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    • #21586
      kathleen provorse

        I also am a full time caregiver for my husband of 46 years. I am also a nurse who had to give up my job to maintain his level of care in our home. It certainly is overwhelming to not only see the level of care he requires,but how he seems to be a different person all together. It not only changes your life,but it seems to require me as the caregiver to maintain my level of calm which is nearly impossible.
        I ask myself how do other caregivers cope with this? I have seen this disease and treated residents at nursing homes for 35 years. It is so different when it is in your own family and one person is totally responsible for day to day life.
        God Bless each and every caregiver and hope we all stay strong

      • #21590

          Hi Kathy,

          Thank you for this honest post. My husband was diagnosed about a year and a half ago. He is now 64. I have already noticed many physical changes. He used to be full of energy and now he must rest a lot. He also shuffles and almost loses his balance quite a bit, but the thing I worry about the most right now is when he starts to choke. I have also noticed personality changes. I understand that he must be angry and frustrated, but he sometimes takes it out on me, saying I don’t understand and won’t be able to “deal” with him as he worsens.

          I will do whatever I must for him, however I am honestly quite scared. As a nurse, you already have the temperament, experience and skills to deal with such a condition. I do not. I wonder how he will become and what life will be like. I hope that he will stay as he is, but I know that is unlikely.

          I am afraid, and I often feel guilty for feeling afraid.

          Thank you again for sharing honestly what it is like for a caregiver.

          G-D bless you.


          • #21614
            Lorella Howard

              I hear you all! I am a nurse educator who went to half time the year covid hit, then retired to just doing a couple online courses so I could be home full time as he is now needing constant supervision. My husband was diagnosed in 2000, retired in 2014, disease was slow in progression until last few years. His Duopa pump helps smooth the dose levels some, but he still has many times of dyskinesia or crashing low. We are trying different adjustments to try to get on a better track.  This year, illusions and delusions have started, which are challenging, they were helped some by adding Aricept. Yes, I see personality and mood changes. I sometimes think they are more upsetting and harder to deal with than the physical challenges. I try to explain that what he sees is not really there, etc. He gets angry at times with his disabilities or how long it takes medication to work. He doesn’t want reminders, but gets distracted and forgets to eat, needs physical help with clothes, etc. I find my frustration level high, fatigue and sleep deprivation severe. I constantly remind myself that I’m not angry at him, but at the disease. When there are moments of clarity, and I see him being more himself, I try to savor it. It’s scary, and I try not to think that I may look back on these moments as “the good old days”! I don’t know how I would keep my sanity if we didn’t have 3 grown children nearby who pitch in and stay with him while I take another extended family member to multiple health appointments. Watching our children and young grandchildren  have to deal with these changes in their dad and grandpa is both heart-wrenching and rewarding.

              Is there any way you could have any home health help for a few hours a week? If you could get out a little, it would help you mentally and emotionally. If a friend could visit and talk, you would feel less alone. Try to keep up old friendships and as many connections as are comfortable. You need to take some “minute vacations!” Keep sharing.

              • #21615
                Gwendoline Jakins

                  Hi Lorella,
                  I feel for you. What a roller coaster you are on. My husband improved with Mannitol First it was his non motor problems, apathy in particular, then many other symptoms.

                  He has just started using the Infrared coronet and Therapad.

                  I’ve had problems sleeping. My husband doesn’t have any issues at night most of the time. But, because I’m so stressed, I didn’t sleep well. Melatonin has solved that problem to a great degree.

                  I don’t know if any of this helps, but I thought I’d pass it on, just in case.


            • #21597
              Gwendoline Jakins

                Hi Kathy (and Diana),
                My husband was on the Neupro patch (Rotigotine) for a few years with great results. His major symptom was extreme apathy, as in not being interested in anything or doing anything. When it stopped working in 2019, we tried mannitol, after looking at the research and getting our pharmacist to check it out. At this point he was on the bed about 20 hours a day. He was also choking on food, had a PD mask, a soft voice and more. Within a week his apathy started to disappear and as time went by the choking disappeared and his mask almost disappeared. His voice also got stronger. The other thing that disappeared was his foggiest and dizziness in the mornings, which meant he could start PD exercise classes, which he does twice a week.

                When my husband was in hospital and I mentioned the mannitol ( as I didn’t want him not having it), the doctor told me they’d been using mannitol in hospitals for head injuries and operations since at least the 1970s. Until now, there’s been no further research into it because (as our neurologist says) you can’t patient a vitamin or supplement, so there’s no money in it. It’s not just a diabetic sweetener. He takes 1tbs. a day in coffee, as suggested.

                In recent times I felt that his apathy may be returning and his mask was definitely more apparent. So, not waiting to see where it’s leading, he is now using the Infrared Coronet and Therapad. Recent research here in Australia was very encouraging. My husband’s neurologist said that a number of his patients are using it with good results.

                I am exhausted mentally as with the apathy increasing again, I’m having to push to get him to exercise. I’m just hoping the Infrared coronet etc works for him (and me).


                • #23384
                  Marlo Kimmel

                    Can you please say how much mannitol you are using, teaspoon etc and what brand you are purchasing


                • #21599

                    Hi Gwendoline,

                    Thank you so much for your insight. My husband is a functional medicine doctor and based on information he read, he started taking mannitol a few weeks ago. He said that he feels that his arm is less stiff and he will most certainly continue taking it. I’m very pleased that he is going to Rock Steady Boxing classes three times per week and he is very engaged in that. He definitely doesn’t have apathy at this point, which I can imagine is quite frustrating to deal with as a caretaker.

                    My challenge is to live every day and not to dwell on future possibilities of how this will play out. Of course, PD is a very individual disease and nobody knows how it will progress for any particular person. I am hoping that my husband’s progresses very slowly and we can do some of the traveling we were hoping to do. We have only been married for six years and with COVID have not had a chance to “see the world” together as we were hoping to do in later years.

                    I hear many stories of anger and outbursts in PD patients, but it is not something I have found much information about online. This is my greatest concern, since as the caretaker we must be the ones to remain calm and to understand that the disease is talking, not the person, but from what I have experienced so far, that is easier said than done.

                    I am very appreciate of this forum and the insight of others.

                    Thank you.


                    • #21600
                      Gwendoline Jakins

                        Hi again Diana, you somehow have to stop worrying about what might happen. It’s easier said than done, I know. As you say, everyone is different and progresses at a different pace. Your husband probably will never be difficult to deal with. My husband is very placid, but his apathy drives me mad. I never was a patient person. I have to do the driving. I am bossy, so that helps?

                        My husband doesn’t have your “garden variety PD”, as our neurologist says…if there is such a thing. He doesn’t have a tremor, which made it hard to diagnose initially.

                        I have a friend with PD who is 96. His PD has progressed very slowly. He’s actually the carer for his wife, who has dementia.

                        We can be very thankful for these forums, as we can support one another and pass on our experiences.


                        • #23385
                          Marlo Kimmel

                            Please tell me how much mannitol you are using teaspoon etc and what brand and where purchased

                          • #23398
                            Gwendoline Jakins

                              Hi Marlo,
                              We bought our mannitol, here in Australia, from an importer of European foods. It’s the Sosa brand out of Spain. It’s very cheap compared to the brands being sold by supplement suppliers. I think you can get it direct from Sosa.

                              The suggested dose in the research out of Israel is 1tbs. and no more. I’d start with a teaspoon, as gas (reflux) can be a problem. If you google The Science Behind Mannitol, you’ll get quite a bit of information.

                            • #25486

                                I too am overwhelmed and frightened as well. I’m scared to death that he will fall and really break something….

                                He gets up when my back is turned and nights are horrible as he takes his pants off and then wets the bed or decides to take a walk!  I moved the walker out of bedroom to keep the walking down, seems to help. I bought bed pads but they only work occasionally as he takes the diapers off during the night.  I can’t sleep with him as he twitches in sleep and keeps me awake!

                                I feel like I am drowning and we have no relatives locally to help.

                                Two places were recommended but he is not ambulatory so they can’t take him! Someone suggested hospice but I think that’s only for end of life purposes.


                          • #21633

                              Hello all!!!
                              it’s all overwhelming at times. Add myself with migraines (and lots of bad weather lately)  and a senior dog with health issues that my husband absolutely loves but can no longer walk, or get on the floor to pet, ( she is a beagle, who had double ACL surgery legs and hip bother her so she likes to sit making it hard for my husband to pet her).
                              It is dizzying the apathy, the depression, the anger, the whole ball of wax as you say.. when he is on a rant, I let him rant,, like a two year old, you pick your battles. I set his meds for he day every day. He takes them or not, wether or not he is awake or not. Some days from not sleeping well for two or three days, he is sleeping really and if I wake him to take his meds, do I know when he last ate?? I have many issues not sleeping as well. A momma’s ears.. but occasionally I get an hour or two of deep sleep, usually in the mornings when I know my son has made it home from the night shift, and after letting the dog out, checking on my husband, and then taking another hour or so to fall back asleep. Covid and lockdown made everything so much worse.
                              As like you, I feel anger and resentment, guilt. All for what my husband and I should have had. We are 57 and 55 respectively, now he rarely goes anywhere. Although he did make two family parties this month, went to lunch with friends from his last job, and a childhood friend. But gone are the days of traveling in our retirement. And he makes sure I get out for lunch dates with friends, today I canceled a date, he got mad I did. But the high humidity has been irritating my asthma so I have stayed in with the ac.  I generally take a long weekend getaway with my sister, but due to covid, no respite for two years.. so stress levels are very high.
                              I am going to look into this mannitol. If it’s a sweetener, he likes black coffee, I can use that instead of truvia once a day. we are all caregivers, and stressed, and here!!! I love to read to get away!! What do some of you like to do to getaway???


                            • #21638
                              Lorella Howard

                                Does anyone have research articles or websites for the infrared coronet, therapad, or mannitol? My husband is a retired Internal Medicine physician and doesn’t want to try anything he can’t read research on!

                                • #21645
                                  Gwendoline Jakins

                                    Hi Lorella, if you google mannitol for Parkinson’s Disease, you’ll see plenty of information on the current research, including scholarly articles on the research being done in Israel. What also popped up was an article on this site dated July29,2020. What isn’t mentioned is that it’s been used in hospitals since at least the 1970s for brain injuries and brain surgery. I found this out when I mentioned mannitol to a doctor in ICU at one of our major hospitals here in Melbourne, Australia. This was confirmed by our GP, recently retired, who confirmed that it was used for brain surgery when he did his training in late 1970s. My husband’s neurologist and our pharmacist both checked out the research. The neurologist did this after seeing my husband’s amazing improvement, particularly the apathy, but many other symptoms.

                                    As our neurologist says, there’s been no research as “there’s no money it”. This also applies to vitamins and supplements.

                                    As far as the Infrared Light therapy is concerned, there’s recently been research done here in Australia. The results will be published later this year, but in the meantime, if you google Professor Hosen Kiat and Parkinson’s, you will be able to see an interview on the subject. Our neurologist said Professor Kiat Hosen is highly respected. He also said that a number of his patients had tried the Infrared coronet with some very good results. There’s been quite a lot of discussion on the HealthUnlocked site and I’m assuming his patients got the details from there or maybe from here. The company that is most well known for the coronet and the pad (Therapad)is Wellred, again they are here in Australia and export worldwide. We have both, and will report on them at a later date.

                                    I hope this helps.


                                • #21648
                                  Blanche Glazier

                                    Hi Everyone,

                                    I am a Board Certified Nurse Practitioner with 21 years experience as a Family NP, and 40 years experience on the General hospital floors, all kinds of ICU’s, OR’s, and Flight for Life.  Am I prepared for the toll Parkinson’s has taken on my husband’s life and mine?  NO!  So I, like all of you, find my care-giver situation frustrating, and am extremely angry for all this disease has taken from us, as well as guilt for some of the feelings I have.  I had all kinds of excuses for our dwindling sex life, his constant sleeping and apathy, and never recognized the signs, although I would bring up his symptoms to the doctors at every visit, and for 30 years they just blew it all off.  Am I angry?  You bet.  At myself, and at the doctors, who were trusted friends.  It all started with the apathy, and progressed to not wanting to participate in anything, although we have cruised around the world to wonderful places, including Australia, where I took many tours on my own.  He used to be so neat and clean – now I have to beg, threaten, and cajole to get him to take showers and shave maybe 3 times a week.  I bought a house, sold  both of ours in California, and moved us 3,000 miles all on my own.  He is a very placid person, so he is not aggressive, but on his good days is very resentful at how much control I have over his life.  As a result, I have learned to back off, and on his good days, which are about 2 a week, if he wants to vacuum, or do things in ways he never would have before, I have to bite my tongue and fix any issues when he is sleeping, which can be 12 to 24 hours a day.  He cannot process more than one step to complete tasks.  I was used to him being able to do anything, run the house, take care of the kids and animals, maintain the cars, and plan for vacations, and anything we wanted to do.  He was my rock, and the Wind Beneath My Wings.  This is all so sad. So I understand what you are all feeling, and I am so grateful to know others have the same feelings I do.  My husband has COPD, diabetes, Valley Fever, Leukemia, Anemia, Memory loss, and an Aortic valve replacement 2 years ago, so I had to retire at 78 to care for him.  I resent these circumstances  because I had been a nurse since I was 16  years old, and it has been my whole identity for all these years.  I pray for  the strength and fortitude for all of you to meet this monumental challenge we are  facing.  The Golden Years for all of us have sure presented the biggest hurdle of our lives.  Keep sharing!  It helps all of us.

                                    • #23324
                                      Bill Frohberg

                                        Blanche, thanks for your post.  I know exactly how you feel.  My wife was diagnosed 11 years ago and a very slow decline.  Tried a lot of meds, seems Neupro patch and amantadine work the best.  She has really bad tremors – started in her hands and now she feels it in her body.  She won’t consider DBS.  The double whammy is she has Crohn’s as well.  She’s really depressed, but willing to try anything.  Does her excersises, and keeps hope alive.  But recently become very demanding, and developed the “woe is me” attitude.

                                        I know how you feel. I retired after 45 years of industrial sales.  Looked forward to travel, golf trips, and home improvements.  I felt cheated, thought to myself – worked my butt off all those years for this?  I got proactive, went to counseling, read a lot of these posts, read articles about new treatments, even contacted doctors starting trials.  Also renewed my faith, shared my story at church and enlisted the prayer warriors.

                                        Deep down I love this lady, and accepted the fact, that this is God’s plan for me.  Just trying to keep posistive and keep her safe and comfortable.




                                      • #23386
                                        Marlo Kimmel

                                          Please tell me how much mannitol you are using ie teaspoon etc and how many times a day. Where and what brand did you purchase. Thank you

                                      • #21649
                                        Corrie Trattner

                                          My heart goes out to all of you.  My husband passed from Parkinson’s and Bipolar Disease on March 6, 2021.  He was in assisted living facilities for 5 anf 1/2 years and progressively got worse as time went on.  He also was getting sick for many years prior to his entering the assisted living when none of the doctors could diagnose what was wrong.  In addition, which was really madening, the physical and psychiatric doctors refuse to talk to each other, which made things all that more complicated and difficult.

                                          Many of you stated above that you are fearful of what the future will bring.  I had the same feelings despite my being an occupational therapist and working with people with physical disabilities and mostly psychosocial issues and mental illness throughout my 50 year career.  It’s different when it’s your family member whom you dearly love than when it’s a client of yours.  I continued working the whole time so that we could stay on the health insurance and so I could have somewhat of a break from caretaking.  However, being a college professor really didn’t give me much of a break.  (I’ll be retiring at the end of this month).

                                          I can miror your feelings of frustration, anger, exhaustion, and guilt.  Sometimes, I still feel all of those.  I think the hardest things for me were the worry about what was coming down the pike and how I would deal with it.  Every day I would pray for the strength to see everything through until the end.  Somehow, with G-d’s help, I did, and assuredly all of you will too.  Some of the hardest things for me to deal with was accepting that I couldn’t do everything and had to get help as his condition worsened and that I couldn’t make everything better and go away like I would have liked to do despite all of my extreme efforts.

                                          My heart goes out to all of you.  Please try to remind yourselves that you are all strong and caring people and have more resources and reslience within yourselves than you realize.  I send you all prayers of healing and comfort and quality of life for yourselves and for your loved ones.

                                          I hope this is helpful.  If not, hit the delete button.


                                        • #23346
                                          Habib nazarian

                                            I appreciate all the comments. My husband was diagnosed 5 years ago, the progression has been fast. I worry for what the future holds. I feel helpless that I cannot help him feel better. Depression and apathy are very difficult to deal with. Please if anyone has advice on dealing with depression, let me know. He agreed to try manitol, hopefully it will help. I pray that G-d gives us strength and patience ?

                                          • #23373

                                              As someone in the relatively early stages of Parkinson’s I feel so sorry for caregivers and admire their dedication. For myself, I would hate to be in that state of dependence and I’m determined to end things before it gets to that stage. I just wish it was a choice available legally!

                                            • #23391

                                                You must be so overwhelmed. I am a nurse who is watching my husband decline and have 8 grandchildren. My husband has the rapid form of Parkinson’s. I feel so overworked trying to take care of him, the house and all the grandchildren.
                                                I told him I feel like a single mom and he said well just pretend you are. I said this is a marriage. I don’t want to be the sole supporter of everyone.
                                                I keep going . That’s all I can do. I am 65 and feel like I will have to work for many more years to support my husband. I do get frustrated, cry and am depressed. I as well have my own health issues.
                                                I still try to carve out a little time for myself and just don’t come home right away after work.
                                                God is my help right now and I am praying he gives me the strength to carry on.
                                                Who knows maybe science will find a way to cure this terrible disease.

                                              • #23404
                                                Marla Klein

                                                  <p style=”text-align: left;”>My heart aches as I read all these posts. None of us picked the road we are traveling but we must find peace, some time for ourselves and do the best we can. I, like many of u, feel robbed of the man I knew before PD.  it has been a hell of a time adjusting to all the changes and roles one needs to do, to just survive . I mourn the loss of the man I knew and I too get angry feel robbed of all we had planned to do in retirement. But here we are just doing it one day at a time. Good days I celebrate,  hard days I pray will end and on those bad days I look forward to the next good day. The changes are hard to watch and sometimes I just want to run away as it makes me feel sad and lonely in this role I am in. I try to get out a few hours each aft when he sleeps just for my own sanity. I admire each of you, and feel badly that we were given this role of caregiver and feel worse for our PD loved ones .  I  pray we all find the strength to move through this horrible illness.  How  I long for the calm good days. For now I’ll  cherish the good  when they are in front of me. Good luck to all of us . I am  glad to have this forum to know I am not alone.</p>

                                                • #23405
                                                  Gwendoline Jakins

                                                    Hi Angela,

                                                    Have you looked at anything that may help your husband besides what the neurologist has prescribed. Nothing they can give stops the progression of the disease. But there are things that help. Fortunately our neurologist has an open mind and doesn’t mind if we try vitamins and supplements. As he says, they don’t get researched, as they can’t be patented, so there’s no money in them.

                                                    We tried the B1 protocol, which has worked miracles for some PD patients. We had amazing success with mannitol. It turned my husband’s life around.

                                                    If you want to know more, look at the Cure Parkinson’s HealthUnlocked site. If you join, you can look at my post on mannitol (my user name is gwendolinej). You can also look at the B1 protocol and more, by putting them in the search box.

                                                    Has he had his bloods done. PD patients are often low on the B vitamins, B12 in particular, also D3.

                                                    As a carer, you can get a lot of support from these sites. We are in this together.


                                                  • #25464
                                                    Beth Ann Chambers

                                                      Hi Kathy,
                                                      Thank you so much for sharing your story I am a full-time caregiver for my mom who has Parkinson’s diagnosed in December 2014. And I was diagnosed in November 2020 with Parkinson’s. It really is a challenge day in and out. Since the pandemic course my mom less interested in things she knows to enjoy so therefore we both and isolated more and more. I’m not sure where to reach out for resources or help at this point in time. I want to keep her happy and healthy however it seems to be taking a toll on me. I don’t want to sound like I’m complaining it’s a blessing to be able to care for my mom I also took care of both of my grandparents before they passed. I guess I thought maybe family members would Reach out come out and visit my mom. I pray we all can stay healthy and sane as we rock this journey together thank you for your thoughts. Beth Ann

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