Guest guest Posted July 31, 2002 Report Share Posted July 31, 2002 My name is Dot and we recently found out that my husband has LBD and the little information I have has been taken from the Internet. I just found out about your caregivers group and was wondering if anyone could give me additional information about it. My husband,who is 70, has been treated for Alzhimers for about 4 years and high blood pressure for many years. He never got real bad but in the last yeara or so, he began falling and said his knees/legs were weak. Dr said he was having low pressure and asked him to wear support hose. It helped a little bit for a while but then he got much worse, not having the strength to walk. Jan. 1 we were forced to change his medigap insurance, therefore, had to change neurologist. New doctor, many tests and several months later, he gave us this new diagnosis, plus in the meantime, a pacemaker was put in. Aricept, which he was already taking, was doubled and a new pill was added -- carbidopa/levodopa, or sinemet. We started with one pill a day, for several days and then moved up to 2 with instructions " if necessary, 2 or 3 a day. " He was much worse last week andafter talking to the dr. we have been tapering him off and then back on just to see if it helped or got any better. I have the following questions if anyone can answer any of them for me. 1, How fast does this disease usually progress? 2. Is this falling part of it? 3. He claims he has dreams -- always of animals -- but is not bothered during the day. Can this be halluciation, if always at night and when sleeping? 4. What can I expect next? The web-site does not have specific information and we won't see the doctor for a couple of months. Thanks for any information you can share. Dot Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2002 Report Share Posted July 31, 2002 In a message dated 7/31/02 3:55:44 PM Central Daylight Time, dot23116@... writes: > new diagnosis, plus in the meantime, a pacemaker was put in. Aricept, which > he was already taking, was doubled and a new pill was added -- > carbidopa/levodopa, or sinemet. We started with one pill a day, for > several days and then moved up to 2 with instructions " if necessary, 2 or 3 > a day. " He was much worse last week andafter talking to the dr. we have > been tapering him off and then back on just to see if it helped or got any > better. Hello, Dot, and a warm welcome. But i have to tell you that your post asks a lot more questions than it answers. First, Aricept. It takes 3 months to kick in. I THINK you meant that the increased medication was Sinemet, which I will address in 2). But 10mg of Aricept CAN be an overdose. When it was really necessary, by husband's dose was increased from 5mg to 7.5 for a month, and when apparently tolerable, increased ot two 5mg doses, which has worked quite well for over a year. As for Sinemet, you don't talk at all about dosage. There are so many . . . Cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2002 Report Share Posted July 31, 2002 In a message dated 7/31/02 3:55:44 PM Central Daylight Time, dot23116@... writes: > new diagnosis, plus in the meantime, a pacemaker was put in. Aricept, which > he was already taking, was doubled and a new pill was added -- > carbidopa/levodopa, or sinemet. We started with one pill a day, for > several days and then moved up to 2 with instructions " if necessary, 2 or 3 > a day. " He was much worse last week andafter talking to the dr. we have > been tapering him off and then back on just to see if it helped or got any > better. Hello, Dot, and a warm welcome. But i have to tell you that your post asks a lot more questions than it answers. First, Aricept. It takes 3 months to kick in. I THINK you meant that the increased medication was Sinemet, which I will address in 2). But 10mg of Aricept CAN be an overdose. When it was really necessary, by husband's dose was increased from 5mg to 7.5 for a month, and when apparently tolerable, increased ot two 5mg doses, which has worked quite well for over a year. As for Sinemet, you don't talk at all about dosage. There are so many . . . Cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2002 Report Share Posted July 31, 2002 I think we all had the same questions were our family given the diagnosis of LBD. I wanted to know how long she would live and how she would die. I have since determined that this is not able to be answered because each case is so different yet so much a like. Good luck with the process we have all been through. I have learned alot reading the message board and seeing what others are managing with. Keep reading - Colleen LBD/husband My name is Dot and we recently found out that my husband has LBD and the little information I have has been taken from the Internet. I just found out about your caregivers group and was wondering if anyone could give me additional information about it. My husband,who is 70, has been treated for Alzhimers for about 4 years and high blood pressure for many years. He never got real bad but in the last yeara or so, he began falling and said his knees/legs were weak. Dr said he was having low pressure and asked him to wear support hose. It helped a little bit for a while but then he got much worse, not having the strength to walk. Jan. 1 we were forced to change his medigap insurance, therefore, had to change neurologist. New doctor, many tests and several months later, he gave us this new diagnosis, plus in the meantime, a pacemaker was put in. Aricept, which he was already taking, was doubled and a new pill was added -- carbidopa/levodopa, or sinemet. We started with one pill a day, for several days and then moved up to 2 with instructions " if necessary, 2 or 3 a day. " He was much worse last week andafter talking to the dr. we have been tapering him off and then back on just to see if it helped or got any better. I have the following questions if anyone can answer any of them for me. 1, How fast does this disease usually progress? 2. Is this falling part of it? 3. He claims he has dreams -- always of animals -- but is not bothered during the day. Can this be halluciation, if always at night and when sleeping? 4. What can I expect next? The web-site does not have specific information and we won't see the doctor for a couple of months. Thanks for any information you can share. Dot Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2002 Report Share Posted August 1, 2002 , Is there a chart of stages for LBD or are you referring to the AD chart of stages? Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2002 Report Share Posted August 1, 2002 Dot, I am sorry to hear about your husband. This disease has various effects, and each person is different. I can only speak from the experiences I have had with my MIL (Mother-in-law). I will share that with you, but I urge you to schedule a meeting with a geriatric psychiatrist who can share more about this disease and the progression it will take with you. Your husband should have a good phyc doctor and a good neurologist. They have to work as a team in order to reach optimum care levels for your husband. Insist upon it. I personally never leave a doctors office until ALL my questions are answered. I read everything I can, and between my Sister-in-law and myself, we come up with all the questions we can. Then I fax those over to the doctor, where the coordinator (an RN) has the doctor answer them, then they fax it back to me. Having good doctors with great support staff is so important. My MIL is only 60 years old. She had " warning " signs early on, about 5 to 7 years ago. She was only diagnosed this year, however, a trip to the hospital's psychiatric ward last year told us there was something desperately wrong. She was talking to herself, experiencing delusions, and hallucinations (people in her home trying to take her socks, calling 911, saying people were in the house....) and had lost most of her short term memory. What I really noticed is how much of her personality was taken from her by the LBD. Her once vibrant, creative outgoing self was becoming withdrawn. Her fun loving spirit practically depleted. Her once meticulous and well put together look was vanishing, and most odd was she didn't seem to care (nails not polished, eye browns not plucked...). The doctors will tell you that the patient's sensory system is " dulled " , meaning they can't directly feel the effects of the disease, and that they can not feel what we see happening to them. They will tell you they feel confused at times, but that they are generally happy in " their world " . Those phrases I sometimes think are the only thing that keeps me from just screaming when I observe certain traits that were inherited from the LBD. You ask about how fast this disease progresses. My opinion is I think it advances fast. This disease has many up and down days and weeks. She (like others) will be doing great for several days. In fact, some days, it will seem like they don't have the disease. Then out of nowhere, they regress. They can have bad days for weeks. It is very unpredictable. I have found that the less stimulation she has, the better. Out of the 4 " stages " of this disease, my MIL is most likely in the later stage 2. Advanced enough to where she can no longer remember names of anyone past her immediate family, but can still recognize them by sight. She can eat and use the bathroom herself. She walks fine (falling seems to affect the more advanced). She needs some help showering, dressing, and undressing. She needs reminders to do certain things. Like when she is eating, sometimes she will just stand up and walk away before she is done. The staff at her group home will just tell her to come on back and finish up. She is generally very cooperative, and easily redirected. She sometimes will pack her little make up bag and sit by the gate saying she has to get going. Other times she will just pace the living room while holding a painting she painted. She talks to herself often and usually is having a conversation with her husband or sister. Now that she is on a good medication mix (cocktail), her hallucinations are gone, but the talking to herself and some occasional delusions still exist. She is in a very good group home with only 5 patients, so that is very nice. They do a good job there. We have been very lucky to have such great care for her. She does not talk much to anyone anymore. She likes to sit in her room (which is very nice) and listen to the radio or just look at her pictures. This disease has certainly changed her, but her inner beauty is still very present. I see it when we have family get-to-gathers and when I visit with her at the house. Thankfully, the LBD has not robbed her of that. I hope this helps. Good luck to you. I wish you the best. > LBD/husband > > My name is Dot and we recently found out that my husband has LBD and the > little information I have has been taken from the Internet. I just found > out about your caregivers group and was wondering if anyone could give me > additional information about it. > > My husband,who is 70, has been treated for Alzhimers for about 4 years and > high blood pressure for many years. He never got real bad but in the last > yeara or so, he began falling and said his knees/legs were weak. Dr said > he was having low pressure and asked him to wear support hose. It helped > a little bit for a while but then he got much worse, not having the > strength to walk. > > Jan. 1 we were forced to change his medigap insurance, therefore, had to > change neurologist. New doctor, many tests and several months later, he > gave us this new diagnosis, plus in the meantime, a pacemaker was put in. > Aricept, which he was already taking, was doubled and a new pill was added > -- carbidopa/levodopa, or sinemet. We started with one pill a day, for > several days and then moved up to 2 with instructions " if necessary, 2 or > 3 a day. " He was much worse last week andafter talking to the dr. we have > been tapering him off and then back on just to see if it helped or got any > better. > > I have the following questions if anyone can answer any of them for me. > 1, How fast does this disease usually progress? > 2. Is this falling part of it? > 3. He claims he has dreams -- always of animals -- but is not bothered > during the day. Can this be halluciation, if always at night and when > sleeping? > 4. What can I expect next? > > The web-site does not have specific information and we won't see the > doctor for a couple of months. > > Thanks for any information you can share. > > Dot > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2002 Report Share Posted August 1, 2002 Dot, I am sorry to hear about your husband. This disease has various effects, and each person is different. I can only speak from the experiences I have had with my MIL (Mother-in-law). I will share that with you, but I urge you to schedule a meeting with a geriatric psychiatrist who can share more about this disease and the progression it will take with you. Your husband should have a good phyc doctor and a good neurologist. They have to work as a team in order to reach optimum care levels for your husband. Insist upon it. I personally never leave a doctors office until ALL my questions are answered. I read everything I can, and between my Sister-in-law and myself, we come up with all the questions we can. Then I fax those over to the doctor, where the coordinator (an RN) has the doctor answer them, then they fax it back to me. Having good doctors with great support staff is so important. My MIL is only 60 years old. She had " warning " signs early on, about 5 to 7 years ago. She was only diagnosed this year, however, a trip to the hospital's psychiatric ward last year told us there was something desperately wrong. She was talking to herself, experiencing delusions, and hallucinations (people in her home trying to take her socks, calling 911, saying people were in the house....) and had lost most of her short term memory. What I really noticed is how much of her personality was taken from her by the LBD. Her once vibrant, creative outgoing self was becoming withdrawn. Her fun loving spirit practically depleted. Her once meticulous and well put together look was vanishing, and most odd was she didn't seem to care (nails not polished, eye browns not plucked...). The doctors will tell you that the patient's sensory system is " dulled " , meaning they can't directly feel the effects of the disease, and that they can not feel what we see happening to them. They will tell you they feel confused at times, but that they are generally happy in " their world " . Those phrases I sometimes think are the only thing that keeps me from just screaming when I observe certain traits that were inherited from the LBD. You ask about how fast this disease progresses. My opinion is I think it advances fast. This disease has many up and down days and weeks. She (like others) will be doing great for several days. In fact, some days, it will seem like they don't have the disease. Then out of nowhere, they regress. They can have bad days for weeks. It is very unpredictable. I have found that the less stimulation she has, the better. Out of the 4 " stages " of this disease, my MIL is most likely in the later stage 2. Advanced enough to where she can no longer remember names of anyone past her immediate family, but can still recognize them by sight. She can eat and use the bathroom herself. She walks fine (falling seems to affect the more advanced). She needs some help showering, dressing, and undressing. She needs reminders to do certain things. Like when she is eating, sometimes she will just stand up and walk away before she is done. The staff at her group home will just tell her to come on back and finish up. She is generally very cooperative, and easily redirected. She sometimes will pack her little make up bag and sit by the gate saying she has to get going. Other times she will just pace the living room while holding a painting she painted. She talks to herself often and usually is having a conversation with her husband or sister. Now that she is on a good medication mix (cocktail), her hallucinations are gone, but the talking to herself and some occasional delusions still exist. She is in a very good group home with only 5 patients, so that is very nice. They do a good job there. We have been very lucky to have such great care for her. She does not talk much to anyone anymore. She likes to sit in her room (which is very nice) and listen to the radio or just look at her pictures. This disease has certainly changed her, but her inner beauty is still very present. I see it when we have family get-to-gathers and when I visit with her at the house. Thankfully, the LBD has not robbed her of that. I hope this helps. Good luck to you. I wish you the best. > LBD/husband > > My name is Dot and we recently found out that my husband has LBD and the > little information I have has been taken from the Internet. I just found > out about your caregivers group and was wondering if anyone could give me > additional information about it. > > My husband,who is 70, has been treated for Alzhimers for about 4 years and > high blood pressure for many years. He never got real bad but in the last > yeara or so, he began falling and said his knees/legs were weak. Dr said > he was having low pressure and asked him to wear support hose. It helped > a little bit for a while but then he got much worse, not having the > strength to walk. > > Jan. 1 we were forced to change his medigap insurance, therefore, had to > change neurologist. New doctor, many tests and several months later, he > gave us this new diagnosis, plus in the meantime, a pacemaker was put in. > Aricept, which he was already taking, was doubled and a new pill was added > -- carbidopa/levodopa, or sinemet. We started with one pill a day, for > several days and then moved up to 2 with instructions " if necessary, 2 or > 3 a day. " He was much worse last week andafter talking to the dr. we have > been tapering him off and then back on just to see if it helped or got any > better. > > I have the following questions if anyone can answer any of them for me. > 1, How fast does this disease usually progress? > 2. Is this falling part of it? > 3. He claims he has dreams -- always of animals -- but is not bothered > during the day. Can this be halluciation, if always at night and when > sleeping? > 4. What can I expect next? > > The web-site does not have specific information and we won't see the > doctor for a couple of months. > > Thanks for any information you can share. > > Dot > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2002 Report Share Posted August 1, 2002 Welcome to this group, Dot, although I am very sorry about the reason. If you check our archives, I think you will find answers to all your questions. It's good that your husband is not bothered by his " dreams " ! Two years ago, which brought us his diagnosis, my husband was having hallucinations during the day, but the worst and most bothersome took place at night. Neither one of us slept then! In two years, my husband's ability to follow conversations, or to make sense when HE talks has been lost. He has also lost his ability to do small repairs around the house, etc. etc. He is sure the reason it's so hot on our front porch is because of the neighbor's pool chlorine. He falls a lot, and his right side shakes uncontrollably.....but the hallucinations are gone. What you will find in reading, Dot, is that no two people are alike, so there is no way to predict the next stage....but the hardest to deal with are the fluctuations..... though after 2 years, I have learned to roll with the punches a little bit better. Please let me know if you'd like websites with LBD information. Wishing you patience and a good sense of humor! It helps. Mai-Liis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2002 Report Share Posted August 2, 2002 My MIL's doctor gave me a pamphlet for the stages of AD and told me to follow them as they are very similar. I wish there was one for just LBD. > Re: LBD/husband > > , > Is there a chart of stages for LBD or are you referring to the AD chart of > > stages? > Thanks, > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2002 Report Share Posted August 2, 2002 In a message dated 8/2/02 10:48:03 AM Central Daylight Time, cindy.vechinski@... writes: > My MIL's doctor gave me a pamphlet for the stages of AD and told me to > follow them as they are very similar. I wish there was one for just LBD. I wish there was one, too, , as as far as I can tell the similarities are not there. There was discussion of one once, but it was dropped because of so many dissimilarities. Only that the last stages are really ugly. Hoping SOMEONE will speak up if such a " real " thing is found . . . Cheryl (For example, once down, AD patients stay down. LBD patients can rebound. To wit, my own husband who was presumed to be on death's door several months ago by an excellet Internal Med doc who does NOT recognize the fluctuations of LBD . . . ) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2002 Report Share Posted August 4, 2002 Dot So sorry it has taken me so long to welcome you to this group. My dad just turned 65 on July 31st and has been struggling with LBD for almost 5 yrs. Recently he has progressed into a new stage...sleeping more, refusing cares and meds., refusing to eat and has lost weight plus many behaviours and aggression. I have been busy making trips to the nursing home where he lives to assure atleast he is getting his meds. I am happy you found this group as you will find answers to questions and shoulders to lean on if all you need is to vent. Best of luck and you will be added to my prayer list. Sandie Des Moines, IA Quote Link to comment Share on other sites More sharing options...
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