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Dear Jan,

Sorry to hear about Jim.  You are not that far from me; let me know if there is

anything I can do to help.

You were very helpful and informative when we met at Starbucks several months

ago. 

Take care of yourself,

Teri Cornelius

Subject: Hi All

To: LBDcaregivers

Date: Friday, January 14, 2011, 9:56 AM

 

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive.

I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions. 

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any  turning back. He

is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha  After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Thank you Teri, my emotions are off the wall right now. I feel helpless for the

first time that I can not help Jim.

I would love to get together with you again for coffee at Starbucks. Maybe we

can set a date to meet again sometime. I enjoyed our time together.

Jan : )

________________________________

To: LBDcaregivers

Sent: Fri, January 14, 2011 11:03:51 AM

Subject: Re: Hi All

 

Dear Jan,

Sorry to hear about Jim.  You are not that far from me; let me know if there is

anything I can do to help.

You were very helpful and informative when we met at Starbucks several months

ago. 

Take care of yourself,

Teri Cornelius

Subject: Hi All

To: LBDcaregivers

Date: Friday, January 14, 2011, 9:56 AM

 

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive.

I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions. 

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any  turning back. He

is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha  After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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jan, my firend, we are praying for you adn him   i am here lurking anytime you

needf me hugs. sharon

Subject: Hi All

To: LBDcaregivers

Date: Friday, January 14, 2011, 11:56 AM

 

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive.

I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions. 

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any  turning back. He

is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha  After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Janet,

I am new to the group but just wanted to say that I am so sorry to hear about

Jim's condition, and what it is putting you through. You're in our thoughts.

Lori

Hi All

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went

into

a nursing home. Some of you know me and some of you don't. I answer a few

posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but

they

are not sure. They faxed the information to the doctor. I have a feeling it

will

not be treated since Jim put in his Health Directive many years ago when he

was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive. I

have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions.

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any turning back. He

is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer

for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online

translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area

and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband

is

residing. The interview was 2 1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on.

LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages.

I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Jan,

Sending you a huge hug and much strength. I hate what this damned disease does

to people. We don’t want them to suffer but we don’t want them to go

either. I wish I had the words so instead I send my love and support.

Courage

From: Janet Colello

Sent: Friday, January 14, 2011 12:56 PM

To: LBDcaregivers

Subject: Hi All

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive. I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions.

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any turning back. He is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2 1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Hi Jan,

I am a lurker most of the time and only comment when I feel someone needs a

little info about hospice. My Dad is 81 and has LBD. My Mom is the primary CG.

He's probably had it for at least 5 years, but not diagnosed until the last 2.

I'm a nurse and I work in hospice. You could really benefit from the assistance

that hospice gives,even now. We have had patients for as long as 3 years.

Sometimes this disease or other diseases that are classified as terminal, have a

long period of decline. As long as the nurse can chart declines,the hospice can

keep recertifying the patient.

There are so many people that could be of assistance to you. My Dad is also a

hospice patient. Hospice provides the patient and family the best quality of

care during this stressful time.

There is also respite care, once a month in a nursing home or hospital,so the

caregiver can have a rest. I've seen hospice help so many people.

It is so sad when we admit a patient and only have them for a week. We always

know we could have helped the family so much more, if they had called earlier. I

hope you don't mind my two cents worth. You just sounded as though you could use

hospice at this time. Will be praying for Jim and you,Jan during this difficult

time.

Most Sincerely,

s

Daughter of Ralph, 81 yrs old with LBD,now 5 years.

>

>

> Subject: Hi All

> To: LBDcaregivers

> Date: Friday, January 14, 2011, 9:56 AM

>

>  

>

> Dear friends,

>

> I started in this group in 2003 and was a regular until 2006 when Jim went

into

>

> a nursing home. Some of you know me and some of you don't. I answer a few

posts

>

> now and then and I lurk and try to keep up on the latest news.

>

> Jim is not doing well. He has swallowing issues and has stopped eating and has

>

> lost a lot of weight. He also has horrible congestion. I hate winters and

>

> sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but

they

>

>

> are not sure. They faxed the information to the doctor. I have a feeling it

will

>

>

> not be treated since Jim put in his Health Directive many years ago when he

was

>

> in good health and sound mind that he did not want to be treated for Pneumonia

>

> if he had severe dementia and it was to prolong his life and last May

when Jim

>

> was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

>

>

> with the POA for Jim's health and the nurse decided not to treat it next

>

> time. Jim's daughter usually follows his wishes in the Health Directive.

I have

>

> been able to request treatment in the past for Jim, but his daughter has the

>

> last word on the decisions. 

>

> I will call in Hospice if it will not be treated.

>

> My emotions are all over the place seeing Jim like this. I have prepared and

>

> known his time would come, but truly I don't know how you can prepare for

>

> something like this. I will be scared and lost without him. How do you get

>

> through it?! I want to hang onto him, but he is losing the battle, I can sense

>

> it. He has been a fighter and come through so many times that I thought I was

>

> going to lose him, but this time I don't think there is any  turning back. He

is

>

>

> very weak from all the loss of weight.

>

> Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

>

> full bloom in 2000, the neurologist was not familiar with Lewy Body at that

>

> time.

>

> For those that remember I had an interview back in August by an interviewer

for

>

> a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with

the

>

> article this month, but it is in Dutch, because the interviewer was from

>

> Amsterdam. I have a resident's daughter at the nursing home translating it for

>

> me, they are from Amsterdam. It is 3 pages long. I tried the online

translation

>

> to English, but the English is very poor that it is almost as bad as trying to

>

> read the Dutch. Hahahaha  After it is translated, I will scan a copy to

>

>

> and hopefully, she can get it across to all of you.

>

> Last July the interviewer contacted the LBDA, as you might remember, and

>

> and put the word out that he would be in the San Francisco Bay Area

and

>

>

> needed someone that he could interview in August on Capgras for the

>

> " Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

>

> him and said I could do it, so he met me at the nursing home where my husband

is

>

>

> residing. The interview was 2  1/2 hours long. He was very easy to talk to,

he

>

> had his tape recorder and asked questions and I would answer and ramble on.

LOL

>

> I told him Capgras was a symptom within Lewy Body that some have and some

>

> don't and that it doesn't vary that much or happen everyday and that I could

not

>

>

> make a page for him in the magazine with just Capgras alone. I told him about

>

> Lewy Body too, so he could connect it with Capgras, but I am not sure how the

>

> article came out since he was assigned to do Capgras only and I have a feeling

>

> he made some of the Lewy Body issues into Capgras issues to fill the pages.

I'll

>

>

> know after it is translated how he told the story.

>

> Jan Colello

>

> San Francisco Bay Area, California

>

> husband, Jim dx w/LBD 2003

>

>

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Thank you so much Lori for your kind words.

Jan Colello

husband, Jim dx w/LBD/PDD 2003

________________________________

To: LBDcaregivers

Sent: Fri, January 14, 2011 6:05:15 PM

Subject: Re: Hi All

 

Janet,

I am new to the group but just wanted to say that I am so sorry to hear about

Jim's condition, and what it is putting you through. You're in our thoughts.

Lori

Hi All

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive. I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions.

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any turning back. He is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2 1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Share on other sites

Thank you so much Sharon. I really appreciate the prayers, they really do work,

as I have seen many times. I hope you are doing well at this time.

It turns out Jim has a UTI and Aspiration Pneumonia. He has lost a tremendous

amount of weight within this week, his arms and legs are bones. I am still

living on Hope, because only one week ago Jim was eating well. He is on pureed

and thickened liquids for swallowing issues, but he was eating everything. In a

week, he went from eating to no eating all this week. I hope it is due to he

feels so lousy he doesn't feel like swallowing. He was put on an antibiotic that

covers both UTI and Pneumonia, Levaquin, I know there is a big warning about

this antibiotic, but it is the best between two evils. Not taking it or taking

it. The thing is, Jim is not swallowing anyway. He was given his first

antibiotic this evening and either held it in his mouth or spit it out. The

nurse let me try and I got him to swallow about half of the medication given.

I HATE THIS DREADED DISEASE!!!

Thanks again Sharon, it's good to hear from you.

Love and Hugs,

Jan

 

________________________________

To: LBDcaregivers

Sent: Fri, January 14, 2011 11:52:45 AM

Subject: Re: Hi All

 

jan, my firend, we are praying for you adn him   i am here lurking anytime you

needf me hugs. sharon

Subject: Hi All

To: LBDcaregivers

Date: Friday, January 14, 2011, 11:56 AM

 

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive.

I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions. 

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any  turning back. He

is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha  After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Oh Jan, this will be so difficult for you. Not only has Jim been a fighter but

so have you. It will be very foreign for you to give in like you are being

forced to do. I am sorry for what you are going through, will be going through.

We can never be truly prepared for what comes next as we don't know just what

the end will bring. Please come and share if that helps.

(((hugs))) to you.

>

> Dear friends,

> I started in this group in 2003 and was a regular until 2006 when Jim went

into

> a nursing home. Some of you know me and some of you don't. I answer a few

posts

> now and then and I lurk and try to keep up on the latest news.

> Jim is not doing well. He has swallowing issues and has stopped eating and has

> lost a lot of weight. He also has horrible congestion. I hate winters and

> sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but

they

> are not sure. They faxed the information to the doctor. I have a feeling it

will

> not be treated since Jim put in his Health Directive many years ago when he

was

> in good health and sound mind that he did not want to be treated for Pneumonia

> if he had severe dementia and it was to prolong his life and last May when Jim

> was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

> with the POA for Jim's health and the nurse decided not to treat it next

> time. Jim's daughter usually follows his wishes in the Health Directive.

I have

> been able to request treatment in the past for Jim, but his daughter has the

> last word on the decisions. 

> I will call in Hospice if it will not be treated.

> My emotions are all over the place seeing Jim like this. I have prepared and

> known his time would come, but truly I don't know how you can prepare for

> something like this. I will be scared and lost without him. How do you get

> through it?! I want to hang onto him, but he is losing the battle, I can sense

> it. He has been a fighter and come through so many times that I thought I was

> going to lose him, but this time I don't think there is any  turning back. He

is

> very weak from all the loss of weight.

> Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

> full bloom in 2000, the neurologist was not familiar with Lewy Body at that

> time.

> For those that remember I had an interview back in August by an interviewer

for

> a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

> article this month, but it is in Dutch, because the interviewer was from

> Amsterdam. I have a resident's daughter at the nursing home translating it for

> me, they are from Amsterdam. It is 3 pages long. I tried the online

translation

> to English, but the English is very poor that it is almost as bad as trying to

> read the Dutch. Hahahaha  After it is translated, I will scan a copy to

> and hopefully, she can get it across to all of you.

> Last July the interviewer contacted the LBDA, as you might remember, and

> and put the word out that he would be in the San Francisco Bay Area

and

> needed someone that he could interview in August on Capgras for the

> " Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

> him and said I could do it, so he met me at the nursing home where my husband

is

> residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

> had his tape recorder and asked questions and I would answer and ramble on.

LOL

> I told him Capgras was a symptom within Lewy Body that some have and some

> don't and that it doesn't vary that much or happen everyday and that I could

not

> make a page for him in the magazine with just Capgras alone. I told him about

> Lewy Body too, so he could connect it with Capgras, but I am not sure how the

> article came out since he was assigned to do Capgras only and I have a feeling

> he made some of the Lewy Body issues into Capgras issues to fill the pages.

I'll

> know after it is translated how he told the story.

> Jan Colello

> San Francisco Bay Area, California

> husband, Jim dx w/LBD 2003

>

>

>

>

>

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Jan: I have been where you are and feel that I know what you are going

through. My oldest daughter told me the other day that she thought Dad knew

that he was ready to go and just quit eating. I felt it was just the course

of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

have wanted to continue any longer in the shape he was in. Comfort yourself

with the knowledge that you have done every thing you could to care for him,

show your love for him in every way you could and advocated for him

everytime the opportunity arose. We lived our vows to the end. We also

realize that he will be in a better place and when we meet them again, they

will no longer be sick! As you have had the strength to suffer along with

him every step of the way, you will find the strength to find your way

through the end time. It has been two years this spring and the tears came

back as I read your post because the things you are seeing, are the things I

saw as he faded away. Now, I think often of the things he said and did. I

smile often as I tell a story or remember a good time we had. You may find

as I did, that I did a lot of my grieving long before he died. Once I

realized there were no miracle drugs, or treatments or cures --that he was

on steep slope fading away, I cried and grieved him 6 months before he died.

I did not know that is what was going on, but afterward, I realized and

really handled everything very well. Jan, please know that you and Jim are

in my prayers and thoughts as you continue down this difficult road. God

Bless you both!! Love, Leona

Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual downhill

slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise Nursing

Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I have

ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

2009. I am handling it OK.

'Love is not finding someone to live with; it's finding someone you don't

want to live without.'

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Hi Jan

I'm sorry to read about Jim's decline and your emotional pain. It is a hard

thing to face, no matter how we think we have come to terms with it. You

no doubt have tried to mentally prepare yourself again and again but it's

just not possible to avoid the pain of the loss of a spouse. Do you have

family and friends around who you can talk with? Try to give yourself

plenty of emotional latitude as you go through this and talk to people if

you have someone close - a friend or friends, family members. Having a few

people to talk with will help. Sometimes it seems it's a matter of getting

through each day one at a time, even an hour at a time, and then finally it

starts to get easier again. I think hospice might be helpful for you as

well and often they can refer family to support groups or counseling.

If the medical poa declines to treat the pneumonia they SHOULD get hospice

started for the benefit of all involved. It could be a terrifying thing to

die from without someone experienced managing the issues of not being able

to breath and that resulting panic. With hospice, who are experienced with

this issue, he should be very comfortable. I am glad you will go ahead

and get hospice in if it will not be treated.

If they do decide to treat the pneumonia I suggest some effort with a speech

pathologist to evaluate the swallowing trouble and devise measures to avoid

aspiration which it sounds he could greatly benefit from due to his weight

loss and now the pneumonia again. I am going through this now with my mil

and have seen it as a quality of life issue. She still likes to eat and I'm

trying to make it as safe for her to do so as possible. If they treat the

pneumonia I am glad to elaborate on this for you.

Wishing you much peace,

Dorothy

W Sonoma county, ca

From: LBDcaregivers [mailto:LBDcaregivers ]

On Behalf Of Janet Colello

Sent: Friday, January 14, 2011 9:56 AM

To: LBDcaregivers

Subject: Hi All

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went

into

a nursing home. Some of you know me and some of you don't. I answer a few

posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and

has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but

they

are not sure. They faxed the information to the doctor. I have a feeling it

will

not be treated since Jim put in his Health Directive many years ago when he

was

in good health and sound mind that he did not want to be treated for

Pneumonia

if he had severe dementia and it was to prolong his life and last May when

Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive. I

have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions.

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can

sense

it. He has been a fighter and come through so many times that I thought I

was

going to lose him, but this time I don't think there is any turning back.

He is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer

for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with

the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it

for

me, they are from Amsterdam. It is 3 pages long. I tried the online

translation

to English, but the English is very poor that it is almost as bad as trying

to

read the Dutch. Hahahaha After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area

and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that

contacted

him and said I could do it, so he met me at the nursing home where my

husband is

residing. The interview was 2 1/2 hours long. He was very easy to talk to,

he

had his tape recorder and asked questions and I would answer and ramble on.

LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him

about

Lewy Body too, so he could connect it with Capgras, but I am not sure how

the

article came out since he was assigned to do Capgras only and I have a

feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages.

I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

[

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Dear Jan,

I'm just going through the posts after returning from a day with my Mom. She is

having great difficulty swallowing, and is also recovering from pneumonia. Yet,

she is lucid, and can offer one word answers to questions. She offers up

sentence, too, but most do not make sense.

My heart breaks reading your posts about Jim. Yes, it feels like a bad dream...

and yes, no matter how well prepared you think you are, you really aren't.

You have been Jim's strength and rock for so long - I've admired you so much

(and still do). May tomorrow be a better day for us all.

Sending you love and strength from NY,

Helene

>

> Thank you Leona,

> I have read and tried to prepare myself for this time, but I am feeling

helpless

> and there is nothing I can do, but be there for Jim. It's very hard to watch

him

> shut down. He has lost so much weight, I don't think there is enough strength

in

> him to fight this anymore. He has been such a fighter and overcame so many

> obstacles that could have brought  him down. It's hard to see him this way. I

> was with him until midnight last evening/this morning.

> It turns out Jim has a UTI and Aspiration Pneumonia and is on an antibiotic as

> of last night that covers both, but he would not swallow the medication.

Leona,

> only a week ago he was eating his entire meals. I don't know if it is false

> hope, but I am wishing that it is just that he feels so lousy he won't

swallow,

> but if he gets some antibiotic, he will start to feel better and swallow

again,

> but maybe I am just having false hope and this is it. I just can't get a grip

on

> this. No matter how much I have prepared for this moment, it is like I am

having

> a bad dream. Jim told me he was dying last night in a whispery voice. I feel

> numb just thinking about the loss. A lab tech was in and did a blood test on

Jim

> yesterday to see if there is an infection in the blood. Jim is my hero, he is

so

> brave. This dreaded disease tears me apart.

> I need to hear from people like you that have gone through this and survived.

I

> just can't imagine my life without Jim, but I know I will get through this and

> move on, I just don't know how yet.

> Thank you so much, I appreciate hearing from you.

> Love and Hugs,

> Jan

>

> Leona, this is so true:

> ''Love is not finding someone to live with; it's finding someone you don't

want

> to live without. "

>

>

>

>

>

>

> ________________________________

>

> To: LBDcaregivers

> Sent: Sat, January 15, 2011 10:27:52 AM

> Subject: Re: Hi All

>

>  

> Jan: I have been where you are and feel that I know what you are going

> through. My oldest daughter told me the other day that she thought Dad knew

> that he was ready to go and just quit eating. I felt it was just the course

> of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

> have wanted to continue any longer in the shape he was in. Comfort yourself

> with the knowledge that you have done every thing you could to care for him,

> show your love for him in every way you could and advocated for him

> everytime the opportunity arose. We lived our vows to the end. We also

> realize that he will be in a better place and when we meet them again, they

> will no longer be sick! As you have had the strength to suffer along with

> him every step of the way, you will find the strength to find your way

> through the end time. It has been two years this spring and the tears came

> back as I read your post because the things you are seeing, are the things I

> saw as he faded away. Now, I think often of the things he said and did. I

> smile often as I tell a story or remember a good time we had. You may find

> as I did, that I did a lot of my grieving long before he died. Once I

> realized there were no miracle drugs, or treatments or cures --that he was

> on steep slope fading away, I cried and grieved him 6 months before he died.

> I did not know that is what was going on, but afterward, I realized and

> really handled everything very well. Jan, please know that you and Jim are

> in my prayers and thoughts as you continue down this difficult road. God

> Bless you both!! Love, Leona

>

> Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

> Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual downhill

> slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise Nursing

> Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I have

> ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

> Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

> 2009. I am handling it OK.

>

> ''Love is not finding someone to live with; it's finding someone you don't

want

> to live without "

>

>

>

>

>

>

>

>

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Share on other sites

Jan, you are the picture of courage and perseverance. I lost my husband

suddenly so I have not had the same experience but I am making it on the other

side of Lewy.

Lorraine

>

> Dear friends,

> I started in this group in 2003 and was a regular until 2006 when Jim went

into

> a nursing home. Some of you know me and some of you don't. I answer a few

posts

> now and then and I lurk and try to keep up on the latest news.

> Jim is not doing well. He has swallowing issues and has stopped eating and has

> lost a lot of weight. He also has horrible congestion. I hate winters and

> sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but

they

> are not sure. They faxed the information to the doctor. I have a feeling it

will

> not be treated since Jim put in his Health Directive many years ago when he

was

> in good health and sound mind that he did not want to be treated for Pneumonia

> if he had severe dementia and it was to prolong his life and last May when Jim

> was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

> with the POA for Jim's health and the nurse decided not to treat it next

> time. Jim's daughter usually follows his wishes in the Health Directive.

I have

> been able to request treatment in the past for Jim, but his daughter has the

> last word on the decisions. 

> I will call in Hospice if it will not be treated.

> My emotions are all over the place seeing Jim like this. I have prepared and

> known his time would come, but truly I don't know how you can prepare for

> something like this. I will be scared and lost without him. How do you get

> through it?! I want to hang onto him, but he is losing the battle, I can sense

> it. He has been a fighter and come through so many times that I thought I was

> going to lose him, but this time I don't think there is any  turning back. He

is

> very weak from all the loss of weight.

> Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

> full bloom in 2000, the neurologist was not familiar with Lewy Body at that

> time.

> For those that remember I had an interview back in August by an interviewer

for

> a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

> article this month, but it is in Dutch, because the interviewer was from

> Amsterdam. I have a resident's daughter at the nursing home translating it for

> me, they are from Amsterdam. It is 3 pages long. I tried the online

translation

> to English, but the English is very poor that it is almost as bad as trying to

> read the Dutch. Hahahaha  After it is translated, I will scan a copy to

> and hopefully, she can get it across to all of you.

> Last July the interviewer contacted the LBDA, as you might remember, and

> and put the word out that he would be in the San Francisco Bay Area

and

> needed someone that he could interview in August on Capgras for the

> " Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

> him and said I could do it, so he met me at the nursing home where my husband

is

> residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

> had his tape recorder and asked questions and I would answer and ramble on.

LOL

> I told him Capgras was a symptom within Lewy Body that some have and some

> don't and that it doesn't vary that much or happen everyday and that I could

not

> make a page for him in the magazine with just Capgras alone. I told him about

> Lewy Body too, so he could connect it with Capgras, but I am not sure how the

> article came out since he was assigned to do Capgras only and I have a feeling

> he made some of the Lewy Body issues into Capgras issues to fill the pages.

I'll

> know after it is translated how he told the story.

> Jan Colello

> San Francisco Bay Area, California

> husband, Jim dx w/LBD 2003

>

>

>

>

>

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Share on other sites

jan, my dearest friend

you are soooo sweet,  with all that you have on your plate you are still

worrying about me, 

we are ok so worry not,  but thanks for caring like you do. 

 

i have been following each post you write, with a heavy heart.  jim and you

together havce come thru when the chips are down, but since you feel this is so

idfferent, i have been rpaying for your strenght as well.  jan i konw you doont

want jim to leave you.  and i am so sorry that the lbd is rearing its ugly

head. and i can only imagine waht you are gong thru, although 2 times on

holidays now donnie has had severe health issues,  one being the lung blood

clot. and the ohter the fall on new years where we thought he was gong to be

paralyzed for life.  sigh. 

 

anyway, jan, as hard as it is, and painful and lonely as it will be, you need to

give jim permission to go ahead and wait for you on the other side. you know he

loves you deeply, he has proved that by the way he has reacted over the

years everyime you walk into his room, the many times that jan's bag of

tircks  has pulled him thru. he will worry about you and will not want to

leave you unless he thinks you will be ok.  i so hate to write those words my

friend. but as we both know we both speak our minds toe ach other which is why

we are such good friends. 

 

i pray more for you adn jim.  and please i am sending you private email with my

phone numbers, if you need me you can call me.  hugs.  sharon

Subject: Hi All

To: LBDcaregivers

Date: Friday, January 14, 2011, 11:56 AM

 

Dear friends,

I started in this group in 2003 and was a regular until 2006 when Jim went into

a nursing home. Some of you know me and some of you don't. I answer a few posts

now and then and I lurk and try to keep up on the latest news.

Jim is not doing well. He has swallowing issues and has stopped eating and has

lost a lot of weight. He also has horrible congestion. I hate winters and

sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but they

are not sure. They faxed the information to the doctor. I have a feeling it will

not be treated since Jim put in his Health Directive many years ago when he was

in good health and sound mind that he did not want to be treated for Pneumonia

if he had severe dementia and it was to prolong his life and last May when Jim

was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

with the POA for Jim's health and the nurse decided not to treat it next

time. Jim's daughter usually follows his wishes in the Health Directive.

I have

been able to request treatment in the past for Jim, but his daughter has the

last word on the decisions. 

I will call in Hospice if it will not be treated.

My emotions are all over the place seeing Jim like this. I have prepared and

known his time would come, but truly I don't know how you can prepare for

something like this. I will be scared and lost without him. How do you get

through it?! I want to hang onto him, but he is losing the battle, I can sense

it. He has been a fighter and come through so many times that I thought I was

going to lose him, but this time I don't think there is any  turning back. He

is

very weak from all the loss of weight.

Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

full bloom in 2000, the neurologist was not familiar with Lewy Body at that

time.

For those that remember I had an interview back in August by an interviewer for

a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

article this month, but it is in Dutch, because the interviewer was from

Amsterdam. I have a resident's daughter at the nursing home translating it for

me, they are from Amsterdam. It is 3 pages long. I tried the online translation

to English, but the English is very poor that it is almost as bad as trying to

read the Dutch. Hahahaha  After it is translated, I will scan a copy to

and hopefully, she can get it across to all of you.

Last July the interviewer contacted the LBDA, as you might remember, and

and put the word out that he would be in the San Francisco Bay Area and

needed someone that he could interview in August on Capgras for the

" Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

him and said I could do it, so he met me at the nursing home where my husband is

residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

had his tape recorder and asked questions and I would answer and ramble on. LOL

I told him Capgras was a symptom within Lewy Body that some have and some

don't and that it doesn't vary that much or happen everyday and that I could

not

make a page for him in the magazine with just Capgras alone. I told him about

Lewy Body too, so he could connect it with Capgras, but I am not sure how the

article came out since he was assigned to do Capgras only and I have a feeling

he made some of the Lewy Body issues into Capgras issues to fill the pages. I'll

know after it is translated how he told the story.

Jan Colello

San Francisco Bay Area, California

husband, Jim dx w/LBD 2003

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Jan, it is obvious how many here are with you in spirit. Hold onto that

knowledge. And please take care of you too as you will need much strength

getting through this terrible time.

>

> Hi Sandie,

> I left Jim at midnight tonight and haven't gone to bed yet and it is 5:30AM. I

> can't sleep, I am so worried about Jim. Sandie, Jim is so weak, he has no fat

on

> him, he is all bones. I can't even describe it, it is so sad to see. I am in

> such deep sorrow. Jim has always been a fighter and bounced back many times

when

> I thought he was down, but this time I hate what I am sensing. He has never

been

> this weak or all bones, he has always had some amount of strength, but the

> strength is not there now. He is giving up. I panicked tonight at the nursing

> home. He would not wake up and did not respond when I yelled his name over

and

> over. Even in his down times before when he heard my voice, he would respond

in

> some way by opening his eyes or moving a hand, but nothing this time. I didn't

> want to leave him tonight.

> I am confused, are you saying to give Jim an empty cup or spoon/fork? He is so

> weak, I don't think he would hold either one. I can try it today when I visit.

>

> Tonight and last night, he would not swallow his antibiotic, but I did get him

> to swallow half of it on both nights. Do you think half is enough to help him

a

> little. He would fall asleep and not finish it. I give him a little at a time,

> so he doesn't hold it in his mouth or spit it out. He seems to swallow if a

> little bit at a time is given. It takes so long with a little at a time that

he

> falls asleep before it is gone. Maybe there is hope with only half given each

> night. With LBD Less is Best : ) Oh, I wish!!!

>

> I was so %^ & **(((* & & mad tonight. The floor nurse told me they gave Jim an

> ennama that morning. The first few years they were giving Jim an ennema and

they

> flushed everything he had out of him and now he is so thin, any nutrients he

had

> in him is gone.

> In the beginning years, they flushed the sodium out of him with ennamas and he

> was hospitalized with hyponatremia a sodium deficiency. Arghhhhhhhh!!!!! I

> couldn't believe they would do that to him. I requested that they only use a

> suppository after that and it has always worked for him, so I don't understand

> this making him have diarrhea and not having anything in him when he is

already

> emaciated.

>

> Well, now it is 6AM, I should just stay up and surprise them early today at

the

> nursing home. I can hardly keep my eyes open now though. I think I need to get

> some sleep.

> Thanks Sandie for your suggestion and the prayers. I know from experience that

> the prayers are answered and I am so thankful for them.

> Huge Hugs,

> Jan

>

>

>

>

> ________________________________

>

> To: LBDcaregivers

> Sent: Sun, January 16, 2011 5:26:09 AM

> Subject: Re: Re: Hi All

>

>  

> Jan- Have you tried offering an empty utensil between bites or even a couple

> times in a row. Even an empty glass after liquids are offered. Sometimes this

> triggers swallowing. Although we lost parents and not a spouse, we were both

> caregivers in the LBD journey. You are a strong person and have many people

> sending prayers for more strength. I am sure your bag of goodies has brought

Jim

> through many struggles before and will help him as he goes through these days

> ahead. Your heart is bigger than the state of California and the love you have

> for Jim is an example for the rest of us to follow. I have never forgotten

> hearing Jim's voice when we were in Ann Arbor, Michigan. Almost 3 years later

I

> am still grateful you honored us with Jim speaking to us. You are in our

hearts

> and prayers, always have been. I have sent up many prayers for you and Jim

since

> reading your post on this thread and will continue to do so. Big hugs from

Iowa-

> S

> dad, Merle, passed from LBD 9-20-02, age 65

> mum, Jo, (New Zealand) passed from LBD 4-29-07, age 78

>

> ----- Re: Hi All

>

> Jan: I have been where you are and feel that I know what you are going

> through. My oldest daughter told me the other day that she thought Dad knew

> that he was ready to go and just quit eating. I felt it was just the course

> of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

> have wanted to continue any longer in the shape he was in. Comfort yourself

> with the knowledge that you have done every thing you could to care for him,

> show your love for him in every way you could and advocated for him

> everytime the opportunity arose. We lived our vows to the end. We also

> realize that he will be in a better place and when we meet them again, they

> will no longer be sick! As you have had the strength to suffer along with

> him every step of the way, you will find the strength to find your way

> through the end time. It has been two years this spring and the tears came

> back as I read your post because the things you are seeing, are the things I

> saw as he faded away. Now, I think often of the things he said and did. I

> smile often as I tell a story or remember a good time we had. You may find

> as I did, that I did a lot of my grieving long before he died. Once I

> realized there were no miracle drugs, or treatments or cures --that he was

> on steep slope fading away, I cried and grieved him 6 months before he died.

> I did not know that is what was going on, but afterward, I realized and

> really handled everything very well. Jan, please know that you and Jim are

> in my prayers and thoughts as you continue down this difficult road. God

> Bless you both!! Love, Leona

>

> Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

> Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual downhill

> slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise Nursing

> Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I have

> ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

> Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

> 2009. I am handling it OK.

>

> ''Love is not finding someone to live with; it's finding someone you don't

want

> to live without "

>

>

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Hi Jan

I joined the group in 2006 and I have followed your journey with Jim. You have

been so incredibly devoted and have done so many good things for Jim. I am sorry

you are both struggling so now. I don't have words that will comfort you very

much. Just know that I continue to think of you as I have over the years.

Jan, I do agree with , the nurse who posted about hospice. They can help

you now in many ways. We had hospice for my MIL and most recently for my

childrens grandmother, my ex MIL but still a dear friend. She was 400 miles

away, we made trips as often as possible, and we had a part time caregiver but

we couldn't have gotten through the last 1 1/2 years without hospice. Give it a

try.

Hang on Jan, you can do this.

Hugs

& Mom Ginny now at board & care

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Dear Jan, truly heartbreaking to hear this..You have been a wonderful fighter

for your dear Jim..A true inspiration to us all.Sending prayers up for you and

Jim for strength to endure the coming days and hopes that things turn for the

better.You are in our thoughts Ron

>

> Dear friends,

> I started in this group in 2003 and was a regular until 2006 when Jim went

into

> a nursing home. Some of you know me and some of you don't. I answer a few

posts

> now and then and I lurk and try to keep up on the latest news.

> Jim is not doing well. He has swallowing issues and has stopped eating and has

> lost a lot of weight. He also has horrible congestion. I hate winters and

> sickness! An X-Ray was taken yesterday and it shows probable pneumonia, but

they

> are not sure. They faxed the information to the doctor. I have a feeling it

will

> not be treated since Jim put in his Health Directive many years ago when he

was

> in good health and sound mind that he did not want to be treated for Pneumonia

> if he had severe dementia and it was to prolong his life and last May when Jim

> was in the hospital with Aspiration Pneumonia, it was treated and Jim's

daughter

> with the POA for Jim's health and the nurse decided not to treat it next

> time. Jim's daughter usually follows his wishes in the Health Directive.

I have

> been able to request treatment in the past for Jim, but his daughter has the

> last word on the decisions. 

> I will call in Hospice if it will not be treated.

> My emotions are all over the place seeing Jim like this. I have prepared and

> known his time would come, but truly I don't know how you can prepare for

> something like this. I will be scared and lost without him. How do you get

> through it?! I want to hang onto him, but he is losing the battle, I can sense

> it. He has been a fighter and come through so many times that I thought I was

> going to lose him, but this time I don't think there is any  turning back. He

is

> very weak from all the loss of weight.

> Jim was diagnosed in 2003 with Lewy Body Dementia, but it actually came into

> full bloom in 2000, the neurologist was not familiar with Lewy Body at that

> time.

> For those that remember I had an interview back in August by an interviewer

for

> a Dutch magazine on Jim's Capgras Syndrome, the magazine did come out with the

> article this month, but it is in Dutch, because the interviewer was from

> Amsterdam. I have a resident's daughter at the nursing home translating it for

> me, they are from Amsterdam. It is 3 pages long. I tried the online

translation

> to English, but the English is very poor that it is almost as bad as trying to

> read the Dutch. Hahahaha  After it is translated, I will scan a copy to

> and hopefully, she can get it across to all of you.

> Last July the interviewer contacted the LBDA, as you might remember, and

> and put the word out that he would be in the San Francisco Bay Area

and

> needed someone that he could interview in August on Capgras for the

> " Psychologie " Magazine in Amsterdam. I guess I was the only one that contacted

> him and said I could do it, so he met me at the nursing home where my husband

is

> residing. The interview was 2  1/2 hours long. He was very easy to talk to, he

> had his tape recorder and asked questions and I would answer and ramble on.

LOL

> I told him Capgras was a symptom within Lewy Body that some have and some

> don't and that it doesn't vary that much or happen everyday and that I could

not

> make a page for him in the magazine with just Capgras alone. I told him about

> Lewy Body too, so he could connect it with Capgras, but I am not sure how the

> article came out since he was assigned to do Capgras only and I have a feeling

> he made some of the Lewy Body issues into Capgras issues to fill the pages.

I'll

> know after it is translated how he told the story.

> Jan Colello

> San Francisco Bay Area, California

> husband, Jim dx w/LBD 2003

>

>

>

>

>

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Dear Jan,

What an awful situation Jim is in with his roommate - it sounds like a real

nightmare...

I just keep sending up lots of prayers for your strength, and for Jim's.

Sending hugs and love from NY,

Helene

> >

> > Thank you Dorothy, but Jim is in the final stages where he can not swallow.

He

>

> > has been on pureed for about a year and on thickened liquids. I was giving

Jim

>

> > liquids with a syringe that I bought in the baby aisle at the pharmacy used

to

>

> > give babies liquid medication to get liquids in him and he was

swallowing it,

> >

> > but I was told by the staff at the nursing home, I could not use the syringe

> >and

> >

> > they suggested to get a sippy cup. I laughed at that, because I told them

Jim

> > can not even suck on a straw, how is he going to use a sippy cup? You can't

tip

> >

> > it to drink, it is made purposely not to spill when tipped.

> >

> > Jim has stopped eating all together, he does drink a little from a cup or I

> > still sneak the syringe in and give him sips from that. I can control a

little

>

> > drip at a time into his mouth with the syringe. Jim is not swallowing his

> > antibiotic for Pneumonia and it is worse.

> > Jim is all bones now and very weak.

> > I appreciate all you suggestions, but they will not work for Jim since he

can

> >no

> >

> > longer swallow at all and will hold the food in his mouth or spit it out,

but

> > now he is too weak to even open his mouth for food, but he will sip from a

cup

> >a

> >

> > little.

> > The staff at the facility would feed the people that need to be fed, I

believe

>

> > they may have aspirated Jim, because they are on a schedule to get the

people

> > fed and out and sometimes give them too much at a time. I have seen it. I

> >always

> >

> > made sure to be with Jim for dinner and help him, but I could not be there

for

>

> > breakfast and lunch.

> > I appreciate your concern and your help.

> > Jan

> >

> >

> >

> >

> > ________________________________

> > From: dsinouye <fullcircle@>

> > To: LBDcaregivers

> > Sent: Sun, January 16, 2011 5:14:32 PM

> > Subject: RE: Re: Hi All

> >

> >  

> > Jan I know you are doing all you can. Is someone feeding him and doing all

the

>

> > work of getting the food/drink to his mouth so he can put his energy to

> > eating/swallowing? I’m curious, did they ask you to get a sippy cup

so it

> > doesn’t spill if tipped over or because they thought he would be able

to

> >better

> >

> > suck the fluid out safely? If it’s the former reason it sounds like

they are

>

> > leaving him on his own to eat/drink and that, as was explained to us, is the

> > foremost reason people with these swallowing difficulties lose so much

weight

> > and aspirate. It takes a lot of energy to concentrate and get the food

managed

>

> > in the mouth and a good swallow and then even a second or third swallow to

> >clear

> >

> > around the airway so there isn’t residual around the edge of the

windpipe

> >that

> >

> > can fall in. I imagine he is very weak even more so with the infections. Can

he

> >

> > manage a swallow if thickened liquid is spooned in?

> >

> >

> > I’ll share what we are doing just in case it provides something of

use to

> >you.

> >

> > We are doing is pureeing food or cooking soft (soft mechanical diet) and

> >someone

> >

> > has to take a spoon of food the right size, feed her, encourage to chew as

> > needed, keeping a hand lightly on the back of the neck to 1) prevent the

head

> > from going back and 2) encourage chin downward for the swallow, then getting

> >her

> >

> > to say something (asking a question what’s the dog doing, what does

the food

>

> > taste like, etc.) to be sure the airway does not have the gurgly or raspy

sound

> >

> > (other than normal). And then going to the next bite or drink. About 50% of

the

> >

> > time we have to get another swallow to clear the airway because the flap

that

> > seals over the windpipe during a swallow does not seal off entirely and

leaves

> >a

> >

> > residual around the edge of the airpipe. We have been using a straw for

liquids

> >

> > but she is not doing well with it †" the liquids go back into the cup,

so now

>

> > back to thickened liquids out of a cup with a thin rim (easier on the mouth)

> >but

> >

> > she cannot manage it so we are holding it and she is free to concentrate on

the

> >

> > swallow part.

> >

> >

> > Current speech pathologist told me that people will often stop

eating/drinking

>

> > if they are having too much trouble with aspiration/choking especially if

they

>

> > are left on their own to eat/drink. I’m not at all sure what level of

care a

>

> > facility would provide with eating/drinking and perhaps this amount of

> > assistance is more than they provide.

> >

> >

> > If he cannot swallow at all a sippy cup will not help things. I would ask

for

> > the sp to re evaluate things asap and figure out what’s going on.

> >

> > I’m sorry, I know you are going through hell right now and wish there

was

> > something more I could offer.

> >

> > Dorothy

> >

> > From: LBDcaregivers [mailto:LBDcaregivers ]

On

> > Behalf Of Janet Colello

> > Sent: Sunday, January 16, 2011 3:41 AM

> > To: LBDcaregivers

> > Subject: Re: Re: Hi All

> >

> > Hi Dorothy,

> > The speech pathologist already evaluated Jim last summer and put him on

pureed

>

> > foods, before that he was on mechanical soft foods. He was already on

thickened

> >

> > liquids. They had a meeting with me last week and said to get him a sippy

cup,

>

> > so he won't aspirate, but he had a hard time with a sippy cup, because it is

> > also made not to spill when it tips over so if it is tipped up to drink, he

> > can't get anything out of it unless he sucks on the tip, but he doesn't

suck. I

> >

> > went back to the old way using an actual cup, but now he is not drinking or

> > eating. He either holds it in his mouth or spits it out. I can't get it into

> > him.

> > Jan

> >

> > ________________________________

> > From: dsinouye <fullcircle@ <mailto:fullcircle%40sonic.net> >

> > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > Sent: Sat, January 15, 2011 2:24:20 PM

> > Subject: RE: Re: Hi All

> >

> > Jan,

> >

> > Can you get them to bring in a speech pathologist asap to help figure out

how

> > Jim can swallow (and eat and drink) more safely? Or has this already been

done?

> >

> >

> > Dorothy

> >

> > From: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > [mailto:LBDcaregivers

<mailto:LBDcaregivers%40yahoogroups.com>

> >]

> >

> > On

> >

> > Behalf Of Janet Colello

> > Sent: Saturday, January 15, 2011 11:16 AM

> > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > Subject: Re: Re: Hi All

> >

> > Thank you Leona,

> > I have read and tried to prepare myself for this time, but I am feeling

> >helpless

> >

> >

> >

> > and there is nothing I can do, but be there for Jim. It's very hard to watch

> >him

> >

> >

> >

> > shut down. He has lost so much weight, I don't think there is enough

strength

> >in

> >

> >

> >

> > him to fight this anymore. He has been such a fighter and overcame so many

> > obstacles that could have brought him down. It's hard to see him this way. I

> > was with him until midnight last evening/this morning.

> > It turns out Jim has a UTI and Aspiration Pneumonia and is on an antibiotic

as

>

> > of last night that covers both, but he would not swallow the medication.

Leona,

> >

> > only a week ago he was eating his entire meals. I don't know if it is false

> > hope, but I am wishing that it is just that he feels so lousy he won't

swallow,

> >

> > but if he gets some antibiotic, he will start to feel better and swallow

again,

> >

> > but maybe I am just having false hope and this is it. I just can't get a

grip

> >on

> >

> >

> >

> > this. No matter how much I have prepared for this moment, it is like I am

> >having

> >

> >

> >

> > a bad dream. Jim told me he was dying last night in a whispery voice. I feel

> > numb just thinking about the loss. A lab tech was in and did a blood test on

> >Jim

> >

> >

> >

> > yesterday to see if there is an infection in the blood. Jim is my hero, he

is

> >so

> >

> >

> >

> > brave. This dreaded disease tears me apart.

> > I need to hear from people like you that have gone through this and

survived. I

> >

> > just can't imagine my life without Jim, but I know I will get through this

and

>

> > move on, I just don't know how yet.

> > Thank you so much, I appreciate hearing from you.

> > Love and Hugs,

> > Jan

> >

> > Leona, this is so true:

> > ''Love is not finding someone to live with; it's finding someone you don't

want

> >

> > to live without. "

> >

> > ________________________________

> > From: Leona Chereshnoski <lchere@ <mailto:lchere%40hughes.net>

> > <mailto:lchere%40hughes.net> >

> > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > <mailto:LBDcaregivers%40yahoogroups.com>

> >

> > Sent: Sat, January 15, 2011 10:27:52 AM

> > Subject: Re: Hi All

> >

> > Jan: I have been where you are and feel that I know what you are going

> > through. My oldest daughter told me the other day that she thought Dad knew

> > that he was ready to go and just quit eating. I felt it was just the course

> > of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

> > have wanted to continue any longer in the shape he was in. Comfort yourself

> > with the knowledge that you have done every thing you could to care for him,

> > show your love for him in every way you could and advocated for him

> > everytime the opportunity arose. We lived our vows to the end. We also

> > realize that he will be in a better place and when we meet them again, they

> > will no longer be sick! As you have had the strength to suffer along with

> > him every step of the way, you will find the strength to find your way

> > through the end time. It has been two years this spring and the tears came

> > back as I read your post because the things you are seeing, are the things I

> > saw as he faded away. Now, I think often of the things he said and did. I

> > smile often as I tell a story or remember a good time we had. You may find

> > as I did, that I did a lot of my grieving long before he died. Once I

> > realized there were no miracle drugs, or treatments or cures --that he was

> > on steep slope fading away, I cried and grieved him 6 months before he died.

> > I did not know that is what was going on, but afterward, I realized and

> > really handled everything very well. Jan, please know that you and Jim are

> > in my prayers and thoughts as you continue down this difficult road. God

> > Bless you both!! Love, Leona

> >

> > Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

> > Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual downhill

> > slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise Nursing

> > Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I have

> > ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

> > Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

> > 2009. I am handling it OK.

> >

> > ''Love is not finding someone to live with; it's finding someone you don't

want

> >

> > to live without "

> >

> >

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We do have this here. It is used if the person has not requested 'no feeding

tubes.' That's why people here have Advanced Directives. All of us need to

decide how much intervention we want just to maintain the physical body when the

natural process of death is occurring. For myself, I have an advanced directive

that says no feeding tubes. I watched my friend's wife die with a feeding tube.

It was placed and she had another two years of life but the years were in a

nursing home and there was little pleasure in her life. She laid there and was

kept alive. She never ate again and she never really had any quality of life.

At the end, she was aspirating her own saliva so they had patches behind her

ears to dry out her mouth so there was no saliva. Eventually she died. I

watched her wither away and I knew I would not want that. Has your mother had a

chance to tell you what her wishes are?

>

> Hi All,

> My mom has also started having problems with swallowing lately.

> And her doctor told me that we have to consider placing PEG

> into her stomach in the very near future to protect her from having

> aspiration pnemonia. I am wondering why it is not used in USA.

> I wish you all strength in this journey.

> Ferhan

>

>

>

> ________________________________

>

> To: LBDcaregivers

> Sent: Tue, January 18, 2011 11:59:13 PM

> Subject: Re: Re: Hi All - Jan

>

>  

> Hi, Jan,

>

> My heart aches for you. When my dad reached the stage where he no longer

> could swallow, gave me the tip about using something cold to help

> Dad swallow his medicine. Seroquel was the only medicine that was helpful to

> Dad by that time and 's tip worked like a charm for him. I would

> get Dad those Frostys from 's, and stick the pill in a tiny bite which

> he would take. The consistency is somewhere between a milk shake and ice

> cream which he seemed to have an easier time with.

>

> My thoughts and prayers are with you and Jim. I know how difficult this

> time is for you. You have been an amazing advocate and caregiver for Jim,

> and you will always draw peace from that.

>

> Sending you big hugs with all my love,

>

> Piper

>

>

>

>

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Jan, I've thought the same thing, even considering taking him home with hospice.

In Mom's nh anyone dying in a shared room was moved to a private room, even if

they had to take over a small room where families visited. The dignity of dying

was enhanced, as was privacy of family dealing with the end of life.

Thinking of you.

Love

> >

> > Thank you Dorothy, but Jim is in the final stages where he can not swallow.

He

>

> > has been on pureed for about a year and on thickened liquids. I was giving

Jim

>

> > liquids with a syringe that I bought in the baby aisle at the pharmacy used

to

>

> > give babies liquid medication to get liquids in him and he was

swallowing it,

> >

> > but I was told by the staff at the nursing home, I could not use the syringe

> >and

> >

> > they suggested to get a sippy cup. I laughed at that, because I told them

Jim

> > can not even suck on a straw, how is he going to use a sippy cup? You can't

tip

> >

> > it to drink, it is made purposely not to spill when tipped.

> >

> > Jim has stopped eating all together, he does drink a little from a cup or I

> > still sneak the syringe in and give him sips from that. I can control a

little

>

> > drip at a time into his mouth with the syringe. Jim is not swallowing his

> > antibiotic for Pneumonia and it is worse.

> > Jim is all bones now and very weak.

> > I appreciate all you suggestions, but they will not work for Jim since he

can

> >no

> >

> > longer swallow at all and will hold the food in his mouth or spit it out,

but

> > now he is too weak to even open his mouth for food, but he will sip from a

cup

> >a

> >

> > little.

> > The staff at the facility would feed the people that need to be fed, I

believe

>

> > they may have aspirated Jim, because they are on a schedule to get the

people

> > fed and out and sometimes give them too much at a time. I have seen it. I

> >always

> >

> > made sure to be with Jim for dinner and help him, but I could not be there

for

>

> > breakfast and lunch.

> > I appreciate your concern and your help.

> > Jan

> >

> >

> >

> >

> > ________________________________

> > From: dsinouye <fullcircle@>

> > To: LBDcaregivers

> > Sent: Sun, January 16, 2011 5:14:32 PM

> > Subject: RE: Re: Hi All

> >

> > Â

> > Jan I know you are doing all you can. Is someone feeding him and doing all

the

>

> > work of getting the food/drink to his mouth so he can put his energy to

> > eating/swallowing? I’m curious, did they ask you to get a sippy cup

so it

> > doesn’t spill if tipped over or because they thought he would be able

to

> >better

> >

> > suck the fluid out safely? If it’s the former reason it sounds like

they are

>

> > leaving him on his own to eat/drink and that, as was explained to us, is the

> > foremost reason people with these swallowing difficulties lose so much

weight

> > and aspirate. It takes a lot of energy to concentrate and get the food

managed

>

> > in the mouth and a good swallow and then even a second or third swallow to

> >clear

> >

> > around the airway so there isn’t residual around the edge of the

windpipe

> >that

> >

> > can fall in. I imagine he is very weak even more so with the infections. Can

he

> >

> > manage a swallow if thickened liquid is spooned in?

> >

> >

> > I’ll share what we are doing just in case it provides something of

use to

> >you.

> >

> > We are doing is pureeing food or cooking soft (soft mechanical diet) and

> >someone

> >

> > has to take a spoon of food the right size, feed her, encourage to chew as

> > needed, keeping a hand lightly on the back of the neck to 1) prevent the

head

> > from going back and 2) encourage chin downward for the swallow, then getting

> >her

> >

> > to say something (asking a question what’s the dog doing, what does

the food

>

> > taste like, etc.) to be sure the airway does not have the gurgly or raspy

sound

> >

> > (other than normal). And then going to the next bite or drink. About 50% of

the

> >

> > time we have to get another swallow to clear the airway because the flap

that

> > seals over the windpipe during a swallow does not seal off entirely and

leaves

> >a

> >

> > residual around the edge of the airpipe. We have been using a straw for

liquids

> >

> > but she is not doing well with it †" the liquids go back into the cup,

so now

>

> > back to thickened liquids out of a cup with a thin rim (easier on the mouth)

> >but

> >

> > she cannot manage it so we are holding it and she is free to concentrate on

the

> >

> > swallow part.

> >

> >

> > Current speech pathologist told me that people will often stop

eating/drinking

>

> > if they are having too much trouble with aspiration/choking especially if

they

>

> > are left on their own to eat/drink. I’m not at all sure what level of

care a

>

> > facility would provide with eating/drinking and perhaps this amount of

> > assistance is more than they provide.

> >

> >

> > If he cannot swallow at all a sippy cup will not help things. I would ask

for

> > the sp to re evaluate things asap and figure out what’s going on.

> >

> > I’m sorry, I know you are going through hell right now and wish there

was

> > something more I could offer.

> >

> > Dorothy

> >

> > From: LBDcaregivers [mailto:LBDcaregivers ]

On

> > Behalf Of Janet Colello

> > Sent: Sunday, January 16, 2011 3:41 AM

> > To: LBDcaregivers

> > Subject: Re: Re: Hi All

> >

> > Hi Dorothy,

> > The speech pathologist already evaluated Jim last summer and put him on

pureed

>

> > foods, before that he was on mechanical soft foods. He was already on

thickened

> >

> > liquids. They had a meeting with me last week and said to get him a sippy

cup,

>

> > so he won't aspirate, but he had a hard time with a sippy cup, because it is

> > also made not to spill when it tips over so if it is tipped up to drink, he

> > can't get anything out of it unless he sucks on the tip, but he doesn't

suck. I

> >

> > went back to the old way using an actual cup, but now he is not drinking or

> > eating. He either holds it in his mouth or spits it out. I can't get it into

> > him.

> > Jan

> >

> > ________________________________

> > From: dsinouye <fullcircle@ <mailto:fullcircle%40sonic.net>; >

> > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>;

> > Sent: Sat, January 15, 2011 2:24:20 PM

> > Subject: RE: Re: Hi All

> >

> > Jan,

> >

> > Can you get them to bring in a speech pathologist asap to help figure out

how

> > Jim can swallow (and eat and drink) more safely? Or has this already been

done?

> >

> >

> > Dorothy

> >

> > From: LBDcaregivers

<mailto:LBDcaregivers%40yahoogroups.com>;

> > [mailto:LBDcaregivers

<mailto:LBDcaregivers%40yahoogroups.com>;

> >]

> >

> > On

> >

> > Behalf Of Janet Colello

> > Sent: Saturday, January 15, 2011 11:16 AM

> > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>;

> > Subject: Re: Re: Hi All

> >

> > Thank you Leona,

> > I have read and tried to prepare myself for this time, but I am feeling

> >helpless

> >

> >

> >

> > and there is nothing I can do, but be there for Jim. It's very hard to watch

> >him

> >

> >

> >

> > shut down. He has lost so much weight, I don't think there is enough

strength

> >in

> >

> >

> >

> > him to fight this anymore. He has been such a fighter and overcame so many

> > obstacles that could have brought him down. It's hard to see him this way. I

> > was with him until midnight last evening/this morning.

> > It turns out Jim has a UTI and Aspiration Pneumonia and is on an antibiotic

as

>

> > of last night that covers both, but he would not swallow the medication.

Leona,

> >

> > only a week ago he was eating his entire meals. I don't know if it is false

> > hope, but I am wishing that it is just that he feels so lousy he won't

swallow,

> >

> > but if he gets some antibiotic, he will start to feel better and swallow

again,

> >

> > but maybe I am just having false hope and this is it. I just can't get a

grip

> >on

> >

> >

> >

> > this. No matter how much I have prepared for this moment, it is like I am

> >having

> >

> >

> >

> > a bad dream. Jim told me he was dying last night in a whispery voice. I feel

> > numb just thinking about the loss. A lab tech was in and did a blood test on

> >Jim

> >

> >

> >

> > yesterday to see if there is an infection in the blood. Jim is my hero, he

is

> >so

> >

> >

> >

> > brave. This dreaded disease tears me apart.

> > I need to hear from people like you that have gone through this and

survived. I

> >

> > just can't imagine my life without Jim, but I know I will get through this

and

>

> > move on, I just don't know how yet.

> > Thank you so much, I appreciate hearing from you.

> > Love and Hugs,

> > Jan

> >

> > Leona, this is so true:

> > ''Love is not finding someone to live with; it's finding someone you don't

want

> >

> > to live without. "

> >

> > ________________________________

> > From: Leona Chereshnoski <lchere@ <mailto:lchere%40hughes.net>;

> > <mailto:lchere%40hughes.net>; >

> > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>;

> > <mailto:LBDcaregivers%40yahoogroups.com>;

> >

> > Sent: Sat, January 15, 2011 10:27:52 AM

> > Subject: Re: Hi All

> >

> > Jan: I have been where you are and feel that I know what you are going

> > through. My oldest daughter told me the other day that she thought Dad knew

> > that he was ready to go and just quit eating. I felt it was just the course

> > of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

> > have wanted to continue any longer in the shape he was in. Comfort yourself

> > with the knowledge that you have done every thing you could to care for him,

> > show your love for him in every way you could and advocated for him

> > everytime the opportunity arose. We lived our vows to the end. We also

> > realize that he will be in a better place and when we meet them again, they

> > will no longer be sick! As you have had the strength to suffer along with

> > him every step of the way, you will find the strength to find your way

> > through the end time. It has been two years this spring and the tears came

> > back as I read your post because the things you are seeing, are the things I

> > saw as he faded away. Now, I think often of the things he said and did. I

> > smile often as I tell a story or remember a good time we had. You may find

> > as I did, that I did a lot of my grieving long before he died. Once I

> > realized there were no miracle drugs, or treatments or cures --that he was

> > on steep slope fading away, I cried and grieved him 6 months before he died.

> > I did not know that is what was going on, but afterward, I realized and

> > really handled everything very well. Jan, please know that you and Jim are

> > in my prayers and thoughts as you continue down this difficult road. God

> > Bless you both!! Love, Leona

> >

> > Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

> > Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual downhill

> > slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise Nursing

> > Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I have

> > ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

> > Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

> > 2009. I am handling it OK.

> >

> > ''Love is not finding someone to live with; it's finding someone you don't

want

> >

> > to live without "

> >

> >

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Dear Jan,

You are one of my heroes, to be sure.... your creativity in finding ways to

take care of Jim, your kindness, your thoughtfulness, your devotion, and your

love. I have learned so much from you, and have been able to use so many of

your helpful hints with my Mom. You and Jim have touched so many lives, and for

that I am so grateful.

I wish I could help you through this time, but I can only send you strength and

love via the internet from New York.

With love,

Helene

> > >

> > > Thank you Dorothy, but Jim is in the final stages where he can not

swallow.

> >He

> >

> >

> > > has been on pureed for about a year and on thickened liquids. I was giving

> >Jim

> >

> >

> > > liquids with a syringe that I bought in the baby aisle at the pharmacy

used

> >to

> >

> >

> > > give babies liquid medication to get liquids in him and he

was

> >swallowing it,

> >

> > >

> > > but I was told by the staff at the nursing home, I could not use the

syringe

>

> > >and

> > >

> > > they suggested to get a sippy cup. I laughed at that, because I told them

Jim

> >

> > > can not even suck on a straw, how is he going to use a sippy cup? You

can't

> >tip

> >

> > >

> > > it to drink, it is made purposely not to spill when tipped.

> > >

> > > Jim has stopped eating all together, he does drink a little from a cup or

I

> > > still sneak the syringe in and give him sips from that. I can control a

> >little

> >

> >

> > > drip at a time into his mouth with the syringe. Jim is not swallowing his

> > > antibiotic for Pneumonia and it is worse.

> > > Jim is all bones now and very weak.

> > > I appreciate all you suggestions, but they will not work for Jim since he

can

> >

> > >no

> > >

> > > longer swallow at all and will hold the food in his mouth or spit it out,

but

> >

> > > now he is too weak to even open his mouth for food, but he will sip from a

> >cup

> >

> > >a

> > >

> > > little.

> > > The staff at the facility would feed the people that need to be fed, I

> >believe

> >

> >

> > > they may have aspirated Jim, because they are on a schedule to get the

people

> >

> > > fed and out and sometimes give them too much at a time. I have seen it. I

> > >always

> > >

> > > made sure to be with Jim for dinner and help him, but I could not be there

> >for

> >

> >

> > > breakfast and lunch.

> > > I appreciate your concern and your help.

> > > Jan

> > >

> > >

> > >

> > >

> > > ________________________________

> > > From: dsinouye <fullcircle@>

> > > To: LBDcaregivers

> > > Sent: Sun, January 16, 2011 5:14:32 PM

> > > Subject: RE: Re: Hi All

> > >

> > >  

> > > Jan I know you are doing all you can. Is someone feeding him and doing all

> >the

> >

> >

> > > work of getting the food/drink to his mouth so he can put his energy to

> > > eating/swallowing? I’m curious, did they ask you to get a

sippy cup so

> >it

> >

> > > doesn’t spill if tipped over or because they thought he

would be able

> >to

> >

> > >better

> > >

> > > suck the fluid out safely? If it’s the former reason it

sounds like

> >they are

> >

> >

> > > leaving him on his own to eat/drink and that, as was explained to us, is

the

>

> > > foremost reason people with these swallowing difficulties lose so much

weight

> >

> > > and aspirate. It takes a lot of energy to concentrate and get the food

> >managed

> >

> >

> > > in the mouth and a good swallow and then even a second or third swallow to

> > >clear

> > >

> > > around the airway so there isn’t residual around the edge

of the

> >windpipe

> >

> > >that

> > >

> > > can fall in. I imagine he is very weak even more so with the infections.

Can

> >he

> >

> > >

> > > manage a swallow if thickened liquid is spooned in?

> > >

> > >

> > > I’ll share what we are doing just in case it provides

something of use

> >to

> >

> > >you.

> > >

> > > We are doing is pureeing food or cooking soft (soft mechanical diet) and

> > >someone

> > >

> > > has to take a spoon of food the right size, feed her, encourage to chew as

> > > needed, keeping a hand lightly on the back of the neck to 1) prevent the

head

> >

> > > from going back and 2) encourage chin downward for the swallow, then

getting

>

> > >her

> > >

> > > to say something (asking a question what’s the dog doing,

what does

> >the food

> >

> >

> > > taste like, etc.) to be sure the airway does not have the gurgly or raspy

> >sound

> >

> > >

> > > (other than normal). And then going to the next bite or drink. About 50%

of

> >the

> >

> > >

> > > time we have to get another swallow to clear the airway because the flap

that

> >

> > > seals over the windpipe during a swallow does not seal off entirely and

> >leaves

> >

> > >a

> > >

> > > residual around the edge of the airpipe. We have been using a straw for

> >liquids

> >

> > >

> > > but she is not doing well with it †" the liquids go back into

the cup, so

> >now

> >

> >

> > > back to thickened liquids out of a cup with a thin rim (easier on the

mouth)

>

> > >but

> > >

> > > she cannot manage it so we are holding it and she is free to concentrate

on

> >the

> >

> > >

> > > swallow part.

> > >

> > >

> > > Current speech pathologist told me that people will often stop

> >eating/drinking

> >

> >

> > > if they are having too much trouble with aspiration/choking especially if

> >they

> >

> >

> > > are left on their own to eat/drink. I’m not at all sure

what level of

> >care a

> >

> >

> > > facility would provide with eating/drinking and perhaps this amount of

> > > assistance is more than they provide.

> > >

> > >

> > > If he cannot swallow at all a sippy cup will not help things. I would ask

for

> >

> > > the sp to re evaluate things asap and figure out what’s

going on.

> > >

> > > I’m sorry, I know you are going through hell right now

and wish there

> >was

> >

> > > something more I could offer.

> > >

> > > Dorothy

> > >

> > > From: LBDcaregivers [mailto:LBDcaregivers ]

On

> >

> > > Behalf Of Janet Colello

> > > Sent: Sunday, January 16, 2011 3:41 AM

> > > To: LBDcaregivers

> > > Subject: Re: Re: Hi All

> > >

> > > Hi Dorothy,

> > > The speech pathologist already evaluated Jim last summer and put him on

> >pureed

> >

> >

> > > foods, before that he was on mechanical soft foods. He was already on

> >thickened

> >

> > >

> > > liquids. They had a meeting with me last week and said to get him a sippy

> >cup,

> >

> >

> > > so he won't aspirate, but he had a hard time with a sippy cup, because it

is

>

> > > also made not to spill when it tips over so if it is tipped up to drink,

he

> > > can't get anything out of it unless he sucks on the tip, but he doesn't

suck.

> >I

> >

> > >

> > > went back to the old way using an actual cup, but now he is not drinking

or

> > > eating. He either holds it in his mouth or spits it out. I can't get it

into

>

> > > him.

> > > Jan

> > >

> > > ________________________________

> > > From: dsinouye <fullcircle@ <mailto:fullcircle%40sonic.net> >

> > > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > > Sent: Sat, January 15, 2011 2:24:20 PM

> > > Subject: RE: Re: Hi All

> > >

> > > Jan,

> > >

> > > Can you get them to bring in a speech pathologist asap to help figure out

how

> >

> > > Jim can swallow (and eat and drink) more safely? Or has this already been

> >done?

> >

> > >

> > >

> > > Dorothy

> > >

> > > From: LBDcaregivers

<mailto:LBDcaregivers%40yahoogroups.com>

>

> > > [mailto:LBDcaregivers

> ><mailto:LBDcaregivers%40yahoogroups.com>

> >

> > >]

> > >

> > > On

> > >

> > > Behalf Of Janet Colello

> > > Sent: Saturday, January 15, 2011 11:16 AM

> > > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > > Subject: Re: Re: Hi All

> > >

> > > Thank you Leona,

> > > I have read and tried to prepare myself for this time, but I am feeling

> > >helpless

> > >

> > >

> > >

> > > and there is nothing I can do, but be there for Jim. It's very hard to

watch

>

> > >him

> > >

> > >

> > >

> > > shut down. He has lost so much weight, I don't think there is enough

strength

> >

> > >in

> > >

> > >

> > >

> > > him to fight this anymore. He has been such a fighter and overcame so many

> > > obstacles that could have brought him down. It's hard to see him this way.

I

>

> > > was with him until midnight last evening/this morning.

> > > It turns out Jim has a UTI and Aspiration Pneumonia and is on an

antibiotic

> >as

> >

> >

> > > of last night that covers both, but he would not swallow the medication.

> >Leona,

> >

> > >

> > > only a week ago he was eating his entire meals. I don't know if it is

false

> > > hope, but I am wishing that it is just that he feels so lousy he won't

> >swallow,

> >

> > >

> > > but if he gets some antibiotic, he will start to feel better and swallow

> >again,

> >

> > >

> > > but maybe I am just having false hope and this is it. I just can't get a

grip

> >

> > >on

> > >

> > >

> > >

> > > this. No matter how much I have prepared for this moment, it is like I am

> > >having

> > >

> > >

> > >

> > > a bad dream. Jim told me he was dying last night in a whispery voice. I

feel

>

> > > numb just thinking about the loss. A lab tech was in and did a blood test

on

>

> > >Jim

> > >

> > >

> > >

> > > yesterday to see if there is an infection in the blood. Jim is my hero, he

is

> >

> > >so

> > >

> > >

> > >

> > > brave. This dreaded disease tears me apart.

> > > I need to hear from people like you that have gone through this and

survived.

> >I

> >

> > >

> > > just can't imagine my life without Jim, but I know I will get through this

> >and

> >

> >

> > > move on, I just don't know how yet.

> > > Thank you so much, I appreciate hearing from you.

> > > Love and Hugs,

> > > Jan

> > >

> > > Leona, this is so true:

> > > ''Love is not finding someone to live with; it's finding someone you don't

> >want

> >

> > >

> > > to live without. "

> > >

> > > ________________________________

> > > From: Leona Chereshnoski <lchere@ <mailto:lchere%40hughes.net>

> > > <mailto:lchere%40hughes.net> >

> > > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > > <mailto:LBDcaregivers%40yahoogroups.com>

> > >

> > > Sent: Sat, January 15, 2011 10:27:52 AM

> > > Subject: Re: Hi All

> > >

> > > Jan: I have been where you are and feel that I know what you are going

> > > through. My oldest daughter told me the other day that she thought Dad

knew

> > > that he was ready to go and just quit eating. I felt it was just the

course

> > > of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

> > > have wanted to continue any longer in the shape he was in. Comfort

yourself

> > > with the knowledge that you have done every thing you could to care for

him,

> > > show your love for him in every way you could and advocated for him

> > > everytime the opportunity arose. We lived our vows to the end. We also

> > > realize that he will be in a better place and when we meet them again,

they

> > > will no longer be sick! As you have had the strength to suffer along with

> > > him every step of the way, you will find the strength to find your way

> > > through the end time. It has been two years this spring and the tears came

> > > back as I read your post because the things you are seeing, are the things

I

> > > saw as he faded away. Now, I think often of the things he said and did. I

> > > smile often as I tell a story or remember a good time we had. You may find

> > > as I did, that I did a lot of my grieving long before he died. Once I

> > > realized there were no miracle drugs, or treatments or cures --that he was

> > > on steep slope fading away, I cried and grieved him 6 months before he

died.

> > > I did not know that is what was going on, but afterward, I realized and

> > > really handled everything very well. Jan, please know that you and Jim are

> > > in my prayers and thoughts as you continue down this difficult road. God

> > > Bless you both!! Love, Leona

> > >

> > > Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

> > > Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual

downhill

> > > slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise

Nursing

> > > Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I

have

> > > ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

> > > Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

> > > 2009. I am handling it OK.

> > >

> > > ''Love is not finding someone to live with; it's finding someone you don't

> >want

> >

> > >

> > > to live without "

> > >

> > >

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Ferhan,

It is a misconception to think that a person with a feeding tube will not get

aspiration pneumonia. It happens all the time.

What people fail to realize is, that your body starts to shut down. A feeding

tube by passes one problem, only to create other problems.

A person with a feeding tube, must never have their head flat for several hours

after the feeding, as it may " urp " up and still cause aspiration.

Feeding causes the mouth to secret saliva. So that a person can still choke on

their own saliva and have tube feeding cough up and go into their lungs as well.

I am going to be open and honest here. As nurse, I believe that a person needs

to consider quality of life, very quantity of life.

While a feeding tube may extend life and keep a person alive for a few more

months. YOu will not beat death.

You may cause more pain and suffering to a person. That is something that a

doctor will not address in many instances.

I think that yo must consider all angles when considering a feeding tube and it

is important to ask the hard questions so that you can make and informed and

educated decision about these choices.

There is no right or wrong answer, just what is right for you and your loved

one.

I feel that if a person wants to fight death and take every measure possible to

them and take the consequences of that decision, then they have that right.

But, I do think that they need to know what those consequences are. And that is

where the medical delivery system falls short. Medical professionals do not

explain what it means to take such measures.

Diane Carbo

http://www.aginghomehealthcare.com

http://www.dementiacaresecrets.com

-- In LBDcaregivers , " nandelfisch " wrote:

>

> We do have this here. It is used if the person has not requested 'no feeding

tubes.' That's why people here have Advanced Directives. All of us need to

decide how much intervention we want just to maintain the physical body when the

natural process of death is occurring. For myself, I have an advanced directive

that says no feeding tubes. I watched my friend's wife die with a feeding tube.

It was placed and she had another two years of life but the years were in a

nursing home and there was little pleasure in her life. She laid there and was

kept alive. She never ate again and she never really had any quality of life.

At the end, she was aspirating her own saliva so they had patches behind her

ears to dry out her mouth so there was no saliva. Eventually she died. I

watched her wither away and I knew I would not want that. Has your mother had a

chance to tell you what her wishes are?

>

>

> >

> > Hi All,

> > My mom has also started having problems with swallowing lately.

> > And her doctor told me that we have to consider placing PEG

> > into her stomach in the very near future to protect her from having

> > aspiration pnemonia. I am wondering why it is not used in USA.

> > I wish you all strength in this journey.

> > Ferhan

> >

> >

> >

> > ________________________________

> > From: " ppark4915@ " <ppark4915@>

> > To: LBDcaregivers

> > Sent: Tue, January 18, 2011 11:59:13 PM

> > Subject: Re: Re: Hi All - Jan

> >

> >  

> > Hi, Jan,

> >

> > My heart aches for you. When my dad reached the stage where he no longer

> > could swallow, gave me the tip about using something cold to help

> > Dad swallow his medicine. Seroquel was the only medicine that was helpful to

> > Dad by that time and 's tip worked like a charm for him. I would

> > get Dad those Frostys from 's, and stick the pill in a tiny bite which

> > he would take. The consistency is somewhere between a milk shake and ice

> > cream which he seemed to have an easier time with.

> >

> > My thoughts and prayers are with you and Jim. I know how difficult this

> > time is for you. You have been an amazing advocate and caregiver for Jim,

> > and you will always draw peace from that.

> >

> > Sending you big hugs with all my love,

> >

> > Piper

> >

> >

> >

> >

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And you are his hero Jan.

> > >

> > > Thank you Dorothy, but Jim is in the final stages where he can not

swallow.

> >He

> >

> >

> > > has been on pureed for about a year and on thickened liquids. I was giving

> >Jim

> >

> >

> > > liquids with a syringe that I bought in the baby aisle at the pharmacy

used

> >to

> >

> >

> > > give babies liquid medication to get liquids in him and he

was

> >swallowing it,

> >

> > >

> > > but I was told by the staff at the nursing home, I could not use the

syringe

>

> > >and

> > >

> > > they suggested to get a sippy cup. I laughed at that, because I told them

Jim

> >

> > > can not even suck on a straw, how is he going to use a sippy cup? You

can't

> >tip

> >

> > >

> > > it to drink, it is made purposely not to spill when tipped.

> > >

> > > Jim has stopped eating all together, he does drink a little from a cup or

I

> > > still sneak the syringe in and give him sips from that. I can control a

> >little

> >

> >

> > > drip at a time into his mouth with the syringe. Jim is not swallowing his

> > > antibiotic for Pneumonia and it is worse.

> > > Jim is all bones now and very weak.

> > > I appreciate all you suggestions, but they will not work for Jim since he

can

> >

> > >no

> > >

> > > longer swallow at all and will hold the food in his mouth or spit it out,

but

> >

> > > now he is too weak to even open his mouth for food, but he will sip from a

> >cup

> >

> > >a

> > >

> > > little.

> > > The staff at the facility would feed the people that need to be fed, I

> >believe

> >

> >

> > > they may have aspirated Jim, because they are on a schedule to get the

people

> >

> > > fed and out and sometimes give them too much at a time. I have seen it. I

> > >always

> > >

> > > made sure to be with Jim for dinner and help him, but I could not be there

> >for

> >

> >

> > > breakfast and lunch.

> > > I appreciate your concern and your help.

> > > Jan

> > >

> > >

> > >

> > >

> > > ________________________________

> > > From: dsinouye <fullcircle@>

> > > To: LBDcaregivers

> > > Sent: Sun, January 16, 2011 5:14:32 PM

> > > Subject: RE: Re: Hi All

> > >

> > >  

> > > Jan I know you are doing all you can. Is someone feeding him and doing all

> >the

> >

> >

> > > work of getting the food/drink to his mouth so he can put his energy to

> > > eating/swallowing? I’m curious, did they ask you to get a

sippy cup so

> >it

> >

> > > doesn’t spill if tipped over or because they thought he

would be able

> >to

> >

> > >better

> > >

> > > suck the fluid out safely? If it’s the former reason it

sounds like

> >they are

> >

> >

> > > leaving him on his own to eat/drink and that, as was explained to us, is

the

>

> > > foremost reason people with these swallowing difficulties lose so much

weight

> >

> > > and aspirate. It takes a lot of energy to concentrate and get the food

> >managed

> >

> >

> > > in the mouth and a good swallow and then even a second or third swallow to

> > >clear

> > >

> > > around the airway so there isn’t residual around the edge

of the

> >windpipe

> >

> > >that

> > >

> > > can fall in. I imagine he is very weak even more so with the infections.

Can

> >he

> >

> > >

> > > manage a swallow if thickened liquid is spooned in?

> > >

> > >

> > > I’ll share what we are doing just in case it provides

something of use

> >to

> >

> > >you.

> > >

> > > We are doing is pureeing food or cooking soft (soft mechanical diet) and

> > >someone

> > >

> > > has to take a spoon of food the right size, feed her, encourage to chew as

> > > needed, keeping a hand lightly on the back of the neck to 1) prevent the

head

> >

> > > from going back and 2) encourage chin downward for the swallow, then

getting

>

> > >her

> > >

> > > to say something (asking a question what’s the dog doing,

what does

> >the food

> >

> >

> > > taste like, etc.) to be sure the airway does not have the gurgly or raspy

> >sound

> >

> > >

> > > (other than normal). And then going to the next bite or drink. About 50%

of

> >the

> >

> > >

> > > time we have to get another swallow to clear the airway because the flap

that

> >

> > > seals over the windpipe during a swallow does not seal off entirely and

> >leaves

> >

> > >a

> > >

> > > residual around the edge of the airpipe. We have been using a straw for

> >liquids

> >

> > >

> > > but she is not doing well with it †" the liquids go back into

the cup, so

> >now

> >

> >

> > > back to thickened liquids out of a cup with a thin rim (easier on the

mouth)

>

> > >but

> > >

> > > she cannot manage it so we are holding it and she is free to concentrate

on

> >the

> >

> > >

> > > swallow part.

> > >

> > >

> > > Current speech pathologist told me that people will often stop

> >eating/drinking

> >

> >

> > > if they are having too much trouble with aspiration/choking especially if

> >they

> >

> >

> > > are left on their own to eat/drink. I’m not at all sure

what level of

> >care a

> >

> >

> > > facility would provide with eating/drinking and perhaps this amount of

> > > assistance is more than they provide.

> > >

> > >

> > > If he cannot swallow at all a sippy cup will not help things. I would ask

for

> >

> > > the sp to re evaluate things asap and figure out what’s

going on.

> > >

> > > I’m sorry, I know you are going through hell right now

and wish there

> >was

> >

> > > something more I could offer.

> > >

> > > Dorothy

> > >

> > > From: LBDcaregivers [mailto:LBDcaregivers ]

On

> >

> > > Behalf Of Janet Colello

> > > Sent: Sunday, January 16, 2011 3:41 AM

> > > To: LBDcaregivers

> > > Subject: Re: Re: Hi All

> > >

> > > Hi Dorothy,

> > > The speech pathologist already evaluated Jim last summer and put him on

> >pureed

> >

> >

> > > foods, before that he was on mechanical soft foods. He was already on

> >thickened

> >

> > >

> > > liquids. They had a meeting with me last week and said to get him a sippy

> >cup,

> >

> >

> > > so he won't aspirate, but he had a hard time with a sippy cup, because it

is

>

> > > also made not to spill when it tips over so if it is tipped up to drink,

he

> > > can't get anything out of it unless he sucks on the tip, but he doesn't

suck.

> >I

> >

> > >

> > > went back to the old way using an actual cup, but now he is not drinking

or

> > > eating. He either holds it in his mouth or spits it out. I can't get it

into

>

> > > him.

> > > Jan

> > >

> > > ________________________________

> > > From: dsinouye <fullcircle@ <mailto:fullcircle%40sonic.net> >

> > > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > > Sent: Sat, January 15, 2011 2:24:20 PM

> > > Subject: RE: Re: Hi All

> > >

> > > Jan,

> > >

> > > Can you get them to bring in a speech pathologist asap to help figure out

how

> >

> > > Jim can swallow (and eat and drink) more safely? Or has this already been

> >done?

> >

> > >

> > >

> > > Dorothy

> > >

> > > From: LBDcaregivers

<mailto:LBDcaregivers%40yahoogroups.com>

>

> > > [mailto:LBDcaregivers

> ><mailto:LBDcaregivers%40yahoogroups.com>

> >

> > >]

> > >

> > > On

> > >

> > > Behalf Of Janet Colello

> > > Sent: Saturday, January 15, 2011 11:16 AM

> > > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > > Subject: Re: Re: Hi All

> > >

> > > Thank you Leona,

> > > I have read and tried to prepare myself for this time, but I am feeling

> > >helpless

> > >

> > >

> > >

> > > and there is nothing I can do, but be there for Jim. It's very hard to

watch

>

> > >him

> > >

> > >

> > >

> > > shut down. He has lost so much weight, I don't think there is enough

strength

> >

> > >in

> > >

> > >

> > >

> > > him to fight this anymore. He has been such a fighter and overcame so many

> > > obstacles that could have brought him down. It's hard to see him this way.

I

>

> > > was with him until midnight last evening/this morning.

> > > It turns out Jim has a UTI and Aspiration Pneumonia and is on an

antibiotic

> >as

> >

> >

> > > of last night that covers both, but he would not swallow the medication.

> >Leona,

> >

> > >

> > > only a week ago he was eating his entire meals. I don't know if it is

false

> > > hope, but I am wishing that it is just that he feels so lousy he won't

> >swallow,

> >

> > >

> > > but if he gets some antibiotic, he will start to feel better and swallow

> >again,

> >

> > >

> > > but maybe I am just having false hope and this is it. I just can't get a

grip

> >

> > >on

> > >

> > >

> > >

> > > this. No matter how much I have prepared for this moment, it is like I am

> > >having

> > >

> > >

> > >

> > > a bad dream. Jim told me he was dying last night in a whispery voice. I

feel

>

> > > numb just thinking about the loss. A lab tech was in and did a blood test

on

>

> > >Jim

> > >

> > >

> > >

> > > yesterday to see if there is an infection in the blood. Jim is my hero, he

is

> >

> > >so

> > >

> > >

> > >

> > > brave. This dreaded disease tears me apart.

> > > I need to hear from people like you that have gone through this and

survived.

> >I

> >

> > >

> > > just can't imagine my life without Jim, but I know I will get through this

> >and

> >

> >

> > > move on, I just don't know how yet.

> > > Thank you so much, I appreciate hearing from you.

> > > Love and Hugs,

> > > Jan

> > >

> > > Leona, this is so true:

> > > ''Love is not finding someone to live with; it's finding someone you don't

> >want

> >

> > >

> > > to live without. "

> > >

> > > ________________________________

> > > From: Leona Chereshnoski <lchere@ <mailto:lchere%40hughes.net>

> > > <mailto:lchere%40hughes.net> >

> > > To: LBDcaregivers <mailto:LBDcaregivers%40yahoogroups.com>

> > > <mailto:LBDcaregivers%40yahoogroups.com>

> > >

> > > Sent: Sat, January 15, 2011 10:27:52 AM

> > > Subject: Re: Hi All

> > >

> > > Jan: I have been where you are and feel that I know what you are going

> > > through. My oldest daughter told me the other day that she thought Dad

knew

> > > that he was ready to go and just quit eating. I felt it was just the

course

> > > of the LBD and it was his time to go. Either way, I am sure Ray wouldn't

> > > have wanted to continue any longer in the shape he was in. Comfort

yourself

> > > with the knowledge that you have done every thing you could to care for

him,

> > > show your love for him in every way you could and advocated for him

> > > everytime the opportunity arose. We lived our vows to the end. We also

> > > realize that he will be in a better place and when we meet them again,

they

> > > will no longer be sick! As you have had the strength to suffer along with

> > > him every step of the way, you will find the strength to find your way

> > > through the end time. It has been two years this spring and the tears came

> > > back as I read your post because the things you are seeing, are the things

I

> > > saw as he faded away. Now, I think often of the things he said and did. I

> > > smile often as I tell a story or remember a good time we had. You may find

> > > as I did, that I did a lot of my grieving long before he died. Once I

> > > realized there were no miracle drugs, or treatments or cures --that he was

> > > on steep slope fading away, I cried and grieved him 6 months before he

died.

> > > I did not know that is what was going on, but afterward, I realized and

> > > really handled everything very well. Jan, please know that you and Jim are

> > > in my prayers and thoughts as you continue down this difficult road. God

> > > Bless you both!! Love, Leona

> > >

> > > Leona: Caregiver for husband Ray, age 68, diagnosed 2/04 with Parkinson's

> > > Disease. Changed doctors, diagnosed 6/06 with LBD. Almost continual

downhill

> > > slide no matter what drugs we try. 5/2/08 Ray was placed in Sunrise

Nursing

> > > Home in Oswego, NY, 1 hour from home. So far, so good! Hardest thing I

have

> > > ever done in my life, however. 3/19/09 transferred to Samaritan Keep NH in

> > > Watertown, NY closer to home. He passed peacefully at 5:18 am on April 14,

> > > 2009. I am handling it OK.

> > >

> > > ''Love is not finding someone to live with; it's finding someone you don't

> >want

> >

> > >

> > > to live without "

> > >

> > >

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