Things never change

Posted by kartwk @kartwk, May 25 9:44am

I read here daily and gain strength from what others write and answers. Sadly, nothing is changing.
I finally cried and cried and cried. It was strange as I was out in the sunroom just sitting there and heard this wail sound before I even realized it was coming from me. That is when it all broke loose. I cried so long and hard my stomach had spasms. In fact, I had stomach spasms for 2-3 days after that, but it did release a lot of stress.

Getting nowhere on diagnosis. The latest thing is that H has deiced that he does not need to shower. He has gone as long as 2 weeks without showering, and we DO argue about this. This from a guy who claims any scent bothers his lungs. I change bed linen at least once a week. How I am combatting this Is that I tell him when I change sheets to take a shower or sleep in the sleeping bag on the floor.

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

Profile picture for theglobalnomad1 @theglobalnomad1

@kartwk How, barring a scary episode like you experienced, do you actually get them off the internet and to stopping accessing the bank accounts? My husband is in the early stages of AD and still drives and handles his own and our joint bank accounts, but the using the computer and his phone is getting more and more difficult. Reading everything that can happen with scams, viruses, hacks, etc. is frightening and I would like to pre-empt something happening, but he's convinced he doesn't have a problem and when he forgets a password or has trouble logging in to something, he just changes it (sometimes successfully, sometimes not!) and then has no idea what to do. He blames the tech, of course, and when I try to help him he barks at me so it is a struggle each time. I want to keep letting him handle as many things as he can for his own self-esteem, but I do worry about financial matters and tech security. And I worry about his anxiety that he's losing his abilities. It is a tightrope I didn't expect to have to walk, but am trying to be compassionate AND secure.

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@theglobalnomad1 - Tech can be so challenging and scary - especially banking. I went in and changed all the passwords. My H has progressed to a point that he can no longer figure out how to change the passwords. He asks for help and I play dumb and suggest we contact customer support - but I can't right now. Let's do this later. Of course, he forgets, and we do it again in a day or two.

He doesn't like not knowing where our finances are, so at least once a month, we go to the bank together and ask the teller to print out our balances. I keep that in my wallet (not safe in his), and when he asks about our finances, I pull it out and show him how we're doing. For now, that is enough.

We meet quarterly with our wealth manager for our retirement accounts. Our rep knows about his diagnosis and is incredibly patient with him when he asks the same question 5 times.

So, my suggestion is - go old school - visit the bank in-person, speak with people directly. Tech becomes too much at some point.

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Thanks for your suggestions! He's very much aware right now of our finances (and was a company CFO before requirement) and so has access to everything, and so far I'm worrying about nothing really, but just wondering if pre-emptively I need to somehow restrict his access.

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I can totally relate to all of your comments. I knew something was “off” with my husband and his cognitive abilities in 2016. I finally convinced him and his doctor to do some cognitive tests. At that time they said he was still in the “acceptable” range, even though I knew it was not his baseline. However, we didn’t have any other tests to compare it to. After 2 1/2 years of struggling, fighting, feeling like I must be the crazy one or that he is trying to gaslight me, he got more tests and a diagnosis. I seriously doubt that I could have stayed with him at that point without the diagnosis. He was angry, hurtful in his words and actions, and couldn’t complete any of his usual responsibilities reliably. Nothing with any of that changed but with a diagnosis, it gave me a different perspective and frame of reference. I still cried until I was sure that I had cried all the tears I could ever cry.
The anger has calmed down for the most part, although it can come ip from time to time now. I did notice earlier this year he had just stopped showering. I think he was about 10 days out when I noticed and said something. He just said he didn’t know when he had showered last and forgot about it. So I told him the doctor wanted him to shower at LEAST once a week and we picked Friday as the once a week “shower day”. We agreed he could shower more often if needed or if he wanted to but for SURE on Friday. He likes to go out to dinner and we usually do that on the weekend, so I told him, no shower, then no eating out. I can’t go to dinner with a smelly dude, lol. So far this has worked out- I still have to remind him and occasionally he pushes it off to Saturday, but most of the time he doesn’t complain and just takes his shower on Friday. He doesn’t go outside much anymore, or do any yard work or activity that would cause him to get sweaty so once a week seems sufficient. He can’t do his nails anymore so once a month we go to get manicures and pedicures together. At least I can sneak in some self care for me too that way! I cut his hair once a month and trim his mustache since his tremors from the Parkinson’s makes that difficult. He has an electric shaver to shave with but only shaves on his shower day now.
I’m sure this new balance will change again in the future and I will need some more tricks and techniques to manage his hygiene. That’s one of the reasons I appreciate all of the ideas and sharing in this group!
Blessings to you!

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Profile picture for kartwk @kartwk

@bluesky221
I truly appreciate what you went through etc. It is difficult. I cried when I read it because I understand how difficult it is.

Can you tell me more about your problems getting his PCP to give him a diagnosis?

The most recent problem is with his bank account. He spends hours changing his passwords, etc. I donot leave much money in this account and rightfully so. Went to bank yesterday and found that someone had made a 1,965.57 withdrawn from it to Loews! Evidently it was done on the phone. NO, it was not H. They are tracking it down. It was done on May 24, so it was good I checked it. The bank wants me to go over things and see if any earlier withdrawals were made, small amounts like under 10 or 20 dollars and not in rounded amounts because that is what they do to check out the account a lot of times b4 they go big time.
Clerk told him to stay off internet and stop changing his passwords all the time as he probably got into one that was bogus. Now he is scared and rightfully so.

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@kartwk
I'm so sorry you're having to deal with fraud or identity theft on top of everything else! Sounds like he might have clicked on one of those fishing emails, texts, or popups that infect your phone or laptop or steal your credentials with phony banking websites.

If you haven't already, it might be a good idea to get a durable power of attorney in place while he still has the capacity to consent (for both finances and health).

It may also be time to revoke online access to all bank accounts. Maybe convince him by saying it's a way to keep the bad guys from accessing his accounts, and he can always check his balances by visiting the bank in person.

Regarding your question about the PCP, he just never took my comments seriously when I described the problems H was having. He didn't even do a simple cognitive test until it was already too late. His attitude was that H was just having the typical elderly memory problems and didn't need a neurology referral. Are you having any better luck at getting a diagnosis?

Wishing peace and strength for you.

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Profile picture for bluesky221 @bluesky221

@kartwk
I'm so sorry you're having to deal with fraud or identity theft on top of everything else! Sounds like he might have clicked on one of those fishing emails, texts, or popups that infect your phone or laptop or steal your credentials with phony banking websites.

If you haven't already, it might be a good idea to get a durable power of attorney in place while he still has the capacity to consent (for both finances and health).

It may also be time to revoke online access to all bank accounts. Maybe convince him by saying it's a way to keep the bad guys from accessing his accounts, and he can always check his balances by visiting the bank in person.

Regarding your question about the PCP, he just never took my comments seriously when I described the problems H was having. He didn't even do a simple cognitive test until it was already too late. His attitude was that H was just having the typical elderly memory problems and didn't need a neurology referral. Are you having any better luck at getting a diagnosis?

Wishing peace and strength for you.

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@bluesky221
The bank issue scared him and the lady at the bank told him the same thing. Luckily, we got the money back in 2 days, but he is not changing all his passwords daily or two times a day, for now.

You experienced the same thing I have been dealing with concerning our PCP. It has been so frustrating.

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Profile picture for bluesky221 @bluesky221

@kartwk
I'm so sorry you're having to deal with fraud or identity theft on top of everything else! Sounds like he might have clicked on one of those fishing emails, texts, or popups that infect your phone or laptop or steal your credentials with phony banking websites.

If you haven't already, it might be a good idea to get a durable power of attorney in place while he still has the capacity to consent (for both finances and health).

It may also be time to revoke online access to all bank accounts. Maybe convince him by saying it's a way to keep the bad guys from accessing his accounts, and he can always check his balances by visiting the bank in person.

Regarding your question about the PCP, he just never took my comments seriously when I described the problems H was having. He didn't even do a simple cognitive test until it was already too late. His attitude was that H was just having the typical elderly memory problems and didn't need a neurology referral. Are you having any better luck at getting a diagnosis?

Wishing peace and strength for you.

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@bluesky22
I just want to tell you personally how good it made me feel when you hared your experience with the PCP. Too many PCPs brush this problem off as just old age. Seniors do not get the health care we need because we are seen as old, at the end of the road, etc.

Now, do not blame yourself for speaking harshly to him during this time. I find it is impossible not to. He gets verbally abusive at times and has really gone after me. Abuse is abuse, period. We go to the grocery store, and he will start chastising me as if I were a 3-year-old. It is embarrassing.
He walks in pain constantly and always moans and groans 24-7 which is a terrible thing for me to deal with. He could have had hip surgery 10+ years ago but was afraid to and kept and keeps making up excuses. On this I have no pity for him. It was always his lungs, the timing, he did not like the surgeon - we went to several; he does not do good under anesthesia - who does. Now it is his age, he is 86. I know he does it looking for pity and sympathy from me because he does not do it around the doc, or anyone else. IMHO his constant moaning and groaning is cruel and unusual punishment on me.

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Profile picture for bluesky221 @bluesky221

@kartwk Your journey sounds exactly the same as what I went through for the last 8 months. It started out with the confusion, forgetfulness, accusations, trouble with conversations, inability to use the TV remote or his phone, etc. Progressed to not showering, shaving, trimming nails. Sat all day watching westerns on tv. Then finally stopped eating, gradually losing 100 pounds, lost all his muscle mass, had trouble walking, many falls.

He didn't have a diagnosis, and by the time his PCP realized something was wrong, H refused to leave the house to get an MRI or see the neurologist. We didn't get a diagnosis until we landed in the ER, where they were finally able to do an MRI: end stage vascular dementia. One month later, he passed away.

For the last eight months we fought, argued, threatened divorce, etc. Now I realize he just couldn't help himself. Now I have regrets: if only I had known had bad his condition was; if only I had managed it differently; if only I had realized how fast this was going to progress.

The key to the diagnosis was the MRI, which showed extensive white matter damage. There's nothing at that stage that they could have done to stop it or slow it down, but at least I would have known. And there are medications that can help to some extent with his depression, anxiety, paranoia.

Through all of this, his PCP was not helpful at all. I couldn't convince him that H needed help. Now I realize that I should have tried harder to have him seen by a neurologist much earlier in this journey, when I definitely knew something was wrong.

If his PCP refuses to do a referral, maybe you can meet privately with the PCP and explain all the symptoms that he's been having, and how they are progressing. Or try to get a second opinion. A last resort is ER, where they can do all the necessary tests and consult with the appropriate specialists; but be sure to stay with him throughout his time in ER, where his symptoms will likely take a steep downturn.

You're in the most difficult journey of your life. It's a journey none of us wanted, but you will get through it. Be kind and forgiving to yourself.

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@bluesky221 Please don't feel guilty. Could have and should have need to be eliminated from your vocabulary. You did the best you could. You are an inspiration.

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Profile picture for theglobalnomad1 @theglobalnomad1

@kartwk How, barring a scary episode like you experienced, do you actually get them off the internet and to stopping accessing the bank accounts? My husband is in the early stages of AD and still drives and handles his own and our joint bank accounts, but the using the computer and his phone is getting more and more difficult. Reading everything that can happen with scams, viruses, hacks, etc. is frightening and I would like to pre-empt something happening, but he's convinced he doesn't have a problem and when he forgets a password or has trouble logging in to something, he just changes it (sometimes successfully, sometimes not!) and then has no idea what to do. He blames the tech, of course, and when I try to help him he barks at me so it is a struggle each time. I want to keep letting him handle as many things as he can for his own self-esteem, but I do worry about financial matters and tech security. And I worry about his anxiety that he's losing his abilities. It is a tightrope I didn't expect to have to walk, but am trying to be compassionate AND secure.

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@theglobalnomad1 Since you have joint bank accounts, remove the money a little at a time and open an account in your name only. Then monitor the joint account daily or put a warning on it.

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Profile picture for theglobalnomad1 @theglobalnomad1

@kartwk How, barring a scary episode like you experienced, do you actually get them off the internet and to stopping accessing the bank accounts? My husband is in the early stages of AD and still drives and handles his own and our joint bank accounts, but the using the computer and his phone is getting more and more difficult. Reading everything that can happen with scams, viruses, hacks, etc. is frightening and I would like to pre-empt something happening, but he's convinced he doesn't have a problem and when he forgets a password or has trouble logging in to something, he just changes it (sometimes successfully, sometimes not!) and then has no idea what to do. He blames the tech, of course, and when I try to help him he barks at me so it is a struggle each time. I want to keep letting him handle as many things as he can for his own self-esteem, but I do worry about financial matters and tech security. And I worry about his anxiety that he's losing his abilities. It is a tightrope I didn't expect to have to walk, but am trying to be compassionate AND secure.

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@theglobalnomad1
Much of what you said pertains to our situation…I’m terrified about scams etc, but trying to preserve self-esteem makes it a very tricky situation!!

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Profile picture for gilkesl @gilkesl

@bluesky221 Please don't feel guilty. Could have and should have need to be eliminated from your vocabulary. You did the best you could. You are an inspiration.

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@gilkesl
Thank you for your kindness. That's what I tell myself too, but the memories keep coming... I try to hold on to the good ones, and let the bad ones go. I still feel his presence beside me and that he doesn't blame me for anything. He always worried about me, and told me he was sorry that he had to leave me all alone. I know he's waiting for me, and wants me to carry on the best I can.

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