welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Showing posts with label living will. Show all posts
Showing posts with label living will. Show all posts

Thursday, May 1, 2014

do these

DO THESE
it doesnt really matter how old you are
you should have these things done
dont wait until its to late
then
it becomes harder and more expensive to take care of things

yesterday i went to the second annual alzheimers symposium
in temple texas
its the one that i gave a presentation to on my story with
possible alzheimers disease last year
this years focus was on the caregivers

the first presentation was given by an elder lawyer

his first topic was guardianship
you dont want to have to do this
as its expensive and the control of your or your family member is
under the control of the court system

he said avoid this if possible
the best way is to be prepared
by having all the forms and documents mentioned below
done correctly
and there will be no guardianship
you dont want some lawyer or judge having to ok checks for
you or our loved one

the younger you do all of this the better
one speaker a bioethicist from california is the caregiver for
her brother who was in a car accident and now has a head injury

without the paperwork being done ahead of time
a guardianship may have to be done

if you do all this right he said then you get to determine guardianship

do a medical power of attorney or power of attorney for health care
put one person in charge with alternative persons if that one is not
capable or able

unless i piss my wife she off royally i have her as my medical power of
attorney with my sons listed as backup
my wife she and i have had discussions about what i dont want

side bar another speaker the bioethicist showed a graph of what
physicians dont not want done if their health is terminal like with
alzheimers or cancer etc
100% said no cpr-the survival rate for cpr in these situation is 0%
most said no cpr no ventilation no dialysis no surgery
no invasive testing no feeding tube no antibiotics no iv hydration
but >90% said they wanted pain medication
the two lowest was iv hydration and antibiotics at 60%

we must know something you guys dont

after practicing for >25 years i would say 100% no to all of those
things especially cpr and ventilation

if it happens to me as i get demented i plan to come back
and haunt the heck out of whoever did it to me

now im not talking about right now as im in great health
except for that alzheimers cloud thing hanging over my head

do a hippa release form 
if you havent ever got pissed off when you try to get information
on a family member you may not understand how important this
one is

he suggested to not use the one from the hospital but get one
on line that covers things better

without one you may be shut out of your spouses medical
information if they become incapacitated

do a directive to physicians or living will
make sure this thing has things like no feeding tube no cpr no ventilation
no chemotherapy etc if you become incapacitated with a terminal disease
dont let others wonder what you would want

if things get complicated or if the doctors or hospitals screw up or
if another family members doesnt agree
this and the other forms are so important in overriding their objections

do an out of hospital dnr form
he suggested to google it and use a printed out form
without this if the emt paramedics come to your home or
to the nursing home etc they might do all that stuff that drs dont
want them to do to themselves
hopefully flashing that form in front of them will stop them


do a durable power of attorney
this gives someone and he recommended picking one person
with backups if that person is not able to do it
this gives them the right to do your financial and legal stuff when
you are incapacitated
and can prevent you from having to go to court for guardianship to
do your loved ones financial and business stuff

he recommended the durable power of attorney be updated every
few years as some banks etc will not recognize one eg that is
15 years old

he also suggested a living trust but not everyone agrees with
this recommendation
this one provides another layer of protection

some of these things can be done without an attorney
but some need their input

interesting was that the attorney i used for my will etc
was at the conference since she has become more involved
with elder law
since her dad had alzheimers disease and she learned
first hand what mistakes could be made and prevented

i plan to pull out all my documents this week and review them
i know that i plan to add more specific details to my directive
to physicians or living will
i dont have an out of hospital dnr
my hippa form is not a more involved one
i am not sure if i will do a living trust
i plan to seek other counsel on that one

be sure and use forms specific for your state as each states laws
may be different

so dont wait to get all this done
wait to long
and
a local judge and lawyer will make the decisions for you
and
not your love ones

the organicgreen doctor

Monday, December 19, 2011

my friend gf

MY FRIEND GF
my wife she and i are going to visit my friend gf today
he has huntingtons disease
if you dont know about this terrible genetic disease then click
www.hdsa.org
for more information

if you were one of my patients and you like my personality and
laid back approach then you would like my friend gf

we met him and his wife at a party when we were in medical school
we had a mutual friend who was in my class who introduced us
my friend gf was in a class behind us
during the party we met them and spent a long time with them
we found a couple who felt the same about race, religion, and
politics
weve had other couple friends but none where those three things
were the same
weve stayed in contact over the years although separated by
hundreds of miles
weve visited each other multiple times over the years
they are one of those friends forever friends

my friend gf has a family history of huntingtons disease
he knew that there was this possibility of getting this disease
as he got older
he and his wife were able to plan their lives once they knew he
had the gene for hungtingtons disease
my wife she and i have used their situation although its not quite the same
as a model for what we need to do to prepare for the future

they were able to get their financial house in order as they had
several years before he would get to the point where he could
not practice medicine anymore
life insurance, disability insurance, health insurance, wills, living wills,
health care directive, power of attorney for health care and power
of attorney for finances
those are what is needed to be ready
they were ready when the time came for those final stages
of this disease
those difficult decisions that have to be made have already
be made so some of the stress and pressure is relieved from
the spouse
you cant ever be ready but you can be close
we hope to get our preparation to this point this year
most we have already done

they worked and enjoyed their lives
they did a lot of travel to places we wish we had gone
his wife is such a good trip planner
they have such good memories of all those trips
some included trips to visit us and they would explore the
central texas area

my friend gf is a large guy, very intelligent, very likeable
he loved unusual ties
real unusual ties
i got only one and he must have had a closet full
he loved scieince fiction like books
he sometimes would give me one to read and i would read it
because he gave it to me
then picture this a large guy in an hawaiian shirt with shorts and socks
and tennis shoes at the airport
looks like a terrorist dosesnt he
he was always the one that got pulled out of line and was searched
and had to take off his shoes
talk about profiling
as usual he always took it in stride

his wife is now the caretaker
although you cant prepare yourself for this role she has done and is
doing a good job

my friend gf
look forward to seeing you today
although im dreading seeing you lying in that bed
debilitated
will i be there soon or will it be awhile before i get there
i remember what you were like and thats the way ill always
remember you

my friend gf
we love you

the organicgreen doctor