4 year wait, still no diagnosis, but we need help now - can anyone advise?

arightcat

Registered User
Jan 7, 2009
8
0
York
Hello,
This is the first time I've posted on here, and I would really value some advice from people. My hubby and I are in a horrible position as both of our mums have recently diagnosed dementia. My mother-in-law, who is nearly 70 has moderate Alzheimers, and seems to be getting reasonable support from her doctors, and great support from her hubby who is also retired. My mum's situation, is much worse - she is just 60, and we have been fighting to get her condition diagnosed since 2004, although before then we knew that things were not right. She is now on Consultant Number 8, having seen 2 psychiatrists, 2 psychologists, an endocrinologist and 3 neurologists so far. She has had scans galore, and we are currently waiting for the results of a notch 3 test to (hopefully) rule out cadasil, and she is also supposed to be going for a skin biopsy, although they have cancelled twice so far. Most of these specialists have been seen privately in a bid to speed things up!

The trouble is, 4 years down the line we know she has dementia, but we don't know the cause, and because we don't have a proper 'label' she is not getting any support, and because we are new to all this, we don't know where to go for help. While all this is going on mum is getting worse, and dad feels her deterioration is getting faster.

My dad is still working, he has a high powered full time job, and I live 150 miles away from them and have a 18 month old son to take care of, as well as working and having my own health issues. My dad isn't coping - he gets angry and frustrated because as well as working he has to do everything, and he feels totally let down by the medical and allied professions. Their GP practice has been at best appalling. When my dad first took my mum to see her gp, she was pretty nervous, and my gp diagnosed depression, but as a precaution referred her. Two weeks later I took her to the doctors and she wasn't nervous so was much more chatty and more together. The GP then decided that mum's illness was psychological and due to my dad being a bully, and since then she has been practically hostile to my dad, even going as far as (I suspect) wilfully neglecting his medical care (not following up hospital advice after my dad had a suspected TIA). We are too frightened to complain because we will need them to help us. My poor dad is at the end of his tether - he's getting no help, no support, and I can't offer much than an ear on the end of the phone and a lovely grandson to visit.

Mum's condition is weird, it seems far more generalised than a pure memory loss, and she doesn't really comprehend the implications of her condition, and feels fine in herself. She is quite happy in herself, but is beginning to need more in the way of care. My dad is a lovely man (and not a bully), but he is just not cut out to be a carer - it would destroy him, or drive him to do something silly.

Has anyone got any ideas as to how we can access support while we are waiting? Dad has contacted his local branch, but they just told him to come to a meeting, and he doesn't feel able to do that, and I don't think he wants to until we know exactly what mum has in case it is something reversible (doubtful).

Sorry for the essay, but it has helped to tell someone. I am going nuts up here in Yorks because I can't do anything to help, and my dad's phone calls all the time with doom and gloom are really hard to bear.

Sending best wishes to you and yours, and thanks for reading so far.
Arightcat
PS this is a very abridged version of what has gone on - especially the bit about how rubbish the gp practice has been.
 
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Helen33

Registered User
Jul 20, 2008
14,697
0
Dear Arightcat

Although I really don't know what to suggest, I do want to say that I am glad that you have found Talking Point and hope that it proves to be helpful and supportive to you and your family.

I have been told that it is difficult to get the help that is needed without a diagnosis but I am just wondering whether help might be provided on the basis of all the tests that your mum is undergoing and all the specialists she has seen. This, to me, is saying that the specialists are taking your mum's problems seriously otherwise they wouldn't put her through such a lengthy ordeal. I can only presume from what you've said and from what other people on here have posted, that sometimes it is very difficult to pinpoint the exact problem. What can be pinpointed is that your mum has significant problems.

Keeping a detailed diary could prove to be very useful and perhaps this is something you could talk to your father about.

With regard to the GP - I do feel that you need a GP that you can rely on and trust and I presume that you have considered the option of changing practice?

Wishing you all the best
 

JPG1

Account Closed
Jul 16, 2008
3,391
0
Don’t wait for a ‘diagnosis’, just demand HELP and NOW!

You do not need a diagnosis of dementia, or any form of dementia, to demand help. Think about it: if the problems your parents are facing were not ‘memory related’ then you would also be able to demand help. So just ask for help. And NOW, via GP, then if no joy there, via Social Services, and if no joy there … Age Concern, or Help the Aged, or Citizens Advice Bureau.

But then again, you say that both of your Mums have recently been diagnosed with dementia, and that your MIL has moderate Alzheimers. Is that with a diagnosis or without?

I may have missed something in your post, for which I apologise.

The cause of dementia is unimportant, irrelevant even - for the simple reason that even the ‘trained educated experts’ have so far not defined any single cause of any variety of dementia.

It’s difficult to understand how a GP could work out that your Mum’s problems were attributable to her husband being ‘a bully’. Did you question the GP about that one?

And if you suspect that the GP has wilfully neglected your Dad’s care, then ask even more questions!! If you know that the GP failed to follow up advice following a TIA, then do something about it. Go to the local Age Concern Office, there’s one somewhere nearby. Or look them up in the telephone directory and phone them, and ask for advice and help.

Do not be frightened to complain. The best way you can involve the GPs, the medics, the care services is to let them all know that you are ‘on the case’ and ‘aware of the problems’ being faced by your parents.

Nobody is”cut out” to be anything in life – it comes with experience. Just in the same way that you gradually learn how to boil an egg or tie your shoelaces …. … whatever you are required to do along the course of life.

So, just go back to GP and ask questions. And do not be intimidated by anybody who comes your way. Just question ... and ask for help.

Good luck, hope you can find support soon.
 

Cate

Registered User
Jul 2, 2006
1,370
0
Newport, Gwent
Hi

Jeez, 8 Consultants and still no further forward, no wonder you and your dad are not impressed with the medical profession.

As you are not finding the GP easy to talk to, I would be inclined to write to him/her, this also has the added advantage should you decide to change GP, your letter and any subsequent letter back from the GP will be in your mum's notes.

Set out as clearly as you can, maybe just using bullet points your mums behaviour, state of memory, giving examples along the way.

I would ask the question directly how the doctor came to the conclusion that your mum's difficulties are due to your dad 'being a bully'.

When you say that dad's being neglected with regard his treatment re the TIA, do you mean the GP, or your mum. If its the GP, again I would ask why X Y and Z has not been carried out as per the hospitals instructions.

I would then clearly set out what help you want for your mum and dad, ask the doctor for an urgent referral to Social Services.

The suggestion you have had earlier to keep a detailed diary is a good one, I would set out in your letter an example of a week for mum and dad, but continue to keep the diary.

I would conclude your letter stating that you think it reasonable to receive a reply within 7 days.

Keep a copy of your letter.

How you proceed after this depends on the response you get from the GP.

Best wishes
Cate
 
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arightcat

Registered User
Jan 7, 2009
8
0
York
A little bit of better news...

Hi,

Thanks for your replies, and for your suggestions which have been useful.

My dad phoned tonight to say that one of the consultants has rung him today after he rang his secretary and asked for advice. Dad is pleased because it is the consultant he has the most faith in, and he has agreed to see them both tomorrow afternoon as he has an appointment free.

The consultant, who heads up a clinical and research unit in Birmingham I think, told my dad that whatever is wrong with my mum is extremely rare, as they don't often have to refer people to the Institute for Neurology in London, but mum has them baffled. He doesn't think it is CADASIL, although the test results aren't back yet.

Fingers crossed he will speed things up for us.
Cat xx
 

arightcat

Registered User
Jan 7, 2009
8
0
York
Off to London

Hi there,
Well, I heard from my dad and the appointment went quite well. Still no answers, but the consultant has agreed to refer mum to the Institute of Neurology in London now even thought the result of the Notch 3 test (CADASIL test) isn't back yet. That can take up to 3 months to come back apparently. He doesn't think that she has CADASIL, as she is not showing the physical deterioration that they would expect to see, and there is no evidence of any vascular involvement on any of her scans. Fingers crossed it isn't that, but obviously we need to know what it is.

According to my dad the consultant also told him not to rule out this being something that could be treatable, which would be the most amazing outcome after everything that we have been through. I am not going to get my hopes up at this point though.

I'm pleased things are moving again, but there is still no practical help for my mum and dad until we have the elusive diagnosis.

Cat xx
 

Helen33

Registered User
Jul 20, 2008
14,697
0
Dear Cat

This is really good news in that there is still hope that what ails your mother could be treatable. I cannot imagine that this is said very often or would ever be said lightly and that in itself offers hope. I can understand you being reluctant to put all your hopes on this being the case but I will put all my hopes on it for you and I am sure fellow members of Talking Point will do the same:)

With regard to help in the meantime, I wonder whether the consultant would be willing to assist you by putting something in writing to testify to the fact that your mother is in need of assistance?

Wishing you all the very best Cat and hoping that you will keep us informed.

Love