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Miss

Very helpful member
Joined
Apr 11, 2010
Messages
1,782
Reason
Lost a loved one
Diagnosis
04/2010
Country
US
State
In the Land of Cotton
City
Way Down South
My husband was diagnosed with ALS today. And so, we head down a new path. I'm not going to pretend that I am not scared - I'm scared to death. I've been reading diffent threads all night. There is so much coming that I know nothing about. Is is better to take it as it comes, or to research what is coming? We are heading back to Bertorini (ALS specialist in our area) next week. What questions do we ask? Will he provide all of the information we need to "get started" with this? Even though I knew that this diagnosis was coming, it is absolutely terrifying now that it is here. I have so many, many questions. I feel so alone in this right now. I can't talk to my best friend about this - he has the disease! His terror must be 10 fold what mine is. I guess I need to get acquainted with the CALS forum now.
 
Dear Miss,
I am so sorry to hear of your husbands diagnoses, and I want you to know you are not alone, we are all in this together! You and your family will be in our thoughts and prayers, someone is always here so know you are in a good place. Blessings!
 
Is there any CALS out there hanging on by a thread? Help, I feel alone, sad, angry and wondering how I am suppose to spend the rest of my time with my husband defending myself and constantly being criticized by him and feeling alone when he is right here. All I want to do is hold him, tell him how much I love him, how I cant bare the thought of life without him. I just want to feel a sense of closeness....... I want to feel loved and be held.....I want to scream, run away and cry.
 
I've been down this path, Miss...... You can research what's coming, but it's different for every patient. The best advice I can give you is to enjoy the time you have together, for as long as you can. No one can tell you what's coming next, nor when it will happen. Sure, ultimately it's pretty much the same for everyone but it can happen quickly or take many years. The best bet is to try to get the difficult, time consuming. things done first. Make the house accessible, the bathroom is most important, get a roll in shower if you don't have one. Install a bidet, it makes things much easier. Research lifts and hospital beds. Plan on getting the right powered wheelchair so you don't waste time and money on the wrong one. Gather family and friends together and gauge just how much support you're going to get. You will need help eventually, work out how and where that help is going to come from. Plan on a wheelchair van, eventually you'll need one. Most importantly, take care of yourself, mentally and physically. You'll need strength you don't even know you have. It's there, I believe everyone has it, but you'll need to reach deeper than you ever imagined to find it.

Dick
 
Dana, I was once hanging on by a thread....that thread was cut, over and over again. I can't offer much, but I'll be an ear, and a shoulder to cry on if you need one. I tried, unsuccessfully, to put myself in Liz's place to try to understand what she was feeling. It was futile. I know she didn't mean any of it, but I felt like such a failure. Ultimately, it's not you he's lashing out at, although it sure feels like it, but the disease. You just have to keep on keeping on. There's no real choice. ALS is the most monstrous thing you will ever have to deal with, it steals everything, first from your partner, then after that, it steals the only thing you have left, the love. Keep a little kernel of that love deep inside. It will sustain you and give you the strength to carry on. Remember always what you had. It's still there even if it's been bruised and battered beyond recognition.

Dick
 
Miss and Dana, my heart just weeps for both of you. All you can do is take it a second at a time. I am going to answer both of you separately.

Miss, believe me when I say that I am soul sorry that you and your husband are now faced with this..Web, Matthew and I wept for days after hearing"ALS". We held one another and just wept with the shock of it. You have to give yourself permission to FEEL whatever it is that you FEEL and know that it is ok. There is a quote, "You can not Heal what you can not feel" and it is so true. You are in the first stages of grieving, Shock and Denial. There is no set pattern to the grieving or the process of the ALS. For me it is like going to war. In the beginning it was the war of trying desperately to save my husband's life. Now it is the war of trying to find the support to make him comfortable and to save Matthew and I in the process. I do get battle weary. NEVER assume "Will he provide all of the information we need to "get started" with this" Knowledge is power. Arm yourself with knowledge about ALS. Prepare yourself so that you can possibly be one step ahead of it. Arm yourself with facts and information because you will become a CALS-his voice-his arms-his legs. Prepare early. ALL PALS will eventually be in the same situation-take Dick's information to heart. I spent way too much time early in the battle researching potential treatments or a miracle cure. I spent what little we had trying to find a vitamin or a supplement that might help. Nothing did for us. ALS is relentless in it's march. What will work is a PEG so that you can keep up his nutrition. Bipap. Medications for depression, EL and spasms. Take the time right now to do the things that will give you enjoyment and heart memories. Do it now-TODAY! Have you applied for SSDI? Do it now. As difficult as it may feel, get a Power of Attorney, End of life questions concerning burial etc, Will and living Will done so that is out of the way of the moments of your life. Take a critical look at your finances and make whatever adjustments that you need to make. KNOW where all the important paperwork is, marriage license, birth certificate, SSN, titles to property, life insurance, investments, Health Care etc. You won't need it now but you will eventually and when you need it you don't want to be searching for it. Remember that you are not alone. We are here to hold your hand and give you hugs.

Dana, I bet every single one of us have spent time in exactly the spot that you were in last night. Thank you for trusting us enough to be vulnerable and share your pain. I have two thoughts, First, is he behaving badly? Is there any possibilty that he has ALS dementia? Is he depressed-on depression medications? That may very well be the first place to start to make life and love easier for the two of you. Web has had a couple of bad behavior episodes and it was UGLY and scary. We increased his Paxil and nothing since then-whew!
Do YOU have any support? I think that we need to help you figure out who is your support and how they can support you in meaningful ways. HUGS to you all and remember the sun will shine again and just breath deep-HOWL when you need too and reach out when you need too!
 
Dick,
I so appreciated reading your words this morning. Yesterday was just horrendous...hoping today is better. It is so important to be angry at the disease and not the person..not always easily done.

Miss,
I so remember when my hubby was diagnosed...it is an insanely scary time. You will realize quickly that you have to be his physical, mental, and emotional guide through this journey. It really means putting your own needs and fears in the back pocket for a while. I totally agree with everything that Dick wrote to you regarding planning. Please use this forum to help plan ahead. We have all been there....
Thinking of you...stay strong!

Dana...I can totally relate to how you are feeling. Yesterday was one of those days that I really asked myself "How can I do this anymore"! Of course the feeling passes when I look at how helpless my husband is... it is heartbreaking. The emotions that I feel in one day are off the charts. Only someone who has experienced or experiencing this disease would understand. I almost had to go howl at the moon last night. I did an imaginary howl in my head.

Thinking of everyone...fighting this battle. Thankful for those who come to offer there experience and support. I would be insane without you all!
Kelly
 
I just read all the threads on here today. All I can say is that I feel soooooo very sad for you and for all of us.. This just takes everything out of us and it is heart breaking.. Sending lots of love your way. Linda
 
I know I have it in me to do this. I just hope I do it well. Right now, I want to make sure we have everything my husband needs to keep his life a quality life. Quantity of life is no longer relavant. The information you all give is invaluable. There are so many things I don't know and wouldn't necessarily think about. It never occurred to me to go ahead and file for SSDI. We have short term and long term disability insurance, so I was just going with that. Will SSDI / Medicare mess up our medical insurance? As long as we are under short term disablity, we pay the same rates we did when he was working. Won't we have to start paying the COBRA rates when we go on long term disability? How does anyone afford all of this?!? I am floored by the costs - especially when you consider the decrease in income. Unbelievable!
 
I keep coming back here hoping I can help even just one person, one more step through the pain. Oh, and because I love you all like family (more than family, actually).

Dick
 
Miss
I am so very sorry you have to be here, but know that if you have be here, here is a good place to be. You'll we find lots of helpful and useful advise. As has already been mentioned learn as much as you can but know that everyone's journey is differant. My wife was diagnosed in Sept 07 and is still walking and talking fine but ALS has stolen the use of her arms and is now working hard on her lungs. You never know what you may be looking at so be perpaired for anyting.
 
Miss, SSDI won't mess up your medical insurance. Medicare might. A little known fact is that you don't HAVE to accept Medicare. I carefully compared my employer provided insurance and Medicare then had a talk with an HR rep. The gist of the conversation was that my insurance was a pretty close match to Medicare. If we accepted Medicare, my insurance company would immediately become a secondary provider and Medicare was expected to pay most of the bills. Having been down that road with my father 20 years ago and seeing that what would really happen would be that the two insurance organizations would each expect the other to pay the bill and I'd be 10 years getting everything sorted out. We turned down Medicare coverage. Maybe the situation is different now but I really did NOT want to go through that again.

What I don't know is if you can get SSDI while getting either short or long term disability payments. My wife had short term disability but it ran out before the SSDI waiting period was over so we never had to face that issue. And remember the waiting period is 5 or 6 months. ALS is an instant approval for SSDI but you still wait 5 or 6 months before getting the first check.

Yes, ALS is expensive. Most insurance policies will pay for most of the hardware, wheelchair, bipap machines, etc. Most won't pay for necessary modifications to your house to make it accessible. Nor will they usually pay for a van or conversion. Those are tax deductible though, so that helps. As far as I know none will pay for home health aids although they do pay for nursing care when it's necessary. Some kind of home health aid will become necessary at some point if you are ever to get a break from the caregiving (and you WILL need a break eventually). It's great if you have family or friends to help but they all seem to disappear when push comes to shove.

I'm going to stop before I get too depressing. Hang in there. Take one day at a time.

Dick
 
Miss, YES apply for SSDI NOW! It is a 6 month waiting time and you can have Short term Disability at the same time. I do not know about Long Term Disability. SSDI is not income dependent-it is the money that your husband and his employer have paid into Social Security. If you look online at the Social Security website you will find a checklist of what you will need to apply. The first few months are overwhelming for everyone. Hang in there and ask us questions, we will help. hugs
 
Dick, I am not sure what you are saying about Medicare. Web had both Medicare and his BCBS and it was not a issue. His BCBS was terminated when his short term disability ended. We could not afford the COBRA. Matthew and I no longer have any health insurance but I bought a Medicare Supplement F for Web. Since there is no effective treatment with medication I did not purchase that additional supplement. Miss, you will have to purchase a supplement for Medicare. The one that I got covers all hospital charges not covered by Medicare.
 
When we go apply for SSDI, will they explain all of this about Medicare? Isn't there currently a program in place that allows you to pay only 1/3 of the COBRA charges? What I am hearing is that I need to apply for SSDI now. It will take about 5-6 months. That will be the same time frame for switching from short term to long term disability. I do have a long term care policy that should help with home health care. I am going to get a friend in the insurance business to look over it. Seems like it should pay me to stay home and take care of him! I feel certain that there is no chance of that! Hopefully, I can keep our regular insurance for the children and me. Otherwise, I will have to find a job with benefits. We don't have anyone to do any caregiving other than me. I have a 15, almost 16 year old son that can stay with him when I need to go out. Maybe there are one or two people that my husband would let come stay for a little while, but not many. This is all very overwhelming. I just wish there was a manual telling me what to do and when!
 
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