Friday, July 17, 2015

Total Dependency

It has come to the point in my illness that I am totally dependent on my caregivers for all aspects of my daily needs.

Just 5 months ago I was living and working independently in our house in Mechanicsburg, walking with a cane, shopping, eating regular meals, taking care of all of my personal needs, driving, running up and down  stairs many times a day, carrying heavy boxes, and working out on the treadmill.

Everything changed drastically after my surgery on 3/3 and my illness has progressed very rapidly since then.  The doctors warned me that in some percentage off ALS patients thus happens.  Whether it was the anesthesia or the recovery period when I was inactive, it seems to have happened.

Today I need help for everything and can do nothing for myself.  My caregivers have to help me in and out of bed and to reposition in bed, dressing and undressing, going to the bathroom, eating, drinking, getting to my feet from a seated position, showering, mouth care, medications, walking, and picking anything up.

For several months Jean and Kim were my caregivers but we quickly realized we needed more help.  We connected with Home Instead and had a young lady start 2 mornings to help me get up, shower, and do my laundry and help with other needs, cleaning my bathroom  and performing other light housekeeping tasks.

We started our 12 week elimination period for long term care eleven weeks ago, and are getting ready to start our final week of paying out of pocket for my aides.  We now have 2 aides Stacie and Catherine, who are here 28 hours during the weekday and 2 hours each weeknight.  Hopefully we will have 40 hours of weekday coverage soon in addition to the 2. Hours weekday nights.

The 2 hours at night has been very helpful to Kim so she can get to bed an hour earlier so she can get more sleep and is less stressed.  The help during the day frees up Jean to walk Liam, run errands and go to lunch with friends instead of being house bound worrying about me.

It has been very humbling to give up my independence and become totally dependent on others for every aspect of my existEnce!   Last week we went to the DMV to turn in my drivers license and we now need to sell my car.

My legs, arms and hands continue to get weaker.  We heard this week that my power wheelchair was approved by insurance but without all of the features that were requested.  They are contacting MDA and the ALS Association to determine if they will contribute, otherwise we will have to pay several thousand dollars out of pocket.  We will get a Hoyer lift this week to get me off the floor when I fall and to help with transfers when I am no longer strong enough to assist.

The power lift chair has helped a lot to get to my feet to use my rollator walker, but I am more wobbly than ever, slowing down and taking smaller steps.  I had a bad fall last week when I lost my balance in the dining room and fell backward from a full standing position.  My head hit so hard that my glasses cut my nose and then flew 4 feet in the air. We had to call Kelly to come over to help Kim lift me off the floor.

We also heard from Social Security this week that my application for Social Security Disability Insurance was approved with payments starting in October and Medicare kicking in at the same time.

Through it all we remain as upbeat as possible, connecting as often as possible with family and friends, and trying to fill my hours of sitting with emailing, reading, updating my blog, sorting through boxes (with help), and watching Netflix.

Saturday, July 11, 2015

A busy month!

Two trips last month took its toll on Kim and me but wouldn't have missed either one!  Thank you everyone who walked and/or donated to the Hershey ALS Walk and supported us from afar!  And it was wonderful to have the Cooleys join us for a Godby family reunion.  While we saw Aunt Geneva and Cousin Frank in Grand Junction last September we had not seen Cousin Loraine for almost 30 years.

My hands don't work well these days as my right hand is a claw and my right index finger no longer is straight enough to type.  As a result I have not sent any thank you notes and it is harder to write blog posts with a singLe finger.  I can no longer hold the larger iPad Air so I bought an iPad mini that is lighter and has a smaller keyboard for one finger typing.

THe Boston triptwo weeks later amounted to a Knudson family reunion and was the first time in.many years that we were all.together.  My butt hurt for 2 weeks after the long train rides.

In between the 2 trips we spent a weekday running all over town to HealthSouth for a power wheelchair evaluation, to the doctor, to Dicks Medical to select a lift chair, and an evening visit to the PA GIS Conference InfoSwap happy hour where we were graciously welcomed by many friends, former coworkers, and the Pennsylvania a geospatial community.  It was heartwarming to be received and supported by so many colleagues and your outpouring of love and kindness.  Thank you! Special thanks to Eric for honoring me and to Ashis for driving up just to see me!

A lift chair was delivered last week as I am having much more difficulty getting to my feet.  We have also increased hours for home healthcare aides to 3.5 days a week and 2 hours every weekday night to help get ready for and get into bed. This is week 11 of our long term care 12 week elimination period, so in 2 weeks we will no longer be paying out of pocket for the aides.

At my last doctors visit I requested physical therapy and occupational therapy and both were approved by insurance and started last week.  In addition we are ordering a Hoyer lift nsow as I have had some more falls recently and it is difficult to get me off the floor.   Thank goodness I have such a hard head!


June 19-22 Boston Trip

For my birthday and Fathers Day we took a weekend trip to Boston to see my Aunt Esther, Uncle Jim (my namesake), cousins Kristin and Hilary (visiting from Ireland), and Kristin's husband Michael and son Ian.  With me were Kim, father Don, and brothers Forest and Charles.  Dad flew into Pittsburgh and drove to State College. 

We got up early the next morning and drove to Harrisburg.  We took Amtrak from Harrisburg to Boston on Friday and returned on the train on Monday. 

We celebrated my birthday, Fathers Day, and Hilary's birthday early (24th), had a wonderful visit and shared many laughs, good food, memories, looked at old photos and made some new memories.

It was a difficult trip physically for me but worse for Kim.  Kim had to reposition me in the king size bed multiple times each night, so neither of us slept well for 3 nights.  My strong brothers helped a great deal with vehicle transfers and the hotel provided a wheelchair.  Thank you to my brothers and dad for making the trip and especially to my loving wife Kim for her sacrifices!

To all of my Facebook friends who wished me a happy birthday, thank you!