August 14, 2006
It’s just after midnight and I just got home from another fun trip to the ER with the medics. They had to carry Ben from upstairs again- quite a feat on our treacherous stairs. Ben had seizures for 4 minutes- it was terrifying and I thought for sure this time he was a goner. But by the time I got to the ER he was doing much better- that was about 6:30. About 9:30 he started having more seizures and they admitted him- he’s on the 10th floor in the same room we were in May 10th when he had his stents put in his heart valves. I’m exhausted, but of course happy Ben has made it yet another day. Guess I have to learn about seizures, oh joy! I was writing the part below right before this happened…
Finally, someone in the social services part actually helped me! Up until now I’ve had absolutely no practical advice. On Thursday I spent an hour and a half with David, a wonderful social worker that specializes in dementia. Until Thursday I didn’t even know that’s what Ben has- all brain injuries fall under the category of dementia. David explained a lot of stuff to me that Ben’s doctors, therapists, nurses and the Medicare folks had not explained before- such as what in the hell am I supposed to do when Ben wants to do something that I don’t want him to do. David explained that it’s pointless to argue or give Ben facts. It’s much better to distract. Arguing rocks Ben’s sense of security and safety. When Ben hears fear in my voice, he reacts with his own fear- bottom line is Ben thinks I’m going to abandon him. Ben cannot retain facts or logic. So to try and explain the whole situation to him is only more frustrating for both of us. It’s already worked. Ben wanted to go up to the Frog Pond, our little neighborhood store and buy a cigar. Instead of explaining why it’s not a good idea, I agreed, but I said, “Let’s go find your wallet.” Then, “Do you need to go to the bathroom?” So by the time we’d done these 2 simple tasks, Ben had forgotten what he wanted to do. So instead we went to the Japanese Bon Odori festival and he never mentioned smoking again.
Basically what David said was that if Ben smoked a cigar and it killed him, well Ben wasn’t getting out of this world alive. And at least he’d died doing what he wanted- not that I should encourage him to smoke, but I have been terrified he was going to start again.
Instead of explaining why Ben couldn’t drive, I said, “Just because,” when he asked. Ben totally accepted my answer, much more than if I went into a lengthy explanation of his condition.
David said that Ben needs a safe environment, and a routine so he knows what to expect. Most of Ben’s anxiety comes from not understanding or knowing what comes next and what’s going to happen next. It makes sense because Ben is no longer in total control of what comes next nor does he have the understanding of what’s going on in his body. Nobody, including Ben’s doctors, have the understanding.
David also told me that I should be getting 2 or 3 times the hours for our caregiver. We went through another assessment to see what hours we can qualify for through the COPES program. David said we were really desperate and it was important to convey that to our social worker.
David gave me a really good reality check, not the one I wanted to hear- our future does not look rosey. It doesn’t mean I have to give up hope, but I do need to prepare myself. I haven’t wanted to read any statistics on this thing because they are so frickin’ dismal and so far Ben has defied all odds and is doing so much better than anyone in the medical field ever predicted. I have to remember that the day the doctors told me that Ben was going to be a vegetable and never come out of it was the day he said, “I love you too, Barb.” And told his daughter Cheryl when she asked him if she was his favorite child, Ben cracked a big smile and said, “Absolutely.” I mean, a four-syllable word right out of a coma? A few hours after all the doctors in Critical Care said he was a goner and I’m have to be looking at ‘making decisions’ and ‘quality of life.’ Issues. So what do they know for sure if Ben is going to get better? I’ve said all along that Ben is wired differently than anyone I know and he’s going to do it in his own way, in his own time. But talking to David has helped my stress level enormously. Giving Ben the simple answer of “Just because,” is so less anxiety producing than the long answer, which only freaks me out, Ben startes picking up on my anxiety, and away we go. I really want to go to my cousin William’s birthday party in Tahoe in September but it wouldn’t be good at this point to upset his routine and disorient him by staying at a hotel. It also means that I shouldn’t leave Ben a friend’s houses at least for now, unless it’s been part of his routine. Playing pool seems to be one activity that doesn’t confuse him. But using things like notes from his doctor, which requires him to use logic, isn’t going to work.