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I have reported on my difficult OCD, narcissist mom in the past, but now there is a potential medical issue. I suppose all this is medical at the heart of it.


My mom had been having a cough, lots of phlegm, etc. No other symptoms like fever, etc.


Took her to the Dr. who said her lungs sounded really funny so ordered a chest x-ray to see what was going on. Thinking bronchitis, pneumonia or something similar.


She came back saying her heart had enlarged to the point it was tough to see the lungs. She asked if my mom had otherwise been out of breath, overly tired, etc. She is not, she is like a jack rabbit around her independent living facility.


All her other vitals like oxygen, pulse, etc. where normal. Her BP was a bit high but not otherwise scary high.


She ordered a bunch of other tests which just came through on Mychart after the Dr. is off duty.


The N BNP or whatever ws 4200, over twice as high as the upper limit of 1800 for someone her age (she is 92).


I thought that was so high I should take her to ER, but called her and she does not want to go and otherwise seems OK.


I have call into the nurse triage who is calling the on-call Dr. for her clinic who should be calling me soon. I am just wondering if there is a reason to take her to ER.

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I’m thrilled that your mother is still functioning as the building Jack Rabbit. My dad dealt with many years of the slowly progressive congestive heart failure. At first it was just some shortness of breath here and there, then there became fluid accumulation, and weakness. His last couple of years there were repeated hospitalizations to remove fluid, once there was 16lbs removed, only to have it come back. Lasix increased many times. Not saying any of this to be discouraging, though it certainly sounds that way, but to say there is much to be be encouraged about in the here and now. And worrying changes nothing. You’ve been great with her, and already know what trying to force your mother into anything results in, so just know you’re along for the ride for now, and be ready when the changes come. I wish you both peace
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Karsten, I guess what I'm trying to say with "mom's in the driver's seat" is that you can't care more about her health than she does.

If she chooses not to listen to her doctors, don't make yourself crazy trying to force treatment.
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Karsten, good luck with the PCP tomorrow.

Some elders simply won't cooperate in their health care and unless they are under guardianship, they have every right to do that.

I would leave your mother be.
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Karsten, fwiw, my mom had CHF for years w/o issue before things got to a point where they progressed to pulmonary hypertension. That's when she started having chest pain in addition to swollen legs. Once the PH kicked in, she lived another 8-12 months but was still up and at em every day, dressed and in her wheelchair in the activity room cheering others on. She lived to 95 and 2 months.

Imo, leave your mom alone to live her best "Jack rabbit" life as she can right now. My mom was the same way and it's what kept her going so long......the NOT focusing on Life Alerts and ER visits and meds etc, just living life every day. It's hard for us "kids" to sit by and watch but seems best for THEIR wellbeing in the long run, at least imo.

Good luck! 😁
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Way2tired May 2023
True , my mother wouldn’t wear her life alert button , neither will my FIL.

It is amazing how when they don’t recognize a problem those people seem to be less incapacitated from ailments, until the ailments get way worse . Mind over matter is powerful up to a point .
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Thanks Barb and I guess I am slow but staring to see your point . Went there for Mothers Day. She is supposed to take 2 lasics or whatever they are (water pills) a day. She had not taken one, figyring she did not want to have to go to bathroom while at restaurant. I said fine, tghen we are not going, take one now. She threw a blood fit

Then I said I am going to set up her daily AM/PM pill boxes as I dont think she is taking them all . She threw anohter fit, and said she woudl set them up herself. She tried to scramble around apartment even trying to find all the different bottles which made me more sure she is not taking them all

At first I was frustrated, then thought, the HELL with her in a way. If she is not going to take care of herself, there is nothing I can do. She may die or have a stroke sooner htan she would have had to, but what can I do? Nothing

Kind of cold, but kind of freeing in a way.
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lealonnie1 May 2023
Its not "cold" to step back and allow a person to run her own life. If it means she dies sooner but has a better quality of life in the meantime, I call that a WIN. 😁 Very freeing to enjoy your own life's decisions Karsten!
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actually had follow up yesterday. Her PCP was puzzled as the BNP numbers were high but no other symptoms like swollen calves, belly, she thinks maybe the BNP numbers could have been a red herring, as they can be elevated (according to her) from inrectons

They put her on Z pack and prednisone for potential bacterial bronchitis

I went to my own doctor today, been feeling terrible, and he diagnosed me with the same, and gave me the same meds, and alos tested somthing for something called RSV. My temp is up over 100

He wanted to do a chest X RAy but the X ray machine at the clinic had broke down so I have to go again tomorrow
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Way2tired May 2023
Thanks for the update . Hope you both feel better soon .
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I heard back from on call MD who said dont take to ER but take to her primary MD on Monday and to double her does of Lasix
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NeedHelpWithMom May 2023
Oh, good. Glad that you heard back from the doctor.
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I see Barbs point about my mom being in drivers seat, but she seems incapable of making proper decisions

I told her she is to double her lasix, she said she does not want to because after the first one she had to pee all the time. I said thats the POINT, htat means its working (I assume_

I said take on then just assume you will be at or near the toilet for a couple hours, thats your therapy, like someone sitting for an hour or two for chemo.

Part of her problem is she cannot sit still, thoug the fact she still cant sit still makes me think her heart could not be TERRIBLY bad

Then the dr ordered her to wear her life alert. Of course she will not wear it.

The funny thing (and some of the things my mom says and does are ridiculous cant help not to see the humor in it, people have said I shoudl write an Erma Bombeck type column about ther) but get this


She says she was walking down the hall the other day ,and a lady in her building had fallen in her doorway and could not get up. She asked my mom for help, but my mom is 95 pounds soaking wet so could not help herself, but dashed off (they call her Jack Rabbit at the buildilng) to get help

In my moms bizarro world, this PROVES people dont wear life alerts, as if this lady had had one, she would have used it rather than needed help

My brother told her, this PROVES you do need one. This lady, had you not come by, could have been there for hours
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My MIL is in the ssame state--except she is now on in home Hospice.

She refused to go to the ER, choosing instead to call one of the 'kids' to come sit with her while she had these episodes. It was patently ridiculous, but they propping her up--she's in a frantic panic and she won't allow them to do anything. Are they just supposed to sit with her, in dire straits and watch her decompensate? That's what they did, night after night.

Finally they brought hospice on board. IDK if she has CHF or COPD or she's just supremely anxious--maybe all of the above.

Dh did say that he had to raise her oxygen both times he had her in his care.

If your mom is otherwise OK, and not freaking out, go ahead and wait until Monday.

I LOVE the 'MyChart' thing. I get my blood tests before the DOCTOR sees them. Anything that is a 'problem' is flagged, with 'High' or 'Low' and if I can't figure out the puzzle of it on my own, I google it.
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Karsten May 2023
you could be describing my mom to a T
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A while back, I called the E.R. in the middle of the night to find out from them if I should take my family member in.
They already had him on record so I felt secure.
They were able to offer a stable source of guidance and I did not have to bring him in.
I also kept away from the web for fear of derision.
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