Tag Archives: stress

A Clinical Trial of One??

Day by Day with a Movement Disorder Posted on by 2

In a real Clinical Trial, doctors use a very large number of people, usually, but not always, divided into two groups. One group gets the medicine being tested, and the other group gets fake medicine, called a placebo. At the end of the trial, if the people getting the real medicine have improved considerably more than the group getting the placebo, the medicine is assumed to be the cause of the improvement. That’s a good thing!

They use such large numbers of people to conduct these trials, because there are always going to be unforeseen situations that influence the effectiveness of the medicine for some people. Maybe a few of the subjects have an undiagnosed disease that makes even the best of medicines not work. Or maybe some of them are under a lot of stress that ruins their results.

When you see a new medicine being talked about with glowing praise of its effectiveness, you have to be very cautious about getting all excited about it. I have seen reports like that where the trial only had 16 people in it. That only gives doctors a hint that a certain medicine might be helpful. It’s just not enough people to tell you much.

That’s the problem with trying to find the right medicine for me, or any other PWP. We are, in a very real sense, our own Clinical Trial. The last time I was on Requip, I was terribly bloated, with horrible stomach cramps and gas. So, the Neurologist took me off of it, and he put me on Zelepar. That medicine dissolved under the tongue, so it doesn’t bother the digestive system. My stomach improved tremendously. The question is, was that because of the Zelepar, or was it because, that same week, my Gastroenterologist changed the prescriptions I was taking for my stomach? Also, my symptoms were not alleviated as well when I was on the Zelepar — BUT I had strep throat most of the time I was trying it, without knowing I was that sick.

There’s no way to be sure, is there, with more than one medicine being changed at the same time, and with me being sick, too? I talked with my Neurologist yesterday about this, and the fact that I had gone back to 1 Requip pill a day for several days, because I ran out of the Zelepar samples before my appointment. Even though I had been on the Requip for several days, my stomach was doing just fine.

So, Dr. S. has prescribed another month of Zelepar, to give it a fair trial at helping my PD symptoms. If I am still not getting as good a results with it as I was the Requip, I am to add the old dosage of 3 times a day of Requip to the Zelepar, which I take 2 times a day. I don’t see Dr. S. for 6 more weeks, to try to give me a chance to tell what is going to work best for me.

Parkinson’s Disease is different from many diseases, where there is some MRI or blood test that will tell the doctor what is helping, and what is not. With PD, it really is up to me. I have to be the judge for myself if the Neurologist has prescribed the right medicine and the right dosage. Then he bases my prescriptions on his vast experience with many other PWP he has treated.

But it still boils down to a Clinical Trial of one – ME!

Can I Keep Daddy in His Own Home Any Longer?

Day by Day with a Movement Disorder Posted on by 17

It looks like it’s time to consider a Nursing Home for Daddy, something I never wanted, and he certainly won’t want.

The last couple of weeks have been busy ones, as far as taking care of my Daddy is concerned. He woke up two weeks ago with his right arm in such pain and so stiff that he’s been having to eat breakfast left handed. He can’t even get the spoon to his mouth with his right hand. The Hospice nurse came and checked him out, but she couldn’t find anything in particular going on. She did get a prescription for Ibuprofen, so I’ve been alternating every four hours with the Motrin and Extra Strength Tylenol. By lunch time his arm has been better, but it starts all over the next day, just as bad as the day before.

With his arm like that, he’s having more difficulty getting out of his chair and the bed. Eating has been very frustrating for him, and he’s having more trouble using the walker. I’ve been trying to help him get up and down, to give his arm a chance to heal, whatever has been wrong with it.

Day before yesterday, the nurse looked at it again and was concerned about a good bit of fluid build up around the elbow and upper arm. I knew his hand was swollen, but I hadn’t realized the upper arm was larger, too. Anyway, she made an appointment for us to see his GP, Dr. M., in case it was a hairline fracture from the original fall, or something like that.

I didn’t realize until yesterday just how much worse Daddy is than he was when he first fell. Trying to move him from the chair to the wheelchair, and then from the wheelchair to the car, was just about impossible. I wore myself out trying to do it. Luckily, Frances, our sitter, was there to help move him into the car, and she was panting by the time he was in. It’s so much different than when we took care of Mama and Pop. They were both small people, not weighing more than 100 pounds, and they both cooperated. Daddy is about 160 pounds, and he’s a dead weight. To make matters worse, he doesn’t trust anybody, so he kept grabbing hold of the car door for dear life, and we had to peel his hands free to get him to hold onto us to maneuver him.

We asked for help at the doctor’s office, getting him out and back in, so at least we didn’t have to struggle with him there. But then, of course, we had to get him out of the car and back in the wheelchair on our own when we got home. He wasn’t any easier to move then than he had been at first.

The whole ordeal was extremely upsetting. The worst part of it was that the doctor no longer has an X-ray machine, so it was more or less a wasted trip. We have to see an Orthopedist next week. That means going through all this again. I did mention to Dr. M. that I had a sore throat, so the nurse swabbed it, and I have strep. So now I’m on antibiotics. At least we accomplished that!

Yesterday’s events have forced me to reconsider just how much longer we are going to be able to keep Daddy in his home. I can see that he’s fast reaching a point where I won’t be strong enough to take care of him. My DH and my Daddy have always had, shall we say, a cool relationship with each other. So DH gets frustrated with him, and Daddy stays mad at DH. My hubby is here for me, and doing a great amount of the work, but he’s just not up to the cheek to cheek “dance” it takes to move someone who’s not able (or willing) to help. And I’ve had a lot more practice at it, too. It is a skilled maneuver, but with Daddy, I’m just not strong enough to do it well.

So, I started thinking about Assisted Living homes vs Nursing Homes last night. I really don’t think an Assisted Living place would take Daddy, but he’s so mentally alert most of the time I hate the idea of a Nursing Home. I don’t think I’m going to have a choice, though. We had visited just about every good Nursing Home in this area when we were caring for my mother and father-in-law, so I have a pretty good idea which ones to check for vacancies.

We have an appointment Tuesday with the Orthopedist, and his diagnosis of what’s wrong with Daddy’s arm will have a lot to do with where we go from there. If he puts Daddy’s arm in a sling, we’re in a mess. So, we’ll get through the next few days as best we can, and go from there.

All this has been happening while I was supposed to be giving the Zelepar a fair trial. Considering how yucky my throat has been the last couple of weeks, and how much more work has been involved in taking care of Daddy, plus the extra stress of seeing him deteriorate, the Zelepar really hasn’t gotten a fair trial. I’m not walking as well as I did with the Requip, but my stomach is definitely better. From recent reading I’ve done, I understand that this is the maximum dose of Zelepar, so that’s not likely to improve, unless it’s because of the increased stress, or because I had strep, and that effected my walking.

So at the moment, my thoughts are up in the air, with lots of questions, but no clear way to answer them right now.

Seeing My Doctors Sooner

Day by Day with a Movement Disorder Posted on by  

I was quite surprised to not only be able to get an appointment with my Gastroenterologist this Friday, but I was also able to get one with my Neurologist next Tuesday. The Neurologist appointment really surprised me, as I know how long I’ve had to wait before to get one. I must have lucked up on one somebody had canceled, but I’m thankful for it, regardless of how I got it.

I’m hoping that, between the two appointments, a definite solution to my stomach problems can be found, and I also need to have a different sleep aide prescription besides Ambien.

The Friday appointment won’t be a problem, because Frances comes on Friday’s anyway, but I’m just keeping my fingers crossed that she can come on Tuesday. She’s out of town right now, so I’ll have to call tomorrow to work out the details. If she can’t, then I’ll have to start calling church members to find somebody who can sit with Daddy for us.

I want to thank you, friends, who put up with my daily moans and groans, to give me an encouraging word. I really need that encouragement right now. Our situation with Daddy has settled into pretty much of a routine, but there are still a lot of questions about what the future will hold. It’s hard to imagine that he will recuperate from this episode and be able to live by himself again. But I keep reminding myself that he’s “graduated” from Hospice once before. He really is amazing! Cantankerous, but amazing!!!

Another Day Goes By

Day by Day with a Movement Disorder Posted on by 4

Thank goodness the headache was gone yesterday. I can’t say the same for the cramping tummy, though. I started out OK enough, but Daddy had a bathroom accident, and cleaning him up really unsettled my stomach. I managed pretty well while the cleaning was being done, holding my breath a time or two, but once everything should have been through with, then I started feeling nauseated. I spent the rest of the day with the hot pad on my stomach and abdomen, trying to ease the cramping.

I’ve checked my blood pressure, too, thinking that might have something to do with how bad I’ve been feeling. Sometimes it’s been too high, like 144 over 80, but most of the time it’s been just fine. I keep getting these fleeting feelings of lightheadedness or dizziness, which could just be due to tiredness, since the BP is usually OK.

At least I did accomplish something yesterday afternoon. DH wanted me to go to the house for a couple of hours, just to get away, but I really didn’t feel good enough to want to move. So I told him to just pretend I wasn’t here, and I’d rest where I was. So, while he took care of Daddy, I did the research and wrote the descriptions for 5 baby toys to put on eBay just as soon as I can get the photographs taken.

I’m looking forward to Francis coming this morning to give me some more time away from Daddy. That should help. If my tummy seems OK after breakfast, I’ll go to church. If I’m still uncomfortable, I’ll probably just stay home and rest. Whatever I do, being at home or at church and away from the care giving responsibility momentarily will do me good.

Hopefully, I’ll feel good enough to get the photos of the toys done, so we’ll have some items on auction this week. This should have been our busy time online, but under the circumstances, there was just no way to make that a priority. After all, it’s only a hobby, but it’s a hobby that gives me a lot of pleasure, and I need that release right now, too. So I have to balance my time and energy to keep myself as calm and relaxed as possible and still be helpful with Daddy. It’s not fair to DH for him to end up doing everything, particularly since Daddy is such a pain to deal with most of the time.

If anybody’s BP is high, it would be my DH’s, who finds himself constantly stifling the urge to come back with an equally sharp remark, after Daddy has said something particularly insensitive or controlling. He’s always been that way, although I know he loves me, and for the most part I can let it go in one ear and out the other. But DH is overprotective of me, and Daddy makes him mad now.

We’ve Hired a Respite Aide!!

Day by Day with a Movement Disorder Posted on by 4

I talked to Daddy yesterday about me needing some rest and a chance to settle my nerves and my stomach, and the fact that I had a doctor’s appointment coming up that would require finding someone to stay with him that day. He was agreeable to me trying to get the lady who had stayed at the house when I needed relief with Mama. I was a little surprised he agreed to it so quickly, but very glad he did.

So, I left a message for her to call, and she and I made some arrangements last night. She’s going to spend all day on Friday and part of the day on Sunday with Daddy, so DH and I can get completely away from the care giving responsibilities for just a little while. That will be good for us both, but particularly for me, I think. It also means we can go back to going to the yard sales and Estate Sales and having our Date Day again. I’ve really missed that. And I can go to at least Sunday School, and probably church, too.

Thank goodness Daddy has never been one to spend a lot of money, so we should be able to take care of the respite care costs without a problem. I really feel for those care givers who are not able to pay anyone to give themselves a break every once in awhile. I hope for their sakes that they have family nearby who can spell them. Since we don’t have family near, this is our best choice. She’s already used to Daddy, and he’s already used to her, and we trust her. We couldn’t ask for a better combination.

Frances was so excited to hear from us, being the Christmas season, and she was between jobs. She was more than happy to take part time work, under the circumstances. I told her we’d understand if she found full time employment, as long as she kept her obligation for my Dec. 20th appointment. She agreed. So a salary was agreed on, and she will be at Daddy’s at 7:00AM this Friday!!

Took Daddy to the Doctor

Day by Day with a Movement Disorder Posted on by 2

We did take Daddy to the doctor yesterday afternoon. We borrowed a wheelchair from one of our church friends, and we have a very nice ramp left from when Mama needed it, so that made getting him there less of a hassle. The worst part was the long wait at the doctor’s office. We had a 2:00 appointment, but didn’t see him until after 3:00, and that’s normal. If he weren’t so conveniently close to the house, we wouldn’t put up with it.

Anyway, he started talking about MRI’s and tests on carotids, and I told him that we wouldn’t be doing any of that, because we wouldn’t be following through with any of the results. That took him aback for a second, and then he stopped and thought about who his patient was, and agreed with me. I told him my concern was if Daddy might be developing pneumonia, which could be dealt with, and could he get us some help from Home Health or Hospice. I told him that the stress and extra work of the last few days had exhausted my Parkinson’s meds ability to cope with my symptoms, and that my legs were very wobbly. He agreed that Daddy should qualify for some kind of help, and he would get his office lady on it. He gave Daddy an antibiotic shot and a prescription for more antibiotics, and that was it. He agreed with me that it appeared that he had suffered a small stroke, but was reluctant to start him on Cumadin or any other blood thinner, because of his age (he’s 101).

So, it was a long day, and a tiring one, as only waiting in a doctor’s office can be tiring, but I think we accomplished what I had hoped we would. This doctor will get him on Hospice if it’s possible, and that will be the help we need to keep him in his own home. The one thing Daddy dreads is ending up in the hospital or a nursing home, and it’s important to me that I help him have the Quality of Life that he wants, even if it shortens it a little. As long as he has lived, I don’t think that’s a bad thing. With the extra help, and all the help that my DH is giving, we’ll make it through this. We’ve known it was coming, as it was inevitable, but it’s still harder to deal with than we had planned, thanks to the Parkinson’s leaving me with so little stamina.

Life’s Unexpected Turns

Day by Day with a Movement Disorder Posted on by 2

This has certainly been a strange last couple of days for me. It started with my laptop suddenly getting the dreaded Blue Screen of Death over and over, for no apparent reason, right before Thanksgiving. We had all the family coming for dinner, and that meant moving all the eBay stuff out of the guest bedroom, so the grandkids could spend the night. That meant there was no time to work on the ole ‘puter, so I had my first taste of computer withdrawal LOL.

I behaved myself, and only worked on the computer in between housework, as I found out very quickly that I have no stamina at all. I used to be able to move all the stuff quite easily, dust and vacuum, and generally straighten the house with no trouble, but not any more. It seemed like I needed to sit down every few minutes and catch my breath. Thank goodness my dear hubby was doing all he could to straighten up the place, and of course he did all the shopping.

Our family helped out a lot on Thanksgiving, instead of just coming and sitting down to the meal, the way they always have before. Our SIL cooked the turkey, and our daughters took care of the deserts, so DH fixed the vegetables, and I didn’t have to do anything. It’s just as well, as I woke up with those bad stomach cramps and the bloating again on Thanksgiving Day. I spent most of the day with a hot pad on my tummy, ate almost nothing at lunch, but did enjoy having everybody here. Daddy ate almost nothing, and no amount of prodding would get another bite in him. The kids were particularly good this year, as they stayed quiet all day. I asked DD if she had threatened them within an inch of their lives, but she said she hadn’t said a thing to them. So they hadn’t made Daddy nervous, as they sometimes do with their playful noise, so it didn’t make sense that he wasn’t eating.

We had a wonderful time enjoying getting to visit with everybody all at once, particularly since our older daughter and her hubby will be with his parents for Christmas this year. Younger daughter and the girls spent the night and didn’t go home until Friday afternoon, so we did get on our other laptop and do some Wishlist shopping for the girls, so I’ll have some things to pick from that they really want.

After such a pleasant day and a half, even with my stomach cramping, our whole world turned upside down when I got up to Daddy’s to fix his supper Friday evening. I found him in the living room floor, conscious, but unable to get out of the floor. He was not hurt, evidently, and doesn’t remember falling, but he’d been on the floor most of the day. Mind you, he has one of those “I’ve Fallen, and I Can’t Get Up” buttons in his shirt pockets, but he wouldn’t use it! I’ve never been able to get him to use it. No matter how many times I explain it to him, he thinks it’s going to call an ambulance and take him to the hospital. But I have it set to call us, and then a neighbor, and only call the EMT’s as a last resort.

So I called my DH, and he all but ran up there, and got him out of the floor, by the hardest. He was very weak, as he had not eaten since breakfast, and he’s diabetic. We got some juice and a banana into him, and soon realized that he must have had a mild stroke, as his speech was slurred.

So, I’ve been taking care of him now for the last few days. He seems to be getting stronger, and his appetite is improving. His speech is still slurred and I’m being really careful to feed him thick foods like oatmeal, so he won’t choke. I’m not sure what we will do today. It would be extremely difficult to take him to the doctor, and I’m not so sure it would accomplish anything if we did.

As for me, I can really tell the stress has put a strain on my Parkinson’s meds. My balance is poor, because I’m really tired, and my back is bothering me from trying to help him stand up. Luckily, I’ve had lots of practice at care giving, and I do know the correct way to do things, body mechanics wise.

Daddy will be 102 in March, so it’s going to be very difficult for him to recover from whatever happened Friday. He wants to stay home, and I want to be able to help him do that if it’s at all possible. If I could be fairly certain that taking him to the doctor would get us some Hospice help, then it would be worth the trouble of getting him in and out of the car and the doctor’s office.

Balance? What Balance?

Day by Day with a Movement Disorder Posted on by 2

Today was my Tai Chi lesson, and I started to call Sensei Tetsu and postpone it. I knew when I got up that this was going to be one of those days when my balance was not going to be very good. I decided to go anyway, just to see what I could do on a day like today.

Well, let’s just say, it was obvious almost immediately that there were going to be some parts of the form that were just not going to be done very well. But we worked the whole half hour, with only a quick water break. That’s better than I’ve done before. I didn’t need to stop after 15 minutes for a walk around break, so my stamina is improving, at least. We also got straight through the whole form at the end of the lesson, and that’s the first time I’ve done that. So even though I was stumbling some, and having trouble with some spots that hadn’t been bothering me before, I’m still pleased with my workout.

What I like the most about Tai Chi is that I’m so relaxed when I get through. I would recommend it to anyone who needs to deal with stress, or is limited in the kinds of exercise they are able to do.