Parkinson's support not as good as for MND or cancer

My husband of 75 has had PD for 24 years and is in the advanced stages. Can’t walk far, difficulty feeding, big balance issues/lots of falls (some with fainting), lightweight PD dementia which seems to be getting worse now. We have no family, and pay for daily morning carers, and for two mornings a week of them (on those days I’ve spent £165 before I leave the house). I’m struggling to cope emotionally and am facing the prospect of having a live-in carer (we’ve done that before for short periods and it’s not all honey) or putting him a care home privately funded at £2000 per week with me starting life over on my own, except that I’d still have to be his advocate/pay the bills/visit regularly, so no new life really. He’s been refused CHC, even the nursing element, twice in the last two years.

Because we know exercise is second only to medication for PD, I pay for 3 private personal trainers a week, but his mobility is now so poor, I’m wondering whether to continue with it. However, if he becomes confined to a wheelchair (a care home would do that) he will lose the use of his legs.

I’m deeply resentful that my husband’s disease has deprived me of my retirement years, and his, and now the dementia is worsening I’m struggling to be kind and considerate (which I do anyway, being truthful). He’s become a danger to himself and can’t be left on his own for any length of time.

He did a lot of welding in his working life without regard for health and safety and I feel I’m being made to pay for that. We’ve been together over 50 years, have no children and have worked hard. He was a kindly, down to earth, rock of a person, and we were a team. But things are so so different now.

I attend local carer’s groups and from talking with others am impressed by the support services (get togethers with transport provided, medical, emotional, management and financial tips) provided for people with MND and cancer. The support we get for Parkinson’s is very poor by comparison. We see an Addenbrooke’s neuro once a year and he has as good as said there is nothing more he can do for my husband medicinally. He has never been very proactive in attitude. I’ve told him things about PD research/things in the community he doesn’t seem to know! We only see an NHS physio if we specifically ask to see one. They visit and show my husband exercises then tell him to do them in his own time… His huge apathy means he doesn’t do it. We’ve had occasional visits from OTs, again mostly on request, who want to provide equipment that would turn our home into a cross between a mobility equipment warehouse and a care home.

There is a local PD group who meet at a venue monthly, but they seem to talk about everything except the disease, plus my husband doesn’t converse and when he does his speech is so quiet, poorly constructed and mumbled no-one can hear what he says. He also has toiletting issues which make going out for any length of time difficult.

My husband has no interests, is not a highly literate man, can’t cope with using a smart phone properly or a laptop, and due to apathy can’t amuse himself other watching TV (he can’t master streaming)

The latest PD newsletter talks about psychological support - my husband has never been offered that, nor have I. He sees a PD nurse once a year, and if I ring them for advice I’m triaged and often have to wait several days before I get a call back. There is no emotional support. People just say ‘get out more/look after yourself’. Under pressure from me his neuro recommended a private psychologist. After describing my husband’s mindset and capability by phone he was honest enough to say, I don’t think my sessions could help your husband and I don’t want to charge you.

I feel very trapped and like my life is over.

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Hello Serotonin,

We’re very sorry to hear things are so difficult of late. We can assure you that you are not alone, and as our community begins to reply you will see that. But we would also urge you to reach out to our helpline on 0808 800 0303. They have helped many, many people in the community in ways they did not expect. The call is free and confidential and our advisors are friendly and patient.

You may also wish to have a look at this page of our website, which lists additional support options for people with Parkinson’s, carers, and family. Support for you | Parkinson's UK

With our best wishes and warmest welcome,

Jason
Forum Moderator

Hi there - I really resonate with alot of what you say. My husband also has Advanced PD and PD dementia. After 10 years of him managing and getting around fine and doing lots of things to help at home, his mobility took a nose dive and then the cognitive problems started. In many ways, it is a blessing that he can’t get himself up and out of his recliner without help and needs help to walk because just before this, he was having falls daily and I was constantly listening out for him.

One service that I have found very helpful has been the palliative care service. I pushed the PD nurse to refer us - at first she was a bit reluctant as he isn’t end of life but as I said, who knows when that will be with PD anyway? Plus I had heard on the Movers and Shakers podcast that palliative care was for all life limiting illnesses not just cancer and not just end of life.

It has been excellent. The hospice we got referred to has councelling, groups for people with neurological illnesses and their partners and we meet a nurse there monthly just to review things. My husband tried a counselling session but that wasn’t a success for him and is now going to try art therapy.

The problem with many mixed PD groups is that people and their carers who are at earlier stages of the disease DO NOT want to know about the advanced stages - it scares them and many feel like it won’t happen to them. I was like that too btw so I understand why people want to stay in denial. But a hospice or palliative care service is very different. I suggest you ask your PD nurse for a referral but you can also get in touch with your hospice and do a self-referral. Some are not that great I’ve heard at being open to people with Parkinson’s … it really depends where you are. But many are.

I do highly recommend a Facebook support group - do a search for it on Facebook … it’s called Partners of People with Parkinson’s - they have strict entry criteria and ask questions before you can join - this is so that the group stays a safe place.

There is also a zoom group for partners of people with Advanced Parkinson’s that meets on the second monday of the month. You can find out the information here. Advanced Parkinson's Online Carers Support Group | Parkinson's local support finder

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Good morning ,

I can absolutely agree with all the comments from carers above. My husband and I have to literally fight for everything…it’s so disheartening all the time. He never saw an actual neurologist until last year,8 years after his initial diagnosis. He was always seen by a registrar and diagnosed by a registrar. The consultants name was on his headed letters but he never actually saw her! He always saw a different registrar as well so no continuity of support I realised 2 years ago what was happening and had to fight and argue for him to be seen by the named consultant. I was fobbed off so many times…when we did see her she said my husband had never been put on her clinic list only her registrars list. She was appalled at the way his PD had progressed in the 8 years( she said he had been misdiagnosed for may years prior to that when we talked about his symptoms). He had been overdosing on Sinemet as the registrars answers to everything was to up his medication!Sadly because all of this he has now been transfered to a consultant in a “big” hospital who,she assures us are more aware of his needs and his problems. Sadly we are still waiting for that appointment…In the 8 years of his diagnosis he has only been seen 6 times not the 16 times we were expecting( seeing a PD nurse/ consultant every 6 months as we were promised in the beginning) we feel we have been let down every way we have turned and sadly we can see no change happening. My husband cannot even get a blue badge as the council deem he does not need one!! We are stopped at everything along the way. He has not been able to see his GP from the day of his diagnosis, he only saw him then to have his medication put onto repeat. He has his “meds” review every year done by a healthcare assistant at the surgery who has told him to stop shaking his arm so she could take blood samples!! When I asked her if she knew what the medication was for she replied no, this young girl then ticks the box to say he can have his medication for another year…We have found the support for PD is very hard to access.I don’t think GP’s etc really realise what a cruel disease it is and how much toil it takes on the carer of the person with PD…we have savings and know that we will be expected to pay for everything ( staff to come in to help him dress etc) when that time comes… Sadly people with PD are let down all the way along the way…next week is World PD day and a group we attend are having a stall in the local shopping centre( the 1st one ever) but we,the carers have had to organize it ourselves. There will be no one from PDUK with us on the day. We have been given a table cloth and some leaflets to give out…we have all questioned why their is no one from PDUK will be there on the day to offer advice to the public and support us as carers and people with PD? It’s a very lonely and cruel world if sadly anyone develops PD,:frowning::frowning:

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Ten years ago I had a stroke. Support was very good. Then four years ago I had a replacement aortic valve and, despite covid, support was very good.
Last year I had a diagnosis of Parkinson’s symptoms. But now, if I ever get to see a medic, I know I will get the full Parkinson’s diagnosis.
It seems that support is very poor.
I don’t have a Parkinson’s Nurse.
There is never a trigger to get me to ring for help. I decline in fractions.
So I am doing what I can……a little DiY and a lot of gardenning. I can walk about 250 yards. I do all finances for me and my wife.

Deterioration in the past year is substantial.
I am married, no kids nearby.
What is hitting me is that the public at large are unhelpful.
What is also hitting me is that the public at large have no clue about this disease.
I live in a pleasant bungalow, so no stairs.

Why are we the outcastes ???

But the sun is shining, and I am looking forward to getting myself an electric buggy.

Sooty

Good afternoon Babe … So sorry to hear about all your difficulties in accessing care.
I’m 71 & was diagnosed with Parkinson’s following a positive datscan. I also have a few other conditions.

I did have a locum NHS neurologist but he returned to Armenia. So I have no neurologist. I do have an excellent male Parkinson’s Nurse & trust him with my treatment. I see him once every 6 months.

There is a lot of guesswork in the diagnosis & treatment of Parkinson’s. I value his opinion.

About a year ago I became a member of Benenden Health. It costs me £15.85p a month. I got them to pay for me to see a Neurologist privately free of charge. It does cover existing conditions.

I saw this man at the Nuffield Hospital in Tunbridge Wells about 3 months ago. I was given a choice of three consultants. This would have cost me £245. I was given temporary Bupa membership & allowed to spend up to £2,500. The consultation was for my Neuropathy. Only one appointment was required.

With the policy I have you have to have your membership for 6 months.
You can only use their services where the NHS waiting list is excessive for the consultation you require.

It is certainly worth looking into. Obviously do your own research. Link below.

Best wishes
Steve2

Thankyou Beth. Really helpful. :slightly_smiling_face:

Thnks Steve. Will look into Benenden. :+1:

Hi there, thnks for your response. You’re right - lonely and cruel. Lots of signposting which doesn’t result in practical help.

Good morning Serotonin … As I mentioned in my message I pay £15.85p per month for my Benenden Health Insurance. I have just booked in for a Sleep Study consultation with the Nuffield Hospital in Haywards Heath with a specialist consultant. I have been given temporary BUPA cover & have been authorized to spend up to £2,500. The wait list on the NHS is estimated to be 20 weeks plus. Through this method I have an initial consultation a week on Thursday.

My first use of this insurance was to see a neurologist & I only had a 6 week wait that included Xmas & the New Year.

Best wishes
Steve2

Hello Sooty … You raise a lot of interesting points as have other posters on this thread.

A few points if I may … I think that because I have Parkinson’s & live in a one bed ground floor flat on my own I think I get more help from the NHS “services” we all use.

If I was married with wife / family I think they would be expected to do a lot by the NHS services I use. But because its just me I think I get better treatment. I sailed through the blue badge application & easily got the Attendance Allowance. Without that I could not cope.

I’m 71 & both my parents & Grandparents got dementia in their 70’s. So my outlook in that area seems fairly bleak if I think about it. But do people, like my parents, have any self awareness / awareness ? I’m not sure they do. My Father for example did not know who I was.

If I was married I would not want to inflict my future on a loved one. So better for everyone that I live alone.

Now as for people at large not caring I have found the reverse. Cars stop when they see me waiting to cross with my walking stick. There is always someone to pick up my walking stick if I drop it. The lady at the bakery always comes to my side of the counter & puts what I have bought in my bag as I prop myself up against the wall. When I fell over in hospital a few weeks back I was immediately helped by a member of staff & quite a few people asked if I was ok or needed help.

At the Indoor bowls club where I play people always ask how I am & I do get offers of help if I needed it.

BUT I don’t have a Neurologist & I am one of 750 people on the books of my Parkinson’s nurse, where there should only be 300.

I suppose the fact that nothing can be done for us other than medication must be a factor. Also there is no cure for Parkinson’s where as people with Cancer can get better.

Also we fall in between standard GP treatment & the Parkinson’s side of things. There are times when I am told by a GP that what I have seen him / her for is a Parkinson’s issue & vice versa.

Also as we age, Parkinson’s is not our only health issue, it’s clearly a mixture of age related, Parkinson’s & other medical conditions. Impossible to treat.

Best wishes
Steve2

Hi Steve

I have been a Benenden member since 1971! The only issue with Benenden is that they make that temporary BUPA membership available only for Diagnosis and not continued treatment once diagnosis is achieved. Although they were not involved in my PD diagnosis, they were involved in the diagnosis of my Bilateral Fuch’s Endothelial Dystrophy, my kidney tumour, my leukaemia. and my Inappropriate Sinus Tachycardia. The Fuch’s involved a corneal transplant for each eye at a total cost to me of £17,000 and NHS treatment for the other items.

Regards

Doug

Hi

If it is possible for your husband to travel, you might want to try having your GP make a referral to a different hospital. He has the right to get his treatment for any condition at the hospital of his choice. I have lived in London, Lincolnshire and now in Norwich. I was diagnosed at the National Hospital for Neurology and Neurosurgery in Queens Square, London and have continued to receive my care from there even when I moved to Lincolnshire and Norwich. I was diagnosed in 2008 and was originally seen 4 times a year by Simon Farmer, my neurologist. I am now seeing him twice a year which is all I need. He decides on my medication and my GP prescribes according to his instructions. Great care.

Not many people are aware of there right to have hospital treatment at the hospital of their choosing.

I hope this information helps.

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Well said serotonin, but quite what you can do I don’t know. Once we reach the end of medication regimes, no-one seems to really know how to manage symptoms that continue to develop in the advanced stages. Although I am not suggesting it is not important, even in PD terms there is a lot of focus on getting support and information to those newly diagnosed, the issues of the advanced or even palliative stage gets far less attention. I have had excellent if the minimum service from my medical team but evenso, even now I feel it is mostly left to me to get on with it.

I hope writing your post helped ease your frustration a little. We maybe can’t change anything for you but everyone on the forum can be there for you.
Look after yourslf and a big virtual hug from me to you,
Tot
PS douglas makes a valid point about choosing where your husband gets treatment and it may be worth looking into although from what you have written of your circumstances I appreciate this may just seem too much for you to cope with - at the moment anyway.

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Thank you Tot, and everyone for your responses. Suggestions about choosing where to get treatmen and palliative care noted. It helps (though sorry) to hear from others who feel the same. Even if meds can’t help it would be nice to get some recognition of how hard it is and some sort of regular emotional/psychological support and tips on how best to deal with it. However, thought for the day: It is the tumbling of life that makes a diamond.

What a great expression seratonin, not one I know but will remember - good to know you can still raise a smile despite your difficulties. It doesn’t change a thing but to me you seem a little more cheery today after letting off steam. It can make a difference just to get it off your chest and the forum is always open so if it helps do use it again.
Tot