Support group for non-traditional caregivers?
August 9, 2017 1:59 AM   Subscribe

Hello metafilter, you've helped me in the past and I hope you can help me now. I'm a early-50's husband and father of two school-age children, and my wife is suffering from a series of chronic, debilitating medical issues that severely limit her daily activities ...

My question is, do you know of some on-line support community for fathers/husbands like me, who are dealing not only with caring for the sick spouse, but also with raising two children and working full time and maintaining the home and so on? While I find that I'm physically (mostly) able to handle things, I recognize that emotionally I'm not at all prepared for my new role. Compound this with a drastically shortened life expectancy for my wife (she's got, on average, another 5-8 years of life), and I'm at a loss for how best to handle things. Oh, and compound that with my wife's stubborn insistence that we not tell anyone about this (because she doesn't want people to feel sorry for her), so I can't reach out to local friends and family for support without breaking my wife's trust.

Most of the online support groups I've found are directed towards older caregivers or towards those taking care of older family members. I haven't found anything that speaks to my situation, of how to cope with raising young children and caring for a sick spouse at the same time.
posted by anonymous to Human Relations (15 answers total) 2 users marked this as a favorite
 
You need to have a conversation with your wife because you cannot possibly be expected to take all of this on yourself. The tasks are one thing but expecting you not to tell anyone is bullshit. You're allowed to have your feelings.

You might have good luck finding support through a local hospice. You don't need the hospice services but there are hospice social workers who should be well clued in to the different types of support available locally.
posted by fluffy battle kitten at 2:27 AM on August 9 [28 favorites]


Oh, and compound that with my wife's stubborn insistence that we not tell anyone about this (because she doesn't want people to feel sorry for her), so I can't reach out to local friends and family for support without breaking my wife's trust.

That is not kosher. It is her disease but she is not in this alone, and you cannot be expected to provide support without getting support yourself.
posted by DarlingBri at 2:34 AM on August 9 [37 favorites]


I wonder if she's very recently been diagnosed and is just now in the first stage of processing the impact of her diagnosis and what it will mean to leave her children (and you, and the world) before her time. If this is a new diagnosis, like within the last month, perhaps she is just trying to absorb it herself before telling anyone. If this is the case, you might gently discuss a timeline for disclosure. Maybe you can start with telling a few trusted people and asking them not to tell anyone just yet. Kind of like how some people handle telling about a pregnancy, in a happier but still anxious time of life. Because of course, as others have said above, you really can't carry this emotionally alone, even if you find an online support group. You simply can't. That's part of what it means to be going through this together, which you are doing by caring for her and your family and your home. So perhaps she might be OK if you start by telling a few trusted people for your own support and then working out gently together how to widen who you tell.
School age children are also going to need to be able to understand what's happening in their family and to discuss it with whomever they need to discuss it with. Even if you don't choose to tell them the full extent of things, like her life expectancy, they know something is wrong with mom and that their dad is caring for her. Secrecy around this is not in their interest. It generates fear and shame. Perhaps your wife can understand this through the experience of the kids more easily.
None of this rules out a formal support group as well, of course.
This is really difficult and you sound like a very good husband. You deserve and need support and empathy.
posted by flourpot at 2:49 AM on August 9 [13 favorites]


I would ask in the traditional forums if people there know of something like what you're looking for. I've been a nontraditional caregiver as well and the best way I found support was by starting with the regular groups/forums and asking around. There's often someone there who will know about the obscure Internet forum you actually need, or the local group that meets on every third Tuesday but doesn't advertise so you only find out about them through word of mouth.
posted by Stacey at 3:30 AM on August 9 [2 favorites]


When I had a threatening (but in the end not as serious as we'd feared, although it did end up with a surgery) illness, my husband was very keen for us not to talk about it to anyone as he didn't want people knowing our business. I did tell some people, and we got so much support; also I was able to help other people open up about issues they had that I could support them on (not in a huge draining way, just a me-too way) which helped me deal with being in the situation, and I didn't have to lean on my husband for everything. Also friends then took the pressure off of him by taking me out for walks in my recovery, keeping an eye on me so he could go back to work, being a kind of crisis line in case I needed something doing when he was at work, and that really helped both of us. Just some anecdata points about sharing things - looking back, i twas the best thing to do.

Oh, also, it becomes obvious there's something wrong and people (the kids, others around you) will very easily assume the absolute worst. By being honest and open about it, you can mitigate that and any feeling that people are talking about you.

I realise our situations are different but it was a bit scary there for a while and this might help. I wish you well in getting the support you need.
posted by LyzzyBee at 3:31 AM on August 9 [3 favorites]


I hope your wife and you are getting some therapy to help cope with this. Is there a support group for people with her diagnosis? If so, they probably have spouses, too, and you may be able to reach out to them. A hospital social worker may know of local resources.
posted by theora55 at 6:03 AM on August 9 [2 favorites]


if you tell us the name of the illness we might be able to help you search; sometimes there are malady-specific support forums.

And like everyone else, I'm hoping that your wife's reflex towards secrecy is part of her first reaction to the news; it's an understandable reaction, but it's not a reasonable plan. Long term it is not sustainable at all and someone is going to have to help her let go of that. You can't do this alone.

So terribly sorry that your family is going through this.
posted by fingersandtoes at 6:21 AM on August 9 [1 favorite]


[Her wish for secrecy is] an understandable reaction, but it's not a reasonable plan. Long term it is not sustainable at all and someone is going to have to help her let go of that. You can't do this alone.

Does she realize the incredible degree of pressure this puts on you? In addition to all the other pressure you are under as the sole person taking care of things?? I would never call her selfish, or frame it like that... but damn. How much is one person expected to be able to take?
posted by I_Love_Bananas at 7:29 AM on August 9 [3 favorites]


So hi. I have a disabling illness that requires intensive medical treatments and comes with a shortened life expectancy, often less than five years, though many of us make it much longer.

Telling people about this is nothing like what she's expecting. Some people feel
sorry for you, sure, but most people are really helpful and gently supportive. And some friends simply disappear. And that's ok, too. I was a nervous wreck when I first started telling people -- shaking hands, a rash trailing up my neck -- but it got easier.

My friends who are the most helpful are often dealing with illnesses or troubles of their own. We talk about them together sometimes, and we also talk about normal things. It's deepened our friendships and made them more meaningful to me. Telling people didn't make everything all about me.

I think being the caregiving spouse is in some ways harder than having the illness, due to the uncertainty. My father had the same hereditary illness I have now and he lived into his 60s, but when I was a kid my folks were really calm and realistic about including us, sharing information as we were ready for it and involving us as much as we wanted.

If this is a new diagnosis, I understand the hesitation about sharing. But as soon as you do, it's like an enormous weight's been lifted, and it makes it easier to accept the situation and navigate it accordingly.

Sending you good thoughts... Please feel free to memail me if I can help.
posted by mochapickle at 8:57 AM on August 9 [4 favorites]


You need your family and your friends at this time.

Explain to your wife the practical benefits. The kids auntie or grandma will surely take them for an overnight a month to allow you personal time. If you need money for house cleaners or yard maintenance you can get financial support. The moms at school can arrange carpool so you can take your wife to medical appointments, or maybe her family can take her so you can go to work. If you have a church community maybe they can bring meals sometimes. Your boss can help with flex leave or work from home arrangements. And so on and so forth.

You cannot do this all on your own, it's too many tasks. Good luck.
posted by crazycanuck at 9:33 AM on August 9


I am listening to the answers very carefully as I'm in a pretty similar boat (50, partner recently diagnosed with MS and unable to work again nor do anything much physically, my son from previous marriage and her foster son both with a lot of needs, our 2yo with cystic fibrosis and another one on the way). I'm fortunate in that she is not trying to keep her diagnosis secret, but otherwise I feel your pain trying to provide all the income and do 24 hour support as well as raise kids alone. One solution is to hire a nanny, but the cheapest nanny we can find costs pretty much the same as the salary I can pull down working from home what hours a week I can. Result: savings getting eaten up without much potential for change in the near future. However, operating without a nanny results in me burning out very quickly indeed, and so she's more of a sanity creator than a childminder. All our family members are 12,000 miles away and busy with their own lives, and we have little to no time for keeping up with friends. I earn just enough to be unable to access any benefits of any type, other than $45 a fortnight for our son's "disability". Whoop-de-doo. Because we are partners it is assumed that I will be caring for her full-time unpaid, and that one or both of us will be caring for the children full-time unpaid. The system has difficulty coping with situations like this.

I agree that there are very few resources for you visible online. There are a number of MS groups and other related forums (including those for carers or with caregiver sections), but on the whole they get very few posts on them. I don't know whether there are simply very few others out there with a similar issue, or whether they're all busy on a forum I haven't found yet. If you come across something please shout out. Those forums that do have action are generally people caring for elderly parents and they have very different issues (and almost always don't have young children needing full-time care too).

If you ever want to have a vent to someone who understands your position, feel free to MeMail me.

Sending my best wishes and crossing my fingers you can keep your sanity for your family's sake...
posted by tillsbury at 12:41 AM on August 10


Hi, I'm the OP. I asked my question anonymously (as explained above) but this issue is important enough for me to just go ahead and create a sock account so that I can have a bit of a presence here, yet still respect my wife's request for privacy.

I can say a bit more about my situation. My brave and beautiful wife has had diabetes for decades, and she and I are both in our early 50's. We had children late in life; one is in middle school, the other in grade school. My wife has been through a number of health crises over the last few years, some treatable and others simply manageable. Her ability to do basic functions (like climb stairs, or pick up items from the floor) has been steadily decreasing over that time. My cri de coeur was motivated by her being diagnosed (just a few days ago) with kidney disease. We're still seeing doctors, getting follow-up lab tests, and so on, and so things are still in flux. The big concern, though, is her having to go on dialysis... if that happens (and it hasn't happened yet!) she's looking at 5 years or so of life expectancy, barring some miracle (like a kidney transplant).

flourpot, you are quite right in your guess that this is a recent diagnosis. As you surmised, she and I are still in the middle of trying to process this.

And me? I'm swinging between outright denial and panicked Stoicism, if that makes sense. When the wife I love is breaking down in tears each night, begging the Lord to just let her live long enough to get her children through high school, I can do little more than hug her and try to keep her calm.

I appreciate everyone's comments that I will need to get help, privacy be dammed. Once the dust settles on this diagnosis, I'll have a good talk with her about how I'll be needing help so that I can do my job of helping her and the kids.

I thank you for your advice. I'll be contacting some of you via MeMail to vent (thanks for the offers!) once I have some more time. My heartfelt sympathy for my fellow travelers who are also enduring this journey on a path we would not willingly choose. My heart breaks for all of us.
posted by fuzzy.little.sock at 12:25 PM on August 10


Good plan to make a sock account.

For what it's worth, my advice is that you need to make this public sooner rather than later. Not necessarily completely public (I wouldn't be posting on Facebook or whatever), but telling family and others who need to know. It will lighten your load because you don't have to hide anything, and lightening your load is going to be the first priority for everyone if you're going to be useful to your family. You may find that some help comes out of the woodwork -- sometimes from the most unexpected places.

You need to do your research and possibly do it on your wife's behalf. With my partner she wisely chose to avoid googling entirely and left it down to me to research and filter real data from the sea of rubbish. The last thing a newly diagnosed chronic patient needs is a pile of horror stories to read.

One thing that helped me was to re-frame my job description. Once I'd got used to being the caregiver it was easy to approach it like any other. If I'm going to do this job then I'm going to do it like a boss. The actual individual elements of the job are all very easy, so it just comes down to planning and preparation to make sure everything gets done at the right time and in the right order.

You should also review your insurance cover, I'd suggest. Although I don't tend to get ill it is a bit of a nightmare with our current situation even if I just get a bit of a cold, and anything happening to me would change things dramatically. A significant amount of trauma cover is stupendously expensive but we figured we need to have it in place in case I get a diagnosis of something grim too.

Emotional support is hard to find, though. We did get six hours of subsidised counselling from the local society dealing with this disease, which was better than nothing even though the majority of the responses came down to "blimey that all sounds a bit hard".

Every now and then on different quiet forums I come across messages from people in a similar position. They usually sound horribly desperate, and they are usually posted from accounts where that is the only posting (and of course there are no responses to the threads many years later). I often wonder what these people have been up to in the intervening years and whether they're still ok.
posted by tillsbury at 1:23 PM on August 10


Hi, I am so sorry for your and your wife's health situation. I don't have much practical help regarding receiving support and your wife's reluctance to allow others to know of her issues, but I wonder if you and she have considered transplantation? I worked for many years with a liver and kidney/pancreas transplantation program, and it is, indeed, possible to have both kidney and pancreas transplantation. In fact, it is typically only considered when diabetes affects the kidneys enough that dialysis is needed because of diabetes. Transplantation programs prefer to transplant both organs together for a number of reasons. I would urge you and your wife to ask about this, and to insist on a referral to at least one academic medical center for an evaluation. And if the first center denies listing because of something you think is bogus, go to another one. Each transplantation center has its own rules. One might allow, for instance, medical marijuana use, while for another it is verboten. You can even be listed at more than one center, if you have the energy and money for traveling to different areas, for instance the Central Atlantic and Southern Atlantic catchment areas. Some have lists that are very competitive for receiving organs, and others are less competitive. There is all sorts of minutiae in this sphere, so learning a bit from an advocacy group can be very empowering. I know nothing about your location or whether this is something she considered, but I know what a lifesaving thing k/p transplantation can be. No more diabetes! No more kidney disease! Of course, transplantation has its own complications and risks, but for the diabetic patients I know who had this (in exactly your wife's situation), the procedure was absolutely life-changing.

Also, transplantation programs all have social workers and family support groups. They are experts in knowing about programs that can help you financially and with family care and transportation issues. You would no longer be alone. Best of luck to you and your family!
posted by citygirl at 3:13 PM on August 10


Dear citygirl, that is very helpful advice. It's good to know that those resources are out there!
posted by fuzzy.little.sock at 7:03 PM on August 10


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