Wednesday, May 30, 2018

Pain in the Neck (and Back)


Pain in the Neck (and Back)
May 30, 2018

Right now, Rob has unbearable pain.  No matter what he does or tries, his back and neck hurt.  He also has constant headaches.  We have tried:
·         Chiropractic
·         Massage
·         Physical therapy
·         Cryotherapy
·         Multiple doctors
·         Pain pills
·         Several topicals (icy hot, lidocaine, biofreeze, deep blue, etc)
·         Essential oils
·         Anything else a person can think of – we have tried it

He does not get relief.
His pain tolerance is gone.
He calls me at work to tell me how bad he feels.  All. Day. Long.

It seems to me, like his dementia affects his ability to tolerate pain, to interpret where the pain is coming from, and how bad the pain is.  His anxiety compounds the issue.  If he doesn’t hurt, he is worried about when it will start to hurt, and how bad it will hurt.  If he even starts to get a little tense or tight, he panics about how bad it will get.  If he doesn’t believe a new treatment will work, he gets upset within minutes.  He did not expect cryotherapy to work, and he was doing so much better that day than he has been in two weeks, but by the time we drove 20 minutes down the road, he was convinced it did not work and refused to go back.  Similarly, when he thinks or expects something to work, he becomes obsessed with it, even if it doesn’t make much difference.  He spent two weeks making us all massage him 24-7.  Now he got ahold of a big vibrating massager (like the chiropractor uses).  He calls it the buffer and is constantly asking us to “buff his back out.” (Once a body man, always a body man – even if he was a diesel mechanic for almost 30 years! Ha ha)

He calls me at work to ask if I can come home and use it.  My mom has taken the brunt of the afternoon massage requests, God bless her. 

We have an appointment with the neurologist and the back/pain management doctor, but we need to do something to get him through to those appointments.  Between the pain, the insomnia, the depression, etc., Rob feels like he is trapped in prison.  He stares at the clock or his watch, just waiting for the next dose of Tylenol/advil/exedrin/whatever works. 

We are ready, now, for prayers that the Lord takes him home sooner rather than later, to ease his suffering. He wants to be with Jesus and be whole again.  To be 100% body, mind and soul.  Better than 100% on earth - but in his new, perfect, Heavenly self.

However, Romans 8:28 says that we KNOW that God works ALL things together for the good of those who love him.  And we love Him.  So we KNOW, that God can somehow use this for good.  And that is good enough with us. 

Friday, May 25, 2018

Falling off a Cliff May 2018


Falling off a Cliff
May 2018
Degenerative diseases like Huntington’s are hard to describe.  Every day is different.  Each day has a new challenge.  As soon as you think you know what to expect, everything changes.

It has been easiest for me to describe Rob’s journey as “one step forward, two steps back.”  A gradual decline, but one that continues to speed up.  It used to be one step forward, two steps back every 6 months.  Then every month, his symptoms were one-step-forward, two-steps-back.  Then weekly, Rob took one step forward and two steps back.  As the disease has progressed, it became one step forward and two steps back daily.  But, he continued to hold his own, for the most part.  We’ve lived the last year or so, living a modified version of our normal life.  Then one day about the end of April, he took his one step forward, and two steps back, but stepped right off a cliff and plummeted.  Overnight.

We had been snowmobiling once a week, and Rob was working on projects at home with his same positive outlook.  Yes, his balance was getting worse.  Yes, his memory was getting worse.  Yes, his involuntary movements were getting worse.  Yes, he struggled with his voluntary movements.  Yes, he lost patience quickly when working on projects…but it was do-able.  He was still simply living a changed version of his normal life.

And then, he stepped off that cliff. 
Overnight his symptoms increased 10 fold.           

Mentally:  His dementia increased.  He became paranoid and suffered panic attacks.  He had extreme anxiety about being home alone.  He became very depressed and frustrated and despondent about his symptoms and his future. 
His short term memory was gone. He was very confused.  He couldn’t keep track of anything.  He would take advil and forget he took it one minute later. 
He developed extreme OCD – he would do nothing but stare at the clock and check his watch every 20 seconds, waiting for his next dose of medicine 4 hours later.
Physically:  He developed insomnia – also overnight.  One night he slept and the next he didn’t.  He got 6 hours of sleep in 8 days.  We went through 3 prescription sleep meds before we found 1 that works for about 3 hours per night. 
Suddenly, he was in constant pain.  He developed a permanent headache.  His back started hurting.  He was miserable, uncomfortable and in pain with no relief.  He can’t sit, stand or lay down for more than a few minutes.  His back and neck started getting really tight and sore so he could not find a comfortable way to sit down during the day. We tried every OTC pain medicine we could with little success.  He has extreme OCD about taking his “headache medicine” every 4 hours.   We tried chiropractic treatment, physical therapy, cryotherapy, massage, etc. to no avail.    
He is miserable, negative, anxious and obsessive compulsive.  He looks at his watch every 10 seconds, to see when his next dose of medicine is.  He says he can only “kill time” between doses of medication.  He argues that he can’t sit down long enough to watch tv or a movie, but then he sits all day.  We bought him a recliner because the couch wasn’t comfortable, but the recliner is not comfortable enough.  He argues with every suggestion I have for him. 

I knew days like these were coming, but I expected the change to be gradual and the sudden downturn in his health caught me by surprise.  I have to help dose his medications.  I have to give multiple back rubs and apply icy hot/deep blue/biofreeze/etc all day and night.  He calls me at work and talks for an hour about how miserable he is.  If I get him off the phone, he calls after 10 minutes go by.  He is trying so hard to sleep, that he can’t sleep. He spends hours analyzing how he feels.  Sometimes I wonder if the pain is as bad as he says it is, or if he just thinks it is that bad, or if he is panicking because he is afraid it will get bad.  But he has called and said, “this is killing me!” so I assume it is pretty painful.

His circulation is so bad that if he lays down, his hands and feet get cold and his vision gets blurred, so he sleeps with wool socks and gloves on.  He dwells on his immediate, earthly future and is depressed.  He argues with me over every suggestion I make. He wants the recliner, so one of us will get out of it, but then won’t sit in it because it hurts.  He wants something to do, but then says he doesn’t have the energy to do it.  He wants to lay down, but won’t because he thinks he will get a headache.  He wants to sleep in but is worried about waking up in 3 hours to take his meds.  He wants us to spend all our time with him, but when we try to get him out of the house he becomes angry and refuses to do stuff with us. He struggles to have a conversation, so instead of talking to us, he sits with his eyes closed, “listening” to us talk, or else he repeatedly tells us over and over how miserable he is…over…and…over…24-7.  For over a month, he only talks about being miserable.  We sympathize with him, but it is relentless negativity.  The kids and I are exhausted from the negativity but it is all his brain can think of.  We try hard to distract him, or encourage him to participate in family time, or look at the positive side of things…but he just argues with us.  He complains he has nothing to do to fill his days, but when I suggest having people come visit with him for an hour here and there, he gets very agitated and has an anxiety attack and doesn’t want to attempt to have a conversation with them.

So, more appointments are on the calendar.  Neurologists, pain specialists, back doctors, etc.  Because we HAVE to do something.  We have to give him quality of life during these last years.  He deserves to at least be comfortable.  It is so strange.  It is like we were suddenly thrust into a hospice care situation, without an imminent death, so it is a never-ending hospice….more like a hostage situation for Rob.  Trapped in this earthly tent, waiting on his mansion in heaven.  This is not hospice care for 6 days or 6 weeks or even 6 months.  This could last years.  So we HAVE to get some pain relief.  We HAVE to get him to sleep again.  We HAVE to do something about his anxiety.

Every day I ask God for strength, peace, wisdom, patience, compassion and kindness.  This is the job the Lord has given me – to care for Rob – and I need to do a good job for the Lord.  And for Rob, whom I love.  I need to serve the Lord by serving Rob.  I have to love him the best I can love him and care for him the best I can care for him.  He is still my best friend and the person I wanted to spend the rest of my life with, even though I don’t get to see that person very often.  I can’t get frustrated or annoyed when he expresses his negative thoughts for the umpteenth time.  I have to continue to fight him to get him out of the house to go to church.  I have to force him outside or on even small family activities with the kids.  Because he deserves to be treated well, and because the Lord has asked me to do so.

I try.  I fail.  I try again.  I fail some more.  I want God to be glorified, somehow, through this journey, but how? 

I know the Lord is burning the impurities away.  I know He is purifying our character.  But many days I feel as though I fail God and Rob.  Trust me – any good you see in me is ALL Jesus.  It is only Him, it is not me.  It is HIS strength covering my weaknesses.  And I need more.
            More of His strength
More of His peace
More of His wisdom
More of His love
More of His tender mercies

Morning by morning new mercies I see.  All I have needed, thy hand has provided.  Great is Thy Faithfulness, Lord unto me.

Update May 25:  Depression comes in waves.  Rob’s attitude is improving.  He is adjusting.  This sudden change in his symptoms also caught him off guard.  But he is slowly learning his new normal with us.  He has tried to come along with us to certain things.  He tried to come along when Heidi wanted to do something outside for her birthday.  All we did was go to the Three Forks ponds to drown some worms, because we didn’t think he could do more.  We had to force him and bring good lawn chairs.  But he spent most of his time sitting in the car.  Then we took the fastest route home because he could not even handle sitting in the seat any longer.  He came along when I drove Cody to basketball training and came into Home Depot with me to buy a toilet seat and a shower head.  But that was enough to completely wear him out.  He was done.  I got more advil in him and he even came inside to watch the last 10 minutes of basketball.  He has become quite grateful for us.  He is constantly thanking us for helping him, even when he is being demanding.  He says he has no regrets.  He says, “well, we’ve had a good run.  I couldn’t have done it without you.”  Huntington’s is just one, long goodbye.