Husband seems to have PD/tremors but is in denial. How to help?

Posted by grandmaraines @grandmaraines, Apr 11, 2023

My husband has had depression and anxiety for years. He was referred to a neurological psychologist for testing. He agreed with my feeling he was in the beginnings of Parkinson's. Referred to a neurologist for further diagnosis. Had to wait 5 months to get an appointment. Things worsened in that time, but he did not see it. His gait was shortening, sometimes shuffled, unable to walk far, like 10 ft, without being unsteady, falling 3x, he was dizzy on standing, his arms rarely swing, handwriting getting cramped, hands shaking when carrying a dish of food,legs shaking constantly when sitting if not flat on the ground (I have a question on why he shakes feet/legs whole time but it stops when he sleeps- is that common?- is that common?). He has a mask look, has memory issues., complex tasks are difficult.
When he went to the neurologist he had to meet a "gate keeper" doc 1st who decided if he needed to see the main doc. My husband did not let me to go in with him, I believe knowing I would share all this. He was asked questions (he lied, claiming no issues with shaking and denied any family history- his mother died from it). I read the report and there was so much not true, but I had no permission to talk to doc about it. He said he saw no evidence of any need to see the neurologist, which validated my husband's denial.
So here we are, a year later and the shaking is worse, other signs worse and he talks about being anxious and feeling "lost", he sleeps almost all day, moves very little , afraid of unsteadiness, blaming his knee that he had surgery on. His gait is worse but cause afraid of falling. I truly feel he has Parkinsons or a similar tremor type condition.I know if I suggest we try to go back cause doc said return if symptoms worsen that he will get mad and deny he needs to. I am at a loss of what to do. He barely gets off the couch, resists any exercise, won't drink much water, skips meals as appetite is low, pretty sure i will need to intervene with him driving as his reactions are not great.
The longer he goes without some med and PT help the chance of slowing things down is becoming remote. How do I approach him ? He has a wellness visit coming up with regular doc (who is only a PA and I am not impressed by him) has anyone ever tried contacting a doc on their family member's behalf without their knowledge? Is there some rule against that? Cause I know he will deny anything is wrong, he barely talks to doc, and he won't let me go in with him. I am in despair as to how to help him.

Interested in more discussions like this? Go to the Parkinson's Disease Support Group.

@katrii

I will definitely go to the recommended website. Thankyou!
He’s been having difficulty turning over in bed for a year or more…we bought a railing, which helps. His walking (especially backwards or turning around) is like a wind-up toy—little steps, unsteady. He’s just started closing his eyes often. He’s tried the standard medicine for PD, but it made his toes curl terribly, with pain. Brain MRI showed nothing. Also, he has bladder issues—every time he stands up he has to go, quickly. We’re seeing a new neurologist in February. I can’t wait! I feel I’m slowly watching him change/I know it’ s not about me, but it’s hard.

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I’m so sorry that you’re both going through all this. My husband has been taking Carbidopa Levodopa since he was diagnosed several years ago and his toes started curling in the last year. He recently had Botox injections, one in the foot and one in the calf, and it made a huge difference. These need to be repeated every 3 months. I hope your new neurologist is very helpful for both of you.

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@katrii

I will definitely go to the recommended website. Thankyou!
He’s been having difficulty turning over in bed for a year or more…we bought a railing, which helps. His walking (especially backwards or turning around) is like a wind-up toy—little steps, unsteady. He’s just started closing his eyes often. He’s tried the standard medicine for PD, but it made his toes curl terribly, with pain. Brain MRI showed nothing. Also, he has bladder issues—every time he stands up he has to go, quickly. We’re seeing a new neurologist in February. I can’t wait! I feel I’m slowly watching him change/I know it’ s not about me, but it’s hard.

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@katrii
Of course, it is hard for you. Seeing a loved one having such a difficult time and not being able to find the right kind of treatment is very frustrating. I'm glad that you will be seeing a new neurologist. I hope the new neurologist can come up with a new treatment plan.

You said that the standard medicine was causing side effects. Has his doctor suggested a new medication? Here is a link to the Cleveland Clinic website which lists a variety of medications that can be used for PD, https://my.clevelandclinic.org/health/treatments/parkinsons-disease-medications

Has your husband been offered physical therapy? Some physical therapists have special training to help PD patients. If you would like more information take a look at the link from the Davis Phinney website, https://davisphinneyfoundation.org/lsvt-big-loud

Perhaps, in a previous post, you mentioned your husband's age and physical condition prior to these symptoms. If not, please share as you are comfortable doing so.

Will you post again with your questions and concerns?

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My husband died with Parkinson's. It is very hard to find a good neurologist, One of the nurses at his GP's office said, "Neurologists are a funny bunch." The worst one made me cry telling me that he didn't want to treat my husband and no one else would want to either. Another left town suddenly taking all of my husbands records with him. Another refused to treat him at all and wouldn't answer my calls. My husband was not a difficult patient. I finally asked his insurance company to find a motion specialist for him and they did. He got excellent care from then on.
If you have health insurance ask a patient advocate to help you. I live in a small town ,maybe it is easier to get a neurologist here.

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@joanneeckert

I’m so sorry to hear about your husband. You sound like a wonderful wife. In answer to your question about talking to a doctor about your husband behind his back, my opinion is “Yes.” My son was diagnosed 6 years ago with PD. He is now 48. I was with him, my husband and my son’s soon-to-be ex-wife at the neurologist office a few months ago. I lagged behind and spoke to the PA by myself about my son’s personal life because I didn’t know if he knew what was going on. I’m so glad I did. The doctors had no idea that my son’s wife is divorcing him, that they have 5 young children, that his wife has been dating for almost 2 years and that we had to take most of our savings and purchase a house for him so he could be close to his kids. It means a lot for doctors to know a patient’s personal history since it effects their mental & emotional state. I also requested that my son see the neurologist whenever he has an appointment. They agreed to it. You just have to ask, insist if you have to. Is there a chance your husband would consent to a trip to the Mayo Clinic for an evaluation? I think that would be the BEST thing for him. That’s what I’m trying to get my son to do now because I think he’s on too much medication. I also found a much better neurologist for him but he hasn’t consented to go yet. I don’t like the fact that you had to wait 5 months for an appointment. Isn’t that outrageous! Whatever you can get your husband to consent to, you probably won’t have the opportunity like I had to lag behind & talk. But there is another way…write EVERYTHING down, even dates if you can. Keep it hidden from your husband and a week before his appointment, mail it to the doctor, marked “personal.” After all, you’re simply trying to do your best to help the love of your life. I wrote a letter in the very beginning because my son needed a second opinion and this top neurologist at Columbia Presbyterian in NYC couldn’t see him for months. I called his office behind my son’s back. The secretary couldn’t help me. I asked her if I could write a letter and she said it couldn’t hurt. I wrote a very heartfelt letter and mailed it, asking the neurologist not to tell my son and he didn’t. Within about one week, my son called to tell me the doctor pushed his appointment up by 3 months. I was so happy. I believe if we approach doctors like we would a friend, they will respond. After all, God has created all of us equal, even if we don’t have any degrees. 🥰. Lastly, our biggest weapon against these awful diseases is prayer. 🙏🏼. Talk to God. He hears ALL of our prayers and He loves you & your husband very much. If you send me your husband’s first name only, I will put him on my Parkinson’s prayer list. I forgot to say that my
oldest son has finally stepped in to help, thank God. The problem is that we all live 3 hours apart from one another. We truly need a miracle! And I expect one! God bless you & your husband. 🌺🙏🏼🌺

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Thank you for your response. We all have tough things to face and need much prayer. My husband's name is Tom. An update- his tremor got so bad he finally said he needed help, not knowing his PCP had already referred him.. he agreed to go and although Dr did not call it PD, he did say for now he is calling it a Parkinsonium type and started him on CarbidopaLevadopa. Tom hasn't actually embraced what he has. His only goal was to stop tremors and walk better. So at least he is starting.

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@raebaby

My husband died with Parkinson's. It is very hard to find a good neurologist, One of the nurses at his GP's office said, "Neurologists are a funny bunch." The worst one made me cry telling me that he didn't want to treat my husband and no one else would want to either. Another left town suddenly taking all of my husbands records with him. Another refused to treat him at all and wouldn't answer my calls. My husband was not a difficult patient. I finally asked his insurance company to find a motion specialist for him and they did. He got excellent care from then on.
If you have health insurance ask a patient advocate to help you. I live in a small town ,maybe it is easier to get a neurologist here.

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So sorry to hear that. My husband finally went to a neurologist for help for tremor and just got on med and is starting an intense PT program for mobility at the end of Feb. He is not calling it PD but getting the help was my goal.

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That's great that he is getting help. The Parkinson's patients in our support group found that Rock Steady Boxing helped them.
My husband had "off" periods when his CL drugs wore off and he was switched to Rytary which helped a lot.

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Back when I was healthy and a care-giver, I ingtervened BIG TIME.....let the lady have her say that she was fine and didn't need to see a specialist, blah, blah (I was in the room with her, actin g as her 'memory person'), and we walked out of the doc's office together, then I just left her hanging, by turning around and going back into the doc's office and said "you need to hear more".... told him plenty of omissions, and then said "She shouldn't be living alone. I think you need to call her daughter". Ballsy? Well I suppose, but the doctor wasn't going to get the truth any other way, so I just butted kin.
You need to go for it! Talk to the doctor. Even if you have to call and make an appointment for yourself to get the chance. Caregivers can only go crazy if they don't take the initiative !

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I am my spouses person. In other words I'm legally and able by him acknowledging as his wife and can receive information. I am not positive but , I don't think you can intervene with a DPOA when they are not of sound mind. Check what you can do in your state. So sorry you are going through this. 🫂

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