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   > My mother-in-law has had PD for ... well let's see ... fifteen years,
I guess.
> She started out with the shakes, and it's gotten worse over the years.
> She has a lot of trouble communicating now.  It's very hard to discern
> what her wishes are.  I'm not sure whether or not this argues for greater
> communication earlier, when the disese is not so bad, because I don't think
> that the patient can anticipate what he/she is looking forward to.
> With time and patience, I *think* that we are understanding her desires.
>
> My father-in-law is and old-fashioned, reared-in-the-depression,
> self-sufficient (and every-other-hyphenated-description-you-can-think-of)
> type.  He hates to admit weakness, and he hates to ask for help.
> When help has been offered, he responds cynically, and lashes out
> at the percived attack on his manhood.  We (the family) have borne this
> with great difficulty. Now, however, the situation is such that he cannot
> care for her at home, alone.  He will need a visiting nurse, or something
> (currently undefined). He has reached his limit and asked for help.
>
> Is there advice in this story?  I don't know.  Everyone's case is different.
> I don't think that we could have, in our personal situation, done
> much to prepare ourselves or my father- and mother-in-law.
> We try find out what my mother-in-law wants, and respond as appropriate
> for that time.  For my father-in-law, we simply kept offering help
> and bear with his "abuse".  This paid off for us: when he was ready to
> ask, he knew we would be ready to resond.  By the way, his call for help
> was interesting: A one-line P.S. in a letter written for an unrelated
> purpose.
>
> Maybe a good summary is: patience, an open ear, and gentle offers.
>
> ----------------------------------------------------------------------
> Gary Pajer                            [log in to unmask]
> Schlumberger / EMR Photoelectric                    609 799-1000 x6700
> ----------------------------------------------------------------------
>
Gary,  thank you for your thoughtful response to Bill.  Your description
of your father-in-law differs from the description of my father in many
ways but the advice was sound and useful to me as I deal with my parents
and my mother's PD.
Judith