Our Families Journey Caring for a Mom with FTLD-MND

It is important to know as you read this journal that this was Cathy's life post diagnosis...

To know Cathy Truly you must know that she was: a Wife, Mother of 3 boys, Grandmother of 9, Sister, Niece, Aunt, Daughter, and Friend.

Our families journey began with Cathy's diagnosis the week of Thanksgiving 2006, Cathy was 52. Her original diagnosis was Pick's Disease/FTD. Looking back her symptoms most likely began 3-5 years before diagnosis. Most of the Doctors have told us that from onset of symptoms to death... the average timeframe is 4-7 years. (sigh) In the end her brain autopsy showed Frontotemporal Lobar Degeneration with Motor Neuron Disease FTLD-MND. (Basically... Frontal Lobe Dementia with Lou Gehrig's Disease)

Tuesday, January 29, 2008

Moving Day & Day 2

Last night I was exhausted & didn't update the blog... Thanks to everyone for the calls & well wishes yesterday & today!

MOVING DAY ~

Cathy, Brad, & I loaded the car up yesterday and headed up to Wisconsin. We soon realized the reason that she was so willing to go with us was that she thought we were going to Rochester to see her Mayo Doctor. She kept saying "63", the road you turn onto off of I-90, and "Dr. Boeve"... Brad & I just looked at each other thinking, "this is going to be a fun day!" Just as we passed the off ramp for 63 and she gave me a confused & angry look our van died... ??? our 6 month old van died for the first time just a few feet from missing the exit Cathy wanted us to take - what are the chances of that happening??!! I coasted to the side of the Interstate & Brad took the wheel, the van restarted & off we went. She seemed to have forgotten about it... UNTIL....

We switched driver's at the gas station in town, I didn't want her mad at Brad for pulling into the nursing home, I would rather have her mad at me. The minute I started to turn in she knew exactly where we were going. She was angry, yelling, "Actually, On Fire!", & pointing to turn around. Luckily Aunt Charlene was here from Colorado and had picked up McDonalds, she was waiting in the main lobby for us. We pulled up & Cathy was upset... but then confused seeing Charlene standing at the main door. I truly think the only way we got her out of the van was because Charlene was there! Cathy was angry & confused, she looked from me to Brad to Charlene. Then she started walking towards Charlene & she got her inside by telling her we were going to eat McDonalds there... she just followed her in... with a confused look on her face. The social worker met us in the lobby & took us down 3 halls (a bit of a maze... but that will make it harder for Cathy to sneak out) to the special care unit. She lead us to her room (freshly painted & very nice... Thanks to the staff that came in & did that on Saturday!!!) and.... then it began.

Cathy was upset, I don't blame her, I would have been confused & extremely upset if it was me. Moving into the nursing home you have known since you were a child... yet knowing you are only 53... her biggest fear! With this awful disease she knows just enough still to understand what is going on... but not enough to reason with her. The staff was prepared for us... it seemed that they had someone there representing every department. While Cathy yelled, slammed her picture book down, punched her picture book, paced around, elbowed Brad trying to get out of the room, gave us dirty looks, yelled some more, whacked me on the head with her name bracelet, etc... the staff remained calm (THEY WERE AMAZING!). They filled out some admit forms, her dislikes & likes for activities and meals, meds, etc... They brought in a hamper of laundry for her to fold, I honestly didn't think she would, in fact I pictured her tossing it on the floor in anger... but... she started folding! It was the perfect thing for her, she folded fast & slammed things down hard once they were folded, it distracted her and kept her busy so we could talk. Her friend Barb S. came and after that everything just became a blur to me... I don't honestly remember what happened next. At some point the social worker recommended we leave and wait in the lobby, giving her a chance to settle down & see how she would adjust. This was the HARDEST part of the whole day. Watching Brad sneak out of his Mom's room without saying Good Bye and without being able to give her a hug. HEART WRENCHING! He made it out with Barb, then me, then Charlene... & then we waited.

I could tell the staff was nervous, I honestly don't blame them... they don't know her yet & they don't know how kind she truly is. They don't know that she wouldn't hurt a flea on purpose. All they saw was an angry person being very aggressive. Luckily we know a few people who work there. Shelly (John's wife) works there & just seeing her smile helped so much!!! Having Barb there was also a big comfort!

So we waited... they came down a few times & told us she was beginning to settle down. They let her out of her room & she circled the main area and walked towards the only door out... the nurse blocked it and said no... & she didn't fight her, she kept walking. (PHEW!) After a while we finally felt comfortable enough to come home.

I called at around 8 last night to see how she was doing... the nurse said she came out and ate supper with the other residents & then headed back to her room. She was just doing her own thing in her room, most likely opening & closing the curtain, rearranging things on the table, any little thing to keep her busy. They brought her a snack & she seemed to be settling in.

Last night was the most miserable, heart wrenching, painful night of my life up to this point. Emotions were running high. Watching Brad was the hardest part of all. He felt so alone. Having your Mom look at you & feel as if you were letting her down... I can't imagine that pain. He wanted his brothers with him. Toby was there for support by phone when we got home... I can only imagine how hard it was on him also... being so far away & not able to come home to help.

Having Aunt Charlene here was like having an Angel here with us. We couldn't have gotten through it without her. We would have, but it would have been even harder. She flies home tomorrow morning & we cannot express our Gratitude to her in words. Only say "THANK YOU from the bottom of our hearts!!"

Gayle couldn't be there either... Cathy is still SO ANGRY with him. We don't know exactly why & she hasn't ever been able to explain it to us. (Her anger with him started after she lost her communication skills.) We couldn't risk him angering her more. And staying away yesterday & in the future is going to be hard for him also. Hopefully at some point her anger will dissipate & he will be able to visit. Time will tell.

A HUGE THANKS to my parents. Our kiddos are staying with them this week. They are feeding our dog, running errands for us, & caring for the kids. Just knowing they are supporting takes a huge load off our shoulders so we can focus on Cathy. Also Thanks to Angie for watching Chase tonight for Scouts. Thanks to Lynn for caring for the kiddos & picking Mia up from Pre School. And Thanks to Barb H. for bringing us supper last night, it was so nice to not have to worry about it!

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DAY 2 ~

We made it through the night with no calls from the nursing home. (PHEW!) I called in after breakfast time and they said she was doing "WELL!" It was like night & day!!!! She was PLEASANT & SMILING!! We had told them how much she loved her morning coffee so they brewed her a pot & she had coffee, ate breakfast with them, did an activity (made a necklace!), and was adjusting well. HALLELUJAH! We were finally able to relax a bit... yet still too nervous to relax too much... but HOPEFUL that things would continue to improve.

At around 1 they called & said we could come and visit. (Originally we had discussed with them not visiting, hoping that would help her adjust. It was SO HARD to not go see her, yet we knew that it was for the best.) She had been starting to get anxious & restless... UH OH... and Gabe, one of the social workers, asked her if she wanted to see her son & she had said Yes. So we excitedly, nervously, & hopefully went in for a visit. Gayle had bought her a new TV yesterday so we took that in along with a bunch of her favorite DVD's, so more clothes, her robe, Diet Coke, 3 musketeers, her favorite gum, etc... Brad headed down first while I waited to give them her clothes for labeling. He said when she saw him coming through the double doors she bolted out & headed straight towards him... setting off the alarm. She was so excited to see him & the new TV! Once I got down to her room she was so HAPPY! She was in her nightgown (not dressed but comfortable) and showing off her new TV.

It was almost like she had forgotten about yesterday & she had been there for days. She kept pointing at her arm & saying "Shot" and smiling. I realized that she had gotten her TB test & she had thought it was the shot she had been hoping for from Dr. Boeve, the #9 shot she had talked about for the past year. The shot that she thought was going to make her better. I acted excited for her & explained it to Brad. We went with it. She was happy. (it is hard knowing that's not what she really got, but just knowing it gives her hope... it is worth it)

Brad & I stayed about 3 hours. We were still on guard and waiting for her to get upset. But she never did. The look in her eyes was relaxed & happy. She was giving us kisses and hugs. I sat next to her on the bed and she would lean over and laugh & kiss my cheek. She patted my knee. She gave Brad hugs & kissed his cheek. It just wiped the stress right out of him. He was smiling again. Cathy said Chase a few times & I told her I would bring the kids up in a week or so. I told her they were in school and she just smiled & shook her head yes.

Her friend Barb S. stopped in again. And we took that opportunity to leave. We gave her hugs & said see you tomorrow. And she was okay with us leaving!! Wow, what a difference. Being able to hug her good bye was so wonderful. We would like to take Misty in for a visit. And I am hoping the other residents will like seeing her dog also.

Here are a few pictures I took on my cell phone today... One of her smiling & one of her bed with her Build-A-Bear in it.





I am hoping tomorrow will go as well as today. If it does I will actually be able to go home & feel safe about leaving her here. Finally be able to take a deep breath. And Brad will be able to head back to work without the weight of guilt as heavy on his shoulders. Knowing his Mom is doing ok & in a safe place.

Sunday, January 27, 2008

Weekend at home

Just a quick weekend overview.

Brad was home all weekend. He talked with his supervisor & union representatives and finally got his April Vacation moved to single days that he can take starting today. HALLELUJAH! Thankfully he is going to be able to be up there this week.

Cathy's Niece Nicole drove all the way from Salt Lake City yesterday. She spent the day with us today... she took Cathy out for a walk & took Cathy to Wal-Mart shopping. Cathy did really well... she was laughing and very receptive with her. You could see the connection was still there.



Rhonda & Larry stopped by this morning, they brought Cathy an angel, orange candy, & some photos from their trip to Colorado. Cathy was so proud of the angel... she kept showing it to everyone today.

Yesterday Brad was looking out in the backyard & pointed some deer out to Cathy that were across the river. She got excited and said, "Gun." And started to go find one. He just started laughing & said, "Mom, it's not hunting season!"

I pulled up the Classic Rock section of my itunes again tonight... & we danced around the kitchen. Imagine this: Cathy, Nicole, Mia, & I... rockin to Black Betty & Steve Miller. She laughs, smiles, & shakes her butt to the music... Good Moments to remember!

It was a really good day today... and then... we discussed ways of breaking the news of going to the care center to her again. (in all honesty, how are you supposed to handle this??? does anyone know?? do you prepare her... do you just spring it on her... how do you respect her feelings???) So... I "doctored" the care center's pamphlet with information on Pick's Disease & how they "care" for people with this disease and put her Doctors picture on it... since we know that she trusts him. We had hoped that would help... but... when she saw it tonight... it didn't. She just can't seem to put the 2 together. She understands enough to be upset... but not enough to be able to reason with her. (ARGH!) So after she saw the pamphlet she started getting angry again, shaking her fists, yelling "Actually, On Fire!", & slamming her bedroom door.

I was talking to Toby on the phone... he is out in the DC area for Air Force TDY... & he heard her yelling. I know it was hard for him, being so far away & helpless. He has been very supportive to us this week.

I packed the kiddos up tonight for spending the week with my parents. They heard Grandma yelling before we left... on the way to town we talked about it. I asked them if they have any questions or worries. Mia just said, "Grandma is mad at Daddy, but not at me" and Chase said, "Grandma's Brain is sick Mia, but we can't get it from her." I think they understand as much as they can. But I can tell that it is getting harder on them also. I am glad for the chance for them to spend a week at my parents house.

Aunt Charlene flew in to Wisconsin this weekend also. She will be meeting us at the care center tomorrow. (big sigh) I hope it goes better than I am expecting. Cuz... I just don't know what our Plan B will be.
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Below are some pictures from our week. Grandma in her new outfit with the kiddos. Cathy trying to help me with the laundry (we went through an entire container of Tide HE in 10 days... for 110 loads!). Cathy's stuff out by our van... I had the van locked & it sat out there all day. (sometimes being carried back in... but then right back out)





Friday, January 25, 2008

Trial Period...

Well... Brad, Cathy, & I drove home this afternoon through a snowstorm in Minnesota after a long day! Brad drove 45 mph most of the trip & Cathy actually slept through part of it, it was a long morning for her also. (We actually passed Ryan & his family, they were heading up to Wisconsin for the weekend and we were heading home. Cathy waved across the interstate)

The minute we pulled into the lane at the Care Center she knew... she started shaking her head no & pointing to go back out. I don't exactly remember how we got her inside... but we did. Luckily when we walked in the door her friend Barb S. was in the lobby (HUGE THANK YOU TO BARB!!! She was such a support & life saver today!!) The meeting seemed to start off fairly well. Cathy brought in her notebook & was showing the social worker pictures of her family & Misty. But when she realized he was filling out paperwork about her & he started to talk about her room... things went bad quick. She showed her anger towards Gayle, shouted loudly, shook her fist, & slammed her notebook on the table and her lap. (I almost broke down crying... I am sure my shoulders visibly slumped & I let out a big sigh) We tried redirecting her & it only helped short term. Honestly, after all the emotions of the day, I don't remember exactly what happened or what was said. At 2 different times she got up and walked out of the conference room, I let Brad go get her since she listens to him so well. You could see the nervous looks in the eyes of the nurse & social worker. And the nurse started saying how they have to look out for their other residents. We tried to explain that all of her anger is towards Gayle at this point & that we feel she is safe towards others. How loving & caring she is.

Luckily Barb was there so she sat with Cathy while they gave Brad & I a tour of the building. At this point we had a chance to talk to the social worker more about the disease, the behaviors, & her. I kept asking for a chance... just a few days to try it out. He said he would call us after they discussed it. I truly thought they were going to say NO. But they called & offered us a 3 day trial... similar to respite care. So on Monday we go in for that. sigh. (I really think that the social worker opened up his heart... because the nurse seemed nervous... I am SO THANKFUL for whatever happened!)

We got back to the house & she was upset. When Gayle came home a few minutes later she was VERY angry with him... angrier than I have ever seen her. (I can only imagine how she is feeling inside right now, & can understand her anger because she cannot understand what is going on.) Brad & I both had to get in front of her and keep her away from Gayle. At one point we were all trying to explain to her that we loved her, we were only doing what we felt was the best, that she had to trust us, etc... Gayle broke down. Brad & I broke down. She just kept glaring & yelling at us. We all wanted so badly for her to understand... to understand that it is not safe for her at home anymore, that the care center is the safest place & if she shows anger she can't stay there... that if she can't stay there that things could be even worse. At the care center more family & friends can visit, her dog can visit, & we can take her out if things are going ok. But she just can't comprehend that anymore...

Brad sat down in front of her & talked to her for quite some time. He worked his magic & she settled down. Basically... he told her this, "Mom, Dr. Boeve (her Mayo Dr. that she trusts) wants you to go there, they are going to try and help us, they are going to help us fight this disease. Will you help us try?" She agreed and settled down. SHE EVEN WENT OVER & KISSED GAYLE ON THE CHEEK!! AMAZING!! (which brought us all to tears again!)

So... hopefully Monday she will still agree with this plan. Aunt Charlene is flying in from Colorado to be here. Cousin Nikki is on her way from SLC to visit this weekend. Jean is flying home from her Florida Winter for a week to help out. And I know some other friends & family will also help out as the days pass.

I am emotionally spent... I feel like all the bones are gone from my body & I could just melt to the floor. Brad just fell asleep on the couch while the kiddos are watching a movie. So... Good night everyone.

Thursday, January 24, 2008

FRUSTRATED!

So... Brad, Cathy, & I are headed up to Wisconsin in about 15 minutes. She has an interview in the morning at the Care Center. I am a bit (more like alot) frustrated because the past 3 days I have made over 15 phone calls to 3 different Dr. offices, calls to the care center, a few faxes, & calls to family and friends. We were under the assumption that once the paperwork was recieved they would take 30 minutes to review it and then call us to let us know if she was accepted. But... they called this afternoon (after dealing with them a month & telling them it was Pick's Disease) to say they needed to interview her. They were not sure if they could handle her disease..... URGH! This would have been nice to know before we did all the paperwork & put all the Dr. offices through all the forms. (Thanks to all the nurses & Docs who helped us out! They were so nice & helpful!!)

I am afraid the interview won't go well. She knows the place & the minute we turn in the lane she will not be happy.

And... if they do accept her she can't move in tomorrow. We have to go back up next week to move her in.

So... I just needed to vent this out. I can't imagine how an 80 year old spouse deals with all of these loop holes!!!! I am having a hard enough time with it all.