Guest guest Posted January 17, 2006 Report Posted January 17, 2006 I just want to introduce myself and my husband. I'm , and my husband, 67, has been diagnosed with LBD. We have been married for 41 years. For the past three years or so, I've noticed a social withdrawal, where he seemed depressed. The one thing he kept doing on schedule was to go to choir practice on Thursday evenings and he sang in the choir on Sunday mornings. In the past, he would always shower and shave beforehand. He gradually quit showering, and became bowel incontinent and lost 50 lbs. about two years ago. I think it was at that time when his sense of taste became altered. He stopped baking (his favorite hobby) two years ago. What bothered me most about the bowel incontinence was that he didn't seemed to think it unusual, and I had to force him to shower--then he want to put on the soiled clothes. For three years he has been on antidepressants, all unsuccessful. Although I took him to a geriatric psychiatrist, this doctor continued to treat him for depression. Last June he had a stroke, and while in the hospital, I insisted on an MRI, which showed multiple infarcts, two fairly sizable, which means he has had several small strokes, and two not so small. His frontal lobe has atrophied somewhat. So for several months we have been focusing on the stroke diagnosis. A new neurologist recently told us he has LBD. Believe it or not, I AM trying to condense this! I must mention that we have three children, two normal, but one daughter, 35, has Rett syndrome. This is a severe neurological disorder that affects girls almost exclusively. They appear normal at birth, but begin to lose speech and hand use between six and eighteen months. It is caused by a random mutation in the baby's X chromosome, which is why it is nearly always fatal to a male fetus. Girls, having two X's, survive. A random mutation means it does not usually appear in past generations, although in Rett syndrome there are a very few familial cases. What pique's my interest here is that early on, in the '80's, when we had very little information available about Rett syndrome, some physicians called it Infantile Parkinson's. AND on autopsy, there is a finding of depigmentation of the substantia nigra, (a part of the brain) as also happens in Parkinson patients. (Is this also true of LBD patients?) Yet, the drugs for PD do not help at all the RS patient. The mutation in RS is at the MECP2 site and the protein involved is MeCP2. (I may have these inverted...I'm going from memory here.) I wonder if there is a connection. I plan to call the LBD specialist at the U of W here in Seattle and ask him what he thinks, and also e-mail a researcher or two I've known through my work with the RS association over the past 20 years. This is " deja vu all over again " , to be connected with yet another rare disorder at the very early stages of understanding it. My heart, as you can well imagine, is heavy, and my caregiving level doubled. Our daughter requires 24-hour care and a few years ago we moved her into a small home we bought near us, where we have a team of caregivers, including myself. I could no longer deal with the sleepless nights, and I needed to distance myself from the 24-hour thing, so I could more clearly seek help and manage her care. I have three wonderful caregivers who are willing to help with my husband, too. As I may require back surgery soon, I either have to find someone to replace me, or find a good adult family home for him. He is heavy and losing physical skills faster than I'd hoped, and is becoming verbally abusive. We'll try a drug intervention first, then decide about placement. Sorry for the length of this. I hope to learn more from all of you in the future. I'm so glad I found your website. Quote
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