| March, 2014 |
My sister and I live in horror of medical proceedings. I think any normal human should, but, when you have a 90-year-old father with AD and an 84-year-old mother who has a serious cardiac condition, it is worse, trust me. My sister and I monitor everything going on with them. It is exhausting, annoying, and can make a person want to lose their temper on a regular basis, but it is necessary. I don't think I can stress how necessary this is. It is critical to anyone's survival, but when dealing with seniors, it is even more important. Now that the details about the incident leading to the death of Joan Rivers are finally becoming public, as the daughter of a woman her age, I am horrified.
I am also quite angry. During the spring, when my mother began developing late stage signs of digoxin toxicity, and was placed in ICU, someone put a DNR bracelet on her. DNR = Do Not Resuscitate. They were also discussing the fact that she was in congestive heart failure. The ICU doctor said that she was having a heart attack. My mother was in a panic. When we discovered what was going on, I had to go total bitch on everyone to get the directive changed, including threatening legal action. That's the real problem, I think for anyone dealing with any medical crises, even when it isn't a crises. You must have someone with you who has emergency POA. (Power of Attorney). You need a medical directive. Depending on where someone is, you don't leave them.
We're dealing with a medical procedure on Oct 2. My mother has a serious back problem brought on by living, falling off a few horses, breaking a few things, and just life in general, along with osteoporosis and osteoarthritis. They will give her a local and inject something into a nerve on her spine, to deaden the pain. If it works, they go back in and do a more complicated procedure. It should not be a problem - if you don't have a pacemaker, or on blood thinners. Then, because of her age, and her medical history, we hold our breath.
I can't imagine allowing someone who was the age of Joan Rivers go into a medical procedure, where she is not being supervised by someone who has total control over where is going on. I can't imagine a physician taking it upon himself not to contact a family member to tell them what they are going to do. Sure, in a triage situation, we've been there and done that, but not for a biopsy. If I were Joan Rivers' daughter, I would be ready to destroy a few people. Knowing how angry I was after the home health care debacle on the Fourth of July, just compounding it by what she is going through, and I'd be highly litigious.
I was reading about a physician who was sentenced to a major prison term, for scamming patients who were dealing with cancer. There are times when physicians are scamming, then there is incompetence. There are times when you wonder which is which. I'm still not sure if what we were dealing with this spring and early summer was incompetence or a scam. I am fairly certain we are looking at a Medicare scam. Home health care companies get something like $250 a pop when dealing with elderly patients - at home.
The more visits they make, the more money they get. The more tests they give, the more money they get. They cannot do home health if a person is not confined to the home, as an invalid, so they were literally turning my mother into just that. We put a stop to it. Unfortunately, around here, we're dealing with an out of control corporation where the visiting nurse is ruining lives and families. I figured out what was going on and had my mother terminate them. When doing so, I discovered they were treating her for Congestive Heart Failure, only 1/2 of her heart working at all, and she was listed as terminal.
One nurse wanted to have her to go bed, asked how she was going to "dispose" of my father, and would she allow the health care company to make end of life medical decisions for her. My mother was in a panic. Fortunately, she did a trip to her cardiologist a few days later. She has a-fib. She has a blood pressure problem and my mother, the ultimate food Nazi has high cholesterol.
She is NOT terminal. She is not in the final stages of congestive heart failure. When she has problems eliminating fluid, she can go into the early stages of CHF, but it is stopped by diuretics. The physician who assigned the home health care program lied about her condition. I think he did so in order to make more money.
I know of a local family who is dealing with with what we are, a 90 year old man with AD. One daughter is the care giver, the other helps financially. Trust me, things get a little testy. I've screamed at my sister a few times. She's hung up on me. She's cried, I've had melt-downs. But - it's family. We do that. We also agree 90% of the time. It's that 10% which gets a little testy.
This is what happened with the man's two daughters. The same home health care nurse who was turning my mother into an invalid, taking over her life, stepped in and sent social workers to the house, to take this man away from his daughters, who were being 'abusive'. They were horrified, and eventually kicked them out of the house. This is what is going on here. It is enough to make every family member beware and be terrified of home health care. The worst of it, is the fact that these people are paid by Medicare. BUT - those of us who have given up our lives, aren't allowed to get half of what these people get - we go broke. We lose our life savings. We put our lives and careers on hold. At least 65% of family care-givers in this country are women. I suspect if the numbers were the other way around, and 65% of the care givers were men, family care-givers would be eligible for a nice little stipend.
That's my tale for today, and I'm sticking to it. On Tuesday, I was up until about 1AM doing a couple casseroles for the parents. I have a bad habit of cooking late in the evening. I didn't get to bed until around 4AM, and didn't fall asleep until around 6AM. The phone calls started Wednesday morning around 11AM, and continued until 2:30. I spent hours arguing with an idiot in a doctor's office, that basically took up about 4 hours of the day. By the time I finally reached the parents' home, it was nearly 8PM. We had dinner, then I watched Top Chef. It was after 11PM before I finally had the kitchen cleaned. I didn't even hit the blog until after midnight. I had an hour long nap around 7AM. Finally limped home about 1PM. Fell asleep at 3PM. Was up by 7PM.
I'm tired. I dare anyone to say I'm having a life. I'm not complaining, but, if the Feds are so willing to pay money grubbing, and cheating home health care professionals so darn much, why not give family members half of what the money grubbing corporations are paid, and let us truly care for the parents the way we know they need to be treated.
Anyone who thinks this is a poverty issue is wrong. If your parents are unable to afford a Medicare supplement and qualify for Medicaid,you can get a couple hundred dollars a week to care for them. If you have anything at all, and want to utilize a care facility, you cough up a fortune each month or must be declared destitute, losing everything to get into one.
If you are wealthy, no problem. This is a middle class problem - a middle America problem. You know - we're the ones who constantly get the shaft. It is so wrong that men and women who have worked hard, been the Greatest Generation, paid a fortune in taxes, and done what was right, must now suffer - because of the stupidity and draconian rules of the Feds. I don't expect it to change any time soon.
All rights reserved, SJ Reidhead


Friday morning, I saw a headline from The Hill. 

My father turns 89 today. I don't even know if he realizes that he has reached an age that few men in his family achieve, other than his Uncle John and Uncle Dave. Most men in his family have a tendency to stroke out in their early 70s. We caught the strokes when they began occurring. If medical science had been what it was today, his father would not have died so young. He's heading into his 90s today. We wonder if he will ever become 90.
My father has Alzheimer's Disease. All my life, he has been the Birthday Boy. His birthday was always followed by Father's Day, thus requiring a week long celebration of him. It was all in good clean fun. Every year there was a huge picnic, with no fewer than 50 guests. The menu was always the same: BBQ, corn, scalloped potatoes, baked beans, garlic bread, cole slaw, and the chocolate cake with white icing that my mother has always made.
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My Father & His Brother
It was weird. He couldn't explain it, and he was extremely lucid, with no other real symptoms other than becoming a little confused with directions, and constantly losing his wallet (while we were traveling).
If I had known then, what I know now, things would be a heck of a lot different for our family. We could have caught the lying scumbag of a broker who cheated him out of over half a million bucks, cold cash. We could have caught the man's assistant when she appropriated a quarter of a million in cash for her own personal use. But, we didn't know to watch - I didn't know to watch out for the finances.
That is the worst part of Alzheimer's Disease, not catching it in time. If you do, early enough, and start B-12 injections every three weeks, there is a 46% chance you can either slow the development of the disease or even stop it in its tracks. I swear we managed to slow the development of the disease by several years with the injections. He's just now going into early Stage 5.
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2011[/caption]
It's so simple. All that is needed is a special color imaging CT scan that literally layers the brain. It can catch the development of the disease a good 10 to 15 years before symptoms began showing. This is critical in stopping and slowing the onset of the disease.
Having lived with this for three years, now, I swear the worst part of Alzheimer's Disease is the fear that someone you know has it, and then avoiding the diagnosis of it, until it is too late. There's going to be hope in the future. By the time we Baby Boomers are entering that phase of our lives, there are going to be exciting new treatments. We already know enough, that, if you have a genetic pre-disposition to the disease (and only about 6% of the population does), you have hope. You can't fight it if you remain ignorant.
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2010[/caption]
My father's is the only case we can find in our family. I've been doing genealogy for nearly 25 years, and have his family literally back to Adam on all but his great-grandmother Miller's side. There is no sign of it, at all. My father had the first diagnosed case of Lyme Disease in South Carolina. That was the year before my oldest niece, Rachel, was born. There are now major indicators that those who have had Lyme Disease will most likely contract Alzheimer's. The indicators are so strong, I have a friend whose 23 year old daughter is already on the B-12 injections and the anti-Alzheimer's medications.
There are such stupid assumptions out there about the causes of the disease. It is not caused by:
1952[/caption]
I think we're probably going to find that there is a chemical component to the disease, the same way there are now indicators that some cases of Parkinson's Disease may be caused by exposure to certain agricultural and petro chemical components. It is also caused by brain injuries.
I hear people lament the fact that their loved one has the disease, how they hate it. I don't hate it. The real problem we have with Alzheimer's Disease is approaching it like it is some shameful condition to be hidden with the sufferer put away in an institution, to simply wait to fall, break a hip, and die.
It's a disease, no different from cancer. People who have it should not be locked-up, unless they are violent. My father, when told that he had it, said he wanted to go out and do things until he started drooling. So, he goes out and does things. There is one specific restaurant here in town that he likes. The meal process now takes 2 hours. He would once wolf down his food. Now it is agony, sitting there, putting up with the slow pace. If a server takes our plates, he will stop eating. This has led for the most tense moments we've had with the disease. You keep your plate, and pretend to still be eating.
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No, that's my sister, not Jan Brady![/caption]
My sister, her 3 children, and the baby arrived on Monday. We will all be together this one last time. That's the best part of this. We know the end is coming. We know that this is the last year he can easily and readily participate in his birthday. We have the blessing of knowing that every moment counts. There will be lots and lots of photos. I'll be castigated for not downloading the last set of baby photos out of my camera. (I found a way to get around that one - saving them for Rachel to put in her lap-top).
We're lucky. We know what is coming. You count your blessings, and know that it's not going to get any easier. My mother is the one who is having the difficult time of things. She's the one living with it, day in and day out.
I think she's learning how to laugh - I hope.
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Heading to the South Pacific[/caption]
It's not easy, but neither would be cancer. I swear I don't know what the difference is with this and
any other debilitating disease. There is no reason for shame, or to hide my father from the world. He interacts so well with people. It stimulates his brain. He is happy. I'm not going to take that away from him.
Funny, I'm writing this a few days ahead of time so I can do other things. I'm not even crying about it. The difference in his appearance is startling. The photo with him in the red shirt was taken on the parent's 60th, 2 years ago. He's now developing that look of what is going on here. It's sad. Then, he comes up with something hilarious, showing us that he's still there.
We know what tomorrow brings. We know this will be his last real birthday. Very few families are blessed enough to know to treasure that last time. We are.
All rights reserved, SJ Reidhead