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Thanks Alan Richards, hubby and caregiver of Judith, for sharing his
poignant insight into his marriage, and thanks also to Don M. and
Janet, for sharing such a sensible and touching article with us
non-Canadians.

Sometimes it's those little things - like what may happen when  satin
sheets meet silk pajamas - <rueful smile> that  can bring reality
home to those who haven't walked in our shoes.

Barb Mallut
[log in to unmask]


-----Original Message-----
From: janet paterson <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: Wednesday, February 10, 1999 7:53 AM
Subject: Canadian Parkinson Post [neatened]


>Date:   Wed, 10 Feb 1999 10:34:03 -0500
>From: alan richards <[log in to unmask]
>Subject:      Canadian Parkinson Post
>To: [log in to unmask]
>
>Here's the article Don McKinley wanted listed. It appeared in the
>Parkinson Post, a new quarterly magazine for Parkinsonians,
published by
>Maclean-Hunter:
>(The headline was something like, Silk Pyjamas Can Be A Problem)
>
>
>I have been asked to write about what it's like to be a caregiver
for a spouse with Parkinsons. I guess I'm qualified, because my wife,
Judith, was diagnosed in 1993 and, like everyone else with PD, had it
for some time before the diagnosis.
>
>However, I know my experience has been unique. So has every other
caregiver's. It is said that Parkinsons is a 'designer disease' and
no two people have the same symptoms or problems. That's true also
for the caregivers, partly because of the differences between
patients, but also because of personalities and habits and many
other factors.
>
>Some couples have gone through Hell in their relationships since
diagnosis. Others have been able to carry on with their normal lives,
making minor adjustments to accommodate changes as they appear.
>
>Judi and I have been somewhere in the middle.
>
>There's a Parkinson Partners support group here in London, Ont.,
which meets in the afternoon once a month. Besides giving us an
opportunity to compare notes with other caregivers, it gives us a
break from the chores of caring for the partners with PD. But best of
all, that's where I learned some of the things I know now. For
instance:
>
>* It's not unusual for a Parkinsonian's moods to change without
notice.
>
>* It's not a good idea to pepper them with questions when they're
'off.'
>
>* Satin sheets make it easier for a Parkinsonian to turn over in
bed, but don't wear silk pyjamas at the same time or you might slide
right out of bed. (It happened!)
>
>* It's very rewarding to be able to help your loved one realize they
can do more things than they can't do.
>
>Some of these things I was already learning by trial and error, but
having other partners talk about similar situations made me realize
others had been there, done that, and they either had suggestions or
sympathy for me.
>
>Much of what a care partner must learn is basically common sense.
For instance, if your partner has trouble moving, don't push (I
learned that in a supermarket checkout line when I gently nudged my
wife and she almost fell into the person ahead of her -- boy, did I
learn fast!).
>
>So far the most difficult thing I've had to do as a caregiver is
help Judith work through the stages of acceptance of her diagnosis.
It was traumatic for her, as it must be for everyone who has to
change a way of life, give up a career, and realize they will have to
depend on others for much more than they ever did before.
>
>But reassuring her that I'm in this for the long haul has helped, I
think. And so has stepping back while she takes longer than she used
to to do many things.
>
>Everything I've read about being a caregiver emphasizes that we need
breaks too. We need to take care of our own health to be able to help
our partners. All of this is true, and sometimes it takes some work
to achieve, but who ever said work was a bad thing?
>
>Unfortunately it took the help of a psychiatrist to make me realize
that I shouldn't get upset and frustrated when my favourite Parkie
seems to shut me out of her thoughts. With the changing moods and
on/off periods she goes through, I have learned to wait a while until
the 'real' Judith returns.
>
>I know many Parkinsonians with physical problems, such as tremor and
slow gait. I know their partners have different problems than I do,
particularly with such things as helping with eating, or sitting up
in bed, or lifting them up when they fall. Judith can do most of the
things she always did. They just take longer.
>
>All I have to do as a caregiver here is help with the housework,
provide a shoulder to cry on sometimes, and hold the car door for
her. I did all of these things before PD, to some degree, so life
hasn't changed much. There's just more of it now.
>
>For me, the best thing about my new job is that I can be helpful to
someone who has helped me for many years. I can show my appreciation
in tangible ways. I can be a care partner, not just a care-giver or
care-taker.
>
>I kind of like it like this.
>