Saturday, July 9, 2011
New Design
Thank you for reading this blog and supporting us. Your constant prayers and support keep me encouraged and upright as we care for Billy. Please continue to read, and I will keep on writing.
Sunday, July 3, 2011
Great Weekend and Happy Independence Day!
Billy and I both come from loving families, but they are different. My family gets together as often as we can - birthdays, holidays, and just because days. Billy's family gets together once a year - Christmas Eve. They are close knit within their immediate families, but the extended group - not so much. Billy's 55th birthday is July 12th, and because his decline has been so rapid lately, Shelley and I really want this to be a special birthday for him. We are having a party for him this Friday night, and I called his older sister to let her know. Unfortunately she will be out of town, but she invited us to her daughter's house this past Saturday for a pool party where her three children and all of her grandchildren would be together. So, off we went to buy Billy a swimsuit and sunscreen for Saturday. It was great to see him enjoy his family so much. I doubted he would swim because I chose not to, but I sat outside with him, and he actually got into the pool. He was not anxious to leave, and in fact, I was the one to say we needed to go in time to get to church on time.
After church on Saturday evening, we had dinner with family and friends, and Billy was relaxed and talkative. He did get very nervous when I told him we were meeting my sister and her family and some friends at my school to watch fireworks from the roof of the building. We've done this for the last 5 years, and he's always enjoyed it, but this year, the anxiety got to him. He did calm down some after we all got up to the roof, but he was really relieved when it was all over.
On Sunday, we enjoyed a relaxed morning, went grocery shopping, and had lunch with Shelley and Andrew at our house. Afterward, Andrew agreed to hang out with Billy while Shelley and I ran some errands for a few hours. Billy really enjoys Andrew and feels comfortable with him, and Andrew is an awesome young man who is very patient with him. According to Andrew he didn't seem real anxious but he did talk a lot about us playing soft ball on Sunday night. Who knows where that came from...I can guarantee I had NO plans to pay softball that night or any other nights in the future. But by the time I got home, and we talked a little, he made no mention of it. We ate and went to my sister's house to visit, and he really enjoyed himself. Another really great day for Billy!
Today we celebrated July 4th with my parents who live about 75 miles away. We had hotdogs and Mom's homemade peach cobbler. Billy couldn't compliment the cook enough! He kept us all wondering what he might say next, and I'm sure I was the most nervous. I would describe his actions as silly when he's in a good mood. At one point, my dad and I were talking about a cruise he and Mom had taken, when Billy interrupted, and looked at my dad to say, "Let me ask you something." I held my breath for a moment because he's said that to me a few times lately, and then he says something like....Can I sleep with you tonight? I couldn't imagine what he was about to ask my dad. Then he said, "If we were to invite you, would you come spend the weekend with us?" I was really relieved and amused at the same time. My dad knew we had given Shelley and Andrew our guest room bed, and he told Billy, we didn't have a place for them to sleep. Without a moment's hesitation, Billy said, "I'll be sleeping on the floor." His intent was really sweet. He loves my parents, and he wants them to visit, and that was on his mind. He'll be thrilled when they come for his birthday party on Friday evening and actually spend the night because I got a bed for them. :)
Billy seems to be at a stage in the disease where his emotional maturity is much like an adolescent boy. He gets very silly and says things that he thinks are humorous and laughs easily. Many of the things he says do not make sense. The words are real words, but I don't know what he's talking about. As Shelley says, his filter is either turned off or missing. It's hard to be around him and not laugh with him. It's infectious, but we aren't sure what we're laughing about. He's also very quick to express his feelings, and as we left my parents' house today, he gave my dad a hug and said, "I love you." Even though I have a close knit, loving family, my parents have not always said those words readily. I've never questioned that I was loved, but we didn't make a practice of saying it out loud. Billy's family has always been very open about saying they love each other, and Billy has always said that to his family members, but recently he says it to his caretakers, and today to my dad. My dad's response to him was, "The feeling is mutual." And I believe it is...
Sunday, June 26, 2011
In an earlier post, I wrote about our experience with the Social Security office, and it was a very pleasant event. We had a kind and patient representative who was helpful in so many ways. The end result of that visit was that Billy would receive no services from SS until he is able to draw retirement after his 62nd birthday. She did say she felt that he would be able to get on Medicare after he had been disabled for two years - which officially hit the mark in April. I was unsure about how to apply after looking at the website, so I called their general number. I was connected with a representative who did not focus on telling me how to apply but instead told me he would not qualify for Mediare because he had not been on SS Disability for two years. In fact, he's never been on SS Disability because he's on Retirement Disability for Texas Teachers. She was very matter of fact about the rules, and I pressed to understand why I would be told by someone in their organization that he would most likely qualify if it were not a possibility. She just repeated what she had told me before - saying it a bit louder and slower this time. The only way a person can get Medicare without being on SS Disability for two years prior is to have end stage renal failure, ALS, or something else that did not include Alzheimer's Disease. I should remember it because she said it over and over. I mentioned that my husband has Early Onset Alzheimer's Disease, and later in our conversation, she said that there was no mention of Medicare for early stage Alzheimer's Disease. I corrected her to say that he is not in early stages, but he has early onset AD. He is actully in later stages. She again repeated the reasons you may receive that particular program and ended with the point that he could apply when he is 65. My parting words to her were that I really doubt Billy will live to 65. That's more than 10 years, and I do not see him living that long. I do know it's possible and his mom lived with this disease for at least two decades, and I do not see that as a blessing.
I attended an educational conference in Dallas Wenesday, Thursday, and Friday, so Shelley picked up her dad from the cottage on Wednesday and Friday. When she picked him up on Wednesday, the nurse at the Cottage said he was worse than she had ever seen him. I wasn't sure what all that entailed, so I called the next day to get specifics. It seems that he paced from 7:30 a.m. until the end of the day, wanted his mom to pick him up, and got very angry with them. He told them if they didn't call his mom or his wife, he was not going to work there any longer. The next day was his day at home with Catherine, and as soon as I got there on Thursday afternoon, she told me it was the worst day she'd ever had with Billy. He paced all day, wouldn't eat more than a 1/2 sandwich, and insisted that she take him home or call his mom. She took him into the bedroom to see if any of it seemed familiar....our clothes in the closet....nothing seemed to help. He was dripping with sweat most of the day, which is how his body reacts to these intense moments of anxiety.
On Friday, I sent Seroquel with him to the Cottage in hopes that giving it to him in the afternoon would calm him. I wrote a note for him to keep in his pocket telling him where I was and that Shelley would pick him up between 5 and 5:30. The report I received said he seemed slightly better than Wednesday but not a great deal.
I'm glad we've had a weekend to sort through things a little, but I may be more uncertain now than I was before. I do know that I have to make some changes...I just don't have a clear vision of what those are just yet. I appreciate all your prayers as I seek wisdom on what is best for Billy, and I do believe that includes what is best for my health. We went to lunch on Saturday, and he told me he has a real fear that I will "put him away," and I asked him what what he meant. He struggled to say anything, and I asked him if he meant a nursing home, and he nodded. I can't assure Billy that I won't place him in a facility. I detest the thought of it, and I would love to say I can keep him with me at home through all of this, but there are too many unknowns. I'm not certain I can work all day, and come home to care for him physically and emotionally when he gets worse. Ideally, I would have some assistance for the day and part of the evening, but I'm not certain if that can happen. I make enough money to knock us out of some assistance programs, but I don't make enough to pay for that type of care. Paying for daycare is a challenge, and in-home care is more expensive than that.
The next best thing to home would be a top rate assisted living facility, and the cost of that is between $3000 and $5000 a month. At this point, Billy has a small retirement annuity and insurance. I am thankful for both, but they will not come near paying for a month of care. My choice appears to be getting Billy on Medicaid and placement in a nursing home eventually. I know there are some excellent nursing homes, and I am looking into finding one (at a very slow pace), and then things get fuzzy for me. I know the attorney will help with that, but what he has told me so far is that he has to be in a nursing home already before he qualifies for Medicaid. I don't know how long that takes, and I don't know that we are guaranteed that he will qualify. So, in the meantime, how do I pay for the cost? I know God will not let me go. I just don't have the answer yet.
Billy's sleep patterns have improved, and I am so grateful for that. He doesn't always know where I fit into his life. He told me again yesterday that I was a great sister. Today, he asked me where my mom lives. When I told him she and my dad live in Corsicana, he said, "That's where Kathy is from." I looked at him and took my glasses off and said, "I'm Kathy." He told me he was talking about the other Kathy, but he couldn't articulate who that is. Later in the evening, I asked him if he knew my name, and he told me it is Judy Kathleen Barnes....completely left off the Knowles. I asked him if he knew how we are related? He paused and laughed that wonderful laugh he has and said, "I really don't know."
Sometimes I'm not certain what help I need from God, so I'm just laying it all at His feet. I do have some good resources, and I'll make some phone calls tomorrow morning. One call will be to the doctor's office because we need something to assist with the severe anxiety. His poor body and mind get so tired when he has these moments. He's losing weight quickly, and although he can stand to lose some right now, it needs to slow down at some point. He's gone down 2 sizes in pants since winter.
Enough of my rambling tonight. Pray for me to find answers to help Billy find peace. It's so difficult to watch, but I cannot imagine how hard it must be to live with daily confusion and fear.
Wednesday, June 22, 2011
There is no manual...

Thursday, June 16, 2011
I once had hobbies, but now I take care of Billy...
He also woke up at 1:40 this morning and took his shower. I was able to get him to come back to bed for a few hours, but he never really went back to sleep, and if Billy ain't sleepin', I ain't sleepin'! When these odd days appear, I try to analyze what all I've done and see if I can do something differenlty. Sometimes, it just seems random. The brain is a remarkable organ, and when it is diseased, it can be a daily surprise as for what will occur.
I wonder what I did with my time before Alzheimer's Disease....caregiving really absorbs a person's time and energy. I have always known that I depended on Billy to do quite a bit around the house. We must have agreed somewhere along the way that he would be in charge of taking out the trash, caring for the lawn, and general home maintenance. And I know I had it good when all I had to do was say, "The trash is about to overflow!" Somewhere in our marriage, he just picked up on those suggestions, and he took care of it. When he first had to retire from teaching, he stayed home by himself, and he was wonderful about doing the laundry, keeping the lawn, and keeping the house straight.
Those days are gone. He gets very confused about the washer and dryer, but he can fold clothes pretty well. He helped with the weed eating last weekend when our son-in-law was doing our yard. I've mentioned before about the trash can issues. He cannot discern the recycle items from trash items, so they get switched frequently. This morning I ran out of time and didn't get our flowers watered. The caretaker was coming to the house, so I asked Billy to water the flowers. I had just asked him to turn off the sprinkler, and he took care of that. So asking for him to water the flowers seemed easy. Not so. He was looking for a big pitcher to water the flowers, and I told him he could just use the water hose. He looked very confused and said he didn't know what to do. I went with him to where he had rolled up the hose, and it still had the sprinkler attached. I told him to take the sprinkler off, and he did. Then I had to tell him to put water on the flowers. He complied, but the steps had to be broken down for him. I was using those darn words again, and they just get lost in his head.
The norm is rapidly changing with Billy...he wants to do things to help me around the house, but many times that leads to something going wrong, and I have to undo that before going on with the original chore. An example is loading and unloading the dishwasher. When I open the dishwasher door, he comes quickly to see if I need help. He started this when we lived with my sister and her family. He felt needed when he did the dishes, and he tried to do them every night. If clean dishes were in the dishwasher, we would mention that they needed to be put away first, and like a magician, his slight of hand would change from unloading to loading, and before we knew it dirty dishes were mixed with the clean. One time is okay, but then we went from once to almost every night. It became a race to see who could get to the dishwasher before Billy, and then who had the fortitude to keep him away until it was done. He just wants to help. This morning while he was in the shower, I stripped the bed because it's a great day to have Catherine help with washing, drying, and putting those back on the bed. After I got out of the shower, I could hear his feet shuffling, and when I opened the bathroom door, there he was putting the pillow cases back on the pillows. I got him stopped before he put the sheets back on.
These are the time consumers. Sometimes he's just trying to tell me something, and he can't get it out, so he takes me to what he's telling me about. The other day he wanted to tell me that my phone was buzzing. He couldn't say "phone," so he took me to it, and picked it up, and said, "This was buzzing." As much as I get frustrated, I cannot imagine how he must feel. Especially a man whose vocabulary could surpass most folks'. As much time as all this takes, I know we aren't even close to the real time consumers. Billy can still groom and dress himself. He's slow, but he gets it done. He can still feed himself; I just have to provide the meal and remind him to eat it. He's losing weight, so I know he forgets to eat some things, and the eating has changed in the last few months. He's still mobile, and I really don't notice issues with his gait at this time. I know he can read because he reads all the road signs to me, especially the speed limit signs. And his brain still processes the words, "Slow down. You're going too fast!" All of these things he CAN still do drain his energy. If we throw in something extra, he's just exhausted afterward. This week we are attending church on Wednesday, Thursday, and Friday evenings for our Summer Spectacular which I refer to as VBS on steroids. (Jonathan, the musical does incorporate some fog machines and interesting spotlights while telling the story of Noah!). It involves LOTS of people and can run a bit long, but he says he wants to go, and as long as he wants to go, I'll take him. As long as he wants to drink Dr. Pepper, he's got it, and if he wants Blue Bell ice cream, I'll serve it to him. Alzheimer's Disease has no cure, and if those things make Billy happy, so be it.
Monday, June 13, 2011
30 Years Ago...

Sunday, June 5, 2011
Holes in my heart...
Today marks the fourth anniversary of our son's death. Andrew died of an accidental overdose after becoming highly intoxicated at a party, followed by taking a handful of methadone pills. I miss him every single day, but I am truly thankful that he is with his Lord and Savior who has healed him from the pain he had. Andrew was diagnosed as bipolar type 2 when he was 17, and we never found the right combination of medicaton to take away the pain he was trying to fix. When he turned 18, he told us he was not taking meds anymore. He didn't like the way he felt on them, and he wouldn't take them. So, he self-medicated with alcohol mostly, and ultimately with drugs. He died 5 weeks before his 21st birthday.
I was very close to my brother who was with us through all of the pain and grieving of losing our son. He was battling colon cancer at the time, and he was losing the battle. Less than a year after Andrew died, my brother passed away, and another hole was made in my heart.
With each loss, Billy's dementia was more noticeable. He still drove to Glen Rose twice weekly to feed his mom dinner. I'm so thankful he was able to continue that because it was such a sweet bonding for them. I went along a few times, and I had to fight tears each time because his love for his mom was so evident. She was the next hole in my heart as she passed away with all of us surrounding her. She was so loved by so many in the care facility, and I know Billy misses her because he speaks of her so often.
We lose part of Billy every day, and the hole in my heart is reshaped each time I notice something else he can no longer do. He wants to help with anything going on at home. I try to honor his requests, and give him a few things to do. Even very simple things are difficult. Taking out the trash is tough. Last week I asked him to get something out of the dryer. We have a front loading washer and dryer, and he didn't know which was which. At night we remove the throw pillows from our bed, and he frequently takes them off, puts them on, takes them off, and puts them back on. I usually end of taking them off, and I often get frustrated and tell him to leave the pillows alone. I must work on my patience about this.
I've searched my brain for an upbeat way to end this post, but I don't have one. I miss my son, my brother, and I really miss my husband. I hate Alzheimer's Disease.