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Dear Diane,

I am sorry your husband is experiencing these difficulties. Regarding his

depression, have you spoken with his doctor about changing the type of

antidepressant he is on? I know that it can take several trials before you

find the right drug. You may want to speak with a psychiatrist if you

haven't already.

Best wishes,

V.

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Diane,

It is important that he exercise regularly. It does not have to be aerobic

exercise - only stretching or range of movement exercise. Many communities

have swimming pools and arthritis range of movement classes which are very

good for MSA patients.

Studies have shown that a daily exercise actually does two things for

movement disorder patients. One - is that it allows movement for a longer

period of time and Two - it lowers depression.

Unfortunately, this requires a lot of extra work for the caregiver as it

sounds as if his legs need a lot of work. Here are things that can help

(from experience of 11 years)

* Make him sit in a wheelchair for longer periods of time (wait 15 minutes to

get to him when he inssts on going back to bed) - he can do exercises for

upper body in a wheelchair. They also have little bicycle petal things that

he can work while in a wheelchair.

* Make sure he comes to a full standing position in transfers and make sure

he takes at least a few steps on EVERY transfer, you need to steady him

probably. Don't let him lurch around by himself - too dangerous.

* You will have to work his Achilles tendons - when he is laying in bed lift

his heel with one hand under the ankle aand push his toes toward his head

slowly but firmly a minute at a time, several times and at least twice a day.

The doctors can authorize (prescribe) physical and speech therapy which can

help. Medicare will pay it's part for awhile (even in your home). If he

does not have a wheelchair he needs to get one, so you can get him out of the

house more often. Falls are really bad as he can break a hip or his head. A

wheelchair will prevent falls or at least keep him from falling as far, and

still allow mobility.

From experience, he should NOT be in the kitchen. Electric range burn marks

are still on my wife's arm 6 years after she fell on the hot range.

Good luck, MSA patients tend to be stubborn as they do not want to give up

their independance.

Take care, Bill and Charlotte

===========================

Diane Yates wrote:

> It's been awhile since I have subscribed to this list serve. My husband

> was diagnosed with MSA in December of 2000. I had to unsubscribe myself

> to this list serve because I was beginning to feel overwhelmed since

> most people on this list seemed to be more progressive than my husband

> was at the time. However, after eight month my husband has progressed

> to the use of two forearm crutches and really needs a walker but of

> course TO STUBBORN to use one. He talks constantly about extreme

> weakness in his legs and upper body, urinary frequency especially at

> night, and most days is able to get out of bed without assistance.

>

> My problem is that I don't feel the Dr's really can or will do

> anything. They treat symptoms but keep telling us they don't know

> enough about this disease so therefore they just can treat symptoms. My

> husband fell for the 3rd time in the kitchen and we had to take him to

> the ER for a bumped up shoulder--he is fine but boy did it scare us.

>

> The main issue that I am dealing with his depression. Yes he is on a

> anti depressive medication. I have this man who has gone from being a

> very strong muscular man, worked everyday as a pipefitter, active

> father, devoted husband, who now just doesn't act like he gives a darn

> about anything. We have gone from the crying spells daily to just

> DEPRESSION.

>

> Your support is requested at this time. I have gone to the Dr. for help

> for myself, but not knowing what the future holds is driving me NUTS.

>

> If you do not wish to belong to shydrager, you may

> unsubscribe by sending a blank email to

>

> shydrager-unsubscribe

>

>

>

>

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