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Peasuep. Selfish? No. Lovely, caring, beautiful human? Resounding yes! 🙏🙏🙏

I'm so so terribly sorry for all that is happening. It is all consuming. Not staying overnight?? Puh - lease!!! Anyone with any criticisms can go pound sand, take a hike, and a long walk off a short pier. I could say a few other choice phrases but will refrain.

🫂🫂🫂
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Pea, self-preservation =/= selfish.
You’re pouring all that you have into an overwhelming dynamic situation. While your own heart breaks. It is cruel of them to try to make you feel you aren’t there enough. Focus on what you have to do for yourself and him. Let yourself run out of rats’ tucheses to give re: the siblings.
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Peasuep: Big prayers and hugs sent. Do take good care.💜
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Pea,
You ARE making progress and you ARE doing well in all this. Remember THAT as you go along with all that is such a mire.
Are the meds he is taking for helping manage the mental stress for him? Because as far as those designed to "cure" a lot of docs now are acknowledging they really don't, and you may be able to cut some out.
You are very right that ALF isn't the fit for him. Looking too advanced. There's no upside here and I think often vascular dementia tough to take and has a component that is so stressful to both him, you, caregivers--just everyone.
This first year of getting dx., place where he can get care, some sort of clue of how division of finances or protecting you OWN assets is worked out, is going to be tough, tough, tough. Be as easy on yourself, as understanding with yourself, as kind to yourself as you an and enlist ALL THE HELP you can get.

Lordy, I couldn't be more sorry about all this. When you CAN rest and get away from it you MUST.
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*Correction - those that are NOT caregiving don't get a vote. 
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Psue -well, I guess that's progress but no drugs yet astounds me.

I made an error in my previous post. Depression is NOT rare in Vasc D. They should have picked up on it.

Not surprised that AL is not the right fit for your dh,.You should have been advised of that by the facility itself in the admission process, as well and the medical people involved. Now you have to do it all again, That's disgusting - just plain disgusting.

At this point (and going forward) I wouldn't worry too much about offending people or being cheerful. Being offended - sure. You should be about a number of failures of the system.

Scr*w the siblings. Develop a hard shell quickly towards their verbalizations,. What do they know? Are they living this? One advantage of having a mean mother was learning early that you can please some of the people all of the time, and all of the people some of the time but you can't please all of the people all of the time, and you can't please mother most of the time. Translate that to siblings. So let that free you to do what is best for you and dh and to disregard their opinions. They are obviously very critical and don't have a clue. As has been said on other threads here, those that are caregiving don't get a vote. Let them stay overnight. Actually how do they know whether you stay overnight or not? Whoever is passing on this information needs to stop so they can't micromanage anymore. They don't need to know that or much detail at all. it just complicates your life. Keep the info you pass on to the bare minimum at this point.. He is doing better, worse or the same, then change the subject. You are not going to get their approval, nor do you need it.

Please don't apologize. You are not selfish at all. You are overwhelmed by a heart wrenching situation and need all your energy for that. Have you heard the saying "What other people think of you is none of your business." It's true. Just concentrate on dh and yourself right now, Time later for others.

(((((hugs)))) to you. Keep us updated and don't mind the ugly sibs.
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Golden, diagnosis is in - Alzheimer’s with elements of vascular dementia. Still no hope of drugs until at least Tuesday. In the meantime, juggling dosage times of meds DH is already taking has helped somewhat until dinner time but after that, it’s a cruel nightmare for him and the poor facility staff.
Truth: AL isn’t going to cut it for him. He’s drawing off too much of the night staff, at least without medication, and even with medication it’s just a matter of time before his disease outpaces it. I’ve been so busy alternately begging and crying, offending people and being offended by people, and putting on my stupid cheerful face, that I haven’t even had time to process how awful this is. And I still have a long, long way to go.
The facility DH is in is a delight for AL but not so much for MC so the search begins again. I’m afraid I will find nothing suitable close to home. I afraid the siblings will find something close to their home and then my visits will be monitored for frequency and duration. I’m not kidding - this has already begun to happen and I’ve been to the AL facility every day except one since he’s been there. My sin? I’ve not been staying overnight. I must not care enough.
Sorry for the rant - just like when I was on chemo, I am sick to death of my own problems and have no room for the problems of others. To all the people outside of my misery bubble, I apologize; I’m not really as selfish as I seem right now.
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Psue - hope you are getting some answers/solutions. it seems to me an agitated oatient deserves some appropriate medication without the need for an extensive diagnosis.

Another story - once mother had been diagnosed with vascular dementia and had accepted taking an antipsychotic to help with the hallucinations, she was moved to a suitable facility. After she had been there a few months she told her doctor she was depressed and needed an antidepressant. He gave her one and it helped her QOL. I did some reading and apparently depression is not an common part of Vasc D. It rather bothered me that she at 100 with vascular dementia had to self diagnose in order to get appropriate medication.

I could tell you stories about me going to a doctor and telling them firmly what I needed because they hadn't figured it out. It's not surprising that I don't trust doctors much.

That being said there are doctors who do a good job. I know that. Hope you get one soon. Meanwhile trust your gut. No one here thinks you are trying to turn your dh into a zombie. He just needs some meds to calm him down. His poor brain is broken and understandably he is having trouble coping with change.

Try to get enough sleep, eat properly and keep hydrated. If you need a little meds to help you cope right now, that's OK. That's what they are there for. (((((((hugs))))

send - I don't understand your problem with waiting in the car salesman's office while he gets the deal approved by his superior. It's part of the process.

cw - I have found that buying from friends in not a good idea. However, I did buy mother's car when she stopped driving, but she was family and I knew the car well.

In Fort Mc I found a good salesman at one dealership and bought a gently used car (demo) from him. It was great. 10 or so years later I went back to him and did it again for my present car which is 10 years old now, but has much less mileage for it's age since I retired and drive much less. It's still working very well and I don't plan on replacing it.

Nacy - I missed saying "Bon Voyage". Hope you and hub are having a great time!
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Yeah, and buying a car from a 'friend' doesn't work either, in my experience.

Just checked the Autofair online, thinking if we ever need to evacuate, a Class B RV would be great!
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And I've sworn to never again buy privately Send, there are just too many dishonest people out there and I figure with my dealer at least it's the devil you know.
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Just sitting here, awake at 3:00 a.m. is not new.

Minding my own business really, when Carvana raised my car value to $2,300, sending me an email.

Never never will I ever shop for a car at a dealership. It is so rude to be left in a cubicle while the salesman goes to 'ask' his manager to approve your 'deal',
Last time I walked out while they had me waiting. They tried to sell me a new pick-up truck without air conditioning, saying it could be installed later. Little did they know, I was only shopping for a mobile air-conditioner on wheels, not a car.

So, instead, I shopped at a local well-known gathering of car sales, like a car swap meet. They put buyers and private sellers together. I never went to the swap meet, (you could see and track the cars online), but met the seller at my bank, which turned out to be his bank too! In an hour, I owned the car, financed through my bank.

One time, my best car deal yet, I took the phone number off a car driving down the freeway. My two friends were yelling at me: "You can't buy a car driving down the freeway!." But I did, and met the driver at the DMV-the son of a "little old lady"
selling his mother's car that had very few miles. Would like to have that 1981 Toyota Camry today.
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Thank you, passed that info on and he is grateful Cwillie.
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Send - he can follow some Eldergym workouts free on YouTube, or if they aren't what your DH is used to there are plenty of others if you search that site. I'm still walking with Leslie Sansone, I haven't found anything else I like as well.

Oh, I just saw that silver sneakers has a channel there too!
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Nacy,
That is the coolest story!
Keep up the good work, so amazing.
Keep talking in public, ha ha ha .
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Carvana will deliver your car, purchased online.

Need an exercise class or online individual instructor.
My dH lost his Silver Sneakers class when he changed his health insurance.

Cwillie, do you still have a name, and is it free online?
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I hate, hate, hate car shopping. Why does buying a car have to be a song and dance between buyer and seller? Why can't they just list a fair price and be done with it? I went for a test drive and the salesman printed out the "deal" he was going to give me, but when I got home and did some checking the price he listed was $2000 more that what was listed on the website, so those "free" snow tires were just a sham. And don't get me started on the trade in offer....
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Psue,
Did not read all of it yet.
Just to let you know thinking of you and I am sorry for all you are going through.
There is no words to describe all those I encountered like you as well with one stupid advice after another.
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Nacy, some people have no talent for small talk and some people have a real gift for it. Sometimes it runs in families too. DH’s family is masterful - unselfconscious and outgoing. My family is more reserved. I admire people who are easy with others; you never know when your words are going to help someone else even if it’s just a sincere, small compliment, dropped lightly.

Bon voyage if I don’t get a chance to say it again! I bet you’re getting those lovely butterflies about now!
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Thank you Golden. I’m amazed at the lack of communication between doctors in the same system. No one is treated like a whole person anymore, we’re like a stack of unrelated parts and symptoms.
Since I got that ridiculous message after hours I stewed on it a bit and sent a pretty heated message back telling him I was almost speechless with his lack of compassion but would not remain so for long.
I got a call from the triage nurse early this morning offering DH an appointment today - which I cannot take, (it’s elder law appointment day) and shouldn’t have to take if the PCP would just pick up the phone like a big boy and ask the neuropsychologist why the diagnosis is taking a month. I don’t even care if the supporting documentation is published until June, he should be able to give his findings in a second so the correct meds can be prescribed if that’s even what the problem is! I’m not looking to drug him into a stupor, I just want the facility staff to be able to take the evening edge off so he and everybody else can get some rest!

Yes, when we get through this I definitely will be looking into another PCP, maybe a geriatric physician if I can find one. This is ridiculous and I’m starting to cry in front of strangers which I’ve NEVER done! It weakens my position.

I hope you and yours are well and your nephew’s school situation is getting resolved. The injustice of it all is staggering.
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Golden - I sometimes wonder if the doctors and nurses at nursing homes think that's what we want to hear, they surely can't be that clueless. I disgusted me how many people expressed hope for my mom to reach her 100th birthday as though that would be a good thing🤨. And despite my mom having been put on oxygen and my refusal to send her to the hospital I had an RN express surprise that she had been moved to the palliative room - uhm, seriously?
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Psue (((((hugs))))) That's disgusting. It reminds me of the physician mother had at the NH. Even at 106 her vitals were all good. But I could clearly see that she was declining - slept more, ate less, was generally less alert, lost weight. He said she could go on for a long time - years. This was 4 months before she passed. She had vascular dementia and was following the pathway described online. He failed to recognize that her brain was being more and more affected by the vascular problems. And he was an NH physician!!! You gotta wonder.

Obviously your dh's doc doesn't have a clue. I do hope by now or soon your dh gets some calming meds. The adjustment to this change can take a week or months depending on all kinds of factors. Sounds like he has lots of support and caring people (except his doc) around him, This can only help. I think I would have a face to face with the doc and demand some meds (that's just me). If they are not forthcoming ask the facility to recommend a competent dr you can switch to. You need someone for him who understands this disease better. As always - look after you. You are your dh's major advocate.
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Amazing Peaseup, a few brain games is all we need to solve the dementia epidemic! They ought to give them a Nobel prize!!😏
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O*M*G I can hardly believe the note I just got from DH’s primary care! It’s been a week of nighttime freak outs and messages sent by both me and the facility nurse requesting some kind of calming meds - just to get DH through this adjustment period.
The PC PA chose to lecture the facility about the importance of hydration, exercise and puzzles….PUZZLES! for those in cognitive decline!
I am so angry that if that little twit was within reach I would drag him by the ear over to the facility to spend a little quality evening time with his patient! In the meantime, I could use some of those calming meds, myself.
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Thank you Peasuep and Anxietynacy!

Peasuep I've been following along and I truly believe with my heart and soul that what is right for you is also right for your dear one. ❤️. Be very kind to yourself, you deserve it.
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Thank you, my friends, for your encouragement. I have read and reread your posts.
DH continues to struggle. He can’t understand where he is or why I am not there with him. The staff has been wonderful but it’s been a week and he needs to start showing some signs of adjustment.
The other residents are pulling for him too. That part has really touched my heart.
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casole, it’s completely understandable that you are anxious; you love your parents and want the best for them. But WOW, I’ve got to say that I’m beyond impressed by what you’ve accomplished these last 2 years; not only the complex business arrangements and repairs on the home but it appears you’ve thought of everything to make your parents move as smooth as possible for them.

So, what’s the worst that could happen? If you overlooked something (which I doubt) or if some new obstacle pops up, you are clearly more than capable of handling it. From where I sit, your parents are incredibly lucky and you are amazing.
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I'm scared. Finally after almost 2 years of insurance claims for a freeze flood and remodel work, delays, permits, inspections the apartment that my parents vacated is ready to move back into. All done over, everything new. What we've all been waiting for and wanting. I own the home, they lived there for 30 years before and can't wait to get back. It's all they've talked about for two years. No tenant yet upstairs. That's a whole other thing to be dealt with.


I'm just scared bc change is change and is stressful even if it's "good". Mom is on oxygen now. Still uses feeding tube for meds and two of her 4 meals. Dad manages most of it. She's anxious a lot. Never feels very good tho can still do all her ADL's. Dad is very very OCD and has a pretty good routine where they are now, gym right upstairs. It's so much to think about managing this move back for them and wondering how much longer will they be able to live alone? Dad seemingly fine physically but caring for mom taking a toll tho I am there daily 3 to 4 hours so he can go to the gym, errands etc. He's a lot with his ruminating and obsessive nature.


Will be hiring help to clean for them and a p/t person to be with mom in the afternoons (I'm anxious about getting that accomplished) as dad will need to be out more (gym is important for him), no more just running upstairs while mom is ok for an hour downstairs. If he's out and about in the car without me or someone there she will have an anxiety attack.



They've been in a 55+ community during this time. Not assisted living. I've handled that, they can't afford to stay there and I can't continue to pay for it. They don't want to stay there anyway even tho it's very nice. It's not "home".


Anyway, I know things will work out, this move will happen and hopefully they will settle into a routine "back home". I'm extremely anxious about it all. Not showing it in front of them tho.

Ok so that's what on my mind. I'd better meditate now.
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Psue ((((((hugs))))))). It's a tough transition for both of you. However, a very necessary one. What Way said. When safety is compromised a move to 24/7 professional care must happen.

An analogy comes to mind. Think of surgery, which is very painful immediately but the body adjusts eventually and in the long run it is worth it. The analogy breaks down, of course, as there is no healing afterwards in this disease. But the disease can be such that the "surgery" of moving to a facility is necessary. You have managed your hub and the disease wonderfully for some time, but the inevitable decline has brought some unmanageable changes that need professional care. Likely, and possibly with the aid of medication, and a new routine your dear hub will settle down. I know it is horrible to view the devastating effects of the disease on him.

Sometimes the options we have are not great - just one is better or even necessary compared to the other. His family will or will not adjust - not your problem. If anything, IMO, they should be a support to you right now!

Way is right - you have much grief right now and need time and space to process it. We are here for you as you go through this and eventually build a new normal for yourself. It's hard work but you can do it.
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Peasuep: Many hugs.💜💜
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Peasuep,

Do not second guess this placement . You had no choice . It was not safe for you at home , therefore it was not safe for him either . Had DH ever knocked you down unconscious , then he would have had no supervision .

When you are in the the thick of things it is very common to keep trying to see how they are capable because you want to keep them home . This is no reflection on how much or how little information you gave his family . It was not a deliberate attempt to keep them in the dark . You yourself are just realizing how much more care your DH needs . It is common to realize after the fact that you “ cover “ for them .

You have done a tremendous job . You are not responsible for his illness , for how he is suffering or how his family suffers over this . None of this is any fault of yours.

What you are feeling is grief over things that you can not fix .
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