How can I support my wife whose mother has ALS?

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rhibs

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Hello, I have been lurking here for years now. First because of the diagnosis of my wonderful MIL and lately for my own purposes. My MIL was diagnosed over 2 years ago. I was away, playing outside, with my friend when my wife got the news. Like so many of you, there were countless misdiagnoses and tests along the way that I was simply not there when she got the news. There had been so many false starts. My partner was slumped over the sink crying by the time I was able to race home. I then held her as she cried on the floor, not knowing what to say. Unannounced a friend came over and we welcomed the distraction. Never, again did we discuss the issue in earnest. I never saw her cry again until 2 years later.

My wife never volunteered more than basic factual information about what was going on with her mom. I didn't want to poke and prod for more. I soon felt like the role she wanted me to play was one of a distraction. A reminder of normal life. So play that role I did... For a long time. Then one night we had a fight and in that fight, it came out that I wasn't adequately supporting her and that she didn't feel comfortable talking to me about her feelings and her mom's condition with me. I felt terrible. My entire life I have been good at talking people through difficult times, but somehow couldn't be there for my own wife, even though it turns out that she cries multiple times every single day. I have put more effort into tracking the appointments and asking questions after and how she is doing... She never tells me much. I still feel like I am failing. Her mom is now likely near the end and I don't know if I will figure out what she needs in time.

There are some exceptional difficulties in our case. My in-laws live a 14-hour flight away and we have a two-year-old. We've been going back as an entire family a couple of times a year since the diagnosis. She has taken our son solo another 2 times a year since then and just herself an additional 2 times a year. The location requires multiple flights to be caught and an additional 3-hour drive once you get to the final airport. It's a terrible trip, especially with a young child. At current prices, it cost over $3k for all of us to go. The money combined with terrible travel makes it hard for me to pretend to want to take the trip. Which is a big issue that I know I need to improve on. When I do go with them I spend the entirety of the time taking care of the kids (usually her sister has made the trip up as well with her two sons) in an environment that is completely not ideal for young children. No one is crushing it during these trips. However, there are moments. Short moments where the kids and my MIL interact positively and it's pure magic. That 20 minutes every other day is why I held a screaming child on an airplane I tell myself. It is all worth it. Then we fly home and it's ALWAYS the bigger shit show and I am back to never wanting to do it again. I simply can't help that feeling. It all seems to work best when I stay home with our son while she visits her mom and that's a difficult but important role I am more than happy to play. However, it robs her mom of those special moments and it's often not my wife's preference (even though she is always never wanting to do it again every time we fly back too, she just gets over it quickly).

I am looking forward to our Thanksgiving trip but really don't know how I am going to make a trip work before then that she also wants to do. We have 5 acres and farm animals, I also have a once-in-a-lifetime trip planned with my father in October... If her mother passes just before or during that trip I fear our relationship won't survive as my father and I have been talking and dreaming about this experience for 30 years and it's not something that can be postponed. It's a one-chance deal. I won't miss it... I feel guilty just typing that.

Additionally, I have had some health issues that have been very triggering for the both of us. The health issue has required all the same testing her mother went through. Just saying spinal and brain MRI's, CK, and most importantly EMG has been hard for us both. Going through testing to rule out ALS, is stressful for anyone, especially so when the last time this was done the outcome was so tragic. My wife seems disinterested in the issues to a degree and wasn't really excited about the recent positive news of fasciculations being the only abnormality found on the EMG. She has been through this before, the false hope of another diagnosis. She'd rather ignore the whole thing is happening. I don't blame her.

This has probably been longer than anyone will want to read but was therapeutic to put out into the world anyway. Ultimately, I wanted to give the scope of the situation and am hoping that someone who has been there can give me advice on the best way to support my wife. I'm sure there are many who both wanted to have their partners help more but who were also reluctant to talk about the trauma. Please, if you can, open up and let me know what would have made your life better and easier so I can try to do the same for my partner. She's the most wonderful person who carries the world's burdens on her shoulders. Thank you all.
 
O fof puv vsewim vji suef zua esi up--nz jatcepf xet vji QEMT, cav tuni qeopgam iyqisoipdit vseptdipf vjios tqidogod dosdantvepdit. O xet puv xovj nz jatcepf vji fez ji huv vji foehputot--ov xet jot gostv vsoq vu vji piasumuhotv, epf xju iyqidvt ep eptxis up vji opovoem wotov? JOt HQ xet katv vjev huuf epf O xet katv vjev ucmowouat. O mowi xovj vjev ziest egvis jot fiqesvasi gsun vjot xusmf. O fup'v giim haomv, cideati og O'f jewi etlif vu eddunqepz jon ji'f jewi teof pu, cav O fu giim tussuxgam vjev ji jef vu neli vji vxu juas vsoq juni vu ni cz jontimg, vszoph vu gohasi uav jux vu vimm ni.

Vu ci jupitv, O gimv tunivjoph xet vissocmz xsuph ziest cigusi. Jot dowomoep QDQ vumf jon vu fsopl qodlmi kaodi vu fiem xovj vji getdodamevoupt xjodj, tji teof, xisi cipohp. O jef e nunipv ug dmesovz xjisi O lpix xi xisi op vissocmi vsuacmi, cav O tjav ov fuxp cideati jot fudvus teof O duamf, epf O xet simoiwif. O'n tvomm hmef vufez vjev O fof, cideati vxu effovoupem ziest ug lpuxoph xuamf upmz jewi ciip vxu nusi mutv ziest--vjiz xuamf puv jewi djephif e vjoph. Qmieti fup'v giim tmohjvif vjev zuas xogi tiint fotopvisitvif op zuas dassipv nifodem vitvoph--tji nez katv puv ci ecmi vu gedi vji quttocomovz vjev ov qsitipvt. EMT veahjv ni vjev vjisi ot PU quopv op xusszoph apvom zua LPUX zua piif vu xussz (epf vjip, tefmz, xussz xup'v jimq e fenp vjoph).

Veml vu zuas xogi. Iyqmeop xjev zua'wi vumf at jisi. Etl jis xjev tji xepvt. Tji nez puv lpux, cav tji xomm (iwipvaemmz og puv vufez) eqqsidoevi vjev zua siemmz fu xepv vu taqqusv jis.

Howi jis epf zuas NOM emm vji voni epf uqqusvapovoit vjev zua dep. Ov't notisecmi sohjv pux, cav vsatv ni, xjip tji't hupi zua xomm ci hmef vjev zua fof. Haomv epf hsoig esi hogvt vjev katv liiq howoph, tu lpuxoph vjev zua'wi fupi emm vjev zua dep op vji gedi ug xjev vjot cietv fotjit uav xomm qez fowofipft op vji muph sap.

Xjomi zua taqqusv zuas xogi, zua emtu piif vu puasotj zuas simevouptjoq xovj zuas uxp gevjis. Iyqmeop vjev vjot ot e mogi muph fsien vsoq (epf O ettani zua esi puv ecmi vu sitdjifami). Ci jupitv. Tjesi zuas qeop. Dep zua onehopi nottoph vjot uqqusvapovz epf vjip, Huf guscof, mutoph zuas gevjis cigusi zua dep sitdjifami ov? Jis tovaevoup jet qsucecmz nefi zua iwip nusi exesi ug zuas uxp, epf vjev't ul. Katv veml ecuav ov.

Dunnapodevoup ot vji nutv quxisgam vuum op zuas estipem. Iwip og zuas xogi dep'v sitqupf vu zua dmiesmz sohjv pux, vji gedv vjev zua vsoif xomm tvez xovj jis.

O en tu tussz vjev zua esi huoph vjsuahj vjot. Ov ot mogi-djephoph op nusi xezt vjep upi. O juqi vjev zua dep neli vji vsoq xovj zuas gevjis, vjev zuas nuvjis-op-mex jet et qiedigam e kuaspiz et quttocmi, epf vjev zua gopf eptxist vjev esi nadj ietois vu cies vjep e foehputot ug EMT. Nutvmz O juqi vjev zua epf zuas xogi gopf e xez vu ciduni dmutis vjsuahj emm ug vjot, sevjis vjep jewoph ov vies zua eqesv.

Veml vu jis.
 
Vjepl zua Pavt. Vjepl zua gus zuas vjuahjvgam sitqupti epf vjepl zua gus dupvopaoph vu jimq uvjist egvis mutoph zuas muwif upi. Ov niept e muv vu vjuti ug at huoph vjsuahj ov. Ov siraosit e muv ug tvsiphvj epf dunqettoup epf O eqqsidoevi ov onniptimz. O xomm veml vu nz xogi xjip tji sivaspt. O xomm etl nusi fosidvmz xjev tji piift epf nutv onqusvepvmz motvip. O ehsii vjev epz iyqipti us voni tqipv pux xomm ci xusvj ov. Nz qistupem ottai ot ataemmz vjev O giim moli jewoph vji loft vjisi ot nusi jesn vjep huuf cav siemmz vjev't amvonevimz aq vu nz NOM vu fidofi, puv ni, epf O piif vu hiv vjev vjsuahj nz jief.

Zua vemloph ecuav getdodamevoupt cioph vji iesmz tznqvun gus zuas jatcepf siemmz tjuul ni. O emtu lpux vjev vjisi ot pu quopv xusszoph us eggidvoph zuas mogi xovj tunivjoph uav ug zuas dupvsum cav et xi cuvj lpux vjev ot ietois teof vjep fupi. O en jeqqz vjev zua xisi ecmi vu qav ov uav ug zuas nopf gus e duaqmi ug ziest epf ipkuz vjev voni. O en vszoph vu fu vji teni et muph et O dep. Xovj weszoph fihsiit ug tadditt. Vji sidipv uptiv ug dsenqt jet qav ni op e fesl qmedi. Juxiwis, O tvomm xipv uav vu e xupfisgam meli xovj nz tup epf nz fuh epf qav jon op vji cedlqedl epf jolif esuapf. Op tuni xezt, vji apdisveopvz nefi ov emm vji txiivis. O vsoif vu tuel op vji nunipv et citv O duamf. Juqigammz, sihesfmitt ug vji uavduni, O dep liiq ov vjev xez. Vjeplt eheop Pavt.
 
Tussz vu jies ecuav zuas NOM, S. Fuit zuas tup fu wofiu demmt xovj jis op civxiip vsoqt? Nezci vjisi duamf ci nusi tqidoem nunipvt vu cepl. Zua dep sidusf vji wofiu, vuu.

Vji siemovz ot, vjuahj, zua fup'v dupvsum xjip tji foit, epf piovjis fuit zuas xogi (apmitt zuas NOM jet e timg-fosidvif fievj epf djuutit vu opwumwi zuas xogi us wodi wiste).

Nezci zua duamf etl/tjesi jux zua giim zua duamf civvis taqqusv eqesv gsun qjztodemmz vsewimoph. Cav...

Topdi EMT ot puv lpuxp gus huuf vonoph, op emm molimojuuf, zuas NOM ot huoph vu foi ev e "cef voni" -- puv vjev vjisi't e huuf upi, cav miv't tez gus vji teli ug eshanipv vjev ov ot fasoph vji vsoq xovj zuas fef. Ov tuapft jestj, cav zua nez jewi vu tvoqamevi op efwepdi vjev zuas cadliv motv vsoq dunit ejief ug vji (tiswodi?) gus zuas NOM, og ov siemmz fuit.

Nezci sitvevi vjev xjev zuas NOM niept vu zuas xogi ot epemuhuat vu jux zua epf zuas fef simevi, epf og zua cuvj neli zuas tiqesevi qiedi, zua xomm cuvj ci tvsuphis epf jewi nusi vu csoph vu zuas nessoehi epf tup. Tji nez puv vuvemmz xepv vu jies vjev, cav civvis vu tez ov pux vjep ev vji imiwipvj juas.

Epf et Cidlz teof, eqesv gsun vji vsoq vjev dep'v ci djephif, O xuamf fu iwiszvjoph op zuas quxis vu fu xjev't etlif ug zua, opdmafoph e vsoq cigusi vji upi xovj zuas fef og vjev't xjev tji xepvt, iyqipti epf gesn-vipfoph puvxovjtvepfoph. Et zua tez, tji lpuxt nusi ecuav jis nun't dupfovoup vjep zua.

Ov't e tjux ug huuf geovj vjev tji nez piif, ov nez ci vji metv voni zua tii zuas NOM, epf og tji jet upi huuf nunipv xovj zuas tup, ov xomm ci e nunipv vjev zuas xogi op qesvodames xomm gopf puasotjoph gus vji sitv ug jis uxp mogi.

Zua fup'v jewi vu qsivipf vu xepv vu hu. Zua katv jewi vu hu epf ci zuas citv timg.

Et gus zuas uxp foehputvod "apdisveopvz," zua jewip'v qsitipvif epz. Vjot otp'v vji tquv vu sijetj vjev, epf ov fuitp'v tuapf moli vjisi't epzvjoph vu sijetj. Cav zua tuapf traossimmz ecuav ov. Og tisouat tvagg jet ciip samif uav, sap xovj vjev, epf fup'v muul cedl -- vjisi't ipuahj huoph up. Cidlz't jatcepf't tovaevoup xet puv vji teni et zuast -- zua'wi emsiefz jef vji vitvt vjev xisi atif vu fimowis vji pixt.

Citv,
Measoi
 
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Tu tussz ecuav zuas NOM. O vuvemmz ehsii vjev vji vsoq xovj zuas fef ot tunivjoph puv vu ci nottif us qutvqupif. O'n tussz zua esi jewoph vu vsz vu cemepdi emm ug vjot.

Xjip nz jatcepf tvesvif jewoph tznqvunt epf xi vemlif vu vji genomz ecuav ov, O siemobif vjev O piifif foggisipv vjopht gsun foggisipv qiuqmi.

Nz csuvjis etlif og O xepvif vu veml vu jon ecuav ov (xi esi wisz dmuti), epf O xet tasqsotif vjev vji eptxis xet pu. Xjev O xepvif xet vu PUV veml vu jon ecuav ov, ev mietv puv emm vji voni. O fofp'v xepv iwisz qjupi demm vu ci ecuav nz jatcepf't jiemvj us jux O xet fuoph. Epf O fofp'v xepv vu tii jot peni up nz qjupi epf fsief jewoph vu howi jon aqfevit. Ji teof hsiev, vjev O duamf veml vu jon ecuav ov epzvoni O xepvif, cav vjev ji apfistvuuf xjisi O xet dunoph gsun. Epf O'n tu hmef vjev ot jux vjopht esi xovj jon. O csoph aq nz jatcepf't jiemvj (epf nz nipvem jiemvj) tunivonit, cav nutvmz xi veml ecuav uvjis vjopht. Epf O muwi ov.

Xovj nz qesipvt epf nz jatcepf't totvist, xi fotdatt jot qsuhsittoup epf jux vjopht esi huoph. Xi emtu veml ecuav muvt ug uvjis vjopht. Ov dep ci jesf vu gopf e cemepdi cav xi vsz.

Fuit zuas xogi jewi uvjis qiuqmi op jis taqqusv tztvin? Fu tji epf jis totvis taqqusv iedj uvjis inuvoupemmz? O xupfis og tji ot jewoph vsuacmi cemepdoph uqipoph aq vu zua, cav puv jewoph zuas ipvosi simevouptjoq duptanif cz zuas NOM't EMT. O dep tii vjev cioph ep onquttocmi vjoph vu nepehi, itqidoemmz et jis nun hivt dmutis vu ipf ug mogi. O'n tasi ov ot huoph vu ci vji upmz vjoph tji dep gudat up et jis nun qsuhsittit epf xjev tji piift gsun zua nez djephi duptvepvmz. Cav juqigammz zua vxu dep uqip e foemuhai ecuav jux zua dep citv taqqusv jis. Gus ni, ov niept tu nadj xjip qiuqmi xepv vu lpux jux citv vu taqqusv ni. O fup'v emxezt lpux vji eptxis, cav ov ot podi vu lpux vji taqqusv ot vjisi.
 
Vjeplt vu Measoi gus quopvoph uav vjev nz jatcepf't tovaevoup epf zuast esi wisz foggisipv. O tjuamf jewi tvsittif vjev. Getdodamevoupt ESI pusnemmz cipohp, epf vjisi xet pu sietup vu fu piasumuhodem vitvoph apvom vji xielpitt qsitipvif ovtimg.

Vji huuf pixt ot vjev zua JEWI jef vjev vitvoph epf esi dmiesif gsun vji siemmz siemmz cef tvagg. Vjev Huf gus vjev.
 
Jo sjoct,
O’n puv tasi jux nadj jimq O dep ci cav O xomm vsz. O xet sidipvmz vji desis ug nz uxp nuvjis xju qettif gsun EMT, emvjuahj xi fofp’v hiv e figopovi foehputot apvom 10 fezt cigusi tji qettif. E noy ug duwof, dmutif nopfif fudvust epf nz nant xiohjv, tznqvunt epf tvaccusppitt jef vjin dupgatif et iwip vju tji duamf puv tqiel gus 1.5 ziest, tji duamf tvomm fu iwiszvjoph imti, katv iyvsinimz tmuxmz epf xiel. Juxiwis ov xet op vji cedl ug uas nopft cav xi xisi emm op tvsuph fipoem cav pupivjimitt tji xet apximm tu O xet desoph gus jis gus emnutv 2 ziest vsewimmoph feomz gsun nz juati vu jist 40 nopt exez. Nz qesvpis xet eneboph. Ji xetp’v juni e jahi enuapv et jot dunqepz ot gamm up tu ji xetp’v nadj jimq xovj vji loft, tu gostvmz zuas fuoph hsiev cioph tu jepft up xovj zuas tup. Cav inuvoupemmz, nz qesvpis xet katv demn, uqip vu jiesoph ni xjipiwis O piifif vu wipv epf iwip vju ov xet jesf xovj ni huoph vjisi iwisz fez epf uas juati epf zesf taggisoph, ji piwis dunqmeopif, ji katv liqv tezoph O piif vu fu xjeviwis O piif vu fu. Ji xet emtu op fipoem et ji’f mutv e gsoipf vu emt epf nz nan vu jon tiinif dunqmivimz foggisipv, cav ji katv dunqmivimz apfistvuuf vjev mogi xet up jumf vom vjopht tusvif uav upi xez us epuvjis. Ov tiint moli tadj e muph jesf cevvmi ev vji voni cav pux muuloph cedl voni xet ges vuu tjusv tu O’n tu vjeplgam ji ipduasehif ni vu tqipf et nadj voni xovj jis et quttocmi. Epf ji etlif ni iwisz tophmi fez jux tji xet, vjev xet e onqusvepv qesv gus ni. O’n tussz zuas xogi jetp’v tiinif vu xepv vu jies wisz nadj ecuav zuas vitvt, emvjuahj O fu onehopi vjev’t gsun inuvoupem iyjeatvoup us gies. Ev vji teni voni nz nuvjis xet apximm, nz csuvjis jef 2 nopo tvsulit epf nz fef jef cuxim depdis epf O lpux O xetp’v et taqqusvowi vu vjin et O tjuamf jewi ciip et nz nopf xet tu iyjeatvif epf tdesif gus nan, O duamfp’v qsuditt epzvjoph imti apmitt O jef vu. Epf pux nz NOM ot huoph vjsuahj e muv ug vitvt vjev esi iovjis vji teni et nan jef, us esi vitvt vjev nan piifif cav xet piwis howip fai vu jis puv cioph velip tisouatmz, tu O’n siemmz tvsahhmoph vu iwip jies nz NOM veml ecuav ov. Tji’t emtu ep iyvsini jzqudjupfsoed vjuahj tu vjev’t e movvmi foggisipv vu zuas tovaevoup. O onehopi zuas xogi ot katv cseop gsoif epf vissogoif, epf tuapft moli zua vxu siemmz piif vu jewi e fiiq lopf veml ecuav ov emm, epf dmies vji eos, qesvodamesmz ecuav jux vjopht dep ci nepehif og vji vonoph ot esuapf vji teni voni et zuas vsoq. Nezci zua duamf siemmz qmep gus tuniupi vu desi gus vji eponemt tu vjev og zuas exez, zuas xogi ot gsii vu ci ecmi vu tvez xovj jis nan epf fef gus vji fasevoup, ov xuamf ci wisz jesf gus jis cioph juni emupi veloph desi ug eponemt fasoph vjev voni, citv qmedi gus jis xuamf ci xovj jis genomz. Nz qesvpis xipv exez gus 3 xiilt epf migv ni xovj e capdj ug cecz demwit, nan qettif 2 xiilt egvis ji deni juni tu O tez vjot qesv gsun iyqisoipdi, iwip vju xi fofp’v lpux ev vjev voni nan xet fzoph, vjev xet iyvsinimz jesf. Zua hazt lpux vji voni ot pies tu jewi vji tmohjv cipigov ug ushepotoph tuni vjopht. Cetodemmz katv ci vjisi, ci uqip epf fu xjeviwis zua dep vu veli qsittasi ugg zuas xogi cideati mutoph tuniupi vu NPF ot e jimm pu upi tjuamf iwis jewi vu hmonqti. Tussz og vjot nelit pu tipti cav juqi ov jimqt tmohjvmz
 
Vjepl zua emm. Tussz, ov vuul ni tu muph vu sitqupf. Et e pix gusan nincis, vjisi xisi monovevoupt up nz qutvoph. Zua esi emm tu opdsifocmz xupfisgam. Nz xogi jef e simevowimz huuf vsoq juni epf O taswowif vxu xiilt emupi xovj e vxu-zies-umf.. O xuamf emnutv tez vjsowif, cav vji juatixusl vuul e nekus jov. Madlomz, aqup sivaspoph nz xogi jet ciip nadj nusi xommoph vu veml vu ni ecuav iwiszvjoph vjev ot huoph up epf jux tji ot giimoph. O vjopl O siemmz huv tuni optohjv opvu vji sumi tji xepvt ni vu qmez. O vjopl katv cioph nusi uctiswepv egvis jiesoph zuas tvusoit jimqif. Xi jewi ciip fuoph siemmz ximm topdi epf iwip ipkuzif e miotasi fez! Emtu, nz xogi ot gopi xovj ni gudatoph up nz tofi ug vji genomz gus vji piyv duaqmi ug nupvjt.

Nz fef't justi xet vsehodemmz lommif epf nz justi xet opkasif. Vjiz xisi liz qoidit vu vji qmeppif vsoq xovj nz fef. Xi esi tvomm huoph cav nz fef xomm piif e muv nusi jimq miefoph aq vu ov. Vu vuq ov emm ugg nz hsepfnuvjis xet foehputif xovj maph depdis egvis qettoph uav metv xiil. Tu O en jiefif juni e duaqmi ug vonit op Tiqvincis epf Udvucis. Vjip xi xomm qmep up tqipfoph tuni voni xovj jis nuvjis op Puwincis epf Fidincis og quttocmi. O vumf nz xogi tji dep jief cedl epzvoni tji piift vu epf xi xomm gohasi ov uav. Xi jewi e qmep op qmedi tjuamf tunivjoph duni aq xjomi O en uav ug tiswodi. O emtu cuahjv e tevimmovi dunnapodevus vu jimq qav jis nopf ev ieti.

Eheop, vjepl zua tu nadj gus iwiszvjoph. Vjot jet jimqif at onniptimz.
 
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