"You're not the only one dealing with issues!"

Posted by rxw1853 @rxw1853, Jul 3, 2023

In early 2022 I left a multi-decade professional job to become a full-time caregiver for my wife, who has moderate dementia, psychosis, severe gait and balance problems, and has had many falls - the worst of which resulted in a skull fracture. We are in our mid-to-late 60s. She is now disabled to the point of being almost bedridden, does not leave our home, and needs help with all activities of daily life. The symptoms progressed rapidly. We have run a seemingly endless gauntlet of CT scans, brain MRIs, brain PET scans, blood draws, over the past two years: no diagnosis yet other than ataxia due to possible cerebellar degeneration.

I've reorganized my life to become my wife's full-time caregiver, working from home while reducing my workload. I help with her needs and handle all grocery shopping, meals, cleaning, laundry, household and appliance repairs, medical appointments, etc. Spare time is very limited.

As a result of these rapid changes in our lives, I have been slow in responding to friends' emails, texts, WhatsApp messages, and calls. Some friends do offer support and express concern once I inform them of my wife's condition. But others have been annoyed, saying that I should be paying more attention to them, that I'm too focused on my own situation - thereby making me feel guilty about being a careless friend. When I provided one person with some details of my wife's condition by way of an explanation for my recent lack of contact, I was scolded "you're not the only one dealing with issues in life", as if I had been too selfish or had a martyr syndrome. Unknowingly, I had hurt this person, and I was taken aback.

I would be grateful for communication tips and stories about how others find time to stay in touch with family members and old friends, without sounding defensive or complaining or making excuses. Many people seem to want to hear only upbeat messages, in my experience. But what if the underlying disease is untreatable or cannot even be diagnosed? How much detail do you provide about the reality of your loved one's condition, medical or diagnostic challenges, and the frustrations and burdens involved?

Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.

@centre

Hi Merry- You asked if I’m still struggling, I guess you could say we’ve “graduated” to the next level. My husband, after the ring went on, revealed himself to be a very easily irritated person, who coped with any level of frustration by screaming and “acting out”. As the years went by, and I now know dementia was creeping in, I coped by working alot of hours and keeping out of his way. COVID was actually a blessing as eating out was no longer an option, it had always been a possible opportunity for a melt-down and I’d be on edge.
The last year at home, he became even more angry and uncooperative with me- wouldn’t eat what was prepared, wouldn’t let me set up a pillbox or participate in the meds, wouldn’t shower or change clothes, turned night into day and day into night. All this culminated in out-of-control diabetes, delirium, and encephalopathy- off to the ER with a friend’s help. He was admitted, stayed 2 weeks, had two major meltdowns in 8 days for which Security had to be called. His PCP and the hospital neurologist said he could not be handled at home. For my work, I had visited every assistive living in our county, the one I liked the best had an opening, he went by w/c van, although fully ambulatory- I was afraid he wouldn’t get out of the car if I took him.
Fast forward a year and 3 months, he is at his healthiest ever with the structure of the assistive living, the diabetes is under good control, he’s made a circle of guy friends who hang out together, he loves to tease and chat with the staff. I visit twice weekly for an hour each time and make sure he has the things he wants and needs, take him out for drives and stops at the Dairy Queen drive-through in good weather.
I’m still struggling a bit with being in the house alone and being in charge of all the things that keep a house going, but my brother and SIL live nearby and we’re all close.
I’m also struggling with my husband’s mood and something that just happened two days ago. I’ve had very mixed feelings over the past year with his new mood- very pleasant, very appreciative, never a hint of irritability. Has he mellowed with the proper medication and the dementia? Does he remember how mean he was and feel regret? Does he have insight that he should be nice as I’m the one who gets him what he wants? Maybe I should take him home? But two day ago, in the DQ drive-through, he suddenly erupted and I was right back in the old days. Sometimes God sends a warning, I’m thinking this was one and I better pay attention.

Jump to this post

Hi @centre, it sounds like your husband is well placed where he is, thriving, and you are spared the hurt of his abusive behavior. You now have some breathing room and time for yourself. Why disrupt things as they are?
You will get the hang of taking care of the house, your finances, and all that. I never thought I would, but I have.
Maybe writing a heartfelt (undelivered) letter to your husband him about what he did in the past and how it made you feel would be helpful to you, let you clear the air, for yourself and move on.
I'm fortunate that my husband with moderate Alzheimer's is sweet and compliant, very appreciative. If I dwell on his past behaviors, it gets me nowhere and I'm not living in the present. I only hope our situation stays this way, but who knows?

REPLY
@buggirl55

honestly i am so sorry you are dealing with this. I had my best friend come over to myhouse and she said something so helpful to me and this is why we are best friends. She asked me : How can I help you? Can i text more and check in, text less and give you space, clean house, grocery shop, etc. you tell me. It was so refreshing to have someone not just say it but have actions behind it. I feel like these are the ones that I want to keep the friendship. she was going through alot at the same time and was never upset with me for not "checking in with her or asking her daily about her day, etc" she knew my overburdening load of caregiving and the stress of working full time while doing this was overwhelming

Jump to this post

What a wonderful friend, @buggirl55 - she sounds like the "gold standard" of a caring, compassionate friend. Yes, I think one has to stay focused on keeping and nurturing true friends like this - who seem to be all too rare.

REPLY
@1k194

Welcome to the forum rxw1853. You are in a good place for support with your situation.

First, bless you for working so hard to care for your wife!
As many other full time caregivers here can attest to, it is an ABSOLUTELY consuming and exhausting job, physically, mentally and emotionally.

Second, I am so sorry you’ve had a friend speak to you this way. Perhaps, do to their own problems, they were just upset at the time and they didn’t mean to come across so harshly. Also, maybe they were not aware of how ill your wife is and thus, how consumed you are by it. Often times, people simply can’t imagine and don’t understand how consuming caregiving is unless they’ve been there; and even more so when it’s a loved one and/or you’re the primary caregiver. If it was a genuine stab at you personally, I say: shame on them!
Your wife is obviously (and rightly) your first and most priority in life. It sounds like you’re someone who perhaps your friends can and have relied on in the past. That’s wonderful and unfortunately, hard to find these days.
But, someone is only a true friend to you if they can be supportive or at least try to understand and cut you some slack when you are enduring such a hardship in your life.

If you feel this friend was just upset or not understanding, maybe try first explaining that you don’t want to hurt their feelings, but your wife needs you immensely right now and you just don’t have time for much outside of that. Maybe then tell them they are important to you and you would still like to enjoy time together. Ask them how you two might keep in touch in a more brief way. Leave the ball in their court.

Unfortunately sometimes when we’re in dire distress (as you are now) is when we find out who truly is our friend. I really hope they come around.

Food for thought:
“ A true friend shows love at all times And is a brother who is born for times of distress.”
(Proverbs 17:17)

Also, I really hope you can find some answers and help for your wife. Don’t forget to take care of yourself too, physically and mentally. You can only care for her if you are well.

Jump to this post

I am reminded to thank you @1k194 specifically for your reference to Proverbs 17:17. @buggirl55's comment about friendship reminded me of this truth!

REPLY

You are strong for prioritizing your wife. I'm my husband's caregiver, he was diagnosed at 51 and we have two kids, 12 and 15. It is unfortunate there are alot of people who are really selfish. Recently, a "friend" we knew for years became upset because my husband couldn't fix a computer problem for him (my husband was a computer systems engineer before his LBD diagnosis). It really is shocking how people can be, even after explaining to them the limits a disease causes.

The good news is there are really amazing people, who listen, who empathize, who offer real help, and will stick by you through your caregiving journey. I met a neighbor thru a local caregivers support group who is a caregiver for her father who has dementia. She lives 3 houses down the road. We are each other's emergency contact and she is a positive influence on my kids, who struggle with their own feelings about their dad's LBD.

Thanks for sharing your post - you are definitely not alone and there are some terrific people on here.

REPLY
@tsc

Hi @centre, it sounds like your husband is well placed where he is, thriving, and you are spared the hurt of his abusive behavior. You now have some breathing room and time for yourself. Why disrupt things as they are?
You will get the hang of taking care of the house, your finances, and all that. I never thought I would, but I have.
Maybe writing a heartfelt (undelivered) letter to your husband him about what he did in the past and how it made you feel would be helpful to you, let you clear the air, for yourself and move on.
I'm fortunate that my husband with moderate Alzheimer's is sweet and compliant, very appreciative. If I dwell on his past behaviors, it gets me nowhere and I'm not living in the present. I only hope our situation stays this way, but who knows?

Jump to this post

Thank-you, Teri, for your support and ideas. I know I can do what has to be done and I do continue to need breathing room and to remind myself to relax.

REPLY
@rxw1853

That is great information, @centre, thank you!
Merry, I meant to say Medicare coverage in the US. We have Medicare but can't use it outside the US. Currently I'm self-insured in my host country - there is a public hospital network, which is pretty good, but the key advantage is affordable access to caregivers. There's no subsidy but their salaries are very reasonable.

Jump to this post

rxw1853- Thank you for clearing this up.

REPLY
@centre

Thank-you, Teri, for your support and ideas. I know I can do what has to be done and I do continue to need breathing room and to remind myself to relax.

Jump to this post

Hi @centre, the other thing I thought of after posting - bringing your husband home could backfire. He might resent you for removing him from his happy place. Your position is enviable to many I am sure, as you have managed to find a good place for him, which has given you both some relief. Take care, Teri

REPLY
@tsc

Hi @denisefrey, my husband has moderate Alzheimer's Disease, diagnosed in 2019. For a while, he was resistant to showering and washing his hair. He broke his hip in Jan. 2022 and while he was in rehab, I had the tub removed, a shower bed installed with grab bars and added a shower seat that hangs over one grab bar. When he came home, I realized it was easier to get in the shower with him, then give him instructions from outside. Now he loves to shower and washes his hair whenever we're in there - usually every other day. Then he thanks me for the wonderful shower. When I asked him why he didn't like to shower before, he said it was because he didn't know what to do.
Prior to all this, I noticed that he wasn't cleaning himself very well when, doing laundry, I saw his underwear. I installed a bidet toilet seat cover, and while he was resistant to it in the beginning, he's taken to it very well.
I remember my mother-in-law, always a fastidious woman, told me she hated showers in her later (declining) years. She said they felt like sandpaper scraping her skin.
Of course, everyone is different, and this may not be helpful at all for your situation. I wish you the best.

Jump to this post

Thanks Teri! This is helpful, as it helps to understand some of the reasons for this behavior. Our loved one is in a memory care community now so the bidet is likely not an option. He has primary progressive aphasia and it would be impossible to explain what a bidet was...I could see it scaring him from even toileting! But I do love the idea and can imagine it works well with a lot of people. Thanks again for the suggestions and perspectives. Hugs!

REPLY
@centre

Hi Merry- You asked if I’m still struggling, I guess you could say we’ve “graduated” to the next level. My husband, after the ring went on, revealed himself to be a very easily irritated person, who coped with any level of frustration by screaming and “acting out”. As the years went by, and I now know dementia was creeping in, I coped by working alot of hours and keeping out of his way. COVID was actually a blessing as eating out was no longer an option, it had always been a possible opportunity for a melt-down and I’d be on edge.
The last year at home, he became even more angry and uncooperative with me- wouldn’t eat what was prepared, wouldn’t let me set up a pillbox or participate in the meds, wouldn’t shower or change clothes, turned night into day and day into night. All this culminated in out-of-control diabetes, delirium, and encephalopathy- off to the ER with a friend’s help. He was admitted, stayed 2 weeks, had two major meltdowns in 8 days for which Security had to be called. His PCP and the hospital neurologist said he could not be handled at home. For my work, I had visited every assistive living in our county, the one I liked the best had an opening, he went by w/c van, although fully ambulatory- I was afraid he wouldn’t get out of the car if I took him.
Fast forward a year and 3 months, he is at his healthiest ever with the structure of the assistive living, the diabetes is under good control, he’s made a circle of guy friends who hang out together, he loves to tease and chat with the staff. I visit twice weekly for an hour each time and make sure he has the things he wants and needs, take him out for drives and stops at the Dairy Queen drive-through in good weather.
I’m still struggling a bit with being in the house alone and being in charge of all the things that keep a house going, but my brother and SIL live nearby and we’re all close.
I’m also struggling with my husband’s mood and something that just happened two days ago. I’ve had very mixed feelings over the past year with his new mood- very pleasant, very appreciative, never a hint of irritability. Has he mellowed with the proper medication and the dementia? Does he remember how mean he was and feel regret? Does he have insight that he should be nice as I’m the one who gets him what he wants? Maybe I should take him home? But two day ago, in the DQ drive-through, he suddenly erupted and I was right back in the old days. Sometimes God sends a warning, I’m thinking this was one and I better pay attention.

Jump to this post

@centre- Oh dear. It sounds like his medicine needs to be adjusted again. Did you relate this to his nurses?

I was warned of paranoia and that it would lead to violent behavior. And that I wouldn't be able to handle it. I also knew that Dave would have been appalled if he knew of his actions. They weren't him at all. Although both of us were Type A he was not violent or disruptive and he was very much in love with me.

One day when I was out of the house I came home to a horror show of Dave being aggressive toward a very close friend. He would not see reason even from me, and there were too many people talking at once to me so I didn't even have the chance to be alone with him. I asked everyone to leave and called the hospice hot line. My girlfriend stayed with me. I had to heavily medicate him. And that was the last time that he was ever fully conscious. At least I got a last kiss right before I gave him his pills. He would have hated the way his disease made him act.

I can very much understand your anger at him and I bet that insight isn't a strong suit with him at this point. It sounds as if his illness has caused his bad behavior. As time goes by you will need to let your anger go so that you can move on.

I can't tell you what you should do about whether to keep him where he is, but it does sound like both of you are happier in his present situation. I might even just bring him what he likes and not take him to Dairy Queen.

Have you thought about counseling for yourself? It might help you deal with a lot of your anger. Will you think about it?

REPLY
@ranch

Everyone has problems and some want to tell you theirs. I really don’t want to hear theirs and I don’t want to tell you mine. Makes it hard to help someone like that isn’t it?

Jump to this post

in reply to @ranch Why even bother posting anything. I have found this site to be very helpful, and I believe that I have helped others with my posts. I joined this platform a couple of years ago, and without it I would not have been able to get the care I needed for my medical condition(s). I have also made "friends" with some of those who post their comments. I now exchange emails with someone in another country as a result of this platform. I'm not here to judge you, however since you took the time to post your comment, then this tells me that perhaps you are in need of some help, whatever that may be.
I have had a very positive experience with the Mayo Clinic, and it has been a sort of lifeline for me. I am sorry if you have not had a more positive experience.

REPLY
Please sign in or register to post a reply.