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Worrying about what's next


avantgardener

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Before I say anything else, I'd like to express my gratitude to everyone here. I don't know how I would have endured the last 6 weeks since Larry's stroke without this site. The people here, especially those who have already walked this path, are so caring, generous and wonderful - I was thinking about all of you today and wishing that we could have met under less traumatic circumstances, but I am SO GLAD you are here!

 

Larry had a very full dance card today. Of course everyone comes to visit on the weekend (which is actually good, since his therapy is minimal on the weekends, and the visits don't disrupt as they would during hte week). His brother from out of town visited today, along with his niece, and then right after that Larry's son Eric, and his wife and baby. Our friends Joy and Albert, who were here yesterday and saw Larry then, were back again to pick up something they left behind and wanted to visit again, but I told them that I thought it would be over-stimulation and they understood.

 

I finally went to see Larry late in the PM. I took advantage of everyone else's visits to get some things done around the house, but went over at around 3PM. Larry was OK but seemed a little down. I don't know if it was because of all the visits or what, but I suspect it was too much stimulation and that I should try to space it out a bit more. It's hard to tell his relatives (especially his kids) that Larry needs to rest and that sometimes he's not ready to see them. Hopefully they will understand!

 

The Kaiser case manager called me Friday afternoon. She said that Larry's progress is not as fast as they'd like (probably never is!), and that I should be prepared for the idea that they might transfer him directly from the SNF to home, rather than to acute rehab and then home. She also told me that I might get as little as 48 hours notice of the transfer. Needless to say, I freaked out. I asked her if she thought 48 hours was enough, and how she would feel if it was her husband - she had no answer - I told her that I expect and demand at least a week's notice, since I will need to hire an in-home caregiver, finalize the bathroom remodel, etc. etc. ad infinitum...I think she heard me, but it's very scary since I have NO power here. She then called back and said that she talked to Larry's doctor at my insistence, and that the doc will monitor Larry this week (as opposed to what? Total neglect all the other weeks??) and that she'll have the case manager from Acute evaluate Larry's progress, and they'll let me know what they think.

 

I am looking forward to and dreading Larry's return home. I know that as difficult as things have been so far, it's as nothing compared to what it will be like when he's home. I can't afford a live-in person, so that means I will need to work full time, then come home in the evenings and be reponsible for his night-time care, as well as weekends. This sounds exhausting to me already, but I will have to find a way to make it work - I am fortuntate to be able to afford even the 12 hours/day 5 days/week care; there are many who can't manage even that. I'm hopeful that Larry will improve in the weeks and months to come, to the point that perhaps he'll need only 5-6 hours of care per day, but that may not happen. That's the thing about stroke...no way to tell what will happen!

 

I'm just taking it day by day and trying not to get overly upset about things that may or may not happen. One thing I'll say about stroke is that it certainly does make you appreciate the moment and not try to control the future, because you can't. I wish I could have learned ths lesson some other way!!

 

xxx's and ooo's

-Janine

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Janine,

When my husband was kickedout of the first rehab hospital because he was improving enough, we had a lot of options given to us. He qualified for a home nurse to visit as well as home pt, ot, and speach. They also would not send him home without 24 hour care which I was able to provide but they would have provided if I had not been able. My husband's only medical benefits were Medicare. I would talk to the social worker and see what else she can recommend. Then there is always an ombudsman on hand to be Larry's advocate as well though that information is not made redily available in most care facilities.

 

I never had to deal with too many visitors. The ones my husband had were always good about staying for a short period. I would say you have to do what is best for Larry. If you have to tell people that he needs his rest they should understand. If they don't that is their problem. Another crash lesson we caregivers have to learn on getting tough and assertive!!

Ruth

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Janine:

 

please don't look at today and project your future based on it, things are going to change. but while things are changing you need to get strength to get through this one day at a time, and never let out your stress on Larry and ruin his chances of little meaningful recovery. My husband says after our own stroke ordeal with little child thrown in the mix. the only thing he did for our family is to stay strong for our family. Everything else fell in place by itself. I know you might think your situation today is worst than whole planet but I will tell you one thing I felt same way 4 years ago too, and today I feel lucky to be alive & contributing member of our family. I know I survived for a reason.

 

Asha

 

 

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Janine,

 

Of course you're going to worry about what is next - that's only natural as well as expected - none of us can determine what that future holds.

Having visitors is really great as it is a diversion away from what Larry is experiencing. Once everyone is gone, it's time to get back to reality - the unknown, the frustrations, all the emotions brought about by stroke.

 

Hope Larry bounces out of his "funk" and experiences better days. I wish for you the added "umph" to deal with all the upcoming changes.

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Janine: You mentioned that you might not know what you would have done without this site. I would like to take this time to thank YOU!!! I am new to this site also, and your stories about Larry have helped my mom tremendously, and myself. Along with all of the replies. My dad is 85 and had his stroke on March 8, 2008. He is able to speak, but at the time was completely paralyzed on the left side. He had blood leak into his brain on the right side. He has come along way, but still cannot sit up by himself, and cannot stand. We are hoping this will happen someday, but not sure when. He is constantly fighting infections, but we are all hopeful that if these can be eliminated, he can then focus on getting strong.

 

I took all of your stories about Larry and printed them off for my mom to read. She will be 84 this month. I was able to see so much of what we have been going through in your stories. I will continue to read them and print them off for her. We all have a long road ahead of us, but with the support on this site, I am hoping that we will all make it, and become stronger with it.

 

I will be writing again, as I think this will help me cope with what my mom and dad are going through. Thanks again - it isn't easy to write all that is happening, but I really do appreciate you doing it. And everyone else that has replied.

Thanks again - Suzi

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Suzi, I am so glad to learn that what Larry and I have gone through is helping someone! I feel as though I take, take, take from this site, and don't have much to give, so that really made me feel good. Just like you, I am hoping for the best, but it is so hard not knowing what is going to happen. In no particular order, I am worried about:

 

What will happen when Larry comes home, and how will we adjust to yet another major change?

 

Will I be able to keep working with all of these distractions going on? I need a paycheck (as in the six figures) or I can't afford home care for Larry - that means I need to stay on top of what I'm doing at work and give my employer a fair day's work for a fair day's pay. Hard to do when you are this focused on other things!

 

Is Larry going to get better?

 

Am I going to get better?

 

Can I really juggle all of this, and how will it affect me? Am I going to get sick?

 

What can I do to help Larry get better, and how will I do it when I'm at work all day?

 

How am I going to make time to hire someone to care for Larry while I'm at work? And how will I find someone who's a good fit?

 

What will happen on the weekends and at night, when the caregiver is gone and it's just me?

 

The list goes on and on. I wake up at 3AM with all kinds of new additions to the worry roster. I am trying to stay strong, but sometimes it is very hard, and the tears are always pretty close to the surface. I feel so bad for Larry , and sorry for myself, and scared about what the future will be like, and sometimes I am just so overwhelmed that I can hardly breathe. I try not to let that escalate, and I go for a walk, or call a friend, or just go to bed and sob into a pillow. I don't know know what works, or what to do - this is so hard, sometimes.

 

All the berst to your and your mom and dad. I have such respect for older people, now that I've seen them on a daily basis at the SNF. Their courage and strength are incredible, and I feel very humbled just watching how they handle all this.

 

xxxoo

-Janine

 

 

 

 

 

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