Turn It Up

(Originally posted in Facebook on February 26, 2019)

Yesterday was a good day – and I’m taking my blessings where I can find them. The sun shone all day . . . and after 10 days in a row of nothing but rain and gloomy skies, the sun was a welcome sight. It wasn’t all that warm, but it was beautiful to see. M not only went to work, but actually STAYED AT WORK ALL DAY! I was stunned. I completely expected to hear from him at any moment that he had started feeling sick and had come home, but he made it. Now I’m hopeful for today. And finally, I talked to my mom this morning and she and my dad are getting along just fine. The insurance people have already gotten a disaster recovery company to work on her condo and the wheels are in motion to get all that straightened out.

Wow.

Now, that’s not to say the day was perfect – there’s no such thing, but it was nice to have a really good day, for a change.

When I got home from work last night, M was watching his usual afternoon television, “How the Universe was Made.” It’s usually that or “Air Disasters” or something else he’s found on the Science Channel. When he’s watching a show, I’ll offer to go upstairs to the bedroom TV, but he insists that I stay in the den and we’ll find something to watch together.

I’ve noticed in the last few months that, no matter what we’re watching, he’ll invariably put on his headphones and start listening to music. And it’s always the same playlist – his ipod playlist of 1980s songs. If I ask him about changing the channel, he’ll tell me that he’s watching the show – but you know there’s no way he can be watching it and really paying attention if he’s listening to music.

On the rare occasion when he watches a show or movie without the headphones, he’ll ask me to repeat something from the show – “What did he say?” or “What was that?” and I’ll say to him, “if you can’t hear it, turn up the volume.” Then he’ll tell me he can hear it just fine. So then I’m left to wonder – can he actually hear it, but he wants me to tell him what’s going on? Or can he NOT hear it and doesn’t want to admit it?

We’re both getting older and we’re from that generation that turned up the music as loud as we could stand it and got as close to the speakers at concerts as we could. I’ve noticed that the volume on the TV and radio is louder for us than it used to be. Is this issue for him a product of age or something more?

It’s A Doozy!

(Originally posted in Facebook on February 25, 2019)

What does it mean when you sum up your weekend by saying to yourself “well, the most important thing is that no one was hurt” ? I think that’s your indication you had one doozy of a weekend!

Friday was very much like Thursday for M, as far as back pain and headache pain were concerned, but he did do a better job of staying on top of his medicine and eating, so he was in better shape when I got home from work. I also got out the heating pad for his back and that made a tremendous difference. Friday and Saturday were miserable days where we live – cold and rainy – and then late Friday, M started vomiting and couldn’t keep anything down through Saturday afternoon. I think he must have had some sort of stomach bug. He spent both days on the couch in front of the TV.

It looked as though Sunday was going to be another miserable day spent the same way, but he had been feeling better and had been eating since the night before. As I looked out the window, I could see patches of blue sky, and I almost didn’t know what they were, for a moment – it had been so long since we had seen them!!

Then my mother called – in a panic. She was across town, but had just remembered that she had left something cooking on her stove and would I go check it? I live two minutes away from her condo, so I jumped in the car and went over. As I opened the door to the building, I could hear the smoke alarm from her third floor condo as I was on the ground floor. I ran up the stairs and when I opened her door, the smoke was so black and so thick, I couldn’t see anything inside the room. I ran inside to the kitchen, took the pot off the stove, turned off the burner, then reached for my mom’s Yorkie, that was there in the kitchen. He was scared, of course – with the smoke alarm blaring, the smoke billowing all around him and me running in to grab him – and he bit me on the thumb. Stupid mutt! I finally got him by his harness and got him out into the hallway where we could get some fresh air and called 911.

The fire department was great and brought in fans to blow the smoke out and by the time my mom got there it was much better, but the whole top floor of her building stunk to high heaven of that burnt metal pan. This isn’t the first time she’s left something cooking on the stove. This isn’t the second or even third time . . . so we have now thrown the breaker on the stove so she can no longer use it. She’ll tell you she doesn’t cook, but she boils chicken for that dear, dear dog of hers and then forgets about it. Never mind there’s a grocery store within walking distance that cooks chicken every day that she could buy for the dog.

Even though there weren’t flames with this incident, the smoke damage is so extensive throughout her condo, mom isn’t going to be able to stay there until it’s professionally cleaned. The floor is sticky, the counter is sticky – and it’s all just from the smoke. And the smell – ugh! When I walked in the house from my mother’s, I just about knocked M down, just with the smell from my clothes. I changed clothes and brushed my teeth, because I had that horrible taste in my mouth – and last night, when it was time to brush my teeth before bed, my toothbrush had that horrible smell on it. Yuck!

I offered to have my mom stay at our house, but I knew she would be worried about her dog with our two rambunctious 40 lb rescued mutts. They’re as sweet as sugar, but they do play rougher than a seven lb Yorkie is used to. So that leaves my dad’s house. Although my parents get along relatively well for people who were married 51 years and then divorced (don’t ask) they do have several bones of contention, and they are in the middle of one right now. So I had to get both of them alone and tell them “Look, I have all I can say grace over right now. My plate is full. I can’t take anything else. I need you two to handle your business and get along. If you can’t do it, then I’ll do it for you and I can promise you, when I’m done, everyone will be unhappy.”

By the time we all went to bed last night, mom and dad were both at dad’s house, everyone was getting along, everyone was (relatively) happy and then M went to work this morning. Do I expect all this good fortune to last? No.

Am I enjoying this peace for a moment. Oh, yes.

Just Breathe

(Originally posted in Facebook on February 22, 2019)

There are days . . . and then there are days. I think I’ve taken more deep breaths in the past 24 hours than I have in my entire life. Not sure if it’s helping, but maybe I have plenty of oxygen?

Yesterday turned out to be not a very good one for M. He was in a lot of pain because of the lumbar puncture attempts and stayed at home all day. He also made the decision to NOT try a 2nd time for a successful spinal fluid collection and had me cancel his appointment for today. I left for work yesterday a little before 7:30 am and he called me right after lunch – after 1 pm – to say that his back was really hurting.

Me: Have you taken any more pain pills? 
M: Not since you left.
Me: That was six hours ago. Have you eaten anything?
M: No, not since you were here.
Me: What have you been doing all morning?
M: Well, sleeping . . .

I could tell by the vague way he was talking that there was no way he could pull together the pain pills AND lunch, so I called my dad and he got M a take out lunch and drove it by the house.

When I got home from work, close to 6 pm, it was the same situation. I woke him up and he was in pain because he hadn’t taken any medicine since we had talked at 1 pm.

He did better through the evening, but when it came time to go to bed, I was trying to turn off the TV downstairs. But I couldn’t find the remote for the Firestick. When I asked M about it, he said he had taken it upstairs to the kitchen. He brought it down to me, but it didn’t work – it wouldn’t make any of the channels turn or get out of any of the apps. I changed the batteries – nothing – and finally gave up and turned the TV off.

When I got up to the kitchen, it was a mess. Everything M had touched was left exactly where he had last had his hands on it . . . and I just came apart. Something inside of me broke and I realized – this is how it’s going to be, from now on. I’m going to be spending all my time cleaning up behind him.

I was in tears and called my brother who lives in Charleston. Thank God he was home and answered the phone! We managed to find things to laugh about and I hung up feeling much better about everything. He reminded me that my house doesn’t need to be perfect and that I need to let the majority of my OCD tendencies go. They’re not going to work with everything else that’s going on in my life right now. He also pointed out that living with someone with dementia is kind of like having a teenager in your house again – every day that goes by and you don’t kill them is a victory. (Kidding!!)

This morning I found a second Firestick remote in the kitchen and realized exactly what had happened. M brought BOTH Firestick remotes – one from our bedroom TV and one from the den TV – to the kitchen and then gave me the one from our bedroom to turn off the den TV. This morning, I switched them out and they worked perfectly.

He woke up with a headache and his back hurting again this morning, so he’s still at home, in bed. I have a feeling he won’t be working much longer, and that’s probably best. It makes me so sad to say, but this horrible disease seems to be progressing so very, very quickly. It’s almost as though I can see him changing on a weekly, if not daily, basis.

Snack Time

(Originally posted in Facebook on February 21, 2019)

Last night wasn’t a ton of fun. M was in a lot of pain from the three attempts to draw spinal fluid and the only pain reliever he can take is Tylenol. Unfortunately, it didn’t seem to help much. I had hoped he would feel well enough to go to work today and get his mind off of it, but he didn’t. And now, we’ll try again tomorrow.

The grilled cheese and tomato soup last night was a big hit. I don’t think the temperatures got out of the 30s yesterday, with a steady, cold rain, so hot soup and a sandwich was a perfect dinner. M’s limited movement last night really pointed out how much his appetite has increased lately, because he was asking me to get him more and more things to eat all night long.

I noticed, when I started getting up with him and cooking his breakfast every morning, how much he was packing to take for his lunch to work every day. He’ll make a sandwich with turkey deli meat and mayonnaise, then pack two 4-oz. applesauce cups, 2 of the large P3 portable protein packs (they have a meat, a fruit and nuts) 2 bottles of muscle milk or another protein drink, 2 Atkins bars and 2 bottles of sparkling water. And every bit of that is gone by the time he gets home.

He’ll eat a good dinner and then snack constantly until bedtime. If I say anything to him, he tells me that he’s hungry.

He’s heavier than he was a year ago, but just by five or so pounds. I’m glad he’s eating relatively healthy things, but I wish he weren’t eating so much of them. We can’t have ice cream or any kind of sweets in the house because he’ll start digging into them – and that was never a problem before. 

Lumbar = DQP

(Originally posted in Facebook on February 20, 2019)

M was scheduled for his lumbar puncture today and we were very nervous going into the medical center for the procedure. I don’t know why, but this test felt more serious than all the others he’s had. He didn’t have to fast prior to the test and was in good spirits, although his blood pressure was a little high (nerves, I think) before they took him back.

It took quite a while, but it was UNsuccessful. The physician said they tried in three different areas to draw spinal fluid, but were unable to get any. They’re blaming it on the fact that he takes an Aleve every day for his knees, but I don’t know. He still had to lie flat on his back for an hour before I could take him home and is to remain quiet all day.

Now he’s to discontinue the Aleve for the next two days and they want to try again on Friday. At first, I thought he was going to balk and say no – he didn’t want to try again and he was through with the testing. But he agreed, so we’ll be there Friday morning at 11.

On the way home, we decided he deserved a Double Quarter Pounder with Cheese and a large order of fries. Since it’s so cold and miserable today, I think dinner will be grilled cheese and tomato soup. Not very keto friendly, I know. More like comfort food. I think after your spine has been punctured three times, you deserve to be comforted. 

Time – NOT on my Side

(Originally posted in Facebook on February 19, 2019)

One of the biggest changes for M has been his relationship with time and getting himself up in the morning. Last year, through the spring and summer, there were several days when M would tell me he had been awake during the night and had looked at his alarm clock, but had been unable to determine what time it was. He’s always been the type of person who liked to wake up before the alarm goes off. He’s never likes the sound of the alarm – whether it’s a beeping sound or music – and he wants to avoid hearing it, if at all possible.

He also has a prescription for glasses – not just readers, but bifocal glasses – and he REFUSES to wear them. He will wear them to drive, especially at night, if I insist on it. And he will wear them to read or to do a task that requires he see something very small and detailed. But other than that – no. If I ask why, he tells me that he doesn’t need them, that he can see just fine. Never mind that an eye doctor has determined that he CANNOT see just fine and has prescribed these glasses for him.

So when M told me he couldn’t figure out what time it was when he looked at his alarm clock, my first thought was that he couldn’t see it . . . he didn’t have his glasses on. So we bought a clock with bigger numbers that he couldn’t miss. But that didn’t stop the problem. Then he started getting up during the night and, even though he could see what the numbers were on the clock beside the bed, he would go down into the kitchen and confirm the time on the clock there – as though he doubted the time he was seeing in the bedroom. There were a couple of times he got up and got himself dressed for work before he realized he was several hours too early.

What made it a problem for me was that he was waking me up every time he got out of bed to check the time. I’ve become a light sleeper in the last five years or so, and his nightly walks around the house were starting to interfere with my sleep. Finally, in the fall, I made a deal with him. I agreed to set my alarm for 5 am – the time he needs to get up. I promised to get up with him and prepare a keto diet-friendly breakfast for him and get him out the door at 5:30, in plenty of time for work, if he would promise to stay in bed and not worry about the time during the night.

So far, it’s worked out pretty well. We’ve been doing this for about six months and, in all that time, he’s only asked me what time it was during the night twice. And I’ve forgotten to set my alarm just once. Fortunately, I woke up at 5:10 that morning, so we were okay.

Something funny happened this past weekend – my youngest brother and his family were visiting us and their youngest daughter is two. At some point during the night, the daughter started crying and M said, “Honey, the baby is crying.” I told him, “Yes, and she has two parents in there who can handle it.” Although I’m sure they would have appreciated it if I had gotten up and taken care of their child for them!

I try to be a good hostess, but there is a limit! 

Changes

(Originally posted in Facebook on February 18, 2019)

The changes that have happened with M have been subtle over time – almost imperceptible. It hasn’t been a situation in which one day he was able to perform a task and the next day he wasn’t . . . it’s more that he has slowly begun to do things differently and, by the time I notice how much things have changed, an entirely new pattern of behavior has been established. But if I mention the change, he becomes very defensive about it.

Case in point – lights in the house. Almost every room in our house has overhead lights, but we seldom use those lights because we have lamps in almost all the rooms that we use instead. We’ve always preferred the softer light from the lamps to the harsh light from the overhead light. However, in the last 3 – 6 months, whenever M walks into a room or hallway, he will flip the overhead light on. And leave it on. He NEVER turns them off. He gets home from work about two hours before I do and it’s not unusual for me to drive home and see our entire house lit up like a Christmas tree – every single overhead light in the house on. For a while there, I would say something, like “Do you still need the light on in the pantry?” or “Is it okay if I turn the light off in the bathroom?” and he would tell me he hadn’t turned them on. Now, I don’t even bother mentioning. I just turn them off and go on with what I’m doing. There’s no point in getting upset about it, but more than that – there’s no point in upsetting him about it. He genuinely doesn’t remember turning the lights on and he can’t tell me why he does it. Why start an argument about it?

Just last night, we had turned off all the lights in the downstairs family room and I was in the kitchen of our split-level house, getting the coffee maker set up for the morning. He was upstairs in the bedroom but then went back down into the family room for a minute. When I left the kitchen and walked by the stairs, the overhead light in the family room downstairs was on and he was upstairs in bed. I just sighed and went downstairs to turn the light off. I’m sure I needed the steps.

Another thing I’ve noticed is that he’s tired ALL THE TIME. He wakes up tired. He goes to work tired. He’s tired when he comes home and when he goes to bed. He’s always been able to fall asleep quickly. I once timed him – from the moment he said “good night” and settled down to the moment he was breathing deeply and I could tell he was asleep, it took 40 seconds. I WISH I could fall asleep like that!! But now, it doesn’t matter how much sleep he gets or how busy (or not busy) his work day is – he is ALWAYS tired. He’s asleep most afternoons in front of the TV when I get home. He’s taking a multi-vitamin and B12 supplement and there’s nothing else that should cause him to feel this tired all the time. This is on my list to talk to his doctor about at our next appointment.

Post-Valentine’s Candy Coma

(Originally posted in Facebook on February 15, 2019)

Yesterday was Valentine’s Day and, although we’ve never been big on the candy and flowers celebrations, cards have always meant a great deal to M, so I make sure I get him at least one VD card to open. I have forgotten, in the past, and have been one of those cliche’ people, twelve deep in the card aisle on the big day, trying to find a card in the picked-over remains. I had a cute one, along with a little Reese’s peanut butter heart, so I knew he would be happy. When I got up yesterday morning, there was a card waiting for me. On the envelope, he had written “Happy Valentine’s Day! I love you!” On the inside of the card, he had again written, “Happy Valentine’s Day! I love you!” I smiled when I saw it, but when I recounted this to someone at work later, it made me start to cry. Not that I need my name or his signature on the card – we know who we are. But it’s just another sign that things are changing.

Earlier this week, I saw an elderly friend who lost his wife several years ago to Alzheimer’s disease. I had not seen him since we received M’s diagnosis, so I was glad for an opportunity to talk to him about where we were in the process. He told me that one of the first “symptoms” was his wife’s resentment of the time he spent in the morning reading the Wall Street Journal (about an hour and a half) because it took him away from her. He asked if I had noticed any behavior like that, and I said no – M doesn’t care if I’m reading or in another room.

But after he planted that idea in my head and I had time to think about it, I realized that I am seeing that same behavior . . . just in relation to different things. Earlier this week, I had to stop on the way home from work to buy gas and it made me later getting home than usual. M called me when I was almost in the driveway to ask where I was. I was only 10 minutes later than usual. If he’s watching something on TV that I’m not interested in or I want to be by myself for a little while (I value my alone time!!) I’ll go upstairs and turn on the TV in the bedroom. Ten minutes won’t go by before he’s up in the bedroom, watching TV with me. And I’ve noticed that, if I go to the bathroom, he will walk by the bathroom door to see where I am.

I really didn’t put all that together until my friend asked me about it – but, of course, now that I’ve noticed it, I’ll probably start noticing more things. When I realized all this, I felt annoyed and overwhelmed by how much M has taken over my life. But then it all just made me feel sad. He says he feels fine, that he doesn’t notice any changes and he thinks I’m over-reacting to tiny mistakes he makes. I truly hope that’s how he feels and that he’s not scared. I’d rather have him go forward, oblivious to what’s happening, than frightened by it

PET Scan Doesn’t Mean a New Dog – Darn It!

(Originally posted in Facebook on February 14, 2019)

The NEW test that the new neurologist wanted M to take was a PET scan. I’ve read up on the differences between an MRI, CT scan and PET scan. All three of them look at the brain (in this instance) in different ways and measure different things about the way it’s functioning. Google can explain much better than I. With the holidays and getting insurance clearance on the new test – if a physician says you need a test, why does the insurance company feel it needs to weigh in on whether or not you actually do? – it was January . . . yes, an entire year since we began this process . . . before the PET scan was scheduled.

The test itself didn’t take that long – maybe an hour – and we were able to see the neurologist again before the end of the month to get the results. That’s when the neurologist said those words, “early onset dementia.” Of course, they can’t definitively diagnose something like this without doing an autopsy – and THAT’S not happening right now!! So, they look at the brain and see if the areas that should be “lighting” up and active during cognitive processes are actually working and . . . therein lies the problem.

So.

Where do we go from here?

As I mentioned before, M is scheduled for YET ANOTHER TEST – this time, it’s a lumbar puncture (spinal tap) to confirm that there are no rogue cancer cells, virus or bacteria in the spinal fluid that haven’t shown up in the blood work. There is no end to what I wouldn’t give to have something like that be the cause of this problem. Something substantive, something we could attack. I feel as though we’re grasping at straws.

Over the weekend, we went shopping and I picked up some Valentine’s Day candy to give to friends at work. Russell Stover’s has a cute little box of four chocolate pieces for $1 that is the perfect little treat, so I like to give those out. M saw me getting several and mentioned he should get some for the group of women he’s now working with. We bought them and when we got home, I counted out the number he said he needed, put them in a bag and handed them to him – telling him he was ready for Valentine’s Day. I saw him take the bag into the pantry and I thought he must be putting it into his lunchbox to take to work on Monday, so he would have them for today.

Last night, he told me he needed the candy we had purchased to take to work for the women he works with. When I said I had already given it to him on Saturday, he told me – emphatically – that I had not, and that the last time he had seen the candy was on the counter in the kitchen. I started to argue . . . but then I stopped. Instead, I said, “let’s go look for them” and we went to the pantry, where I had seen him take the bag of candy. There, sitting on the counter, was the bag of candy.

It doesn’t matter. The main thing is, we didn’t get into a big argument over it. We found the candy and everyone is happy. So why do I have to make a conscious effort to pull my shoulders down from my ears and relax?

Testing, testing . . .

(Originally posted in Facebook on February 13, 2019)

By the time M was able to schedule the long, four-hour psychological assessment, it was well into the fall – late September/October. And we started this process back in January.

The day of the assessment, M wanted me to go with him – even though all I would be doing is sitting in the waiting room for four hours. I knew he was nervous, so I loaded my Kindle with some new books and settled in for a morning of people-watching in the waiting room. There was a 10-minute break during the testing and M was very concerned when he came out to talk to me. He knew he wasn’t doing well, but couldn’t really describe the types of questions he was being asked. At the conclusion of the testing, the psychologist met with both of us for a few minutes and told us that, although he would need some time (of course!) to accurately score the assessment, he did believe M needed further neurological assistance for his cognitive issues.

HOWEVER, in the many months that had passed since our initial meeting with the neurologist in this particular practice, the entire practice had been purchased by a new health system and the neurologist had left the practice. So now, we had a neurology practice without a neurologist. Did we have another neurologist to whom he could send his final report?

Great.

My initial thought was to work exclusively with the neurologist we had been seeing for our migraine headache issue, but I found out that she doesn’t work with dementia and cognitive issues. Fortunately, she recommended another local neurologist who could help us and we were able to get an appointment with him in November. By the time we got in to see him, he had the results from all of M’s blood work, CT scan, MRI and psychological assessment. He was incredibly nice, very enthusiastic about the work we had already done and determined to get to the bottom of what’s going on. You’ll never believe what he wanted to do next.

ONE. MORE. TEST.

If you think you can hear M yelling from where you’re sitting, you’re not wrong. He was NOT HAPPY about having to be subjected to another test, but he did it.