Tuesday, January 19, 2010

Neuropsychiatric testing done - now waiting for results

Last Friday I took my husband to the neuropsychologist for the testing. The testing only consisted of a 45 minute interview and a 1 1/2 hour test. I wonder how that is supposed to give us an accurate diagnosis. I did give the neuropsychologist the 3 pages of notes that I had typed up. I was concerned that I would just look like a pushy controlling wife, but she genuinely wanted everything that I had written.

When we left the office, my husband pleasantly stated, "Well, I think I did really good on the cognitive tests. I've been practicing on memorizing things." I thought, "Oh, crap." One of his old therapists explained to me why it is often difficult to get an accurate diagnosis for someone like my husband. Even if he can go into an hour long appointment and appear normal or even take a memory test and not bomb it, doesn't mean he can function normally in everyday life. It will be three weeks before we go back and talk with the doctor about any results.

My husband and I aren't exactly on speaking terms right now. Last weekend did not go well. After his tests were done, we went to lunch and eventually ended up at his first therapy appointment with this new therapist. I left quite unhappy. For some reason this therapist wanted to do couples counseling and encourage us to bring some romance into our relationship. That is not where I am. I just want to learn what is going on and learn how to deal with this sanely. I don't want to have sex with him; I just want to learn how to be patient and not end up yelling at him, out of total frustration. I really do stink at dealing with this stuff.

I think I have learned my lesson finally. I did the same thing that I did the weekend before, that did not work. What is wrong with me? Why do I continue to think that if I just explain things to him about why his behavior toward my daughters is wrong, he will finally get it? He cannot get it. I cannot tell if he won't or can't. I just get upset and he gets upset. So on Saturday morning when we were doing our horrid merry-go-round thing, we both got upset. He yelled, I through a cup of luke warm coffee on him. (I had never done that before). Boy, was I frustrated. At that, he yelled really loud calling me names and cursing at me. He stormed out of the room and went and called my daughter to tell her what I did. I went and took a bath.

I also do not deal well with him lying to me about stupid things. He lets the dog on the bed when I am gone but insists he's not. I can tell by the way the dog is behaving that she is getting use to sleeping on the bed. Now, this in itself is not awful (I just put an old blanket over the expensive comforter), but it is the ridiculous lying about it that unglues me. So right now, I am just staying away.

I am reading a book titled, "The 36-Hour Day." It is for family members of people with dementia. I really relate to what I am reading. However, I do not believe that if we are facing what I fear we are facing, that I will really be able to do it. The problem is there is no one else to do it. I do not believe his sons who live clear across the country would step in and take over if needed. Nor do I believe his sisters who live even further away are in a position to take over if he needs it.

Of course, it could come out that he doesn't really have a dementing degenerative disease after all. Perhaps he has another mental disorder. If that is the case, perhaps he can take care of himself if he gets a small apartment. Time will tell all, won't it?

All I know right now is that we need an accurate diagnosis. He needs the right medication, and I need to learn how to emotionally disconnect while I still manage his care, both legal and medical care. I wonder if he will go to his next appointment on Friday with his new therapist. I am not going to remind him about it. Maybe he will remember, maybe he won't. We'll see.

Until later...
Emma

8 comments:

  1. I so understand what you are going through.My sister is 53 an going through the same things.
    She can not even do her bra god help us

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  2. I can totally understand why you have to be anonymous on your blog. I have a blog also and because it has my real name and Mom's I only posts things that are appropriate and dignified for my Mom sake. Your blog is real and still protects your husbands dignity. Thank you for writing it. I am going to post anonymous also because I would like to continue to comment on your site and be able to be REAL about my Mom and our situation too but I will sign as "Inspired by Emma James"

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  3. I am so glad to have found your blog. My heart goes out to you. I can't believe what you have been going through to get a proper diagnosis. Thanks god my Mom was properly diagnoses right away with AD and not depression. She was diagnosed with AD @ 59, she is now 64. I believe it is early on-set AD. AD is bad enough itself but EOAD is just HORRIBLE and I'm sorry, is so much worse. My mom has instances of both types of AD in her family history. When someone so young gets dementia there are so many other "unique" issues that come into play. My Mom looks 10 years younger than she is, is very attractive and very physically fit. (She has for the past year & 1/2 had a 75 yr old boyfriend and that's a whole other story and very sticky situation). So when I hear of your frustrations about your husband & how young he is, I can totally relate and I feel so bad for you. I was lucky enough in the beginning Mom was proactive about getting her diagnosis and seemed to be very cooperative. But now after 5 years that is changing. I will definitely write you more about that at another time. Right now though you need to get more help legally and from the medical community. Your going to have to deal with legal issues no matter whether you decide to stay or get divorced. You need to do this as soon as possible because your husband is only going to get worse and less cooperative about protecting both of your finances and participating in his medical care. This took some work but Mom got diagnosed, was declared disable and stopped working, and then we set up a Trust for her. I knew nothing about trusts before but it was one of the most important things to have done for her. She got long term disability and social security and that's been great. Once on disability she qualified for medicaid insurance and saved $600/mth in insurance payments. Because she was diagnosed before 60 however her life insurance was canceled. After 60 I guess she would have qualified to have that premium paid for her being disabled, so inquire about that if your husband gets life insurance from his employer. Once she is 65 disability ends but her social security will increase and she will receive the same monthly amount. Once diagnosed and disabled I was able to get Mom enrolled as a client for Elder Services. Through them Mom qualified for free to receive a MD2 monitored automatic med dispensing machine! Please google it and read about it. It has been a life saver for me. I load meds and if Mom doesn't take them after an established time it calls my house and tells me, if I don't answer after a few attempts it calls my cell, then my brother. I don't use this option but you can set it up to call 911. This will help you so much to be able to be away at times and keep your sanity which will in the long run be healthier on you. Where I thought this machine was to solve correct med dosages it turned out to be so much more. I know in between when I am in contact with Mom that twice more a day, 8:30am & 9:30pm it's going to call me if she doesn't respond and press that button when it goes off. It lets me know she can mentally still think enough to understand the process, that she is home, and that she isn't incapacitated. It's a godsend! I hope this helps you..."Inspired by Emma James"

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  4. Get the right doctor’s. Look to see if you have any memory specialist’s near you. We actually had a memory clinic right at our medical facility. They did the testing and then coordinated treatments between Mom’s attending doc, a new doc that had to be a Neurologist and counseling sessions. All three shared information for the best treatments and knew of all the meds she was on. The memory specialist has since opened her own practice outside of the medical center. This specialist could be the key player you need. When I noticed a pretty big decline with Mom recently, I made another appointment with them for retesting. She had significantly declined and it was in black and white for Mom & my siblings to see and I’m wasn’t the bad guy. That’s the biggest relief! They are very familiar with dementia situations and the dynamics of family members that can’t agree on treatments and what needs to be done. For instance, driving a car. This is one of our current biggest issues right now and her test results are forcing a change! It won't be easy especially if you don't have support and agreement with your husband’s family so I hope you do. That's been a big problem for us. My sister and I no longer speak because of conflicts over Mom's care and we only communicate through my brother who we voted to make the final decisions of care. Family can really suck sometimes and I never even imagined conflicts like this would happen. Oh I should tell you when Mom first left work and was on Aricept (& later Namenda) she was prescribed anti depressants. They were good at first but she kept getting added another pill and another pill. She was complaining to everyone she thought all her meds were making her feel sick and she didn't want to take them. After months of hearing her complain and knowing she couldn't stop the AD meds, I asked the psychiatrists prescribing the anti depressants to listen to what she was saying. It worked we slowing weened her off all of them. She did need them at first and may need them again but for the past year & 1/2 she was right and does feel better off of them. And heres a kicker for you, all anti depressants have degrees of memory loss to them. Can you believe it. Check into this for your husband. This has also been very helpful for us, Mom participates in AD test drug studies. She just ended the ELND005 study and in February starts the Bapi study. After 90 days of stabilization on AD meds your husband could qualify too. I never expected this to happen but because of the study and the cognitive testing she has to do with it, it really helps her to keep in check with reality that she has dementia and she's more cooperative and less argumentative. She can get at times so cocky now and be saying there's nothing wrong with me, I can drive etc. and then we go for a study appointment and she's faced with failing the questions and reality. It really has helped a lot...:Inspired by Emma James

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  5. I've been diagnosed with early onset Alzheimers disease. I was 53, 2 years ago. I am not driving my family crazy yet. But I have an appointment with a neurologist next week to, hopefully, get some answers about the stage I'm in and what to expect in the near future. I have a lot to do before my mind really goes south. I understand life expectancy is quite short from the time of diagnosis. I took care of my grandmother w/Alzheimers disease but she was 88. Maybe it is my memory with her that makes me look at euthanasia very, very closely. I know many people think euthanasia is abhorrent but I think of it as an act of kindness not only for myself but all the expense of loved ones as well the monies involved for care.

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  6. For those people who's relative are Alzheimer’s Disease sufferer and maybe reading this, I find it hard that people are still ignorant of herbal medicine when it comes to treating Alzheimer’s Disease.
    I have been through many phases over the last couple of years since my father's diagnosis, he was 53 years old and had Early Onset Alzheimer’s Disease and his diagnosis changed my life in many ways, I spend most of the time in denial and I keep thinking the tests were wrong. But deep down I knew they were correct. Though sharing his story is very difficult. He was always very successful in being able to accomplish anything he set his mind on doing. Alzheimer’s is a bitch of a disease. It began by robbing his recent memory, but it didn't stop there. It continues to steal, taking the most recent memories until it has pilfered all but the oldest memories, he experienced a decline in his ability to think, remember and make decisions. I feel a need to express my thoughts and feelings about how it affected his day to day living and how its deteriorated since despite the help of some wonderful medics and medicine.
    I remind myself how lucky to come across Charanjit rychtova's herbal medicine which is able to control this disease without any side effect, I felt a moment of relief hoping that he is free from this ailment, and nothing compares to the healing power of nature. Now I believe almost every health problem can be addressed in one natural way or another. The only thing I wanted was for him to feel better. I’m proud to say my Dad is Alzheimer’s free. You can also contact him for more info. charantova@gmail.com

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  7. Having Dementia disease knocked my grandma off her life and had her living like a mad person, I did know how the better part of her life eluded her, my mind was completely splatted in two, She showed a severe decline in her mental and cognitive skills in the last few years of her life and her quality of life had deteriorated greatly in the last 3 years of life where she was mostly bedridden. I am very glad my partner sought help and now she is free from all signs of psychosis. She was healed through the herbal medicines from Dr Charanjit, I do not wish to go the same route and I manage to live a fairly active and healthy lifestyle.
    Here are her words "Finally, can you imagine what it would feel like to be NORMAL again, like I were before I was struck down by this horrible condition that you never asked for, and don’t deserve?" Sounds great doesn't it?
    You can contact him via email charantova@gmail.com He is well known for his groundbreaking treatments concerning the brain and mind issues.

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  8. i am ERIC BRUNT by name. Greetings to every one that is reading this testimony. I have been rejected by my wife after three(3) years of marriage just because another Man had a spell on her and she left me and the kid to suffer. one day when i was reading through the web, i saw a post on how this spell caster on this address AKHERETEMPLE@gmail.com have help a woman to get back her husband and i gave him a reply to his address and he told me that a man had a spell on my wife and he told me that he will help me and after 3 days that i will have my wife back. i believed him and today i am glad to let you all know that this spell caster have the power to bring lovers back. because i am now happy with my wife. Thanks for helping me Dr Akhere contact him on email: AKHERETEMPLE@gmail.com
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    i am ERIC BRUNT by name. Greetings to every one that is reading this testimony. I have been rejected by my wife after three(3) years of marriage just because another Man had a spell on her and she left me and the kid to suffer. one day when i was reading through the web, i saw a post on how this spell caster on this address AKHERETEMPLE@gmail.com have help a woman to get back her husband and i gave him a reply to his address and he told me that a man had a spell on my wife and he told me that he will help me and after 3 days that i will have my wife back. i believed him and today i am glad to let you all know that this spell caster have the power to bring lovers back. because i am now happy with my wife. Thanks for helping me Dr Akhere contact him on email: AKHERETEMPLE@gmail.com
    or
    call/whatsapp:+2349057261346




    ReplyDelete