Tuesday 12 February 2019

Does the Medical Profession really understand Lewy Body Dementa

Thanks to the Speech Notes APP for allowing me to start writing again, as I can talk to my tablet computer, then this sends it all direct to the blog, without the stress of thinking about what I am writing
Thinking about what I want to write, and putting on paper, is difficult these days, but this app has now made life so much easier

Medical Profession, and the lack of knowledge about Lewy Body Dementia
We found this out the hard way, after one young dementia consultant put me on medication to help with my graphic nightmares during the night. 
This was started just before we went on holiday one year. But on the second night, I tried to climb out of the hotel window in the hope of breaking free from this horror. Luckily for me, the window was locked so it did not open, and we were on the third floor of the hotel.
My wife woke up just in time to stop me trying to escape from the window.

As I am living with Lewy Body Dementia, I have always been limited as to what medications I can take and what dose that is limited to.
My wife rang the hospital the next morning and the medication was reduced and then stopped. This was because, this young hospital doctor had put me on something without checking the correct dose I could take with this illness.
However, I have been amazed at how many Doctors and Consultants etc, claim to know all about Lewy Body Dementia, then do something totally stupid.
They think that because they understand one type of dementia, that they know it all, but just how wrong can this be
I was recently seeing a Consultant for lower back pain because we were not sure if it was connected to my osteoarthritis in my hip.
 After another hip injection, I was told that there was nothing that they could do, so I was referred to the pain management clinic, where I saw another specialist, and yes he knew all about Lewy Body dementia, so much so, that he tried to make my wife look silly.
He told me that he was putting me on codeine, to help with the pain. This was supposed to be a low dose but said that the family doctors could raise the level when needed. As this did not help a family doctor told us to raise the level at certain times of the day.
We did not know that this medication was bad for those living with this illness, and neither did he
Eventually, as I was in a lot of pain, my wife got me an appointment to see a chiropractor. After one visit he said that these pain-killers were very bad, and he wanted me off them. However, he soon found the cause of my problems as the pain was coming from trapped nerves in two parts of my back and also realised, that I had a major problem with my jaw which was out of line.
Since seeing him in November, I am off all pain-killers and feel much better. 
I also had a problem with foot drop, which was ignored by the hospital, by this has now nearly gone, apart from when I get very tired.
When I went back to see my Lewy Body Dementia consultant, he was horrified that I had been on Codeine, because it’s not good for people with this illness, because it causes complications, but was pleased that I am now off them.
We then got an appointment at our doctors, where my wife asked if the Codeine could be removed from my repeat prescription, and told them why. 
My wife said they looked puzzled because they knew nothing about this. but after explaining what the consultant had said, they agreed to remove it.
Just after this, I saw an occupational therapist who was attached to the pain management consult, and this started all over again because she refused to believe that these tablets were bad for me, and yes she fully understood Lewy Body Dementia?
All she wanted to do was put me back on them again.
Needless to say that we always check before changing a prescription.

It seems to be a running battle between my wife and those in the medical profession who claim to fully understand this illness, always check with your consultant before taking anything new.

While doctors can not understand everything about Dementia when they leave University, I do feel Lewy Body dementia needs to be more widely taught to medical students in the future

Thank goodness for the Dementia consultants who really know about this illness and its complications

I like many people are extremely lucky to have a brilliant Lewy Body Consultant looking after me, as well a lovely support staff, but many people are not so lucky.
Let us all hope that this changes for the best  in the future

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I always say that we may have this illness, but we are all so different.

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