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Medical Forum / Diseases and Disorders / Arthritis / January 2005

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More on My Mom

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DianeW - 26 Jan 2005 05:30 GMT
Yesterday when I saw Mom I was so shocked. She was even worse than the
day before!  She never opened her eyes all day. And the strange thing
was that she was moving her left arm and just holding it in the air
like she was reaching for something and moving her mouth like she was
talking but no sound.  There was no response to anyone's voice. But if
you put soft food in her mouth, pudding or such, she would swollow it.
It somewhat reminded me of when Mom had a psychotic reaction to IV
solumedrol.  She was "picking" at the air and staring into space then,

So today I called the GP.  I have left three messages for the neuro to
call me and he hasn't responded.  Dr is at a loss of what is going on
with Mom and was going to call the neuro today. He changed Mom's IV abx
since this all started a few days after she went on this particular
version of IV Ceftin which is known to cause seizures in the elderly if
they have renal insuffiency, which Mom does. He feels this is different
than her other attacks but is rather at a loss to explain what is going
on. I hope to hear from both of them tomorrow or else I'm asking for
another neuro.

When I saw her tonight, she did open her eyes and look at me. I'm not
sure she knew who I was at first. She had been asleep and was very
thirsty which she indicated by shaking her head yes when I ask if she
was thirsty. But that was the only response I had from her with the
many attempts I made to ask her yes and no questions.  She only keeps
her eyes open for a few minutes and then doses off again.  But a few
times she opened her eyes and smiled real big at me so I think she
recognized me then. I fed her some yogert and she ate it well but with
her eyes closed. When I give her water she screws up her face like it
hurts or something. Can't figure that out. The nurses said she was
better tonight than earlier in the day and that she only ate about 20%
of the food they gave her. Her diet is all soft as if you give her
something to chew she just chews and chews forever and doesn't ever
swallow.

So maybe she was better from the anti-seizure med or maybe because they
stopped the abx that was causing the seizure.  She starts the new abx
tomorrow am.  Havn't looked that one up yet but will.

I spent a good part of the afternoon researching her meds.  I searched
seizures in the elderly - that's an interesting topic. Mom has a lot of
factors that can contribute to that. Plus she has had a few falls this
year where she hit her head not to mention the drugs that she takes
that lower the seizure threshold, her renal insufficiency, diabetes,
and past strokes.

Then I learned about something called, I think, Todd's Paralysis.  It
is a neurological condition characterized by a brief period of
transient (temporary) paralysis following a seizure. The paralysis -
which may be partial or complete - generally occurs on one side of the
body and usually subsides completely within 48 hours. Todd's paralysis
may also affect speech or vision. And that sounds very much like what
has happened to Mom in her previous attacks. Of course, this time it's
different.  And she's moving her left side in her sleep but not on
command.  I really think a neuro needs to be more involved. He's in
trouble with me tomorrow!

Thanks for listening!  I'm praying for Mom's way to be eased.....she
can't be comfortable.

Cyberhugs,
Diane W.
d'huit - 26 Jan 2005 06:09 GMT
((((((((((((((((((dianew and mom))))))))))))))))))) sending prayers for your
strength and endurance and your mom's comfort and easing.  i'm so sorry it's
been so complicated, difficult and stressful for both of you, hon.

kate

> Yesterday when I saw Mom I was so shocked. She was even worse than the
> day before!  She never opened her eyes all day. And the strange thing
[quoted text clipped - 57 lines]
> Cyberhugs,
> Diane W.
debbie m. - 26 Jan 2005 12:55 GMT
Diane,

It doesn't sound like they know much about what is going on.  I wonder why
they can't find the reason behind all of this?  I hope you get some answers
soon I know it must be driving you crazy not knowing.

debbie m.
http://www.angelfire.com/ga2/angels1/

> Yesterday when I saw Mom I was so shocked. She was even worse than the
> day before!  She never opened her eyes all day. And the strange thing
[quoted text clipped - 57 lines]
> Cyberhugs,
> Diane W.
AudieB68 - 27 Jan 2005 02:17 GMT
God Bless your mom and I wish her well fast.  Audie
Walt Hanks - 26 Jan 2005 13:24 GMT
I don't know if this will help Diane, but the behaviors you describe are
very common during the last days or hours of life.  Having watched 3 of our
parents die slowly, I can tell you that these are actually comforting times
for them.  When Wendy's Mom would rally from these episodes, she would
describe wonderful conversations with loved ones long since past.  She was
so looking forward to being with them again when she finally did pass.

So, I guess my advice is not to fight it Diane.  Whether you believe in a
hereafter or not, whether you think these hallucinations or actual visits
from beyond the veil, I can assure you that they seem real to your mother,
and that she enjoys them.

I know it's hard.  Hang in there and please accept my prayers in your
behalf.

Walt

> Yesterday when I saw Mom I was so shocked. She was even worse than the
> day before!  She never opened her eyes all day. And the strange thing
[quoted text clipped - 57 lines]
> Cyberhugs,
> Diane W.
Harvey R. Stone - 26 Jan 2005 14:20 GMT
>I don't know if this will help Diane, but the behaviors you describe are
>very common during the last days or hours of life.  Having watched 3 of our
[quoted text clipped - 12 lines]
>
> Walt

The above is so well said and lived and is very close to 2 of the 4 of our
parents that have passed away.
It is also close to what took place with an older neighbor that I sat with
for awhile that passed away.
Walts advice to accept what is taking place while doing what you can will
help Diane to accept that death is part of our life and it is a time for
remembering the good times and talking about it with the person as the
Lord's timetable takes place.
in my prayers
Harv
Walt Hanks - 26 Jan 2005 15:22 GMT
> The above is so well said and lived and is very close to 2 of the 4 of our
> parents that have passed away.
[quoted text clipped - 6 lines]
> in my prayers
> Harv

Good to see you back my friend.  How are you?

Walt
Harvey R. Stone - 26 Jan 2005 19:06 GMT
>> The above is so well said and lived and is very close to 2 of the 4 of
>> our parents that have passed away.
[quoted text clipped - 10 lines]
>
> Walt

Thank you for your interest but this thread is about what Diane W is living
with and my pain and problems mean very little to what she is going through
as you have said so well.
May God give her strength, patience, and a mind set to let things happen as
they will.  You and I will be in her mothers place someday and we can only
pray that we have someone there for us as we live through this part of life.
Harv
DianeW - 26 Jan 2005 15:38 GMT
Thanks for the kind words Walt and Harv. That was how it was with my
Dad before he died but he had an underlying fatal condition. With Mom,
everything else is stable. She has good vital signs all the way around.
I've sat there and wondered if she could be dying. It would be a
comfort for her to go now, I'm sure. But other than an irregular heart
beat now and then, everything else is fine.  Do you think it could
still be so?  Diane
Walt Hanks - 26 Jan 2005 16:31 GMT
> Thanks for the kind words Walt and Harv. That was how it was with my
> Dad before he died but he had an underlying fatal condition. With Mom,
[quoted text clipped - 3 lines]
> beat now and then, everything else is fine.  Do you think it could
> still be so?  Diane

I think we should never underestimate the power of free will.  My
father-in-law "negotiated with Jesus" for two more years after his stroke,
then decided it was time to die and did so, peacefully and with no regrets.

I can't say what is happening with your mother.  I just pray you will all
feel comforted in whatever outcome occurs.

Walt
Melissa - 26 Jan 2005 18:50 GMT
Walt,

Thanks for saying this..I wasn't sure how to say it. I just went through the
exact same thing Diane is describing with my grandpa. He passed away 3 days
later.

Diane,
I hope the best for your mom. Will send prayers your way.

melissa

>I don't know if this will help Diane, but the behaviors you describe are
>very common during the last days or hours of life.  Having watched 3 of our
[quoted text clipped - 74 lines]
>> Cyberhugs,
>> Diane W.
Sandy C - 27 Jan 2005 03:07 GMT
I was reading Walts response and you know, he is right. My Mom passed
away last Dec after a lot of medical problems. She did things like this
a few days before she left us. The last day I got to talk to her she was
so happy, and telling us that she was leaving and she didnt want us to
be sad. She didnt want to be left alone that night in the hospital but
my brother and I decided not to stay. We figured she'd be alright. And
she told us it was okay. So we went the next morning. I took my son to
see her cause he hadnt seen her in awhile. She lay there sleeping. We
stayed about  2 hours and I told him we'd let her sleep and come back
the next day. He looked at me and said "What if shes not here?" I told
him that she would be, she was just tired and sleeping. That
night(2:30am) we got a call. My Mom was gone. I really believe that
sometimes a person knows they are leaving this world. So, I just want to
tell you to just spend as much time as you can with your Mom right now.
She knows you are there. I wish Id stayed with mine more. Im gonna keep
you and her in my prayers. Sandy
DianeW - 27 Jan 2005 22:08 GMT
Thank you for sharing this with me Sandy. Was your mom ill with
something in particular when she was in the hospital?  Mom slept most
of the day today. The nurses said they are moving her off of ICU since
all her vital signs are good and they don't consider her condition
critical anymore.  Mom has lots of underlying medical conditions but
nothing that is flared up right now. When I was watching her sleep on
Sunday, before Walt mentioned this to me, I thought she looked like Dad
did before he died of Cancer. But I thought that since Mom doesn't have
a fatal illness like cancer that she couldn't be dying. But I guess we
don't always know everything that is going on with a person's body.
She had a really good day yesterday and the nurses said she had a good
day today but was worn out from a bath and physical therapy. (mild
stretching to get rid of the spams from the seizures)  Just eating
wears her out!  I guess we will just have to wait and see what happens.
Cyberhugs,

DianeW
Sandy C - 28 Jan 2005 17:21 GMT
Diane,yes, my Mom had been sick awhile. They had found a spot on her
lung that was too deep to tell if it was cancer without operating and
she refused to have it done. She would do good one day, then the next
she would have trouble breathing just trying to sit up. Thats one reason
we didnt stay with her the night she asked. We had been through it so
many times. Her, really bad sick, then the next day, laughing and
carrying on. So we thought, she'll be fine tomorrow. I miss her so much.
She was a tough lady. Im trying  myself to be strong and tough like her
and in a way I am, but I dont think I could endure it like she did. I
hope your Mom is doing better. You take care of yourself also. I know
when Mom was sick I didnt do that and it almost got the best of me. Love
and prayers, Sandy
DianeW - 28 Jan 2005 18:53 GMT
Thanks Sandy. That's exactly how it was when Dad's cancer got really
bad and it was inoperable. I'm sorry you had to go thru that. I know
first hand how tough it is. I didn't stay with Dad the last night
either becaue I knew I just couldn't. I did stay with him many other
nights when we thought that would be the night.  The hospice nurse said
sometimes people don't want family with them when they go. Often that's
when they go.  We were with him all the other times we thought that was
the night but the night he goes is the one night we were not so maybe
that was his decision. We said out goodbyes when we left. Mom took his
wedding ring off before she left and put it around her neck. We fed him
chocolate ice scream which he had ask for. He smiled and laughed but
his eyes had no focus. We left for some much needed sleep around 11.
The nurse called around 4am and said he had gone peacefully.

Mom is sitting up and talking again today. She pushed the button to
call the nurse and said she wanted back in the bed. If she continues
like this tomorrow they are sending her back to the nursing home. The
hospital tried to discharge her today but the dr and I both fought it.
No consistancy yet in her recovery.  Thanks again.

DianeW
Sandy C - 28 Jan 2005 23:52 GMT
You know when you said your Dad asked for ice cream, that made me
remember that Mom wanted one of those nutty bars(you know with the sugar
cone, topped with nuts?) She really got after it too,lol. That was the
last night I talked to her. She was only 64 when she passed on. I hope
things contiue to go good for you all. I think Im going to spend the
weekend with my daughter and grandson. This apt. is driving me nuts,lol.
I'll keep in touch with you and you do the same.  Sandy
Newsgroup Spambuster - 29 Jan 2005 06:13 GMT
{{{{{{{{{{{{{{{Diane W}}}}}}}}}}}}}}}}}

Diane,

Glad to hear your mom is doing a bit better, but have they ever figured
out for sure what is really going on with her?   Did they decide it was
seizures instead of the strokes?    If so, will antiseizure meds be of
help to your mom?   Sure hope they can find a treatment regimen that
will work for her and prevent her from going through these periods she
has!    Take care of YOU as well and keep us posted as to how things
work out!

Hugs!

Donna G
DianeW - 29 Jan 2005 16:48 GMT
Right now they are going with the seizures as the cause of this attack.
She has had 7 "spells" like this. Two were definately strokes. There
was damage that showed up on the MRI in the brain stem area.  One
showed closing up of the central cerebral artery in the brain (That
neuro wanted to do angioplasty of that aretery - very risky and we said
no). That leaves 5 other attacks of unknown reason. They have given her
an EEG every time and only this time it said inconclusive. The rest
were negative. But then I had 5 before it showed my seizure pattern. I
had to be off certain meds and sleep deprived to get it right and that
wasn't going to happen with Mom in the shape she was in. So it makes a
lot of sense that they would have also been seizures. She had a UTI
every time and was on abx. I'd have to pull all her records and check
to see which abx she was on and if they could cause seizures. Lots of
times the abx also would send her kidney function  numbers sky high
which can also cause meds that are filtered by the kidneys to build up
in the blood stream. Those drugs that are prone to lower the seizure
threshold would then cause seizures. She was already on two SSRI's.and
they cause seizures to begin with. In fact, after her stroke in March
(documented) she was doing better for a few weeks and then had a big
setback. The rehab center said she was depressed and not cooperating
any more.  In fact, they had increased her zoloft twice when she got
there because the psyc dr said she was depressed from her stroke. It
wasn't until they reduced the zoloft that she returned to normal. At
the time I ask if she could have had another stroke, it looked so
similar. So maybe that was seizure activity too. Who knows. Without
seeing the seizure directly, we won't really ever know for sure. I saw
monoclonal jerk seizures on Sat nite - fieve of them in a row with her
eyes rolling back when it was happening. Those I recognized as
seizures. And her muscles were very rigid in her legs especially. Those
things put together are what made the neuro suspect seizures.  He put
her on an anti-seizure med called Keppra. I'm not too excited about
this particular med but the neuro hasn't been returning anyones calls
and signed off on her case. Nice huh? I wil call Mom's regular neuro
next week and see what he says.  I talked to Mom on the phone today and
she might be discharged. Waiting to see.

DianeW
Kelly Cobb - 29 Jan 2005 17:39 GMT
Diane, Rachel takes Keppra for her temporal lobe complex partials, which it
sounds like your mom might be having. Does she actually lose conciousness
with them, or is it just the myoclonic jerks?

Rach has had wonderful success with Keppra, but doesn't have to take
anything like anti-depressants with it. Do watch for signs of
over-medication such as rage outbursts or excessive sleepiness (hard to tell
right now, I know).

I'm glad the neuro. is taking the seizure activity seriously and I hope your
mom continues to improve.

Kelly C.

> Right now they are going with the seizures as the cause of this attack.
> She has had 7 "spells" like this. Two were definately strokes. There
[quoted text clipped - 33 lines]
>
> DianeW
DianeW - 29 Jan 2005 18:21 GMT
The mnoclonal jerks were the only ones I witnessed. She had something
like Todd's Parralysis afterwards.
Caroline Marold - 30 Jan 2005 01:17 GMT
Why is the one neuro signing off? Not too fond of that
guy just from what you have written here despite his
findings probably being accurate.
To not return calls is not acceptable. Might try
telling the insurance company that he is not
responsive. But maybe he wouldn't care.
Duckie

> The mnoclonal jerks were the only ones I witnessed. She had something
> like Todd's Parralysis afterwards.

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DianeW - 30 Jan 2005 03:46 GMT
Not too sure why he signed off on her. He was very unresponsive to me
or the family dr's calls for that  matter. The family dr wants new
blood work before he will discharge her. He ordered blood work for the
am and a swallow test before they will put her back on solid foods.

The case manager told me yesterday that Mom didn't meet the
qualifications to stay in the hospital esp after the neuro signed off.
But once the family doc said no, they quit pressure to get Mom
discharged. Ya know what I think? It was Friday afternoon and they were
looking for beds for the weekend. Mom always goes to this hospital and
it's been more than once on a Friday afternoon when they start with the
"Medicare won't pay blah blah blah."   I hate for her to be discharged
to the nursing home after 4pm on a Friday. The regular nurse isn't
there, it takes longer to get the meds from the pharmacy on the
weekends, etc. But they try to push the patients out anyway. I think
they just know that the er is going to be packed on the weekend and try
to free up as many beds as they can. Once the dr said no yesterday,
haven't heard anything about it today. So if they were that worried
about Medicare paying yesterday, why not today?  I think it's just a
lame excuse. If I hadn't been on top of it and called the doctor with a
heads up on not discharging her yet, they might have succeeded!

I'm going to get in touch with her regular neuro on Monday (also mine).
He doesn't go to this hospital and the one he goes to - none of her
other drs go there. So we've always been ok with the on call neuro
except this time.  I'm going to have to request someone different the
next time.

Mom slept most of the day but would wake up easily and be oriented if
you did. She is talking a few words replies only and her voice is very
horse. Don't know why. Otherwise, ok and slowing improving. Moving arms
and hands. Can push call button. That's all good.  More tomorrow!
Nann Bell - 26 Jan 2005 17:36 GMT
((((((((((Diane & mom)))))))))))

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Nann
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Simply the thing I am shall make me live --- William Shakespeare

DianeW - 27 Jan 2005 02:30 GMT
Thank you everyone for the wonderful well wishes and support today.
Here's an update on Mom today.  When we got there Mom  opened her eyes
and kept them open for an hour. She at, expressing her likes and
dislikes with the pureed foods which looked less than appealing.  She
even talked a few times. She said I love you when I told her the same
when I was leaving. She still is sleeping a lot and is disoriented when
she first wakes up. But she seemed to follow the conversation with the
nutritionist when she was there and with me when I was explaining about
her meds and the seizures they think she is having. She was surprised
she's been there for 6 days. Good facial expressions which showed she
was following the conversation. She watched some tv today and sat in a
recliner for several hours. Dr still has no clue so I guess we will
just wait and see

Diane W
Caroline Marold - 27 Jan 2005 03:31 GMT
Prayers continue for you both.
Duckie

> Yesterday when I saw Mom I was so shocked. She was even worse than the
> day before!  She never opened her eyes all day. And the strange thing
[quoted text clipped - 57 lines]
> Cyberhugs,
> Diane W.

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<_{__)

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Squirrely - 31 Jan 2005 17:10 GMT
Prayers and good thoughts coming your moms way and your way.

I am also praying for a peaceful passing if that is the way this is going. I
am praying for peace and strength for you family.

You take care of you too, OK.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> Yesterday when I saw Mom I was so shocked. She was even worse than the
> day before!  She never opened her eyes all day. And the strange thing
[quoted text clipped - 57 lines]
> Cyberhugs,
> Diane W.
 
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