Beginnings and Endings

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 to 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 5 yrs since that dreadful diagnosis.
But there is also good news.
You see, Gods 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.

The Talk

The subject was discussed again while looking at the digital picture frame. Hubby really enjoys looking at it and talking about the people in the pictures and the places they were taken.
I always get tickled when a photo I did not take personally but have possession of  pops up and he will ask me where it was taken. Having no idea I tell him I do not know. Hubby gets a little suspicious at this answer. He thinks if I have the picture I had to have taken it and I just don't want to tell him about it.
He likes to talk about the things in the background. In particular we have a photo of a grandson on a lawn mower we used to own. Hubby asks me where that mower is now.

We talk about the kids and grandkids. Our families and our friends.

I even have some random photos of our cats and home before and after we did the new roof and siding.
Hubby recognizes the before picture of our home as where he used to live but most of the time thinks the after picture is of a different house.
There are photos of the snow we have gotten and a big beautiful moon that comes up just at the end of our driveway. It's stunningly beautiful and I am awed every time I see it come up as though it has risen from the field across the street and sitting on the ground in our driveway.

I used to tell my children that their Daddy loves me so much he gave me the moon.

I posted a picture of my moon once commenting that it was nice to have something that gave me a little peace since we had had some pretty bad days at the beginning of Hubby's illness.

Our oldest daughter in an effort to be supportive and loving made the comment "Awww, the moon Daddy gave you"  to which I replied, in my sarcastic and glib way I have. "Yep, Daddy moons me almost every night" We both laughed about that comment! She also informed me that was TMI! Too Much Information (giggle) 'What?" LOL! ;-)

So as Hubby and I were watching parts of our lives flash before our eyes, a picture of my mother (now deceased) popped up. Hubby has lost the connection relating me with my mother. He remembers her as familiar and has a difficult time recalling her name but can not make the connection that she is my mother. During our conversation about her he got her confused with a good friend of his (now deceased) thinking perhaps my mother was his friend or that my mother was related to his friend. I don't think we ever got it straightened out. The longer I kept trying to sort it out, I may have even gotten confused ;-)

What he did recall was the fact that she (both of them) was deceased and her remains had been cremated. This is what started "The Talk".

Hubby and I have had the talk several times before. We have both decided that we would like to be cremated when we pass away.  We stated many reasons from cost, plot care even to visitors. We concluded that it was the best option for us. I am grateful that Hubby is and was willing to discuss such a sensitive subject at the beginning of his illness and that he can still remember what his wishes are. Death is not something we can hide from, sweep under the rug or avoid. We should all make plans for it or at least discuss our wishes with loved ones.
 Knowing what my spouse wants will not make the loss of him, should he go before me, any easier but I will not have doubts as to whether I am doing the things he wanted or not. I have relayed this information to our children also so they are not surprised when the time comes or they will know how to proceed should the duty fall to them to take care of.

Hubby has made one request. He asked me to make sure his dress pants and shirt were cleaned. When I asked his reason why he said, So he could dress nice for the ride. I took them to the cleaners and he has been satisfied that they are hanging in the closet wrapped in their plastic.

My father suggested that when he passes away he himself would like to be cremated and turned into a diamond. I thought he was crazy when he suggested it but I looked into it at  Life Gems.

I have boasted about the fact that my maternal grandmother was named OPAL and a my Paternal Grandmother was named RUBY so that makes me a true gem. An option that seems a fitting end to my mortal existence. Although, I wonder if I should be concerned about being stolen and pawned.