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Re: Greased Fingers (long)

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Shirley,

Thank you so much for the input about the doctors. That was really helpful.

Please let me know how your mom does with a walker. We have talked about it

but I am concerned that because he twists when he falls he could get tangled

up in it and break something. Guess the doctor agreed because he didn't

mention it - only the wheel chair.

Thanks again,

Cheryl

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In a message dated 4/12/02 1:05:17 PM Central Daylight Time,

MaiLiis@... writes:

> Sorry, Cheryl....don't know what's wrong with me....read your account and

> wanted to go through a pie in his face! I will reread your post later.

>

No apologies needed! Guess I'm just testing the waters to see if someone

could tell me I was wrong for feeling the same way! Cheryl

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In a message dated 4/12/02 2:23:42 PM Central Daylight Time,

clbrown@... writes:

> I don't mind that he saw the patient for only 5 minutes, but I WOULD mind

> that he made such a radical diagnosis consulting only one assistant. Why

> in the world wouldn't he consult Bob's former doctor too? It only makes

> sense to me when your instinct is to contradict another physician's

> diagnosis to find out more about why the first diagnosis was made.

My thinking, too, Christie.

As for the Aricept, I confused you. It's more like he thinks the Aricept is

working " too " well. From what I know of it, it works better for LBD than for

AD, for which it was developed. I don't think he knows nearly as much about

this disease as he wants me to believe, and I'm not inclined to bite.

You also wrote, " I know you want to like this guy but if Bob's physician

disagrees with the primary diagnosis you will have a helluva hard time later

on getting

appropriate assistance in terms of nursing, etc. " This is a very scary

thought!!

Thanks for your input, Christie. I appreciate it!

Cheryl

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WOW Cheryl,

So much to take in. I am just going to answer one question. In my mom's case

her primary care doctor is responsible for pain medication, and regular

meds. As far as the Signmet,Risperdone and or any other lewy body

medications (I guess used to treat the parkinson like symptoms) her

neurologist is in charge of that. Her primary care doctor would also be in

charge of anti-depressents. The wheel chair has been prescribed by the

neuroligist as well. And Physical Therapy also is prescribed by the

Neuroligist. The Physical Therapist however is the one who prescribed the

walker with the Neuroligist approval which by the way hasn't came in yet and

was ordered 3 weeks ago.

From what I see as far as the lewy body only the neuroligist is in charge

and would be for all other neurological problems as well. Perhaps you can

talk to your old doctor and see what he thinks about the new diagnosis.

Shirley

>From: LewyLady@...

>Reply-To: LBDcaregivers

>To: LBDcaregivers

>Subject: Greased Fingers (long)

>Date: Fri, 12 Apr 2002 12:13:15 EDT

>

>Oh, the rollercoastering! Three days ago I asked you to cross your fingers

>because I was SO excited about finding a geriatrician who handles some LBD

>cases. We had our first appt with him yesterday, and my fingers feel too

>slippery to stay crossed. For starters, we were in his suite for 4.5 hrs

>and

>saw him for not much more than 5 minutes. Next visit should not be the

>same.

>

>The intake assessment was two hours of interview and neurological assmt

>done

>by a student PA. She was sharp and had heard of LBD. When she finished

>she

>met with the MD, his PA, a social worker, and ?. When they finished the

>doctor came to the exam room and met my husband and me for the first time.

>And the first thing he told me was that, " with all due respect to Dr (wrong

>name), " he disagrees with the LBD diagnosis. His reasons:

>1) Bob has been doing too well for too long. His MMSE remains at 23, where

>it has held for well over two years. I can see symptoms going back 9 yrs.

>He continues to do remarkably well on Aricept.

>2) If this is LBD he wouldn't have done so well w/the Sinemet, either.

>LBD

>pts don't benefit from it, he said.

>3) If we REALLY want to continue Vit E w/the Aricept we can, but there is

>no

>evidence that it is helpful.

>4) Every comment/question I had was met with an attitude that I don't know

>much about this disease and " the research bears out . . . "

>

>-First, Hart, the Cognitive Neurologist who diagnosed Bob 4+ yrs ago,

>IS a researcher. He was recruited away from s Hopkins to U of AK where

>he is setting up the research project in a new memory disorders clinic. I

>think that qualifies him as being on top of research. Also, the dementias

>and memory disorders are his areas of special interest.

>-Second, Bob is a classic LBD case per Hart and from most of what I read.

>-Third, he does so well on Sinemet because Hart has tweaked and tweaked and

>tweaked, including a 2.5 month period during which we were in touch

>telephonically each 7-10 days until he was satisfied. He once told me

>there

>are three neurotransmitter systems that have to be dealt with to get the

>Sinemet to work and many doctors don't want to be bothered with the work

>entailed.

>-Fourth, I have read abstracts indicating that Vit E DOES enhance the

>benefits of Aricept and that the life course of LBD isn't necessarily as

>fast

>as once believed.

>-Fifth, he made his assessment based solely on input from his student PA,

>having never met patient or caregiver or seeing diagnostic records.

>

>He thinks it is PD w/dementia, BUT, he is going to talk to " the only

>neurologist in town who knows the mental disorders of the elderly . . . "

>

>What I DID like:

>1) He asked Bob if he wanted to stay at home, and when he responded

>affirmatively told him that if he is going to take care of him he (doc) has

>to take care of me, too. (recognizing caregiver stress)

>2) He gave me an rx for Remeron (Mertazipine). But first he said he

>didn't

>like to do this because it often exaccerbates dementia and can contribute

>to

>falls. (I went in asking for sleep assistance from either Mertazipine or

>Seroquel. Or whatever else could work.)

>3) When push comes to shove they focus on quality of life vs quantity,

>which

>appeals to both Bob and me.

>4) He ordered a wheelchair and a physical therapist to come to the house.

>5) He is a minimalist with medications.

>

>Our homework prior to FU appt in one month is to accumulate the rest of

>Bob's

>records and decide on our goals with quality of life issues, to be

>discussed

>with the doctor at that time so a plan can be set.

>

>How did Bob respond to all this? (This one's for YOU, Mai-Liis . . .;-) )

>He liked the doctor (I didn't " dislike " him) and likes the idea of changing

>the diagnosis so he won't have to feel that what he has is what he will

>always have and he can get better.

>

>MIK, I'm not making any recommendations for or against yet. Am working

>hard

>to maintain perspective. Will keep you posted.

>

>Once home at 5PM there was an early morning message from Dr. Hart

>apologizing

>for not returning my call sooner, that he had been working on how to get

>several of his old patients into his new clinic (where he wasn't supposed

>to

>see patients). So have postponed making an appt with the neurologist

>mentioned several paragraphs back.

>

>Someone set me straight if need be, but my concern is that this doctor will

>in fact decide to treat for something other than LBD and we will have

>disastrous results. I think the primary care doc is supposed to be in

>charge, but in THIS case the neurologist will be in charge. He knows the

>patient, he knows the disease, and he has cared superbly for my husband for

>over 4 yrs. I do not presume to be a medical professional, but like so

>many

>of you, have been doing my homework and don't feel at all ignorant of this

>disease. I will just have to stand my ground . . . until / unless he

>presents real evidence to the contrary.

>

>Cheryl

>

>

>

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FIVE minutes? He gave you FIVE minutes after relying only on his student PA?!

Cheryl, I marvel

and admire your patience and at your ability to allow plenty of time to evaluate

your experience.

This reminds me too much of my last experience with Jack's neuro....who quoted

research studies

to state that this, that etc. couldn't be so....without having the least bit of

interest in finding out

what I had learned by being Jack's caregiver as well as hearing of all the

personal accounts of

everyone on this list! But, I have an issue with doctors who speak in

absolutes......and especially

when the subject is LBD about which they know so little!

Sorry, Cheryl....don't know what's wrong with me....read your account and wanted

to go through a

pie in his face! I will reread your post later. Mai-Liis

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Wow, Cheryl--

I can really appreciate the rollercoaster you must be on. But my gut

reaction is that any doctor that claims he knows what Lewy Body definitely

is and isn't hasn't seen very much of it. We all know that there is

day-to-day variability with each of our LOs, and there is a lot of

variability BETWEEN patients too. Actually there is a lot of good medical

evidence that rates of decline vary a lot.

I don't mind that he saw the patient for only 5 minutes, but I WOULD mind

that he made such a radical diagnosis consulting only one assistant. Why

in the world wouldn't he consult Bob's former doctor too? It only makes

sense to me when your instinct is to contradict another physician's

diagnosis to find out more about why the first diagnosis was made.

And anyone that says the Aricept isn't helping is demonstrating a big error

in judgment....the real test of whether it is working is NOT whether the

patient is doing " normally " but whether the patient is doing BETTER THAN HE

OTHERWISE WOULD BE WITHOUT THE MEDICATION. It strikes me as contradictory

that this doc could say on the one hand that Bob is doing so well on the

MMSE that it couldn't be LBD and at the same time believe the Aricept is

not helping him cognitively.

I know you want to like this guy but if Bob's physician disagrees with the

primary diagnosis you will have a helluva hard time later on getting

appropriate assistance in terms of nursing, etc.

Sorry, probably NOT what you wanted to hear...if Bob likes him, maybe you

can live with the arrogance.

Christie

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she hasn't gotten the walker yet but the physical therapist said to put

weights on it to weigh it down so she doesn't fall.

>From: LewyLady@...

>Reply-To: LBDcaregivers

>To: LBDcaregivers

>Subject: Re: Greased Fingers (long)

>Date: Fri, 12 Apr 2002 13:44:36 EDT

>

>Shirley,

>Thank you so much for the input about the doctors. That was really

>helpful.

>

>Please let me know how your mom does with a walker. We have talked about

>it

>but I am concerned that because he twists when he falls he could get

>tangled

>up in it and break something. Guess the doctor agreed because he didn't

>mention it - only the wheel chair.

>

>Thanks again,

>Cheryl

>

>

>

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In a message dated 2002-04-12 12:22:26 PM Eastern Daylight Time,

LewyLady@... writes:

> Someone set me straight if need be

Cheryl,

Go with your gut feelings. I once invited 3 doctors to discuss their varied

diagnosis, together.....it never happened.

Ev

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In a message dated 4/12/02 10:07:49 PM Central Daylight Time, buev@...

writes:

> Go with your gut feelings. I once invited 3 doctors to discuss their varied

> diagnosis, together.....it never happened.

Do you think ego had anything to do with it?

Thanks, Ev! ;-) Cheryl

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Cheryl, now that I am over wanting to throw a pie at your geriatrician, I am

curious whether you

did get a prescription for Remeron already and whether Bob starts on this

immediately. Also,

can you tell me why Remeron was chosen rather than Seroquel which works on both

sleep and

hallucinations?

Isn't it amazing how long it took Dr. Hart at s Hopkins to diagnose Bob as

LBD, and how

quickly the geriatrician rediagnosed him? Oh....also curious.....is Capgrass

considered " some "

dementia? Grrrrrrrrrrrrrrrr.......back to pie throwing. Mai-Liis

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Cheryl

So sorry to hear the geriatrician appt. didn't go as well as planned.

This must have been extremely frustrating to have spent half a day to

see a dr. for what seemed like half a minute. I appreciate you keeping

an open mind on not completely judging him.........yet. I do agree that

you, as the caregiver, really do know a lot about this disease and what

has worked this far. Keep your guns loaded and stand up for the

knowledge you have. Best of luck.

Sandie

Des Moines, IA

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In a message dated 2002-04-13 1:13:12 AM Eastern Daylight Time,

LewyLady@... writes:

> Do you think ego had anything to do with it?

>

>

As we both well know, ego had EVERYTHING to do with it.

Ev

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In a message dated 2002-04-14 9:32:58 AM Eastern Daylight Time,

imelda4@... writes:

> The last stuff I have read is that if the

> Parkinson is the strongest symptom at first than its Parkinson with LBD or

> with Dementia and if the dementia symtoms come first than its LBD

sorry to mix things up even more...BUT, in our case for 3 years we lived with

Parkinson's...then changed to LBD with Parkinsonism...3 neurologists + 1

gerintologist agree.

One more example of how different the patients and the medical people are.

Ev

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Cheryl, all this is so confusing. Perhaps you could look back at how Bob

started to show symptoms. The last stuff I have read is that if the

Parkinson is the strongest symptom at first than its Parkinson with LBD or

with Dementia and if the dementia symtoms come first than its LBD. But

things are always changing and frankly I hate doctors that sound too

confident...do they really know something or are they just buying into the

lastest theory? Yes, doctors do that. Who is this expert neurologist he is

going to talk to? Maybe you should be talking to him.

And like someone else said, the Parkinson, LBD and Alzheimer's are all

meshed together and I don't think the research is far advanced enough to

separate it out yet into discreet paths of treatment. As you said, haven't

we all read that Aricept works better with LBD. And is Bob being judged for

doing well when no one really knows the course of treatment or how your

interventions have affected him?

As for the Vitamins. I'd say a good 75% of Doctors love to put down

vitamins. For an alternative view, my husband's neurologist recommended 800

units of Vit E and all the Co-Enzyme Q-10 we could afford to buy. We both

liked that: it put some of the treatment into our hands.

Just my opinion but I believe an arrogant doctor is ultimately a dangerous

doctor. Maybe you could test him...it could just have been his bedside

manner. Why not bring some articles about LBD, like the one about Aricept

doing better etc...either to show him or query him with. How would he

respond? And yes, consultations between two treating doctors is not an

option but an absolute necessity. Will he do it?

Sorry if I sound a little hard on him....it's just so scary. And the fact

that Bob likes the alternative diagnosis only complicates it all. I'm sure

my husband would glom onto the possibility of not having dementia.

Last year we had an opposite experience when we tried to participate in the

Predictors' Study at Columbia -Presbyterian. That doctor was so arrogant

that he completely turned my husband off. And just recently we got a

summary of the testing that was done there. Even in writing he was

condescending, ( " patient takes Aricept and some vitamins " ). GRRRR. Imelda

To learn more about Lewy Body Disase, please visit the Lewy Body Disease

Association site at: http://www.lewybodydisease.org

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In my mom's case first they said it was a pinched nerve in her neck, then

spine problems. Somewhere in there she started slowing down a lot.Then they

started treating her for " Parkinson like " symptoms. Then the hallucinations.

Then hardly being able to move at all, can't dress herself and no bladder

control and from what I hear now sometimes no bowel control. Very agitated,

no patience. BUT she speaks and remembers VERY NORMAL where as if you were

on the phone with her you would not know anything was wrong. Sometimes she

is confused but it seems that is due to lack of sleep, and or not taking

medications properly or at all.

>From: buev@...

>Reply-To: LBDcaregivers

>To: LBDcaregivers

>Subject: Re: Greased Fingers (long)

>Date: Sun, 14 Apr 2002 10:31:02 EDT

>

>In a message dated 2002-04-14 9:32:58 AM Eastern Daylight Time,

>imelda4@... writes:

>

>

> > The last stuff I have read is that if the

> > Parkinson is the strongest symptom at first than its Parkinson with LBD

>or

> > with Dementia and if the dementia symtoms come first than its LBD

>

>sorry to mix things up even more...BUT, in our case for 3 years we lived

>with

>Parkinson's...then changed to LBD with Parkinsonism...3 neurologists + 1

>gerintologist agree.

>One more example of how different the patients and the medical people are.

>Ev

>

>

>

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Hi, Imelda.

Thanks for your reply. Bob showed simultaneous onset of physical and

cognitive issues, which is apparently not very common. I agree that all

these diseases overlap. Someday we may find that they are related along a

continuum with little offshoots here and there. Am convinced we're in the

very early stages of understanding this stuff.

The neurologist the geriatrician wants to talk to is the one I was going to

schedule with when we got home, but there was that call from the previous

neurologist, who is the one I would prefer. I'm afraid I wouldn't be

cooperative if the gerontologist tried to change the neuro drugs WITHOUT

consultation, including the patient being examined by a neurologist

knowledgeable about this disease. It is just too dangerous, in my opinion.

Thank you for the compliment as yes, I do think my care has helped Bob do as

well as he has. (I sure hate to think all this has been for naught! ;-) )

But in time he has to fade/is fading. I often wonder how we determine if the

meds have lost their effectiveness or if it is simply disease progression.

Like you, I've been thinking about printing out some articles to show him,

too, for the same reasons you mentioned. And consultation with another

doctor is indeed a must!

I remember you dropping out of the Predictor's Study because of your

husband's response to the doctor. Arrogance doesn't go far here, either.

This guy was pleasant enough, but the idea that he wanted to change the

diagnosis before ever even meeting my husband scares the wee out of me!

How is your husband doing these days? And you?

Cheryl

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In a message dated 4/14/02 10:13:55 AM Central Daylight Time,

shirley0914@... writes:

> if you were on the phone with her you would not know anything was wrong.

> Sometimes she is confused but it seems that is due to lack of

Bob can still sound good on the phone. Insufficient sleep sure adds to his

confusion! Cheryl

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Hi Cheryl...You are in an agonizing predicament. First of all I am so

dispointed that the big " visit " was less than satifying. I think we were

all on the edge of our seats waiting for news. You are absolutely right

about being wary of this new doc. Our grand " PUBA " neurologist at UCSF (Head

of the dept., hundreds of books to his credit, etc.) knew nothing about LBD.

We had a nightmare experience with drugs. I would remain with Dr. Hart if

at all possible. Could you do phone conferences? Stand your ground. you

sound extremely knowledgeable. Bobbie

> From: LewyLady@...

> Reply-To: LBDcaregivers

> Date: Fri, 12 Apr 2002 12:13:15 EDT

> To: LBDcaregivers

> Subject: Greased Fingers (long)

>

> Oh, the rollercoastering! Three days ago I asked you to cross your fingers

> because I was SO excited about finding a geriatrician who handles some LBD

> cases. We had our first appt with him yesterday, and my fingers feel too

> slippery to stay crossed. For starters, we were in his suite for 4.5 hrs and

> saw him for not much more than 5 minutes. Next visit should not be the same.

>

> The intake assessment was two hours of interview and neurological assmt done

> by a student PA. She was sharp and had heard of LBD. When she finished she

> met with the MD, his PA, a social worker, and ?. When they finished the

> doctor came to the exam room and met my husband and me for the first time.

> And the first thing he told me was that, " with all due respect to Dr (wrong

> name), " he disagrees with the LBD diagnosis. His reasons:

> 1) Bob has been doing too well for too long. His MMSE remains at 23, where

> it has held for well over two years. I can see symptoms going back 9 yrs.

> He continues to do remarkably well on Aricept.

> 2) If this is LBD he wouldn't have done so well w/the Sinemet, either. LBD

> pts don't benefit from it, he said.

> 3) If we REALLY want to continue Vit E w/the Aricept we can, but there is no

> evidence that it is helpful.

> 4) Every comment/question I had was met with an attitude that I don't know

> much about this disease and " the research bears out . . . "

>

> -First, Hart, the Cognitive Neurologist who diagnosed Bob 4+ yrs ago,

> IS a researcher. He was recruited away from s Hopkins to U of AK where

> he is setting up the research project in a new memory disorders clinic. I

> think that qualifies him as being on top of research. Also, the dementias

> and memory disorders are his areas of special interest.

> -Second, Bob is a classic LBD case per Hart and from most of what I read.

> -Third, he does so well on Sinemet because Hart has tweaked and tweaked and

> tweaked, including a 2.5 month period during which we were in touch

> telephonically each 7-10 days until he was satisfied. He once told me there

> are three neurotransmitter systems that have to be dealt with to get the

> Sinemet to work and many doctors don't want to be bothered with the work

> entailed.

> -Fourth, I have read abstracts indicating that Vit E DOES enhance the

> benefits of Aricept and that the life course of LBD isn't necessarily as fast

> as once believed.

> -Fifth, he made his assessment based solely on input from his student PA,

> having never met patient or caregiver or seeing diagnostic records.

>

> He thinks it is PD w/dementia, BUT, he is going to talk to " the only

> neurologist in town who knows the mental disorders of the elderly . . . "

>

> What I DID like:

> 1) He asked Bob if he wanted to stay at home, and when he responded

> affirmatively told him that if he is going to take care of him he (doc) has

> to take care of me, too. (recognizing caregiver stress)

> 2) He gave me an rx for Remeron (Mertazipine). But first he said he didn't

> like to do this because it often exaccerbates dementia and can contribute to

> falls. (I went in asking for sleep assistance from either Mertazipine or

> Seroquel. Or whatever else could work.)

> 3) When push comes to shove they focus on quality of life vs quantity, which

> appeals to both Bob and me.

> 4) He ordered a wheelchair and a physical therapist to come to the house.

> 5) He is a minimalist with medications.

>

> Our homework prior to FU appt in one month is to accumulate the rest of Bob's

> records and decide on our goals with quality of life issues, to be discussed

> with the doctor at that time so a plan can be set.

>

> How did Bob respond to all this? (This one's for YOU, Mai-Liis . . .;-) )

> He liked the doctor (I didn't " dislike " him) and likes the idea of changing

> the diagnosis so he won't have to feel that what he has is what he will

> always have and he can get better.

>

> MIK, I'm not making any recommendations for or against yet. Am working hard

> to maintain perspective. Will keep you posted.

>

> Once home at 5PM there was an early morning message from Dr. Hart apologizing

> for not returning my call sooner, that he had been working on how to get

> several of his old patients into his new clinic (where he wasn't supposed to

> see patients). So have postponed making an appt with the neurologist

> mentioned several paragraphs back.

>

> Someone set me straight if need be, but my concern is that this doctor will

> in fact decide to treat for something other than LBD and we will have

> disastrous results. I think the primary care doc is supposed to be in

> charge, but in THIS case the neurologist will be in charge. He knows the

> patient, he knows the disease, and he has cared superbly for my husband for

> over 4 yrs. I do not presume to be a medical professional, but like so many

> of you, have been doing my homework and don't feel at all ignorant of this

> disease. I will just have to stand my ground . . . until / unless he

> presents real evidence to the contrary.

>

> Cheryl

>

>

>

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Imelda and Cheryl

My dad wasn't given a diagnosis in the very beginning. Our neurologist

would speculate, but say he didn't have a diagnosis at yet. Then, with

process of elimination, and much testing, the dr. said " Diffuse Lewy

Body " . The neuro. said this disease takes on characteristics of

Alzheimers and Parkinsons. Made it sound like it was it's own disease

which was a little comforting to know he wasn't going to fall under just

the Alzheimers sector or just the Parkinsons sector. For the most part,

the whole diagnosis and disease has been a nightmare. Good luck all and

God bless!

Sandie

Des Moines, IA

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In a message dated 4/14/02 7:24:25 PM Central Daylight Time,

randalls@... writes:

> I would remain with Dr. Hart if at all possible. Could you do phone

> conferences?

I sure hope so!! He was wonderful about phone and FAX messaging while he had

Bob in his care. Am in contact with the Director of the local VA Hospital,

who is getting me direct contact phone numbers up in Little Rock so I can

hopefully get Bob in fairly soon and he could be overseen by Hart. The VA is

so backlogged down here that enrollment is taking 1/2 yr or more, as are

respite vacancies. It will be another week or so before Dr. Hart will know

what he can do about getting Bob into his clinic. Fingers, toes, ankles -

you name it - are crossed with high hopes. (Don't you think I should know

better by now! ;-) )

Glad to see you had such an enjoyable family visit. I know what you mean

about Dick being shot for a couple of days afterward. It's the same here.

Thanks, Bobbie.

Cheryl

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How is your husband doing these days? And you?

>

Cheryl

Cheryl: In the usual LBD way, if you had asked me two days ago how my

husband was doing, I would have said terrific: He has been very focused and

thinking about stuff and aware. Of course he can't DO anything but, heh,

I'll take his talking about doing. But yesterday he declined (again). Said

he was very confused and depressed about his condition. This morning he

told me he has Parkinson's disease not LBD...his own diagnosis and wishful

thinking I'm afraid.

Part of his doing well I think was that we both recently went through the

death of my dog. During that time I was giving her 3 medications a day, IV

fluids twice a day and injections every 3 days. My husband has really tried

to be supportive of me, even though he definately has never been a dog

person. While it was horribly sad when she died I now find myself feeling

so incredibly Free...with loads of time. Whereas before she got sick I

thought I was overwhelmed then.

Besides being the caretaker, and working 3 days a week, and seeing my

mother who is 88 and quite the dominatrix, I've been getting ready for an

art show in May. I've been painting away and that has been fun since my

style totally changed after my husband was diagnosed and this will be the

first time I'm showing this new stuff. While most people go from realism to

abstract, I went the other way. I was painting very elaborate and time

consuming abstract watercolors and now have switched to realistic acrylic

paintings on canvas.They were inspired by my longing to take a vaction and

knowing I wouldn't be going back to Spain for a long long time. So I began

painting these doorways, full size with a landscape seen through it. And

now I'm painting other stuff from my Spanish sojourns. So that has been a

saving grace for me. I even (gasp) called in sick today from work to get

ready for the show. So I guess I'm not so different from my husband. One

day I'm down and then another I'm up.

Also met an artist who does websites so I'm hoping after the show is over

she will help me get the website organized. Stay tuned..Imelda

To learn more about Lewy Body Disase, please visit the Lewy Body Disease

Association site at: http://www.lewybodydisease.org

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Hey, Imelda, thank you for your interesting post! How great that your art is

continuing forward. I seem to recall a big change for you last summer/early

fall after 11 September. Or was it the withdrawal that it brought on? At

any rate, I am delighted that you have this wonderful outlet and way to look

at life through new eyes.

I am sorry, though, that you lost your dog, but glad that your husband was

able to be a support for you. Even as sick as they are it is wonderful that

they can rally for us at times. I hurt for him and his awareness of his

condition. Bob is having more and more down times as he faces front on that

this is the way it is going to be. Today I have encouraged him that maybe

when the Mirtazipine kicks in so he can sleep and the Physical Therapist (who

starts tomorrow) works with him, his quality of life will improve. I hope

even moreso for him than for me. It has to be the pits to live with this as

the patient, too.

Wishing I could attend your art show,

Cheryl

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Imelda

Wow, your artistry and style sounds so wonderful. I am so glad you have

a place to escape to. Good luck with the upcoming art show and by the

sounds of it, I am sure you will do well.

Sandie

Des Moines, IA

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Imelda, I so enjoyed your long post! I can feel your excitement when reading

your description

of your upcoming show! Wow! At first I thought 'How strange' thinking about

going from abstract

to realism.....but then I thought that all of us live such an

abstract....surreal, really....life with LBD,

realism would be most welcome. To me, looking at a landscape through a doorway

spells LONGING.

When you get your website set up, will we be able to see your paintings? That

would be wonderful!

Mai-Liis

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