerance is a ~tad~ low at the moment
Evelyn Ruut - 11 Feb 2007 12:21 GMT > On Feb 10, 9:18 am, "wie...@gmail.com" <wie...@gmail.com> wrote: >> [quoted text clipped - 43 lines] > > Perhaps my tolerance is a ~tad~ low at the moment Nobody is trying to insult you, Lee. It's just that sometimes one doesn't know what to say. I hope you realize that any reply here is meant well, and that the posting level from this group has fallen to very light levels.
This is such a personal issue and only you can handle it. I don't think Tom, (nor was I) trying to insult you at all.
I hope you are having a better day today :-)
 Signature Best Regards,
Evelyn Ruut
llee - 11 Feb 2007 03:56 GMT On Feb 10, 9:18 am, "wie...@gmail.com" <wie...@gmail.com> wrote:
> > "llee" <sleeplessinwhere...@hotmail.com> wrote in message > [quoted text clipped - 29 lines] > > - Show quoted text - or maybe you're suggesting that you are planning to withhold even the most "basic comfort care"? If so, I'm sorry for her.
Bud - 11 Feb 2007 15:45 GMT >> I understand how much your mom mean to you. I am going through the >> same thing, but have a different view about letting her go. She has [quoted text clipped - 3 lines] > or maybe you're suggesting that you are planning to withhold even the > most "basic comfort care"? If so, I'm sorry for her. Now you're beginning to sound like an a.s... or a Troll. If you have nothing to post but insults then you will find little response from here.
Bud
Evelyn Ruut - 11 Feb 2007 16:51 GMT >>> I understand how much your mom mean to you. I am going through the >>> same thing, but have a different view about letting her go. She has [quoted text clipped - 8 lines] > > Bud Bud I don't think that was a troll, but if it is the "Lee" I know of, she has posted here many times. I think she was just feeling down because of the circumstances and having a bad day. It happens....
 Signature Best Regards,
Evelyn Ruut
Bud - 11 Feb 2007 17:23 GMT >>>> I understand how much your mom mean to you. I am going through the >>>> same thing, but have a different view about letting her go. She has [quoted text clipped - 11 lines] > has posted here many times. I think she was just feeling down because of > the circumstances and having a bad day. It happens.... I'll take your word for it, Evelyn. God knows we have our bad days.
Bud
llee - 12 Feb 2007 01:01 GMT > >>>> I understand how much your mom mean to you. I am going through the > >>>> same thing, but have a different view about letting her go. She has [quoted text clipped - 17 lines] > > - Show quoted text - I fail to see how questioning a comment that given what I had already posted - which included both the fact that we are already recieving hospice care, and that we have opted for basic comfort care only (in spite of how very hard that is, when at least one of the nurses that visits us challenges us - ME - on it daily) is troll-like... but since apparently you are every bit as ~sensitive~ as perhaps I am, right now... I give up... thank God I don't rely on any of you for support.... I'd be in a right and proper pickle if I did, wouldn't I.
Have a nice life.
Adelle - 13 Feb 2007 15:13 GMT >> >>>> I understand how much your mom mean to you. I am going through the >> >>>> same thing, but have a different view about letting her go. She has [quoted text clipped - 32 lines] > > Have a nice life. Am very confused here. I do think this set of posts references Lee from 'down under' because of the mention of classloads, both taken and being taught. But Lee was taking care of a MIL, not mother. Also, this person never mentioned my post at all (did it appear to rest of you?). They just wanted to spread sour grapes. So - a troll.
Adelle
Evelyn Ruut - 12 Feb 2007 13:04 GMT >>>> I understand how much your mom mean to you. I am going through the >>>> same thing, but have a different view about letting her go. She has [quoted text clipped - 12 lines] > has posted here many times. I think she was just feeling down because of > the circumstances and having a bad day. It happens.... I am replying to my own post here, because I don't think this is the same "Lee" I know from before. No matter, I still wish her well and hope all is good for her and her family.
 Signature Best Regards,
Evelyn Ruut
June - 13 Feb 2007 16:05 GMT I'll play psychologist here. This person (Lee) is angry and anger comes from hurt. Heaven knows we can all relate to that. But obviously this anger is misguided. Perhaps there's no other outlet for it. Whatever, we're here for support. Bud was trying to give support but became a target. Too bad. Only gives credence to the old adage: No good deed goes unpunished. Grief, anger, guilt, depression or you can fill in the ______ can be pretty powerful emotions. Sometimes we forget that we should not take offense where none is intended......June
>>> Now you're beginning to sound like an a.s... or a Troll. If you have >>> nothing to post but insults then you will find little response from [quoted text clipped - 9 lines] > "Lee" I know from before. No matter, I still wish her well and hope all > is good for her and her family. llee - 17 Feb 2007 13:55 GMT "Well, that was a lot of work for nothing!" hubby said this morning.
He didn't mean it, of course. It wasn't nothing. We've been taking care of her - his mom - for a long time. Over the last 4+ years, as Alzheimer's stole away everything that made her who she was, we adapted and arranged, constantly modifying schedules, approaches and expectations as her abilities deteriorated.
It wasn't all 'a lot of work' ... until recently, when she became ill. She stopped being able to support her own weight at all, and became bedridden. Then it got to be a lot of work. But she wanted to stay at home. That was always her wish, and she told us so over and over and over - back when she was capable of telling us. That's one of the things about Alzheimer's, of course - in the earlier stages... the never ending repetition.... which drives you crazy at the time.... but which you miss... Later, when its gone.
Anyway - we did it. We kept her at home. And it has been, as he said, a lot of work. And a lot of worry too - not so much worrying about keeping her alive - that wasn't the goal. But keeping her comfortable .... and supporting each other. I've been totally distracted ...still trying to keep up with school and all that ~fun~ stuff - but unable to concentrate.... hating being unavailable... for her, but even more so, for hubby.
And now it is over.
Yesterday was not a good day. She couldn't eat or drink - any time we tried to give her anything, she would choke and cough and sputter. We kept trying, but....
By later in the evening, the codeine and aspirin that I had managed to get into her wasn't enough any more. I called the nursing service to see if we should be using something from the 'comfort kit' that they had provided. The nurse on-call last night - not ours - is an idiot.... and I will be making very sure that the agency knows it. She asked if there was morphine in the kit. I said that there was, but that I had not yet been trained to give it.
"Well, I don't feel like driving all that way just to give it." Gee, thanks for your support! Anyway, she ended up calling our nurse, who lives closer to us. After talking with her, the idiot one called me back and said that they had decided that it would be best to just give her one of the acetominophen suppositories 'for now', and that our nurse would start the morphine today, so that it could be monitored better. So I gave her one, and it seemed to help ...some, at least... she continued to moan, but it was a lower, less painful sound...
And then... somewhere around 3 a.m.
....the moans stopped.
And now I am sitting at my desk ....writing.... while hubby makes bacon and eggs. I have filled the tub - the plan is to go and have a bath before the family descends. But I am writing while the water grows cold.... I'll add some hot.
There is a mirror on the wall to the left of my desk. And in it I can see her. Her mouth is slightly open; her cheeks sunken. She is cold to the touch, now - but no longer cold, in pain, afraid, lost in the miasma of Alzheimer's thought.
We've called the doctor who will come to fill out the death certificate - first though, he told us, he has to go and pick up a death certificate. He seemed to think we should have one here, on hand, for his convenience. Gee, I'm sorry! Perhaps he ought to have mentioned it when he was here more than a week ago.
Anyway - soon he will come and do the paperwork. And then someone... who? The funeral home, perhaps? will come and take her away.
It is so quiet. It is going to be so quiet.
It was not all "for nothing"
We did everything we could for her - for more than 4 years, and especially for the last couple of weeks - to allow her to be as comfortable and as happy as possible.
We done pretty damn good.
And now that it is over, we can be secure in the knowledge that we did what needed doing to the best of our ability.
And she is - finally - at peace.
The Troll (thanks for that)
June - 17 Feb 2007 14:30 GMT Lee......Please accept my condolences for your loss. Even when death is expected it can be hard on those left behind. Your post was eloquent and brought tears to my eyes. Come and "troll" with us again when you feel up to it......June
> "Well, that was a lot of work for nothing!" hubby said this morning. > [quoted text clipped - 84 lines] > > The Troll (thanks for that) Evelyn Ruut - 17 Feb 2007 14:50 GMT Dear Lee,
No it was not at all, for nothing.
You did a good job and you deserve all the credit and respect for having provided the means for this dear lady to have her life end in the way she wanted it. You are a very good person, as is just about every caregiver that has posted here on this newsgroup.
May she rest in peace, and I hope you have every opportunity to reclaim your own life again. We have been in your shoes, and it took us about two years to get back into the swing of living our own agenda again.
I wish you peace and love and everything good.
You have earned that, and I am sure your mother in law is in a better place.
(((((((( Lee )))))))))
 Signature Best Regards,
Evelyn Ruut
> "Well, that was a lot of work for nothing!" hubby said this morning. > [quoted text clipped - 84 lines] > > The Troll (thanks for that) Dennis P. Harris - 18 Feb 2007 05:40 GMT > And now that it is over, we can be secure in the knowledge that we did > what needed doing to the best of our ability. > > And she is - finally - at peace. And so will you be, if you remember the good times. My condolences to you and the family at this time. Please do get plenty of rest now, and remember that no guilt is allowed.
Be sure to talk to the Hospice folks about grief counseling for everyone, especially those in denial.
Adelle - 18 Feb 2007 18:51 GMT Lee,
June, Evelyn and Dennis have said it all. May you find comfort at this difficult time.
Please be kind to yourself. You gave the very best care you could. It was a very difficult situation, give how little support you got initially from within the family.
As for the troll remark, I apologize. Guess we all need to be kinder to one another.
Adelle
Limestone-Cowboy - 19 Feb 2007 00:12 GMT It seems that this is where more hard work starts for some. I was sorry to hear of your loss but having lost my father on 22nd January there is at last a peace for the sufferers of Alzheimers and Vascular Dementia at the end of all this.
My 89 year old father had been moved to a hospital unit specialising in Vasc and Alz Dementia in November because he had become violent. Having being a POW he hated being locked in and begged me to get him out at Christmas, but I couldn't do so because he was a danger to himself and others. The week before he died my eldest brother saw him for the first time in nine months and he managed to recognise us all during that time apart from my mum, his wife of nearly sixty years. He was a frightened and paranoid old man, but it was the best thing for him that he finally let go.
www.latheron.free-online.co.uk/kenlatheron.htm
ladylove77 - 19 Feb 2007 14:56 GMT Lee, I also think you did well with her. It has been a very difficult journey. My prayers are with all of you at this time. Gwen
> "Well, that was a lot of work for nothing!" hubby said this morning. > [quoted text clipped - 84 lines] > > The Troll (thanks for that) A R Pickett - 19 Feb 2007 19:21 GMT Lee - I give you and your husband all the credit I can muster for the long, difficult, and loving task you set for yourself.
All my sympathy to you and everyone else who knew and loved your mother-in-law
May she rest in the peace she deserves.
 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
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Remove lower case "e" to respond
Adelle - 11 Feb 2007 13:03 GMT > Gee, guys... thanks for all the support! > > Lee Lee,
Not all of us check the newsgroup every day. Or have issues here at home keeping us from answering, even when we lurk. That's the reality of newsgroups. So if there is no answer, its not that people are being callous; It may be no one has read your post yet.
I'm so sorry you are experiencing this painful time. It is hard to sit and do little. Especially when you are a 'doer' like you (your schedule is exhausting!!!). But the reality is sometimes, doing nothing is the only or kindest thing to do.
Have you had any contact with anyone from hospice care? They are really good at helping families through this part of the journey. At a time like this, all there is to be done is look to the emotional and spiritual needs of the family. People might be encourage to come in and say goodbye; say the things they need to say to the person before they go. With my dad, who had cancer, not AD, he needed to hear it was OK for him to go; that we were strong and able adults who would be just fine after he went. He needed the reassurance that we didn't need him to make it anymore; that his job as dad was done.
Adelle
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