I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: Spouses and Caregivers => Topic started by: Bill Peckham on September 13, 2008, 09:02:12 AM

Title: Being a caregiver is hard
Post by: Bill Peckham on September 13, 2008, 09:02:12 AM
On August 9th my Mom had a stroke. She had valve replacement surgery scheduled for September 2 (I was planning to be in Chicago before and after the surgery) the thinking is the bum valve(s) kicked off a piece of calcium/plaque which resulted in the stroke. I drove here from Seattle, getting here early morning the following Tuesday. Mom got out of the hospital/rehab on August 29th - since then I have been here caregiver. Fortunately she did not have significant impact from the stroke - she lost a lot of weight (that she didn't have to start with) and the bed rest in the hospital weakened her but it feels like her heart has a gun pointed at her brain. That at any time another piece of whatever could break off the faulty valve and cause a worse stroke. She has the surgery rescheduled for 9/23, until then it's my shift and I spend a lot of time fretting.

This has been tough. I don't have a caregiver as such for my CKD, I take care of myself, which I am still doing, but to take care of someone else has been a real eye opener. The bombardment of information - what do I know about heart surgery. Trying to decide how much help to give. When to peep up during doctor visits. The feeling of being helpless to help and feeling unappreciated for what the impact has been on me. I've found the whole experience very difficult.

Throw in dealing with my brothers and my Mom's scores of friends - many of whom find calling "easier than reading that blog" (I started a caringbridge site to minimize repetitious phone calls) - and I'm worn out. I really just want to go home, but I feel guilty for planning to drive back once Mom is out of the downtown hospital and in rehab closer to home. My Aunt will stay with her after she leaves rehab and I know I can't move here but I worry what will happen if things don't go well. Then what?

In many ways I am finding being a caregiver harder than being the care receiver.

Title: Re: Being a caregiver is hard
Post by: okarol on September 13, 2008, 09:17:09 AM

Your mom is lucky to have you Bill. Can you get some more help? It might be helpful having someone come in for a few hours - even a housekeeper, not necessarily a health care helper - so you can sleep or exercise or just zone out for awhile. Worrying about someone else is very stressful - and not knowing what comes next means you're always in perpetual limbo.

Stop answering the phone! Jeez people are so selfish - tell them you're turning it off. Read the damn blog!

Feeling guilty but wanting to get away is normal - you'll do what's needed when the time comes.

Hang in there. Sending you and your mom hugs!  :grouphug;
Title: Re: Being a caregiver is hard
Post by: petey on September 13, 2008, 09:35:05 AM
Bill,
I agree with all Okarol wrote -- she's such a smart cookie! 

I'm sorry about your mom, and I know how overwhelmed -- and sometimes frustrated -- you feel over this.  Being a caregiver is a tough job and "given" only to those of us who have what it takes to do the job right.  Just do what you can for her when you can, and remember to take care of yourself, too.

Hang in there!  Thinking about you and your mom!
Title: Re: Being a caregiver is hard
Post by: 2_DallasCowboys on September 13, 2008, 12:04:13 PM
Hi,

I totallt agree with OCarol and  Petey.
And yes, people can be a real pain in the :sir ken;
I remember when hubby was in the hospital and
I would get home after being there all day and evening-
honestly, the last thing I felt like doing was picking up that
damn phone to call different people with a health report-
some of the relatives were very insulted that I didn't-
people just have no idea what that is like. 
I hope your Mom gets better each day, Bill! :grouphug;


Anne
Title: Re: Being a caregiver is hard
Post by: boxman55 on September 13, 2008, 01:12:51 PM
Bill, my prayers are with both you and your Mom. It must be very hard on you. Please know that your Mom does appreciate your efforts...Boxman
Title: Re: Being a caregiver is hard
Post by: Sluff on September 13, 2008, 01:24:54 PM
Bill you and I have had some contact during this ordeal for you, although minimal contact it has been please know my thoughts are with you daily. If you need anything give me a call.  That sounds nice when people say this but I mean it. I have been through this for both of my parents and I know exactly what you are dealing with. The difference between you and me though is I was not a kidney/Dialysis patient myself at the time, and I know what a toll that takes on you as well. You have done so many good things for the dialysis community through all your blogs, travels and involvement with so many organizations that I hope you receive some help in return. You definitely deserve it. Give your Mother an extra hug today from all of us at IHD.
Title: Re: Being a caregiver is hard
Post by: paris on September 13, 2008, 03:24:31 PM
Bill,   You are such a good person.  When my mother was failing, I flew from NC to Ohio every weekend for two years.  No one asked me to, but it was my Mom. It is hard to juggle all that needs to be done, decisions that need to be made and still maintain your routine.  Don't answer the phone.  Let people leave messages.  Or put a message on the answering maching -- "today is --, Mom is doing---"   I think because of our own health issues, we know what kind of help we want people to offer.  Not even offer; just do it.      I'll keep your Mom in my prayers.  There is nothing as special as our Moms.   :cuddle; :cuddle;   You Mom raised a very caring son.   :2thumbsup;
Title: Re: Being a caregiver is hard
Post by: monrein on September 13, 2008, 03:43:33 PM
I'm thinking of you Bill as you go through all this with your Mom at the same time as having to continue your own care.  Tough stuff indeed.  I've always thought that care-giving is the harder job than care-receiving although neither is a walk in the park.  I hope your Mom improves and that you can get some respite yourself without absorbing too much guilt along the way.  I have no doubt that your Mom is really proud of you and grateful for all you have done and continue to do for her.

Big hugs to you as you hang in there.
Title: Re: Being a caregiver is hard
Post by: Bill Peckham on September 13, 2008, 09:08:25 PM
Thanks everyone. It's nice to vent somewhere and like you Paris no one asked me to do it and I could have ducked it easy enough (really only I know the dialysis wasn't an issue). My Mom is answering the phone mostly these days ... it was in the first chaotic days when I was trying to get my feet under my that it was incredible. I've tried to get my Mom to use the caringbridge site but she has been sending out hand written notes - working her way down the list she has kept - dozens of notes ... no doubt why she has so many friends.

Even the caringbridge site is a decision I question and I wonder how she really feels about it. For the surgery she is setting up a phone tree - I call two people, they call two people, repeat. It's old school v. new school. I know this isn't new ground for most of you but for me this caregiver role is all new. Se's doing legal preparation, getting her affairs in order ... communicating medical guidelines, sharing where she'd like to be put to rest ... which is good and is the sort of thing we all should probably do but still it just hard to sit by knowing what thoughts she's dwelling on, I've been there. Hell I am there. Starring into the abyss. I still don't know what to say.
Title: Re: Being a caregiver is hard
Post by: G-Ma on September 13, 2008, 09:34:32 PM
Bill
My prayers are with you and your mom...I find it very difficult to be a care receiver but I as many of us have been in the role of care giver and that is so very difficult...to know the right things to do, say, achieve...evrything.  Please take one day at a time, give yourself a set amount of time each day to just take care of yourself (besides the d)..even if it is just 5 min to breath.
Ann
Title: Re: Being a caregiver is hard
Post by: paris on September 14, 2008, 12:11:52 PM
I've been thinking of you and your Mom.   Because of kidney failure, you know more of what your Mom is feeling and thinking than most.  It is a helpless feeling to see our parents age and struggle with health issues.  If felt stange to be taking care of my Mom who took care of me.  We reversed roles and, mentally that was hard.   I am glad she has so many friends; that show the type of person she is  (must be a lot like her son).   Please let her know that many people she has never met are praying for her.   Take care of yourself during all of this. We all care about you very much   :grouphug;
Title: Re: Being a caregiver is hard
Post by: Mimi on September 15, 2008, 12:06:34 AM
Bill, I just found this thread.  I am so sorry about your Mom, but happy to hear she has begun to recover.  I
know what you are going through, I was caregiver to my Mother after she had a stroke in 1990 until her
death in 1991.  It is a hard job, but one that most of us,as children, want to do.  You and your Mom are
in my prayers.

Love, Mimi
Title: Re: Being a caregiver is hard
Post by: aharris2 on September 17, 2008, 06:02:12 PM
It's a whole lot easier when the need for care develops slowly - you can grow into the role. Bill, you have had it suddenly thrust upon. You have stepped up to the responsibility (which befalls us when a parent needs help). Many simply sidestep it.  You're a good man Bill and you will always feel good about yourself for having been there for your mother.

 :grouphug;

Best wishes for you and your mom, especially on the 23rd.

Alene and Rolando
Title: Re: Being a caregiver is hard
Post by: glitter on September 18, 2008, 06:13:55 AM
Bill, I know what your going through and its tough. Not just the logistics of it all but the conversations you have with your Mom . My Mom has COPD end stage- I am cherishing this time with her.  Its extraordinarily hard to face our parents mortality, harder then even our own.  When ever you write of her- you can see how much you love her- she is lucky to have you, and you her. I love the idea of the phone tree, and what a great example of her thoughtfullness.  :)
Title: Re: Being a caregiver is hard
Post by: Bajanne on September 19, 2008, 03:00:35 AM
My caring thoughts are with you at this time.  I was caregiver for my two parents, until my sister took my mother with her (while I was going through breast cancer) and I took care of my father until he passed.
The upside to this is that you feel a great gratification to know that you have got a chance to help the person(s) who brought you into this world and brought you up.  I found that things I would normally be very squeamish about came as nothing to me as I was able to express my love tangibly to my parents.
Bill, you just keep on keeping on... :cuddle;
Title: Re: Being a caregiver is hard
Post by: annabanana on September 20, 2008, 11:20:36 AM
Yes, being a caregiver is hard. But you should trust yourself to do what's best for your mother, and for yourself. It's very much okay for you to feel all the things you're feeling, positive and negative. Sending good thoughts your way.


 
Title: Re: Being a caregiver is hard
Post by: paris on September 24, 2008, 12:15:17 PM
Bill, just checking in to see how you and your Mom are doing.   Keeping both of you in my thoughts and prayers.   :cuddle;
Title: Re: Being a caregiver is hard
Post by: Bill Peckham on September 24, 2008, 04:15:08 PM
She came through the surgery without any surprises. The surgeon said there was a lot of calcium on one of the valves. It was like a gun pointed at her brain. Another piece of calcium could have broken off at any time and caused another stroke only this time in a more sensitive part of the brain. I'm very glad the valve has been replaced.

I saw her last night after the surgery - she was still out - she looked pretty rough. Then this morning she called me at 8AM and sounded great. Her voice was real strong, she was sitting up, having broth. I was shocked, but elated. Then I called back and she sounded 180 degrees different. Weak and tired. The nurse said she had had swings in blood pressure and had thrown up - which must have been hugely painful. I put off going down to the hospital to let her rest. When I got there she looked very worn out.

She has a temporary pacemaker hooked up (first I heard about it was at the ICU). I saw the doctors while they were rounding - good timing. Tomorrow they will decide if they need to put in a permanent pace maker.

Interesting thing happened when talking to the doctor and nurses. I was there with my older brother who is deaf. I was signing/interpreting which while I do that I speak what I am signing out loud. So the doctors had to listen to me while I simplified what they were saying and with ASL you really only give the highlights - no grammar. I found it clarifying because if I wasn't sure how to put something I could ask for clarification and they could follow along and anticipate what information I would need to complete the explanation. It was a pretty helpful dynamic.

The other thing is I have a cold so I had to mask up when visiting, I don't think I should hang around the ICU. I'm pretty worn out and Mom needs to rest rather than worry about talking to me. Also I need dialysis tonight. Over the weekend I had a cartridge leak (which I never get) but I didn't clean the lens well enough so I had a alarm the next night ... bottom line I'm under dialyzed and under rested.

All that said I think Mom is through the worst of it. Thank you all for your good thoughts. If you'd like the address to the Caringbridge blog I am keeping send me a PM.
Title: Re: Being a caregiver is hard
Post by: willieandwinnie on September 24, 2008, 04:20:37 PM
 :cuddle; Glad to hear from you Bill. Get some rest yourself and take care of that cold. Let us know how things are going.  :grouphug;
Title: Re: Being a caregiver is hard
Post by: monrein on September 24, 2008, 04:23:40 PM
Thinking of you Bill and hoping you get back up to speed, dialysis-wise, soon.  I also hope that your Mom makes a good recovery and starts feeling better. :grouphug;
Title: Re: Being a caregiver is hard
Post by: paris on September 24, 2008, 05:42:03 PM
Thanks for giving us an update, Bill.  You need to take care of yourself, too.  I know it is hard to balance everything, but we worry about you too.  Hope tomorrow you and your Mom both feel better.   :cuddle;
Title: Re: Being a caregiver is hard
Post by: pelagia on September 24, 2008, 06:28:15 PM
I'm just back from a trip and reading this for the first time.  It's good to hear that your mom made it through the latest surgery.  You have had your hands full.

Be selfish about your time.  Do what you need to do for your mom and then take care of yourself.  My best advice is to ask people to help or to run interference for you.  My brother-in-law was a godsend after Stephen's surgeries.  He called family members for me and told them not to call us until we called them.  I posted on caringbridge when I could and that kept friends near and far updated.  I couldn't even keep up with calling the immediate family.

We're here for you if you need us. :grouphug;
Title: Re: Being a caregiver is hard
Post by: okarol on September 24, 2008, 07:18:37 PM


I hope your mom gets stronger reach day. Try to rest while you can. Take care  :cuddle;
Title: Re: Being a caregiver is hard
Post by: annabanana on September 25, 2008, 10:50:02 AM
 :grouphug;
Title: Re: Being a caregiver is hard
Post by: paris on September 30, 2008, 06:28:49 PM
Checking in to see how "Mom" is doing.  And how are you doing?  You have a lot on your plate right now.  Hoping things are ok.  :grouphug;
Title: Re: Being a caregiver is hard
Post by: Bill Peckham on October 01, 2008, 07:10:49 AM
She had a pacemaker put in yesterday. She is determined, to the point of signing out against doctor's orders, to leave today and come straight home. The idea of a post hospital stay in some sort of inpatient rehab is no longer being considered. I have been scrambling to set up at home care. But I'm leaving tomorrow - at least that is still my plan. I have two nights booked at the Shoshone Lodge just east of Yellowstone - Saturday and Sunday nights.

Steve who grew up next door to me and now lives in Florida flew in to make the drive - he's never been to Yellowstone so I promised we'd stop. I have a uhaul trailer and will bring 5 treatments worth of supplies. We'll be driving slower and seeing stuff along the way - Badlands, Devil's Tower, etc. He did this with me once before when we drove straight through - he is insisting we stop for a bed each night this time.

My Mom is a terrible patient but she is 75 years old and ain't changing. I'm trying to get someone to come in every day for the month of October - I've been checking out agencies. My oldest brother is going to be spending the night here - but he is not the most reliable tool in the shed, but he is the only one available. My aunt is coming out on the 14th and I'll be coming back through on the 30th for a few days but it's going to be up to my Mom to motivate and do the things she needs to do to get well.

I just want to go somewhere and sleep for two days - the lodge sounds nice. No internet and no phone - a little scary but I need it. Steve can take the car and see the park.
Title: Re: Being a caregiver is hard
Post by: willieandwinnie on October 01, 2008, 07:17:41 AM
:cuddle; Bill, she checked herself out of the hospital day after pacemaker? Good Lord, she must be one strong cookie. I hope things go well and try to enjoy your casual drive and get some rest. We'll be here when you get back.  :grouphug;
Title: Re: Being a caregiver is hard
Post by: Bill Peckham on October 01, 2008, 07:47:05 AM
:cuddle; Bill, she checked herself out of the hospital day after pacemaker? Good Lord, she must be one strong cookie. I hope things go well and try to enjoy your casual drive and get some rest. We'll be here when you get back.  :grouphug;
I heard she tried checking herself out Monday night telling the staff that she would come back down for the pacemaker the next day.

I never heard about this until the next day - I have no idea what her plan was for getting home from the city ... I'm guessing she has some cash stashed somewhere just in case she wants to make a break and I'm not cooperating.

I think this is why she was moved to the ICU - more due to flight risk than medical necessity.
Title: Re: Being a caregiver is hard
Post by: paris on October 01, 2008, 12:35:01 PM
A couple of nights at the lodge sounds perfect.   It seems like you have made all the necessary plans for you Mom and now it is time for others to help your Mom.  Hope the pacemaker makes her feel better.   I don't like people "hovering" over me, so I am always relieved to have my own space when company leaves.   Your Mom sounds like she is similar.  I'll keep her in my prayers for a good recovery.   Have a great drive and enjoy the time with your friend.   :2thumbsup;
Title: Re: Being a caregiver is hard
Post by: pelagia on October 01, 2008, 05:51:30 PM
Have a great trip and by all means, sleep!  don't forget to take a few :pics;
Title: Re: Being a caregiver is hard
Post by: monrein on October 01, 2008, 06:05:52 PM
Enjoy the trip Bill and don't worry while you're away. 
Title: Re: Being a caregiver is hard
Post by: Bill Peckham on October 08, 2008, 01:51:35 PM
I'm home in Seattle and glad of it. Have been talking to my Mom and she seems to be recovering nicely. My oldest brother has been staying with her, she says she'll let him stay another day or two before giving him the boot. I'm going to Philadelphia in November - I have my flight booked with 4 nights in Chicago on the way there so I'll be able to see her in just a few weeks.

I left her a surprise. She lives in a condo with all sorts of rules about how the common areas can be used - basically you can't do anything to dress up anything outside your apartment. I bought her a pumpkin to put in a little nitch outside her door - that caused a letter to be sent, not the first one she has received, she basically ignores them. Anyway she is on the ground floor with a door to a courtyard that gets pretty good light. There is some plain landscaping - bushes - but lots of bare dirt. Poor, clay-ey, rocky dirt.

Well I went to a nursery and Costco and bought over a 100 bulbs - Tulips, Daffodils and Lilies - a bag of compost and a bag of soil. Once it got dark - three nights in a row - I'd go out and plant bulbs. The ground was so hard and there were sprinkler lines and pipes running everywhere so I couldn't use a shovel. I used a shed brush that she had for her dog - it's just a loop of steel that is serrated on one side. That actually works pretty good to dig with, without damaging the pipes. I was able to expose the tangle of pipes 6-8 inches down and mix compost with the poor soil and then add bulbs, store bought soil and fertilizer before filling in with the excavated dirt. Once I was done I would cover my tracks and the next morning it looked the same as the day before.

There are a lot of bulbs in a small space - I can't wait to hear if it turns out next spring. Mom will have total plausible deniability - she just had surgery. How could she have planted them?
Title: Re: Being a caregiver is hard
Post by: pelagia on October 08, 2008, 02:14:11 PM
very sneaky and incredibly sweet  :clap;
Title: Re: Being a caregiver is hard
Post by: willieandwinnie on October 08, 2008, 03:04:09 PM
Bill, that was so sweet of you. Did you tell your Mom you did it? Or are you going to?  :cuddle;
Title: Re: Being a caregiver is hard
Post by: okarol on October 08, 2008, 08:43:55 PM

 :cheer: You ROCK bill!
Title: Re: Being a caregiver is hard
Post by: Wallyz on October 08, 2008, 08:48:32 PM
Slick Bill, I like it. :2thumbsup;
Title: Re: Being a caregiver is hard
Post by: jbeany on October 08, 2008, 10:10:26 PM
Very cool, Bill!
Title: Re: Being a caregiver is hard
Post by: monrein on October 09, 2008, 06:47:29 AM
Hey Bill, I'll buy my own tulips, they'll be in the garage.  Drop by any time.

What a great gift for your Mom.
Title: Re: Being a caregiver is hard
Post by: Bill Peckham on October 09, 2008, 10:05:18 AM
Bill, that was so sweet of you. Did you tell your Mom you did it? Or are you going to?  :cuddle;

I asked her if she wanted to know a secrete or did she want to remain out of the loop. She of course wanted to know, so I told her that over a hundred (I think I had about 130) bulbs were planted "somewhere" out in the courtyard. She wanted to know where exactly but I said that she'd have to wait until spring.

One of the things I noticed while taking care of her was that her time horizon shrunk to hours or even minutes in the hospital. She really didn't think at all about the next week let alone next year. I kept suggesting that she had to think in terms of getting through the month of October - that it was going to be a very hard month - but really her time horizon stopped well short ... it went right up to leaving the hospital.

Now that she is out I think she is thinking a bit farther ahead and can feel her body getting stronger (she's put on three pounds with my brother feeding her, just since she's gotten home). I hope thinking about next spring will be a good thing. I'm waiting for the day when I call to talk to her and she tells me she's been thinking about what sort of summer vacation she wants in '09.
Title: Re: Being a caregiver is hard
Post by: devon on October 09, 2008, 12:58:47 PM
good news Bill. I hope it continues!

thanks for your posting in this thread.  It's very informative.

-Devon
Title: Re: Being a caregiver is hard
Post by: petey on October 12, 2008, 07:18:51 AM
I think that while being a caregiver is hard (sometimes very, very, very hard), being a caregiver also "gives" those of us in that position some pretty rewarding, fulfilling moments, too.  Loved the story of the bulbs.  What a good, thoughtful person you are.