Beginnings and Endings
Oct 18 2012 in Kathy's Blog by Kathy
It was Oct 18 2007.
I don’t remember the weather but I do remember the feeling that someone had removed all the air from my lungs and I couldn’t breathe. This was the day we received Hubby’s official diagnosis of Lewy Body Dementia.
We were given 2 probables to narrow down from because there is no test for Lewy Body so it’s a process of elimination. I had an idea of what the Neuro was thinking. I had researched anything I could find. I was preparing for it. Hubby didn’t want to know, he didn’t care and spoke little to nothing about it. Then the moment came, the words, Lewy Body Dementia, my mind raced to everything I read. I was trying to sort it out but I felt like I couldn’t breathe. I remember saying, “Now what?”
Every day with Lewy is a new day.
Every day I still find myself asking “Now what?”
Every day I try to figure out a game plan and every day I try to find a way to add some quality to Hubby’s life.
Every day I pray that Hubby feels loved and safe.
And every day I wonder if there is something I can learn to apply to our life for him, for me and for others.
I learned something important when Hubby had to take a trip to the ER a few weeks ago.
I realized I needed to make a folder of information to have readily available to hand to emergency personnel. Trying to answer medical questions when my mind was racing, was difficult. I fumbled looking for insurance info and ID. The only thing I did have readily available was my Lewy Body Dementia info from heplguide.org I keep copied off and in my car for educational purposes.
I informed the ambulance driver that Hubby had a living will and I was informed that in our state, Arkansas, a living will is not accepted as a DNR unless it is a Physician signed DNR order. So I had to get a separate order signed by a physician.
It’s an odd feeling knowing that a piece of paper, that I have control of, can be the difference between Hubby’s life on earth or his eternal life in heaven with Jesus.
Hubby and I have discussed our end of life issues. We know what we want and don’t want. I hope I’m not selfish enough to hold him in his current or progressed condition should the time to make that decision ever arrives. It is my personal opinion that dementia is a form of suffering so I hope my love for him is stronger than the love for myself and I am able to hand over the papers with a heart that knows I’m doing what he wanted and / or what’s in his best interest.
I made a copy of the DNR and placed it in a Bright Yellow Folder along with other pertinent information . Two folders to be exact, one folder in the house , easily accessible to hand to on site emergency personnel.
The second I carry in the emergency bag in my car. If another trip is needed to the ER I will just hand them the folder.
I keep the originals in my purse.
I got the idea for the folders from another caregiver.
I love when caregivers are so willing to help others and share information as well as encourage.
I find caregiving a little overwhelming at times, not as much physically as mentally and emotionally.
It’s times like that when I withdraw into myself finding a way to regroup and carry on.
I know I can always find just the right shot in the arm or swift kick in the pants when I seek out the advice and support of other caregivers.
I hope that I contribute to the support of others.
Maybe this will be of some help.
The following is the information sheet included in Hubby’s folder:
~~~~~~~~~~~~
Name
Ethnicity
DOB
Religious preference
(Name), Korean War Navy Veteran,
has a primary diagnosis of PTSD
and Lewy Body Dementia (info included)
His Wife and GUARDIAN (court order included)-(name) is his full time caregiver
(Name) is a fall risk so assistance with standing and walking and transferring may be necessary.
He may have a difficult time hearing and/or understanding spoken and written words.
He wears glasses, (dentures?) and had cataract surgery (date)
(Name) allergies
Due to(NAME) Lewy Body Diagnosis certain meds should be avoided like neuroleptics/ antipsychotics meds, anesthesia if at all possible. These types of meds can severely increase his Lewy Body Symptoms and could be potentially life threatening for him.
A list of current meds (NAME) is taking is included
(NAME)’s Primary care is handled through
Drs Name
Address
Phone #
Mental Health Dr
Neurologist,
EMERGENCY Contact is
(name & #)
secondary
(name & #)
Included in this packet are copies of
ID (copy of drivers license both sides)
Insurance (copy of card or any other Insurance info)
Guardianship,
Advance Directive,
DNR,
Most recent medication list
Most recent lab results
Info on Lewy Body Dementia
Originals are with his wife, (name)
~~~~~~~~~~~~~~~~~~
So it’s been five years since that dreadful diagnosis.
But there is also good news.
You see, God’s timing is always perfect.
As we sat with the Neurologist after he gave us the news, my cell phone rang.
Normally I turn my phone off or on vibrate and ignore it when we see the Drs.
But this time I did not, on purpose.
This day we were expecting news about a new grandchild.
And sure enough, the call came.
I looked at Dr and said, “I’m taking this.”
In a matter of minutes the world that turned upside down uprighted with the news of our grandson.
Perhaps that was just what I needed to get my heart beating again after having the breath taken away.
It’s odd how we can go from one emotional extreme to another in a matter of moments.
I’m just glad the good news came second.

Denise said on October 19, 2012
Hi–I’m so glad your bad news didn’t keep you from receiving your good news. Even when we hear what we hope we don’t, we can still go on and go on to enjoy good moments and joyful events. I think you teach that to us so well.
I love what you included in Hubby’s folder. I love the personal touches as well about additional help he may need.
You have such an amazing perspective, Kathy. I so admire how you stay focused on what’s important to you and Hubby.
I hope you and Hubby have a weekend that provides you the answers you need. Thanks for keeping us in the loop. It’s always good to hear from you.
Trish said on October 19, 2012
Kathy, I love the info you have in your folder! I have something similar for Robert – a one page “summary sheet” that lists meds, etc. I like how you’ve included personal information about his behavior since a new doctor (aka, ER doctor) wouldn’t know that sort of info. I’ll have to change the font to 6 pt. on my summary sheet to fit in behavior info!
I had no idea you received news about the grandbaby on the same day you got the Lewy diagnosis. You needed that bit of air, that good news and I’m thrilled you got it. Thinking of you and hope your weekend goes smoothly.
Bob said on October 19, 2012
Kathy: What an awesome post. You are such an inspiration to me in how you have and are handling your husband’s challenges and your own. What a tool your folder is. I like how you both discussed your end of life issues. My wife and I are in that process. I know PTSD pretty well as my first Mental Health position was as a psychiatric nursing assistant working with guys and gals coming back from Viet Nam in 1974-75. I don’t know anything about the dementia your husband has. I’m interested in looking it up. Unfortunately my wife who is only 62 years old–a once very vibrant and stellar Social Worker with about 5 specializations in the field is in a Nursing Home as I coould no longer care for her at home. She is unable to walk. She had 4 back surgeries in 2 years and in the fourth surgery it was discovered by another surgeon she had a spinal leak which was infected with Staph. She was on IV Vancomycin for 11/2 months and in the hospital for three months. She developed peripheral neuropathy and something called critical illness neuropathy. The neurologist has told her she also has Parkinsonism. It has been a devastating year but we are plateauing, meaning adjusting to our circumstances which will include losing our home for financial reasons. I need to focus more on self-care as the past 5 months have focused on getting her what she needs; doctors appts.; adjusting to this next stage of our life together. I’m on temporary disability and have applied for long term disabilty as I do not feel ready to return to work yet. I’ve had to deal with my deceased m-in-law’s home going into foreclosure and now ours…lots of losses. It’s been a 24/7 job in a way. I try to get enough rest. I see a psychiatrist as I have Bipolar II Disorder. We discuss what is happening, but I think I’m in need of a therapist who understands care-giving issues more. I walk for exercise. I am currently reading “Change Your Mind, Change your Life”, by Dr. Gerald Jampolsky, MD and Diane Cirincione, PhD on Attitudinal Healing. I’ve read many of their books which are based on “A Course in Miracles” (Foundation for Inner Peace). I find it to be very helpful in changing how I see myself and the world around me. I send my thoughts and prayers to you and your husband Kathy….God Bless you both…………..Bob
Jane said on October 19, 2012
Hi Kathy:
I felt like all the breath left me when Nicole was diagnosed too. Like you there have been some good things that have come out of something bad.
You are an inspiration to me and many others who also deal with Lewy Body.
Thanks so much for the things that you have and keep for your hubby.
Hugs:o)
Jane ~ mom to Nicole, 18 yo, VSD, PAH, Eisenmengers (dx 1/22/10) BHJS (2/4/11)
“You’re braver than you believe, and stronger than you seem, and smarter than you think.”
Meryl said on October 21, 2012
Kathy, thank you so much for your post! When mom went to have her dialysis port changed, the nurse asked so many questions that I honestly had to sit there and think about how many years ago was this and how many years ago was that since I never wrote it down! She had been through so much and it never dawned on me to write this down! Definitely something that I need to start doing!
I agree how something positive can turn our emotions around in a heartbeat! I am glad you were able to get that!
ejourneys said on October 21, 2012
Hi, Kathy — I love your folder — and that Divine timing!
Including Hubby’s personal behavior touches is a great idea. That would be good for me to add, to accompany my partner’s other medical info. Thank you so much for that insight.
I withdraw a lot to regroup, too, mostly on the emotional end. I’m thankful that I can, and then I’m thankful when I can come back into the world. Your posts continue to help me immeasurably through this journey.
Bette said on October 23, 2012
Hi Kathy,
Thank you for sharing this story with us. You never have to wonder if you “contribute to the support of others” – you contribute daily.
I’m so glad you took that call and for the news on the other end of the phone.
Thank you for the reminder of looking beyond ourselves to find what’s most important.
Thinking of you and hoping you are having a day you’ve been able to prepare for.
Aimee said on October 24, 2012
Those times of hearing diagnosis can really take our breath away. It is neat how God provided you with a good news phone call exactly at the time you needed it the most!
Thank you for sharing about your medical information packet. I used your example when preparing to take my dear Father in Law to a new dr this week. He has parkinsons and lewy body dementia. He is very sensitive to any medication changes and it was good to write down everything we have tried the past 2 years.
Also, we found out that dear FIL has diabetes. The new dr looked at his lab results from the VA and stated very bluntly, “He has diabetes, we need to treat that.” The VA dr had never said anything to us about it. So that was definitely a moment of getting the wind knocked out momentarily. Now we are just at a point of collecting info, more lab work, and figuring out how to proceed.
Anyway, thanks for you post…it was very helpful!