Changes – Alzheimer’s in the Family

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Last Monday the TB test was read and is negative. We left the beach and went back to Newton Grove that afternoon. Mom was a little angry with me but I really didn’t know why. She seemed indifferent about being back at her home .

On Tuesday Glenda and Eugene stayed with mom so that I could pick up her FL2 form from her doctor. I really appreciate their help and support during this journey. I left the doctor’s office and went to Day Spring to complete almost 3 hours of admittance paperwork and to see mom’s room.

Everything went well and on Wednesday, after mom’s hair appointment, I took her to Smithfield’s BBQ (her favorite restaurant). We then left for Day Spring. I didn’t tell mom where we were going until we were on the way. I had agonized about telling her because she just wants to stay at home.

My voice trembled and tears filled my eyes as I told her that I could no longer care for her and keep her safe. I told her that it was an honor and privilege to care for her and that I loved her very much.

In the moment of lucidity she replied that she understood and that she loved me and she would adapt. Wow. She was matter of fact, no tears and full of acceptance. Prayers were answered. We talked about the place and how I would take care of her house and she was completely ok.

When we got to Day Spring, Ray was there to help us. He knew I was moving her in alone and he was simply there to help. It gave me such a sense of relief. It was good to have his support.

The director came out to greet mom. She had come to Myrtle Beach to do mom’s intake the previous Thursday but mom didn’t remember her. Mom did, however, hug her neck. We took mom in and she commented on how nice the place was. She was very animated and happy.

When we got to her room we discovered that her roommate was someone that went to school with her at Westbrook and mom has known most of her life. They had an emotional reunion while I set up moms side of the room. Clothes and books put away, feminine comforter and shams for her bed and heart garland and pix for her wall. Unfortunately, I didn’t get any pictures while there.

While setting up the room Ray and I noticed that my hands were trembling terribly. I guess it was all the anxiety of placing mom coming to a head. I didn’t stop trembling until later in the evening.

Mom was such a social butterfly and making friends. It was totally out of character for her. She was ready for us to leave so she could visit with her new friends. She said, “Just come see me sometime.” Then she was engaging with her new best buds. The move in could not have been any better.

I have not visited since move in day. I was advised to wait at least 10 days so she could settle in. I have called and talked with the memory unit manager and she assures me that Miss Joyce is doing great and engaged with new friends and participating in activities. I find this simply amazing as she has been so introverted over the last year and showed no interest in anything. I consider it divine intervention. All this reinforces that the decision to place her was the absolute right one. She is flourishing.

In the meantime I have slept in my own bed for the first time in over 8 months. I’ve slept from 9 pm to 9 am. I’m feeling some better physically. I start my doctor appointments on Wednesday to figure out what is going on with my heart and other issues. I’m hopeful that these issues are reversible with the major stressors removed.

I’m in the process of adjusting to yet another new normal. Hopefully one with a lot less stress.

Also, I was asked to tell folks that if you send cards to mom, please don’t send cash or checks, just cards. Also, we are asking folks not to visit before next weekend so that mom can settle in. We thank you all for your love and care.

More later.

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The Time is Nigh – Alzheimer’s in the Family

We have been at Myrtle Beach since 12/27. It has been quiet and mom has been on a plateau since her hospital stay. She is physically doing much better. Mentally she has become worse since Thursday. There is a notable decline. She is back in 2001 and she is very confused.

Our home health care provider (hhcp) started last Monday and she is great. Mom thinks she is sweet. Elisa is coming Monday, Wednesday and Friday for 5 hours. This has allowed me to get out of the house to meet friends, run errands and go to Urgent Care. She actually got mom to start a painting of bluebirds and trees and they made friendship bracelets. Mom hasn’t done anything like that for months. She won’t even attempt it with me. New face = new person to please.

When I returned on Friday, Elisa talked with me privately about mom’s mental decline over the past two days. She had a hard time with her as she went to a dark place about my father and wouldn’t redirect. Elisa eventually took her out to the patio in an attempt to change the mindset. Mom was and is in victim mode again. Sad to say.

Tommy, mom’s brother, and David came to visit and spent an afternoon with us. It was a good visit but mom seemed lost. She didn’t remember that Gayle had died and asked Tommy about her. We have decided to tell her a fiblet. We will tell her that Gayle is in Michigan, which she is, and avoid her grieving afresh each time she learns that her sister has passed.

This week I got a call from the memory care facility. The director came on Thursday to do the intake paperwork. They have a bed for mom. The two ahead of her are male and a female bed was open. We got mom’s TB test today and I pick up the FL2 on Tuesday and hope to move mom in by Thursday.

This couldn’t have come at a better time. I’ve been experiencing extreme fatigue and have no energy. Ilona kept mom for me to go to urgent care on Sunday. I had my first ever abnormal ekg. I was diagnosed with left branch bundle block but the doctor said that wouldn’t cause the fatigue. The bloodwork and ekg results were forwarded to my Primary care physician. I am being referred to a cardiologist and internist. Hopefully, we will get to the bottom of it soon. It just reinforces what 3 of mom’s doctors and my doctor said about placing my mom and preserving my health.

I had included in an earlier blog that 40% of caregivers die before their patient. That figure has been recently updated to read 60%. It’s time for placement and I’m so happy mom is going to a 4 out of 4 star facility with no deficiencies in over 10 years. One of the best in NC. They also have memory care therapy, which is very important.

I have mixed emotions about placing mom but I know in my heart, mind and soul that it is best for both of us. I have worried that something would happen to me and mom would become a ward of the state. Not a good thing. Having her placed and the funding in place will prevent that from happening.

This journey is long and hard. I’ve come to realize that when one does their very best, that’s all that one can do. I have learned not to beat myself up over decisions made. The priority is keeping mom safe, secure and cared for.

As always, more later.

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What Day is This? Alzheimer’s in the Family

We went to Newton Grove on 12/20 and stayed until 12/22. We went to Oak Grove Church on Sunday and then to Smithfield’s BBQ for lunch with friends. Everyone was so excited to see mom and she received many good hugs. After lunch we visited with Zona, mom’s lifelong friend for most of the afternoon. It was so good watching them interact.

When we got to mom’s after visiting Zona, I saw that a panel of the storage building was pulled out enough for a person to get through. I went out there and got spooked so I called Larry to come over before opening the building. We discovered that someone had been in and drawers to dressers had been left open. We closed the panel and that was that. I might add that I awoke around 2am to the sound of metal scraping. I didn’t see anything and went back to bed. Now we know what I heard. It’s a sad state in this country when people violate your space when you are home.

After Larry left, mom and I went to my daughter, Jeremi’s, house to stay through Christmas. We had a wonderful visit and mom did pretty well. Mom was taking the travel really well. She retreated into her books but she was in the room with us. She got showered with a lot of love.

I made sugar cookies with the girls, which was a huge deal for all of us. As we were making the cookies Ansley said,”I haven’t made cookies since Memaw died.” She then asked if I was making new memories with her. She is 6 years old. We talked about Memaw several times during our stay. Ansley just misses her so much. Hope is missed by everyone as she was such a dear soul.

My son, Amos and his family came over on Christmas Day and we had a lovely time. Good fellowship and lots of good hugs. Overall it was a good holiday.

Mom and I went to her house on the 26th and visited with family and friends. We came back to the beach on the 27th. It’s good to be back at the beach. The parts have come in to fix my storm door that was broken in a breakin attempt. I will install the parts tomorrow.

It has been quiet at the beach and we will be spending the bulk of our time here while we wait for her space in memory care. Today I hired a home health aid who will start on Monday for three days a week. I’m looking forward to the help. Of late I’ve felt depleted and have been suffering from some depression. I’ve been the only caregiver 24/7 for the last 7 months. I’m just not able to do it much longer. The memory care facility believes they will have an opening for mom soon. I hope they do.

Mom does not want to go but it is beyond me to keep her safe. That said, she doesn’t listen to me like she will anyone else. It’s normal but hard. This journey is full of ups and downs. It doesn’t matter how much you love someone, the reality is that you must love them enough to do what is right for them. Sometimes that includes placement.

More later.

Tis the Season – Alzheimer’s in the Family

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Mom had a recheck with her PCP and Cardiologist within a week of being released from the hospital. We reviewed new medications and mom was completely checked out including EKGs and bloodwork. Her cardiologist agrees that she did not have a heart attack but the higher Troponin levels were due to her acute kidney failure at admission. Mom seems to be doing better physically but she continues to be extremely confused.

The cardiologist took a long time with us and actually commented on the good care that I was giving mom. It was good to hear as the last several weeks had been so hard. Validation, I’ll take it when I can get it. So far all of our doctors have been extremely supportive of our care plans and I do appreciate that.

Mom has been eating more due to medications to stimulate her appetite. She has leveled off at 152 pounds and we hope to maintain this weight. I’m still having difficulty in getting her to drink enough and have been adding liquids to foods and freezing Pedialyte and probiotic juices to keep her hydrated. We don’t want to take another trip to the hospital due to dehydration.

Mom has been feeling so much better after getting hydrated at the hospital. Now that she is eating more she is not as physically depressed. She says she is getting well. She still retreats into her word find books, her safe place, and it’s hard to get her to talk or interact with me. She has also been a lot easier to deal with and she doesn’t seem to be as angry with me. I’m thankful for that gift.

She also thinks she is superwoman as she is feeling better. Yesterday she quickly hopped up to Rollate to the kitchen and came very close to a spectacular fall. I couldn’t get to her but she recovered and didn’t splat. We had a discussion about her continued issue with being a fall risk. She is stronger but she is wobbly because of many factors, including her spatial vision being off due to the disease. She promised to be more careful and she will until she forgets.

We came back to the beach on 12/8 and it has been so pleasant here. Mom seems content and I’ve engaged her in ordering Christmas gifts for the grands. She was very animated and happy. She actually put a couple of ornaments on the tree before she sat in her chair to supervise. She has been smiling more too. We have been creating beautiful memories with my mom. I’m grateful for this. Precious time.

On Tuesday 12/10 I got my 1st full day break in over 6 months. Ilona kept mom and Ray took me to Charleston to see the Mary Whyte, We the People art exhibit. We toured the battery later. It was beautiful and all the old homes were decorated for Christmas. We ate at Fleet Landing, over the water. It was a wonderful day and I came home recharged.

It was a good thing I was recharged because early last Wednesday morning there was a bumping around the back bedroom windows. I turned on the lights to check it out and the sounds stopped. I kept my phone in my hand and went back to bed. About 30 minutes later someone was trying to come through my side door. The storm door was open and it sounded like someone was trying to shoulder through the steel door.

I calmly called 911. The dispatcher kept me on the line until the police came. They arrived in 2 minutes. We ended up with 3 police cars and 5 policemen. They secured my home and filed a report. I have never had this type of problem at the cottage so I was a little unnerved. My storm door was broken but that is the extent of the damage. It concerns me that we were home when this occurred. Mom, bless her, slept through the whole ordeal. That is considered a blessing.

Wednesday was not a good day. Several things happened that exponentially increased my stress level. I’m just mentioning it to say that life continues and even though you think you can’t take anymore, somehow you can and you push through.

I’ve have been dealing with a few days of second guessing, over thinking and depression. I understand that it goes along with having Alzheimer’s in the Family. When I brought mom home from the hospital she demanded that I take her to her home and leave her. She was ugly about it. She absolutely can’t be left alone for any period of time. I finally told her that her disease didn’t just affect her, that it affects the whole family. I told her that we were stepping up to care for her and do what’s best for her. I told her the truth about sacrifices being made. I’m glad we went there because she has changed her attitude and has become happier and more cooperative. I hope it lasts.

We are on a plateau right now and we take it one day at a time. She will crash again as that is how this disease works. I talked with the memory care facility and they believe they will have space for her in January. They’ve asked for a list of her favorite music as part of the therapy is music therapy. We hope that they can get her back to playing the piano and singing. They are going to work with her to see if they can interest her in painting again. She has quit all these things and shows no interest.

This is a long journey. We take each day as it presents itself. I am thankful for family and friends who are traveling this road with us. A special thanks to Martha for sending mom the Gladly the Cross Eyed Angel. She loves it.

More later.

Tis the Season -Alzheimer’s in the Family

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Mom has been doing better since her hospital stay. We’ve had follow ups with her cardiologist and PCP. They say she is doing okay and that I’m doing a good job caring for her.

Her hospital records indicated that mom was in acute kidney failure when admitted. The records listed Alzheimer’s and A-Fib as 2 and 3 in order of illness. There were 12 other issues that were also being treated.

We have 3 new medications. One is given only when her heart rate exceeds 100. Metoprolol is given as needed. She gets Megace twice a day to stimulate appetite and Remeron at bedtime which helps her sleep but also increases her appetite. Win win.

Since starting the Remeron mom has slept through the night. Hallelujah! She is more rested and she is eating more. The goal is to stabilize her weight where it is. I am hopeful. We still have difficulty getting her to drink enough. If she dehydrates again it’s another trip to the hospital. All the doctors have told us that if she wasn’t overweight at the start of this that we would already have lost her. It’s good to have some reserves. Mom has gone from 220 to 154 since last January.

Mom continues to be extremely confused. She has lost the last 7 months of her life. She tells doctors that she lives alone and takes care of all her business. She told them she was visiting me for Christmas and got sick. None of this is true. While she is feeling better after her hospital stay, she is very tired.

We are taking one day at a time. It is all we can do. My goal is to keep mom safe and hydrated. This is a huge task. I also hope to get her placed in memory care before we have major issues at home. Every day is a challenge. I am suffering from burnout and it’s affecting my health. I do get breaks here and there but not enough to recharge.

I hope to bring in home health for 3 days a week for 4 or 5 hours each day. I’m screening people now. It’s a process to find the right person. Hopefully mom will accept their help. I have business issues that have been languishing and also need to get Tom’s estate finalized. It’s been over three years since he past. Most days I feel stressed at all of the responsibilities. Sometimes I just have to let things slide. There is only one of me.

Before I close I’d like to touch on the feelings of guilt. I try hard not to feel guilty about choices. Hell, I’ve been in therapy to learn how to not feel guilty. That said, mom always said she wants to stay at home. Not possible. She says that I might as well put her in prison when I just keep her safe. Examples: she can’t take her Rollator up and down steps. She can’t walk without assistance and she tries. She also can’t handle knives or other sharp objects. I am conflicted but do not feel guilty for the choices I have to make.

Making the choice for memory care was hard. Mom will resist but she will get stimulation and be in a program that will help with her situation. The one I’ve chosen also does music therapy as it’s very productive for Alzheimer’s patients. They’ve already asked for a list of what she likes to listen to.

Some have said that I can do all this at home. It doesn’t work that way. Mom will not listen to me. Many days she won’t communicate with me. She tries to please others and authority figures. Her life will be richer than what I can provide. I can go back to being her daughter instead of a 24/7 caregiver. We both can live a more meaningful life.

I guess what I’m trying to convey is this: many love my mother. Many spend about 15 minutes with her about once a month. Some of these people keep telling me I need to keep her in Newton Grove or how hurt she would be if I do xyz. While I appreciate that you love my mom, just stop it. It isn’t your life or your decisions to make. It really doesn’t impact you in any way and I don’t succumb to guilt.

Rest assured that I’m doing the very best for my mom. I am driven simply to make decisions based on her safety and enrichment. I love her dearly and seek only the best for her. Sometimes that doesn’t include keeping her at home.

More later.

Holidays and Hospitals – Alzheimer’s in the Family

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Thanksgiving was a beautiful day here. Lots of southern farm table traditional foods with my personal twist. Good company with Ilona, James and Richard stopping by for a plate. It was a feast and mom actually said the blessing and participated in the ” what am I thankful for” discussion. She didn’t eat much and retreated to her chair while the rest of us visited. It was the best day.

Friday morning I went to wake mom around 9:45 AM. She was lying on top of the covers in a fetal position and she was moaning. Her voice was a whisper when I tried to check her out. I couldn’t sit her up nor get her up. Her vital signs would not register and I tried 3 times. I immediately called 911.

Rescue arrived in 7 minutes and in the meantime dispatch told me what to do until they got here. Travis and Kyle, with HCFR, were wonderful and got her transported to Grand Strand Hospital ER. I was afraid that she was dying.

When I went back to the ER mom had several professionals working on her. Many tests were run while they provided supportive care. Early on they thought mom had a mild heart attack. Her heart enzyme Troponin was elevated which indicated a heart attack. She had cardiac and several other consults. By Saturday they decided it wasn’t a heart attack but her organs had begun to shut down which caused the Troponin to leak into the blood stream.

We had struggled to get mom to eat and drink for several weeks. All her doctors were aware. Her collapse was due to dehydration and malnutrition. When she was admitted to the hospital her kidneys were badly affected. The supportive therapy, this time, is reversing the adverse affects.

Amos and Jeremi, my kids, drove down Friday to provide support. It was comforting to have them here. We had some good discussions, which were really needed. I appreciate them so much.

Saturday mom was more alert, probably because Amos and Jeremi were here (and she’d had a few bags of fluids, etc.) She introduced me to her doctor as her mom. She couldn’t get the right word and that doctor had been in several times before. At a later time she introduced her grandchildren as her niece and nephew. I believe she knew who they were but she couldn’t get the right word.

By Sunday mom was feeling better and alert. She had cardiac, physical therapy, speech, nutrition and other consults. Many were involved in her care. Each and every one of them were phenomenal.

Mom’s best friend of 69 years, her minister and his wife drove 3 hours to see her on Sunday afternoon. They brought a beautiful flower arrangement from our friend, Mary. Mom had a good visit and was animated. She was extremely exhausted when they left.

On Monday two doctors took me outside of the room to speak with me. One doctor advised me on getting home health aids until we can get her placed. He told me to spend every bit of her money on help.

He also told me my life was going to get exponentially harder. He said hers wouldn’t because she wouldn’t remember. He was a kind soul and at the end he gave me his card and told me to call him anytime day or night with concerns. Wow. I cried.

The other doctor also expressed similar concerns and paged and expedited different orders when mom was becoming agitated. The professionals at Grand Strand are a step above the rest. They got mom to eat and drink and they handled her beautifully.

Mom got a total of 8 bags of fluids. She also received a bag of broad spectrum antibiotics as they thought she had an underlying infection due to her skin picking. She was released Monday evening after 6:30PM and we were home by 7 PM.

She has been a little more confused than normal. She couldn’t understand why we brought her all the way from Newton Grove to a Myrtle Beach hospital. There was no way to explain it so that she would understand. It’s ok. It is what it is.

She is also angry with me because I won’t take her back to Newton Grove and let her live alone with people just checking in on her. She will never understand her situation and can’t remember that the doctor has ruled that she can’t live alone nor drive. It’s frustrating. She told one of the doctors that she lives alone and was visiting me when she got sick. “Ain’t that a note!”

Today she asked for her checkbook. She hasn’t been in control of her finances since October 2018. I let her see it and she wanted to write me a check to pay for my “troubles.” I told her again that she can’t write checks and that her money could only be used for her expenses at home and her health care. So here we sit with her angry again.

I would be lying if I told you that this journey isn’t excruciatingly hard. Watching your loved one disappear into an abyss slowly and piece by piece is heart breaking. This horrid disease affects the patient, the family and friends. The kicker is knowing that no matter the sacrifices and actions that are taken, the outcome will be the same.

Thank you to all who are following this end of life journey. I hope it helps in some way.

More later.

Thanksgiving With -Alzheimer’s in the Family

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What a week. My cousin, Richard, drove in to see mom. A 10 hour drive from Memphis. Richard is Aunt Gayle’s son. Aunt Gayle is mom’s younger sister who passed with complications of Alzheimer’s Disease the first of June.

From speaking with her immediate family I have discovered that their journeys with this disease are very similar.

Mom remembered Richard even though she was having a very bad day. She still isn’t really eating and she is very weak and wobbly on her feet. I think we are nearing a time to move up to a wheelchair. She is in constant risk of falling.

Mom did enjoy Richard’s visit and he was so good with her. We’re glad that he came.

Mom is still having a bad day today. Still not eating and a new twist, she hallucinated today. She saw butterflies coming out of the wall in her bedroom. She said she wasn’t afraid but it scared me. None of the meds that she is on cause hallucinations.

I called her primary care physician (PCP) and they returned the call promptly. They said it is most likely her advanced Alzheimer’s but that for piece of mind I could take her to the ER. She said they might check for an infection such as a UTI but most likely, with her history, they probably would not do anything. My support group indicated the same. I did get tips on how to handle hallucinations if we have them in the future.

We are still going to try to have the Thanksgiving celebration here tomorrow afternoon. I don’t know if we will make it to the family celebration on Saturday. We will see how she is doing before we make the trip.

I have been emotional today, realizing that this is most likely our last Thanksgiving with my mom. The way she is declining I don’t know if she will be here for Christmas. It’s heart breaking. We just do the best we can.

I don’t think we will have many more mobile days as mom really is having trouble walking with the Rollator. A wheelchair is next and there is a high likelihood that she will be bed bound in the not to distant future. I am hoping that a bed opens in memory care soon. She is almost at the point that I can’t keep her at home. I’m tired and I can’t keep her safe.

While all this is going on I do want to give thanks. Thankful to have this time with my mom. Thankful for my family and friends. Thankful for the life the universe has given me. Have a blessed Thanksgiving.

Withering Away – Alzheimer’s in the Family

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We are back at Myrtle Beach as of Saturday afternoon. It has been a hectic few days. Mom is on the waiting list at Day Spring and there are only three ahead of her. That is good news.

We are waiting on the confirmation letter from social security before we can open an application for aid. This will be the second attempt and it takes weeks because of the bureaucracy. In the meantime if a room opens up it will be self pay until the applications is filed. We are hopeful.

Mom has lost 5.1 pounds in 8 days. Today she ate 1/2 serving of yogurt and 2 bites of a sandwich . She asked me to please not feed her anymore today. She just can’t eat. It’s sad to watch and be totally helpless to help her. This disease is devastating.

I got to take breaks on Saturday and Sunday nights thanks to Ilona taking care of mom so I could get a much needed rest. Thanks to Ray for the company and the movies. I appreciate both Ray and Ilona so much. My friends and family make this journey more tolerable.

I’ve been cooking for Thanksgiving today. We are having what I call an orphan holiday late lunch at my house, for people who can’t home or don’t have a home to go to. Mom has been instructing me about the food, but bless her, she can’t remember and can’t help. We laugh and carry on. We will be spending the weekend celebrating Thanksgiving with family.

I really don’t know why but today has been a weepy day for me. I’ve cried at the drop of a hat. Maybe I just need a cleansing cry. These days have happened every few weeks in this journey so I just go with it and then it passes.

So now for thoughts about action plans for both young and old. Trust me, if you do these things your family will have an easier time if one becomes incapacitated for any reason.

– make a living will and have it notarized and/or registered with the clerk of court

-create a durable power of attorney, if you have this in place your wishes can be legally followed

a. name someone you can trust and alternates as POA

b.covers medical, real estate, investments and other issues

c.use an attorney and have it filed with the clerk of court

d.it isn’t expensive

e.your family will be grateful

-create a list of assets: life insurance, financial accounts, real estate, jewelry, cars, anything of a positive value/include account numbers if applicable

-create a list of liabilities/bills/people you owe. Include account numbers and phone numbers

-get long term care insurance (if you are younger the premium is very low, if older it can be expensive) it will protect your assets if you become incapacitated

-avoid the mindset that it won’t happen to you or that you have “lot’s of time”

-if you notice a family member in decline don’t wait too long to intervene

I will be adding more to this list soon. It is really important to address these things to avoid delays and hardships in getting things that you need. While it will not remove stress it will reduce stress and frustrations to your loved ones when they are trying to help you.

My journey with mom has been stressful and frustrating because many of these things were not done. Also, in hindsight, she was making bad decisions for the last 10 years. It tells me that she was astute at hiding her fading memory. Unfortunately, doctors don’t make a diagnosis until they can no longer handle finances or get lost while driving. In my opinion, by this time your loved one has been in danger for way too long. This needs to change.

There will be more later. Have a wonderful Thanksgiving. We intend to here.

Patience, not necessarily a virtue- Alzheimer’s in the Family

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We came back to mom’s house in Newton Grove on Sunday, November 17th. Mom was happy to be home. I paid bills and caught up things at her house. She sat in her chair and read the newspaper over and over with no communication.

Monday my daughter and grands came to see us. Ansley skipped school to come and it was a special day. Ansley is six and Hayden will be 2 next week. Hayden has been jibbering a lot but on this visit we could understand a lot more of what she said. When she got here she ran to mom calling Granny, Granny and she hugged her. Melted my heart. She also called me Grandi for the first time (that I could understand). So special.

On Tuesday the 19th we had an appointment with her neurologist in Raleigh. I knew it would be a difficult day when she came out in her pajamas. It’s always a sign of a challenging day when she’s not dressed when she leaves her room. I told her she needed to bathe and dress soon as we were going to her neurologist. She said she wasn’t going.

Zona, her best friend, came by for a while and I had to tell her we needed to get ready for an appointment in Raleigh. When she left we had to rush to get mom ready. It was too much. Mom needs to take her time because between the not eating and the A-Fib she simply needs a lot of time or it’s a disaster.

We did make it to the appointment and mom had lost over 18 pounds in 8 weeks. She had difficulty answering questions too. The doctor said she was in an extremely rapid decline. The doctor also talked with me about the high possibility that I will develop Alzheimer’s and that I should plan accordingly.

The visit was thorough and the doctor gave me the option of starting mom on Razadyne 2 mg once a day. The normal dose is 2 mg twice a day but due to mom’s sensitivity we are trying a very low dose. It doesn’t reverse damage but it can slow the progression of the disease. I told her we would try it. That was Tuesday and the doctor called it in to our pharmacy. As of close of business today, Thursday, Medicare has declined to cover it and the doctor and the pharmacy are appealing and trying to get it covered. Maybe it’s a sign that I need to say no.

I must share that on the way to Raleigh for the appointment mom was talking about many wrongs from her past and asking me if she is dying. I always tell her “not today, mom.”

Glenda, our cousin, came to help with mom on Wednesday. Glenda is one of those special people and she means so much to us. Eugene too! I left at 9:15 am to start all the memory care facility appointments that I had that day. It was a productive day and mom is on the waiting list at a 3 star facility in Harnett County.

One facility I visited that was recommended was a dump. Warehousing the elderly and dementia patients. They told me they had no deficiencies. NC has a website from the agency that licenses these facilities and the post deficiencies (problems) and fines and how the facility is rated. The highest rating is a 4. This facility had a 1 rating and several fines. So much for truthfulness. If you are looking for an adult home in N.C. just check here for information: https://info.ncdhhs.gov/dhsr/data/ahlist.pdf

The last facility that I visited was beautiful and everyone seemed happy and well cared for. Staff answered all my questions and I was impressed and thought this is the one. I was told they had no deficiencies and they also had an open bed in memory care. I looked them up and they had a 2 rating and have had many violations since 2009, with the latest one in August 2019. All in the memory care unit. One incident ended in a death in 2017. This place is also a no.

I wonder if many folks don’t know about how to check out a facility. The place I just mentioned had massive fines and was forced to close for about a year. After reopening they are still unable to provide good care. The death was after they regrouped. They are still licensed in N.C. I don’t know how considering the extreme violations they have committed. Buyer beware.

That was the last appointment. I got home around 4:30 pm. I was physically and emotionally exhausted. I had many tears during the day. It is what it is. I thanked Glenda for all she does. I appreciate her so much. One of life’s blessings.

Shortly after Glenda left I got a call from Rolling Ridge Assisted Living. They had a bed for mom on December 1. It broke my heart to tell them that we had just found out that mom no longer qualifies for their facility. Rolling Ridge is a 4 star facility with no deficiencies for the past several years. The best of the best and in my mother’s community. Life is full of detours.

Tomorrow I am going to Day Spring in Wallace. They have a memory care unit, a 4 star rating and no deficiencies. They also have a long waiting list. It is a sister community to Rolling Ridge. I know that at the end of the day, mom will be on the waiting list. It’s worth waiting for a good fit and a great facility. I would also advise to beware of any memory unit that has an open bed. There is a shortage of these places and if there are openings, there is probably a reason that you shouldn’t put your loved one there.

Mom has barely eaten this week. Several days with 1/2 serving of yogurt, 2 bites of sweet potato, and nothing more. When she eats she says she is forcing it down for me. Her doctor says that at this point not to worry about what she eats or drinks and give her anything to get nutrition into her. I can’t even get her to eat her favorite ice cream. Ice cream. She is down to 154 pounds from 205 in May.

Her doctor also said that in this case it was good that mom was a little overweight at the onset of this disease. The organs in the body usually don’t shut down until the body gets to 80-90 pounds. That said, her A-Fib was probably caused by her lack of nutrition and rapid weight loss. The A-Fib will probably be her demise before the Alzheimer’s gets her. At times I think that it would be a blessing for her to go out before Alzheimer’s completely decimates her mind. This disease is so cruel. It robs the person and their family and friends of so much.

That’s it for now. There will be more later. Thanks for reading. I hope this blog helps someone.

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Bureaucracy! – Alzheimer’s in the Family

After the complete bust on getting needed information on Wednesday, we had a quiet day at home on Thursday. Jackie cut and “twisted up” mom’s hair.

On the way over to the shop mom decided to take the Rollator up the steps instead of using the adjacent ramp. I guided her over to the ramp and she reluctantly used it. It was the second time that she made this choice. She looked beautiful after Jackie finished her magic. She said mom was pretty talkative, which she hasn’t been of late. Thank you Jackie for all that you do. We appreciate you.

Later in the afternoon, mom was visited by young cousins who rode over on their dirt bikes. Mom has known Landon since he was born 12 years ago. He has always called her Granny Joyce. She did not know who he was. In fact, she thought he was Aunt Brenda’s grandson. The boys didn’t stay long after that and I told them that it wasn’t personal, it was mom’s disease. They acted like their feelings were hurt. Too young to understand the ravages of dementia. I was sad for mom and for Landon.

Mom has been sleeping a lot over the last few days. Alzheimer’s experts say it is common in later stages of the disease. The brain needs sleep to heal but healing is impossible with Alzheimer’s. She is sleeping about 10 hours during the day. I offer meals when she is awake. Sometimes she eats and sometimes she doesn’t. She had gone from 205 pounds to 162 since June first. This too is part of the disease. Now, when she does attempt to eat, she pockets the food in her cheeks before she eventually swallows. There will come a time when she will be unable to swallow. Sad to say.

Mom’s BP is very low normal but the cardiologist said not to worry about the BP and to be concerned about her pulse rate. Her pulse is staying from 43 to 52. When it’s below 50 I’ve been instructed to withhold one of the heart meds until the pulse gets to 50 or above. Mom is not a surgical candidate so our only option is controlling the A-fib with meds. Nothing can be done about the 4 leaking heart valves. We do what we can.

Glenda came to stay with mom on Friday so that I could try again to get needed certified paperwork. This included driving to the Pitt County Courthouse (1.5 hours away), Social Security office in Fayetteville (1.5 hours from Greenville), then Clinton to cancel mom’s car insurance (40 minutes from the SS office). It was going to be a long day. Many thanks to Glenda for helping out. She and Eugene have been a Godsend. I appreciate them so much.

I arrived at the Pitt County Courthouse and went through security. The courthouse was extremely busy. I was directed to the office to get mom’s certified divorce papers and yet again was sent to the wrong office. Seems to be a theme in the wading through the bureaucracy. Good thing, the offices that I needed were all in this build, once I got to the right place. I was happy to leave with two certified copies. Happy Day!

I stopped at Office Depot and got copies of all files that I had to drop off at the Social Security office in Fayetteville. While in the office last week the Supervisor who helped us told me that I could drop them off or mail them. Dropping them off was supposed to get the approval process started a little quicker.

Well, that sounds easy enough, doesn’t it? Well, welcome to the bureaucracy. I drove from Greenville to Fayetteville for the folks at the SS office to refuse to take the paperwork. The Supervisor was on vacation and the professionals? in the office refused to take them. I asked to speak to his supervisor and he/she was out also. The security guard and others in the office said,”He never should have told you to drop them off.”

How did it become my problem when I did exactly how I was instructed? I went to the post office next door and handed the envelope to a gentleman who told me it would arrive at the SS office on Tuesday. I did thank the folks in the SS office for wasting my afternoon. They weren’t happy and neither was I. I will be writing complaint letters when mom gets her letter of approval, not before. I don’t want them to have any excuses for delaying or disapproving her application.

After finishing in Fayetteville I was off to mom’s insurance office in Clinton. In N.C. you have to go in and sign paperwork to cancel car insurance. I brought the power of attorney, which they copied, signed on the dotted line and voila the insurance is canceled. I’m finding that there are no shortcuts nor easy ways to handle things. This adds stress to the already stressful life of dealing with Alzheimer’s in the family. It should be easier and I will be addressing all this with the powers that be at a later date. A pissed off caregiver can become a

pissed off, loud mouthed advocate for change.

The chores were done for the day. I got to mom’s around 4pm. Glenda said the day went well and that mom had slept a lot. I sincerely thanked her for her help.

I fell asleep on the sofa around 8:15 PM and woke up at 10. I told mom that it was time for bed and she went without an argument. I slept until 7 am and still woke up tired. Mom got up around 8 am and got dressed for church (it’s Saturday) and she though it was 2001.

We got back to Myrtle Beach around 3pm. Mom does so much better here. She really does but she wants to be at her house, although at times she asks to go home when she is there.

Ilona kept mom for me to get out and I spent the night away. I slept straight through until 9:30 am. I feel the best I have in days. Rested. Mom got up at 10:45 and had some yogurt. She’s been asleep almost all day. Her pulse was 47 this morning so I stopped the metoprolol until it goes up to 50 or above. If it doesn’t go up it’s a call to the cardiologist and perhaps a trip to the ER.

This is our new normal. Full of stressors and small blessings. Each day is different and each day I look for the blessings. I appreciate my family, extended family and dear friends. I couldn’t do this without you. Thank you all.

More to follow!