A couple of days ago, I booked the wheelchair taxi and brought Don home for the day. Trying to do this a couple of times a week nowadays. We had lunch, sat out on the deck for a bit, then we watched the movie "Notting Hill".
If you have seen the movie, you will remember there is a point where Hugh Grant and Julia Roberts are parted, and it looks like it is all over between them. As he mopes about London, the background song is:
"Ain't no sunshine when she's gone
It's not warm when she's away;
Ain't no sunshine when she's gone
And she's always gone too long, any time she goes away."
I was only half listening, until Don turned to me and said very quietly, "That's how I feel about you."
People sometimes look a little askance at the notion that I go to the nursing home every day to be with Don. Well, that's why.
Disposing of the dead rat on my doorstep is, of course, quite gross. But trust me, nothing is more dreadful than lying in bed at nights listening to rats scampering about in the ceiling, all night long! As happened when we lived in Sydney inner city (Camperdown). Cockroaches we were prepared for, and aircraft noise, and fleas. But rats!! And they seemed indestructible. We tried poison, blocking up the entrances with steel wool, talon baits, the exterminator. And I had to ask the next-door neighbour to remove their pile of mulch from the corner nearest our house, which is where the exterminator said they were breeding. She was deeply offended and didn't speak to me again.
No rats in the ceiling here, I'm pleased to say. Thank you, cat.
Don is remarkably accepting about his condition. (He puts this down to his background of Presbyterian Calvinism...) Doesn't complain, doesn't go on about all that he has lost, all that he can't do. Yes, there are times of real despair, such as my blog post about a year ago, Psalm 46. And he suffers from depression, which apparently is an intrinsic part of multiple sclerosis, although I am sure that the depression is also a normal consequence of living with the limitations of MS and the frightful future one faces.
But you can take facing reality only so far. And lately, I have been having some very difficult visits with Don, because he wants me to drive him to Griffith in the Riverina, to visit his mother. She is 97 years old, and is in a nursing home, and they tell us she has not been well. Actually she is in better shape than Don in a lot of ways, as she is able for example to get herself to meals independently, with the aid of a walking frame. But now it seems she is deteriorating.
At first I just did the usual thing of being rather vague, and expecting by next day it would not be raised again. Don has raised the idea a number of times in the past, but has not persisted. But now he will not drop the idea, and is insistent that we go to Griffith for one last visit to his mother before she dies. And is quite pressing about it, and practical too, wanting me to bring a suitcase so we can pack his things, and working out what time we would need to leave to do the trip in one day, stay one night, and then drive back the next day.
So I said we would need to work it out with our son David to come with us, as I needed someone else to help get Don in and out of the car, wheelchair, bed, etc. And that would probably mean bringing our 4-year-grandson as well, so not to be undertaken at the drop of a hat.
But staff told me it would not be feasible even with someone to help, but we would need to hire a lifter and other equipment at the other end.
Eventually I said to him, Look if we were able to go to Griffith and stay overnight, you would be living at home with me, because it would mean we could manage. So he got a bit cross and said huffily that I was trying to make difficulties, that I just didn't want to go to Griffith. My response was, that in fact I am more concerned about when his mother dies, because it seems unthinkable for us not to go her funeral, but I'm blowed if I know how we could do it.


The mother of J K Rowling, author of the Harry Potter books, suffers from multiple sclerosis, and Rowling has been actively involved in the MS Society - supporting, promoting and fundraising - for a number of years. She became Patron of the Scottish MS Society but has recently quit from that position due to differences in the direction the society is taking (partly because of a reorganisation that is going on, with conflict over who is to manage the funds, Scotland or London).
When I read that article, the detail that struck me was the throwaway line that Scotland has the highest incidence of multiple sclerosis in the world! Does anyone know why? Yes, I realise that the further you get away from the equator, the higher the incidence, but there are countries that are further away than Scotland.
Another MS mystery. So much research, so little knowledge.

I've mentioned the use of Low Dose Naltrexone (LDN) as a treatment for multiple sclerosis, a couple of times in this blog. It's new, it's still experimental and there is no clinical evidence, but there are lots of anecdotal reports from MS sufferers who used it and found improvements ranging from slight, to what some of them term miraculous.
Reason I haven't been saying much about what effect LDN is having on Don, is because I am all too well aware of the placebo effect.
Placebo effect means that if you give a person any treatment - any treatment whatsoever - for an illness or condition, then there will probably be an improvement regardless of what the treatment is. Mind over matter, sort of thing. The hope and optimism, the belief that there will be improvement - it leads to an actual improvement. Which is the reason, of course, that when new treatments are being tested, some subjects are always given a placebo instead of the new treatment (without being told), so that researchers can measure what has been caused by the new treatment rather than "beneficial effects caused by the subject's expectations", which is the definition of the placebo effect.
Having said all that, it is clear that Don has improved quite a lot mentally. I know that I wasn't admitting how bad he was getting, putting a good spin on things and would just say that he was "a bit spaced out" or "sleepy". But the truth is that it was getting quite hard to hold a conversation because he would either drift off to sleep or get what he called "clouded in his mind" and lose the thread of even the most straightforward things. Well, he has improved so much that I am trying to recall just how bad he was on a bad day. He listens to conversations with interest and alertness and often joins in, laughs at jokes and wants them re-told to others, chiacks the nursing staff and sometimes remembers their names, gives sensible advice about such things as whether we should think about getting a new car. Not all of that every day, and sometimes he is subdued and not terribly responsive, but still a complete turnaround from the zombie-like state he was getting into over the previous months.
I and the family are not the only ones to notice a marked improvement in Don. Friends who visit occasionally or often, the nursing staff, and even ancillary staff such as the laundry workers who don't have a lot of interaction with residents, have commented on how remarkably better he is. Friends say that he is "more like himself now", those who didn't know him before are saying that he is a different person.
Only disappointment is that his mobility still has not improved, ie he still can't walk or stand or sit himself up. But I also realise that he is never given an opportunity to do any of those things to check it out, or to practise. They use a lifter to get him in and out of bed, and staff are not going to abandon the lifter and risk hurting themselves on the chance that he might have more strength than before. So I suspect that he might have improved marginally, but not enough to get him less dependent.
How do you celebrate a birthday for someone who is (a) bedridden and wheelchair-bound, thus unable to go anywhere exciting (b) living in a nursing home, thus has very few needs (c) living in a nursing home, thus has very limited space.
What we did was to book the wheelchair taxi so that Don could come home for the day, and we had lunch together then spent the afternoon sitting on our deck looking out at the Lake.
Not only looking at the Lake, but through sheer serendipity some good friends phoned up and said they might visit - so we not only had visitors for the afternoon, but the visitors came armed with a bottle of bubbly for the occasion, and with our family visiting from Sydney as well, it turned out to be a bit of a party.
The gift he enjoyed was called a "digital photo frame' - sit it on his table in the nursing home and it shows a sort of slide show of all our family digital photos. Brilliant, eh?

Happy birthday, Don! (And the BIG one is next year....)
It had got to the point that they were not going to agree to Don coming home again. Reason being that he has collapsed and become unconscious, and ended being ambulanced to hospital, no fewer than five times over the past six months - and every single time the collapse happened when he was sitting up in his wheelchair. The last collapse was only a fortnight ago when he was home for lunch, and the nursing home were suggesting he'd better not visit home any more.
He has never had a collapse while in bed or in the recliner that he uses in the nursing home. The only explanation seems to be that he can't sit bolt upright for extended periods, any more. Presumably the MS is making him unable to hold his head erect indefinitely, and so he slumps, and blocks off his airway. I am no longer able to "transfer" him to a more comfortable chair, so he has to stay in the wheelchair all the time he is out.
I needed to trial something and see if it made a difference. The Yellow Pages gave me a marvellous place called Hospital at Home, which sells or hires all sorts of equipment.
Here's what I got for Don:
As you know, one effect of multiple sclerosis is frequent overwhelming fatigue, and the extended headrest makes it possible for Don to rest while he is in this chair.
Or even have a snooze while he is at home:

So we are now back to regular visits home again.
There was a news item last week about an MS sufferer who had his walking stick stolen. He had left it at a service station, and some young hoodlum had walked off with it. A radio station broadcast a plea for its return, and there was bit of talkback as a result - someone objected that if he left it behind then he must not really need it, someone else hotly came to the man's defence saying that with MS, sometimes you are fine and other times you are bad. The theft was apparently the culmination of this man's bad luck: he had lost his job, and as a result lost his house, in the meantime he had sold off most of his stuff in a vain endeavour to keep the house, and then - to cap everything! - his walking stick got stolen.
Don't laugh! Walking sticks seem to be very significant!
Don doesn't use one any more, having progressed (if that is the word I want, hardly appropriate, is it?) to a walking frame and then a wheelchair. But here is his collection:
Why so many? Do people really need more than one? Apparently so. I took a photo of them all and when I was with Don yesterday I asked him to remind me what they were all for. Here's what he said:
I sold another batch of books on ebay, and several people have been curious to know which books sold and which did not.
Again, I sold exactly half of the books I listed. First time around I sold 10 out of 20 books. This time, ebay had a promotion offering free listings for March (usually it costs 30 - 50 cents to list each item) so I bunged on another 16, and sure enough, I have sold 8! So it seems 50% is a good rule of thumb when it comes to books.
I was surprised with what did NOT sell. Probably I have an assumption that internet people are more into self-help, spirituality sort of stuff. Hence I expected that Caroline Jones "The Search for Meaning" would be first to go - but no, not a single bid, not even at 99 cents. Ditto Steve Biddulph's "Stories of Manhood". And I did think that there were enough animal lovers out there - dog lovers in particular - to get "Great Working Dog Stories" for 99 cents. But no. (If you wonder about everything being listed at a starting price of 99 cents, well the free listings only applied to 99 cent listings, but it's best to start low in any case.)
But Kerry Greenwood "Queen of the Flowers" was a winner, a little paperback that everyone was bidding frantically for, and eventually sold for $15.90, plus postage of course.
Kerry Greenwood is an Australian writer of whodunits, heroine Phryne Fisher, and set in Melbourne in the 1920's. I was given it for Christmas a couple of years ago, and although it was quite readable I wasn't sufficiently keen to go out and read more Kerry Greenwoods, so I was most surprised that she apparently has such a following.
People also bid for "World of Tears" the story of Father Chris Riley, and Ian McEwen's "The Innocent" but everything else just went for the basic 99 cents plus postage.
One book I was surprised but pleased to have no bids for, was "Shackleton's Forgotten Men". It's fascinating and I think I prefer to keep it.

When Shackleton set out to cross the Antarctic in 1915, he had a small support party that went to the opposite side of the continent and crossed towards Shackleton's group setting up a lifeline of depots for the coming party. Of course, Shackleton got frozen in and didn't come but they weren't to know that, so they went ahead anyway. It's a good read.