Dave
Dave’s wife was diagnosed with relapsing-remitting MS in the early 1980s, having experienced symptoms for some time before then. She now is in the secondary progressive stage and Dave cares for her full-time at home. For him, planning is the key to managing MS and its effects on daily life.
Dave has been a full-time carer for his wife since he retired from work in 2002. His retirement coincided with a change in her MS from relapsing-remitting to secondary progressive. She had experienced symptoms of MS for many years (since pregnant with their first child) but the diagnosis had been withheld from them by doctors in South Yemen, Australia and Saudi Arabia. Only when they returned to the UK did a neurologist confirm the diagnosis, and even then (early 1980s) said to Dave, Shall we tell her?’ Dave attributes this behaviour, among the older’ doctors, to what he sees as their sense of incapacity in the face of an incurable disease.
Dave thinks the key to managing with MS, as opposed to the alternative of being managed by the illness, is planning. His long experience of work as an expatriate manager equips him to achieve this. Regular domestic tasks and all excursions and journeys are subjected to this process.
Dave speaks highly of the support they receive from local friends and from other people with MS through the Mutual Support- Armed Forces group (part of the MS Society). They meet for long week-ends twice a year and enjoy spending time together. Support from statutory and other agencies is less forthcoming and Dave expresses bitterness at the recent withdrawal of a sitting service which permitted him 2 hours per month to go out and do his own things. He is scornful of statutory carers assessments carried out by the social services department of the local council which have been sometimes carried out by phone and which have yielded no support, even when his answer to the question, Do you sometimes have suicidal thoughts?’ has been, Yes.’
Dave speaks candidly and with some humour about the effects of MS on sexual activity and on emotional health, of the person with MS and their carer, both of whom may suffer from depression. He strongly recommends that all carers read a book by Hugh Marriott called The Selfish Pig’s Guide to Caring.