Showing posts with label vomiting. Show all posts
Showing posts with label vomiting. Show all posts

Wednesday, December 11, 2013

Stroke damage = vascular dementia





An update on Alzheimer’s Aunt: after many delays, she finally went to a throat specialist. He found that her throat was 60% closed (if I understand it correctly; this is 3d hand information filtered through her) and she has one or more throat polyps. He “opened” her throat while she was under anesthesia and then she was required to take some “suspension” drug for 30 days. Turns out her insurance didn’t pay for that drug and it was $300 so someone made the decision simply not to get it for her.
Fast forward two weeks to Thanksgiving at my mom’s house. I was sick that whole week and my mom was going to move the turkey dinner to Sunday, but Alzheimer’s Aunt decided she was coming so we couldn’t cancel. I didn’t feel like being with people or eating, but as a dutiful daughter I went to see my mom and my cousin (and my aunt, I guess). I didn’t much feel like eating—I had been sick for 5 days at that point, sleeping about 20 hours a day due to intense pain in my head (probably, looking back, I had a sinus infection, but between the holiday and the weekend there was no way to get to a doctor and on Monday I was getting better already). I took a very small amount of food just to be polite.
Alzheimer’s Aunt loaded up her plate with everything. My mom had accidently bought a six pack of caffeine-free Pepsi instead of caffeine-free Diet Pepsi and since Alzheimer’s Aunt is a Pepsi fanatic (addict) my mom offered it to her.
I had finished about half my meager plate when Aunt started to hiccup. I pushed the plate away and walked into the living room and laid on the couch. When someone asked why, I said, “I don’t want to be trampled” meaning by her when she starts to vomit and that was taken as a joke.
Did Alzheimer’s Aunt stop eating when she started hiccupping? No of course not. She kept shoveling food into her mouth, just like the time with the donut.

I’m going to do an aside here. If, as part of his Alzheimer’s, my dad had started to choke and “spit up” when he ate, and he had a clear warning sign such as hiccups, there is no way I would allow him to keep eating or to stay at the table once the warning bell commenced. He would be immediately told, “Bob, go into the bathroom.” If he didn’t go, he’d be led there. Of course, my cousins would say that’s a perfect example of me “being mean” to my dad, while I see it as an example of taking care of someone who can’t take care of himself. 

Finally the people remaining at the table persuaded her to get up. Instead of going into the bathroom, she went the other way, into the kitchen. Meaning to get to the bathroom she would have to then go through the crowded dining room. Of course, while in the kitchen, it started. She forced her way through the dining room, spewing and gagging, into the bathroom.
This happened at least 4 times. (I went to sleep on the couch.) I don’t know how much of a mess she made in my mom’s bathroom, but last time she left it there for someone else to clean up (actually I cleaned it and told my mom after).
I was invited back to the table for dessert but between being sick and hearing puking, I declined. My cousin commented to her mother, “I noticed that you get sick when you drink soda or eat bread. The other night you drank water and didn’t eat bread and you were okay.” Alzheimer’s Aunt’s instant response: “I didn’t eat bread.” “You were eating stuffing, that’s bread, and you drank several cans of Pepsi.” “I didn’t eat bread.”
Sigh.
I wonder if, 2 weeks before, if she had been giving the prescribed drug, if she would not have been “spitting up” all over the place on Thanksgiving. I can only assume the procedure failed, whether due to the lack of the drug or some other reason.
Aunt was talking about the throat procedure. She said, “I thought I had throat cancer all this time!” I was dumbfounded. If I thought I had cancer, I wouldn’t wait TWO YEARS and LIE to my doctor about symptoms. I wouldn’t even wait two weeks, not after I saw my friend lose her mom in 13 days from cancer—less than two weeks from diagnosis to death last year. Seemingly fine at Thanksgiving, dead by Christmas.
Since Thanksgiving, there has been another bout of “go check on her, she’s dead” wherein it was found that she had left her traditional phone off the hook and turned off her cell phone. My cousin said, “she can’t understand that she needs to hang up the phone because she lost so much comprehension due to the strokes.” I said, “Yes, that’s vascular dementia.” “No, my mother doesn’t have dementia! She’s not like your dad.” (well that much is true) Well, according to this site and many others, “Stroke, small vessel disease, or a mixture of the two can cause vascular dementia.” That seems pretty straightforward to me.
In other Alzheimer’s Aunt news, one of her out-of-state children has decided to move back into the hoarded house and get it fit for habitation. Then she is going to give up her apartment (she’s been there what, a month?) and move back in with her child and child-in-law as caregivers. The house has been about 90% cleaned out (3 overflowing 25-yard dumpsters of trash) but there’s still a whole room of things she “has to have” and of course the place is filthy beyond imagining, smells horrible, and needs pretty much everything done—floors refinished/replaced, bathroom remodeled downstairs for her use, everything else scrubbed and/or painted and/or replaced. Good luck to the two of them moving in there. I wouldn’t live there even for free like they will be.
(I am going to continue calling her Alzheimer’s Aunt because it has a nice ring and Dementia Aunt is ugly. I know now she doesn’t have Alzheimer’s, of course.)
image source 

Tuesday, October 30, 2012

Alzheimer's Aunt in Limbo

Finally one of Alzheimer's Aunt's (AA) children took her to a doctor.  Not a competent doctor, not a geriatric doctor, not any kind of specialist, but an old quack whom my mom hates and believes contributed to the death of my dad's aunt (who also had dementia/Alzheimer's).  This guy is old, he is incompetent, he doesn't care.  And old ladies LOVE him.  My grandma used to go to him and my mom made her change to a geriatric doctor who didn't enable her bad behavior.  I wanted Alzheimer's Aunt to go to this same geriatric doctor, but NO, she likes Dr Quackenberger and she's old and she's blind and we can't possibly take her to a different doctor.
And taking her to ANY doctor was held up because she had no insurance, she never applied for Medicare or she threw away her card or whatever reason, she wasn't getting Social Security, she spent the whole $60,000 golden handshake from her job in well under a year and now she thinks she's "broke" even though she makes more than twice what my mom does (and my mom still works!).
So most of the concerns I begged my cousins to bring up were ignored. They asked the doctor about her "possible" dementia/Alzheimer's and the vomiting.  Nothing about mold.  Or psychosomatic problems.  The stupid doctor asked her TWO questions to determine if she has dementia/Alzheimer's.  TWO.  What are your children's ages and birthdays (she said her 41 year old son was 30 but she knew his birth date so apparently that counts as a right answer?!) and to draw a clock, which she did badly and blamed on the "blindness."  She had a basic blood test that showed her liver and kidneys were fine.  Not a test for mold exposure.  When pushed he said he could do a CAT scan or CT scan (I don't know the difference and I wasn't there to hear exactly what he said) of her head but overall he seemed completely unconcerned by any of her extremely alarming symptoms.  (and no head scan was actually scheduled)

The vomiting, he just dismissed out of hand.  That baffles me.  If I started vomiting whenever I ate, I would go to a doctor. I know this for a fact because a few years ago I started vomiting when I ate ice cream, drank milk, or (oddly) ate raw brownies or cookie dough and yes my fat ass was at the doctor to find out why!  I was also coughing uncontrollably until I vomited from that too, no food necessary.  And they immediately scheduled a barium swallow because they thought I had cancer--a tumor that was in or near both my stomach and lung pushing on them, making me cough and vomit. I didn't have a tumor, only a hiatal hernia, and they gave me some medicine and said I also had viral bronchitis, and eventually I stopped coughing. I stopped drinking milk, eating ice cream, brownie mix and cookie dough and threw up only from coughing, and that rarely.  But I didn't just blithely puke everywhere and go on with my life and expect everyone around me to not react to vomit! And to this day, milk makes me vomit unless it is organic (and in tea, it still sets me off sometimes) so guess what, I don't drink non-organic milk and when I have tea with organic milk I don't have very much and keep a plastic bag or small trash can handy.
So the end result of the doctor visit is...nothing.  Maybe some kind of scan, who knows when, seemed pretty casual.
I was on vacation (you can read all about it here; if it's the future, go back to October of 2012 for the 6 vacation entries) with no phone so blessedly for over a week I knew nothing about AA's problems and didn't even think about her.  My mom had said that if Alzheimer's Aunt called her with a pointless demand (I lost my glasses!  I unplugged my computer!  I want to go for a ride right now!) she was going to ignore it.  I guess that didn't happen; my mom didn't mention it if it did.
We came back to Hurricane Sandy (we battled it on the cruise as well) and we had our own problems to deal with so I had no time for her.  I did talk to one of my cousins, who said she had to go there every other day to deal with something or others, and that her mom is "so depressed" and that she "can't deal" with anything and she can't concentrate on books on tape and she can't read big print books and she's still having problems with medical insurance, she claims to have paid for some COBRA coverage but there's no cancelled check, direct withdrawal or credit card payment for any.
My cousin's thought on the vomiting is that Alzheimer's Aunt eats "inappropriate food" that's "too hard to eat" because one time she saw AA eat pancakes and she didn't vomit.  Well I saw her puke up half a plate of spaghetti, how is that harder to eat than a pancake? 
Apparently Alzheimer's Aunt needs a dentist now, so we have to find out about dental insurance, which for some reason my cousins think is part of Medicare but I don't think that's the case.  I know Alzheimer's Aunt doesn't brush her teeth, her breath stinks, so it wouldn't be at all surprising if her teeth are rotten.  Apparently once someone finds out about medical insurance I'm in charge of taking AA to my dentist, who is a really sweet lady from India who hugs me and is very kind.  I hate to expose her to AA's filthy body and sewer-stink mouth and irrational speech. 
A couple of weeks ago Alzheimer's Aunt demanded once again to be taken to Verizon to get the pictures off her old, broken (frustration over voice mail) phone and then to be taken to Barnes and Noble to get her Nook working.   I'm confused why someone who insists in every other sentence that she is "blind" or "can't see" needs photos or an e-reader.  We looked it up and apparently the Nook doesn't read to you (my Kindle does, I say smugly).  I tried to use the Nook to figure it out and show her, and wow what a confusing mess. I love my Kindle!  (sorry for the spontaneous ad; I do plug things I enjoy)
So the end result is, eye doctors say there is nothing wrong with her eyes.  Medical doctor says the vomiting is no big deal and there's no dementia or Alzheimer's (even though no tests were done).  So we have a person who claims to be blind, pukes constantly, and makes no sense when she talks, but she's okay!?  
I give up.